HomeMy WebLinkAbout028-076-013". ARLENE'-'GREEN 28-076-.QT*,1,3_
37 3rd St; Honc
21
lonc
t
.,,,Contr: Executive omes
P (ut.
`Permit#677-83�9P,E(ut' MH)
ELEC. 406 /1
GAS A /2&
SUPPORT -STRUCTURE -REQ.
Contr*: Jim Fields 28-076-9!i��
Permit#1724-89MHI
Issued
= 28-07
67H
Perrm�it#2277-89B(new stairs/
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PERMIT NO. 2277-89B
PERMIT EXPIRES
ARLENE GREEN
OWNER
OWNER
CONTR.
28-076-09
ASSESSOR PARCEL
LOCATION 37 3rd St, honcut
0
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1
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' Temp. Power Pole
Called PG&E
{ Temp. Elec. Service
I Called PG&E
{ Temp. Gas Service
Called PG&E
JOB FINALED (Date) i
Signature
'= OK
0=Not OK
=.Not Readyable MOBILE HOMES
'
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DE OVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
I. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
2. Soils; Special MH Support -Sketch
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: / P' 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 -81
Date Card -131 Date
10. got; Shthg-Roofing
Card -131
Date Card -131 Date
. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
Dat} Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -61
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -B1 Date Card -B1 Date
Card -131
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -61
Date Card -131 Date
Card -131
Date Card -61 Date
0
uK
0 = Not
Not Applicable RESIDENTIAL' (Single and Duplex)
- =
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
46. Cing. Joist-Rftr. Ties -Pu rlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Fig., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Fig., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53, Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance -Material -Su pprt- Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59, Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Date Card -B1 Date
67. Stairs &Rails
Card -B1
Date Card -B1 Date
68. Fireplace or Stove; Clearances -Hearth
Date
ELECTRICAL (Permit) OK except #'s
69. Elec. Outlets at Wood Panel; Int. & Ext.
22. Fixture & Transformer Clearance -Ins. Protection
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
71. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
72. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
73. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76 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
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
99. 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
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
33. Smoke Detector
8i. Stucco; Brown -Finish
Card -B1
Date Card -B1 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -B1 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Card -B1
Date Card -B1 Date
92. Roofing Certificate
Card -B1
Date Card -B1 Date
Card -B1
Date Card -131 Date
Card -B1
Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
Card -B1
Date Card -B1 Date
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
41• Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit iob site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION ANn PERMIT
IT 0.
i
AS ORP E NUMB
ZON G
BUILDING PERMIT
0;J RTEL
_ I^
PH
SO. FT. OCC. BUILDING VA TION
O N MAILING
N R CTOR'S NAME
TELEPHON
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
' Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
n
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS cd 6t
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
Water piping
5.00
Each gas 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 G W
O.00ea
TYPE OF WORK
New ❑ Addition ❑ Remo I ❑ Utilitie In tallation❑ Other N
Describe work: 11
1
rS
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6011 OR LESS
t00 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penaltyof (check '
perjury (econe):
❑ l 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
Its 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.!)
OR ADONS. ACC. BLDGS. , /20sgft
NEW CONSTR '.OUTLET 2,50 ea
.
NON.RESID BRA CH CIRCUITS)
POWER APPARATUS e
SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES 20@tl
DA 050
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. lyirin 15.00
9
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 shal I 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
1s correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and here authorize representatives of the County of
Butte to enter upon the above -m on ed property for inspection purposes.
I also agree to save, indemn, and keep harmless the County of Butte against
all liabilities judgments, sts, and expenses which may in any way accrue
agai s ounty c sequence of he granting of this permit.
Date
"do7% ✓3
Signature of Applica — Ow r Contractor 11 Agent ❑
An OSHA permit is quired 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 ss —
OCCUP.
CONST.TYP!
SCHOOL
PLooD
--
PARCEL
PD
HD
'
IS OE_
This permit is hereby issued under
Bions of the Butte County Code and/or
work indicated above for which
IRECT A O UBLIC
By
PERMIT EXPIRES Date
the applicable toprovi-
resolutions to do
fees have been paid.
