HomeMy WebLinkAbout028-180-047/
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�T BARKERUp 11 Rd M3- W1k/S Up' Rd* k mi W Robinson Mill, Oro
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` ORDER NUMBER
REG. R.U. I INCIDENT NO. START MO. PATE YEAR COUNTY
in
" FIRE NUMBER
} FIRE NAME:
REPORT
REG. R.U. NO. thry
FC- 18
/88)
2 , POOR �� Rs
ORIGIN LOCATION II
SEC: • TOWNSHIP RANGE MILES DIRECTION rr77 c�
ONS —®O W uIL FROM ❑ iN, NATIONAL FOREST, FIRE DIST., CITY 8 TR NO.,
tlNCl=DEN
T TYPECRES OF VEA ION BURNEDRM--GO TO r 8
BLOCK 10 I I DIRECT t ?:;:;: ?:r:•:.;}y,n;;.? f't�r ?{.>.• ::::ss:: y`#?.
'> AGENCY PROTECTION E
RESPONSIBILITY "•? ACRES BURNED `' ACRES BURNED
4A 48 I I VEG. :.
STATE ZONE STATUT Y CDF O ,. ::
E` TYPE 1 w
O[WILDLAND BURNED OR THREATENED RESPONSIBILITY TIMBER
0 O ❑ CDF LOCAL GOVT. CONTRACT 5
3 (t AT ORIGIN #` wooD <
❑ UNPROTECTED' O : I #•
' OTHER ?, LAND
4
C3 ASSIST OTHER AGENCY (Not City) ❑STATE
❑ U.S.F.S. v TOTAL `?}' % BRUSH
'`" LOCAL ZONE <>
f�t L ?
$ ❑ B.L.M. E•,': i
GRASS
Q
'Ll CDF LOCAL GOVT. CONTRACT ?:a>•,,:>#}(r�.;`;;, ...{r::;::
❑ B.I.A. ::•: r?.<;::;:: / # ?<•rr:r.••r••4 #`fi: M"?'3 :#;?#
6 ❑ ASSIST OTHER AGENCY (Not C' ?.::::F..;.>.:ii {:r{ts:a{:•>:•r:::r: .sss::•:::>:#:
City) ❑ '.;.;;,i?.,•:;;ii'y'•:#;:`•::::?;`.:•: r.•rr:•r:: .:: Y,r.....t. ... y'rk,�..::::
OTHER FEDERAL :y;•::: }r..........#:`.i?`•z.. u3:>: AGRIC.
:FEDERAL ZONE
OTHER : #:'.Mi.l..... PROD.
�a
OC] ASSIST FED. AGENCY (Not Mil.) rfF`•i• CDF
❑ 'CDF LOCAL GOVT. CONTRACTI SIZE CLASS `f TOTAL AJ
inn»'
MISC. AND OTHER ?{ >:, ?.#w:;<<.:}. : E,:;:><: } } ?:. `. �.<
0 ❑' ASSIST CITY, CONTRACT CO. I }:w:;. 8D s :r#tr:'•;##.>.:>c