WORKS
Date -2--7.0 �] -(� � _
',_ -/ !2
Receipt No. 7u
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
OWNER
COUNTY OF BUTTE - DIE PARTMENT.OF* PUBLIC WORKS.- BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILEE, EALIP'ORNIA 95965 - TELEPHONE: 916/538-7541
PERMITAPPL#tATION DATA SHEET {
i/ I f I//- -
Proposed Building Use IIe�P C` k �/7_� Building Inspector rDate
C
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. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated arid AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
/11. Park fees paid .....................................................
�12. School District fees paid ................. _
13. Sanitation approval from 06QC01 z-1�d-.� Health Department ...
14. City of Chico plumbing. permit ..................................... .
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Inspection for required ...... Pre-Inspec. request to
Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
26.
Whe you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
ApplicaOP,
Date %J
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issua ce: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
_..+�.
Contractor, designer, owner, was advised of above required data by—phone---mai [—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 byS Date' 2-17—C_
Sets of plans on hold in File cabinet -' AP folder
r
Copy—DPW
TO I Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP #
Plan Approved for: Sewage Disposal ` ) Water Supply
Hold final for:
Water Supply
Final clearance O.K..for: Water Supply
Clearance for _ bedroom mobile home. Other
NOTE ***
`3
Sanitarian Date
COUNTY OF BUTTE - DdpArttuent of Public Works
7 County Center Driye, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the ma" _r..Jabor and materials for construction of
the proposed property improvement Clso
or no) /
2. I 5e>pDroposed
ave not) signed an application for a building permit
for 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
Sign
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.
106W Vfd W CM9 SPO'ei tcdb
l;C.-Ts MUST
*80 an the i�all ti -nos c -rd it is unlawful fo
ROT..._,.pal{ Materials & WOrl-'manship Shall Be it, make any chans'-s or r_!re -bio^s nn some without
a
Icor nu aa... _
. Ga►�raiy of Butte
of a qual''i y presc:;i..; �a s !case in the l . .
Uniform Building, QQdoa m4
tho �lattoaoil sestet al Code,
200
A setback of 5 ft. from the
property line thedoasetback
of� from
• � ad
Cohterline shall beclear of�
structures or equipment
overhang- 4
QNB ,
� i t
E7C-
-P7-/
w�TE�
i Wtt; �eha .110 h° `
the
o{ hall
aeons S elfiher
'0 elety tonne b,e ,icr��` :, he reap
e IM0 ,n,itnin t. Q P�
4 {t. bahend or �, of
IWWO
II
t
V
f
200
A setback of 5 ft. from the
property line thedoasetback
of� from
• � ad
Cohterline shall beclear of�
structures or equipment
overhang- 4
QNB ,
� i t
E7C-
-P7-/
w�TE�
i Wtt; �eha .110 h° `
the
o{ hall
aeons S elfiher
'0 elety tonne b,e ,icr��` :, he reap
e IM0 ,n,itnin t. Q P�
4 {t. bahend or �, of
IWWO
II
t
V
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541
MOBILEHOME INSTALLATION SHEET
1. Owner's Name :
2. Installer's Name: 11-T
3. Is the site currently under permit? YesI I No F
(If yes, furnish permit number % 7 Y) OR
Is the site an existing site? Yes No
(If yes, furnish two plot plans.)
4. Will the mobilehome be located at least 5 ft, away from septic tank and leach
fields and clear of all setbacks and easements? Yes No
(If no, clarify
5. What is the mobilehome electrical rating? --------------- )J) 62 Amps
6. What is the mobilehome site service rating? ------------- Amps
7. What is the mobilehome site circuit breaker rating? ----- Amps
8. Is there any other electric load to be served by the
mobilehome site service? -------------------------------- Yes No
.(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? -------------- (in.)
10. What is the type of gas service? ------------------- Natural LPG
11. What is the gas pipe length from meter or tank to the
mobilehome?---------------------------------------------
* 12. What is the mobilehome gas demand? ---------------------- (BTU)
*(This information not required if pipe length less �than 66 ft.TE on
natural gas or less than 50.ft. on LPG.)
R (" )J1V
MOBILEHOME SUPPORT DATA
✓. If other than single wide,
Mobilehome Mfr.- / '������CY furnish Setup Model No. Year eel?
Width % / (ft.) Box Length__Y,, (ft.) Tagalong or Expando Size ft. x ft.
On all mcbilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural- setup sheets (if not on file with the County of Butte).
FOOTINGS (check one) Erl- Wood -pressure treated or foundation grade. 2. Other (specify)
SUPPORTS (check one) El- Concrete block.
[12. Other (specify)
Pier Footing Sizes and Locations
SINOLE-WIDE MULTI -WIDE
..__ i Line 1
;fain Beams
Maio Beams
'.Sne
Line
_-------�-- ._Line
Tag or Triple
Line 1 Piers:
Size-Min-------------
Spacing-Max -
-----------
Spacing-Max. ---------
From Ends -Max. -------
Line 2 Piers:
Size-Min.------------
Spacing-Max -
-----------Spacing-Max.---------
From Eads -Max.------- '
Line 3 Roof Wads:
Size-Min.------------
Locacion (From Front)
Line 1 Openings:
Size -Mia. -- - -
Each Side of Openings
With Width over ---------
Line 1 Piers: (Under Bearing Wall Only)
Size -Min .------------------
Spacing-Max. ---------------
From Ends -Max --------------
x x k k ..x .. ..x .. .k .. k
Size -Min.------------ k
Spacing -Max.--------- . .,
From Ends -Max .------- ..
Line 5 Root Loads:
Size -Min. ------------
Location (From Front)
e 5 ?iers: (Under Bearing Walls Oniy)
Size-Mio.---- -------------- 4
Spacing -Max. ---------------
From Ends -Max .-------------
--• 28-076-09
GREEN, Arlene
37 3rd St. Honcut
Contr: Executive homes
(util, ISI)
PI
_I FINALED:
PERMIT EXPIRES
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
• i
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signatur
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41
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COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307 t
CORRECTION NOTICE
a
�N/-T , e_� / 7 A Y- - -=µ
PERMIT NO.
2.
h
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
additional explanation, please contact this office immediately.
lwlpl/L`/�//�!•
fit:_. —.. . ! .c l�__ .
•jam
Inspector Dat
0
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA -.534-4541. r�
ry PERMIT N0.
Address or location of mobilehomeZ ; f -
Owner's name i _ � reg
Owner's address))(
Insignia or hud number 'R A
Manufacturer's name F7e-- P�l1 „
Serial number of.V.I.NnYear of.manufacture
(Official -Approving Installation) / (Dote)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
t
1L
513B White - Owner, Yellow - Installer, Pink - D.P.W.
= OK
0 = Not OK
_ Not Applicable MOBILE HOMES
.- Date --MO ILE HOME -UTILITIES (Plans) OK'exce t #'s
-j : Zoning _Requirements-Setbacks=Easements
•$oils; Special. MH,Support-Sketch
- L3�Sevfer _Location=Test-Fall-C/O=Concrete
p ater; Location -Test- asement'Needed ketch)
Iectricity; Location-Clearances-Grn :- p-Concrei
-6�Gas; Location Te t -Wrap / L ff IL
or C/
-Card-B1 - - Dote G� % Cgrd'B1 Date
Card -B1=- Date Card 61;- Date
Date iAVKEHOME INSTALLATION (Plans) OK except #'s
-. • .p_ 7� inn Rnn niromnriRc-Co41Sflr4e-F�enmun}c •"
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.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8: Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing"
11. Ext.; Steps -Doors -Landings=
-
v us, vin r oa cnlan�-vnlvo-vvnnc.,vr
-
" `
_.' ectricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS.,(Plans) OK•except #'s
. fin; MH'Test'-FAl1-,Flez Connector ..
1. Setbacks -Easements -
er; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
Water andSewer Connected?C/O to,:Grade-HD Approval
3. Pool Structure; Steel -Connections -Thickness -
L
8.Ss and El ectricityaTagged
Dead Men -Lining .
Exits; Insp.-Sketch
4.'Elec.- Receptacles and Lighting,, Distances -GR
10: Cert. of Occupancy, j 1
5::Elec.;'Pool Lighting; 15 volts-GFI 7
6:.-Elec:;'Enclosures;,Conduit. Entries -Terminals -Listed "
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -}seater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Card -B1
Date and -61 Date..
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -B1
Date Caird -EW- Date'
9. Health Department Approval -
10. Plumb.; Cir. Test -Water Supply Test
f,—
_
.'-�`�"
Card -B1
Date Card=6? Date
Card7.B1.
Date .,Card—B-1 Date
%A,% y•
-=VK '
0 = Not
- =Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Fig., Garage; Soils -Steel-/ P' Fig. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Fig. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -B1
Date Card -B1 Date
Card -B1
Date Card -131 Date
Card -B1
Date Card -B1 Date
Card -B1
Date Card -131 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
85. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Date Card -B1 Date
67. Stairs &Rails
Card -B1
Date Card -B1 Date
68. Fireplace or Stove; Clearances -Hearth
Date
ELECTRICAL (Permit) OK except #'s
69. Elec. Outlets at Wood Panel; Int. & Ext.
22. Fixture & Transformer Clearance -Ins. Protection
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
71. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
72. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
73. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mach. Fasteners -Bond Gas &Water
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76, 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
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
31. Equip. Clearances Panels-Motors-Mech. Equip.
Clearance Looked under Floor ❑ Yes
32. Clothes Closet Light -Shower Light -Spa Light
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
33. Smoke Detector
81. Stucco; Brown -Finish
Card -B1
Date Card -B1 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -B1 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
9i. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -B1 Date
92. Roofing Certificate
Card -131
Date Card -81 Date
Card -B1
Date Card -131 Date
Card -131
Date Card -81 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
Card -131
Date Card -61 Date
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
41• Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit iob site)
AP
014NER A �C` 1 gyp. r'� E�/►-r
PERMIT #�'
MH UT IL . CLEARANCE DATE
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compaction
Test eq.
ervice
ize
Other
Load
Type
Pipe
Size
Length_
YES NO
YESI NO
i"
COUNTY OF BUTTE - DE-PARTMENT OF PUBLIC WORKS PERMIT NO., /
v 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 /Zz� Y ;
APPLICATION AND PERMIT
ASSESSOR ARCEL NUMBER
`' .,:? •- - 0 7
ZONI
BUILDING PERMIT
OW ER
TELEPHONE
SQ. FT. OCC.1 BUILDING VALUATI N
OWNER'S MAILING ADDRESS
CON �CTOR•S NAME / � �
�TELEPHONE��
7
CONTRACTOR'S MAILING ADDRESS
-SS --±Ili/? 4"' '
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER LICENSE NO.
ARCHITECT OR ENGINEER'S MAILING ADDRESS li
Plan Checking Fee
$
Energy Plan Checking Fee
$
Penalty
$
BUILDINGDIRESS
7 r L!J
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
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 ❑ Installations Other ❑
Describe work:,'fjaT % �� �s� i
H I
Penult Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00v OR LESS
100 AMP OR LESS
10.00
CONTRACTORS LICENSE LAW
I de la under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Codeandmy license is in fullforce %and effect.
License No. v `' Classification ' /
❑as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.a`
OR AODNS. ACC. BLDGS. /
,hQSgft
NEW CONSTR TI -OUTLET
NON -RE .BRA CH CIRCUITS
2.50 ea
/POWER APPARATUS &I
(SINGLE OUTLET CIR. I
EX. OCCup(OUTLETS OR FIXTURES
20080t
e ALO aD
FIXED APLNS.
Ex. �CCUp. OUTLETS PRESID IREA.Y
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �Yirin 9
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
penult Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 sai unty in consequence of a granting of this permit.
X/ Date -5 J 3%—e /
Signar of Applicant - Owner ❑ Contractors Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
occuP.
CONST.TTPE
SCHOOL
FLOOD ARCEL
PO I
NO
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PEOWT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �� L22
//over
�3jstories
Receipt No. 7 y
WHITE-O.P.W.. TELLOW-ASSES30N. PINK -INSPECTOR. GOLDENROD -APPLICANT
�i�ra��s ,� --s-:,e: 'nLt3^'ii`t.."srt}•..._i++v+Z �;+iy:+ug.r.s«lswG:����.3tiiR �t"�. �...w -� "ter,_"
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION +
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95935 - TELEPHONE: 916/538-7541 /
PERMIT APPLICATION DATA SHEET ,-�-�
Permit No.
OWNER A_&zr A. P. No. 0 (—
Proposed Building Use ,4,4_ Building;Inspector sf Date -S41-267
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. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
12. School District fees paid .................
13. Sanitation approval from Health Department ...
14. City of Chico plumbing -permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking:
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Inspection for required ...... eu �Insp dingissre fort to (Date)
20. Contractor's license information (No., Name Style, Classification) ....... '
21. Certificate of Workmans Compensation Insurance i'
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement'
............
24. Letter of signature authorization .....................................
25.
26.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
A Telephone 922— /6 and hold for pickup at oeouuCF office. Deliver w/inspector.
Other
Applicant
Date
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, designer, owner, was advised of above required data by_phoneL__jnall—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l_counterby" date
Plans checked by Date Plans approved by�� Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DI✓PARTMENT OF PUBLIC WORKS �P MIT NOS >
7 County Center Drive - Oroville, C&lifomia,05965 -,Telephone: 916/538-7541
APPLICATION AND PERMIT
ASS PAR E UMBER
ZONING
BUILDING PER IT
owN
H
SQ. FT. OCC. BUILDING VALUATION
O04'S
ER(LING D REE
v
C OR'S AME
ELEPH NE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 77
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
Align C_
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL MAP
Water piping
5.00 -
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] MobilehomeOther
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S
0.00 ea
TYPE OF WORK
New❑ Addition[] Remodel❑iii' s0 Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service aooV OR LESS
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑NON.RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
j for sale. (Sec. 7044)
[✓ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.aI
OR ,
Rw DDNS.' A
•TI LD
F2.50
U TLET
BRANCH CIRC ITS
POWER APPARATUS tr
SINGLE OUTLET CIR.
Ex. Occup�OUTLETS OR FIXTURES 200800
eALoso
FIXED AP❑
LNS 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 shal I 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.
e, indemnif and keep harmless the County of Butte against
I alMliabqOies
all gments c s s, and expenses which may in any way accrueagay in c uence of the granting of this permit.
_
X Date
Signator of Applicant — Owner ElContractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -I
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
occuP.
CONST.TTPc
ISCHOOLIFr
PARCE PD No
ISSU
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indica above for which fees have been paid.
F PUBLIC WORKS
BY elvDate 3 ~I�'
PERMIT EXPIRES Date ��^��
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
y+'..v :�.t.. r :;f.. }-L:+"iwsY'- 'T' * .slrvf's:,a-a�y„a,.i..µs7E:.+� iY.ww<3:} %'...'fYir "'S.i..'.:,ry^r�ecs s,; r•.i'7.y�..f.:c'i-:a"i' f...... -a; T=Irzi.!;y i,
�y e COUNTY OF BUTTE - DEPARTMENT;QF7PU_ WORKS -BUILDING DIVISION /
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET ✓/ (V�
Permit No.
OWNER14—lj Clr LJ ✓�C C1 ✓� A. P. No.
Proposed Building Use Building Inspector faz/Date
At time of permit application, I was advised the following data must be submitted priorto 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. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
2. School District fees paid ................. 42
3. Sanitation approval from �/Tiy+�t� %/�� Health Department ...
1 City of Chico plumbing -permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking:
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) #.
19. Pre -Inspection for required ...... Pre-Inspec. request to
Building Inspector joate)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
aA:Owner -Builder Verification (Given to owner 0, Mail to owner 0) ........
_ Recorded copy of Agricultural Acknowledgment Statement
24. Letter of signature authorization .....................................
25.
26.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted pri�permit issuance: (Circle new item not checked above).
1.- Index permit for above items No.
2. Additional, items required:
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date
Contractor, designer,, owner, was advised offabove�r'equireld data by—phone —ma II—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Buildinv Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner.
AP#
Location
Plan Approved for: Sewage Disposal
Hold final for:
Final clearance O.R. for:
Clearance for bedroom obile home.
NOTE *** r
II
Sanitarian
Other
Water Supply
Water Supply
Water Supply
3
ate
d
IleturrhI.o DPW AGRICULTURAL STAThMENT'OF ACKNOWLEDGEMENT
LOR RI',S:[DENT[AL DEVELOPMF,NT
Secl_ ion 26-8. 1 lit' I.he Butte County Code
requires I.hi.s acknowledgement be recorded
prior Lo issuance of a building permit.
All that real. property situate in the County of Butte, State of Cal.i.forni,►, (Icscrihc(l ;i`,
fol:aows:
p120t1l 16. C14 l �
Z00/9 /C)01 J -
Da t.e : -5- �?- sw / PRO)KRTY O,IWNrRS
State of. } On this the Olt -4 day of , 19 before nle,
) SS. the undersigned Notary Public, personally appeared
County of 160-176' )
E] Personally known to me. E9 Proved to me on Lhe basis
of sati •factory evidence.
to be the person(s) whose name(s)
OFFICIAL !,EAL
DEBORAH L. MIPPS subscribed to the within instrument and acknow.ledgL I LhoI _
7NOTARY PUULIGC ALIFOP.NIl. executed the same for the purposes therein conLa i ned . IN W ITNI-;tiff
h BUTTE COUNTY
WHEREOF, I hereunto set my hand and official seal.
ri1Y COMM. EXP. SEPT.25,1992
oaoa�LaeasE�eds .
Present A:I'. No. Notary Pubaic
The property described herein is adjacent
89-008203
Rec Fee 7.00
to .lend or. included within an area zoned
Total 7.00
for agriculAura.l purposes, and residents
Recorded
'
of this property may be subject to incon-
Official Records
veni.ences or discomfort arising from the
County of
I PARTY SHOWN
LISC of c.Igricul.Lural chemicals, including,
Butte
1
but I:oL I.im.i.Led to -herbicides, pesticides,
Candace J. Grubbs
1
and fert.i.l.:irers;. and from the pursuit
Recorder
;
of agr..icultural. operations including,
2:4Shm 9 -Mar -89
1 RB 2
but not Limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County
has estah.lished n;;rivii l
lur.a.l zones which have as a priority use for
productive agricultural
purposes, and
within said zones and on adjacent property
should be prepared to
accept suc 11 i nc„nven i ci e
or disconform .from normal, necessary .farm operations.
All that real. property situate in the County of Butte, State of Cal.i.forni,►, (Icscrihc(l ;i`,
fol:aows:
p120t1l 16. C14 l �
Z00/9 /C)01 J -
Da t.e : -5- �?- sw / PRO)KRTY O,IWNrRS
State of. } On this the Olt -4 day of , 19 before nle,
) SS. the undersigned Notary Public, personally appeared
County of 160-176' )
E] Personally known to me. E9 Proved to me on Lhe basis
of sati •factory evidence.
to be the person(s) whose name(s)
OFFICIAL !,EAL
DEBORAH L. MIPPS subscribed to the within instrument and acknow.ledgL I LhoI _
7NOTARY PUULIGC ALIFOP.NIl. executed the same for the purposes therein conLa i ned . IN W ITNI-;tiff
h BUTTE COUNTY
WHEREOF, I hereunto set my hand and official seal.
ri1Y COMM. EXP. SEPT.25,1992
oaoa�LaeasE�eds .
Present A:I'. No. Notary Pubaic
Exhibit "A" Escrow No. 0598
A11 that certain real property situate in the County of Butte, State of California,
described as follows:
PARCEL NO. 1:
Lots 6, 7, 8, 9, 10, 11 and that portion of Lot 12 North of a line beginning
Northeast corner of Lot 13, running thence Westerly along the North line of saidtht Lot
13 and continuing in a straight line to Third Street, as shown on Map entitled,
"Official Map of Wncut, Butte County, California% recorded March 13, 1890 in the
office of the County Recorder of the County of Butte, State of California, in Book
7 of Maps, at page 35.
PARCEL NO. 2:
Lot 13 and peat of Lot 12 of the Town of NHoncut, Butte County, California, more
Particularly described &a follows:
BEGIMMiG at the Southeast corner of Lot 13; thence Southerly along Westerly line
of Second Street, 50 feet; thence Westerly 2M feet to the East line of Third Street;
thence Northerly 100 feet; thence Easterly lUO feet to the Northwest corner of Lot 13;
thence Southerly 50 feet to the Southwest corner of Lot 13; thence Eauterly 100 feet
to the point of beginning, according to the Officf al Records filed in the office of
t:I.l County Recorder of the County of Butte, State of California.
1
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IND Cir- nr)r - w -mry
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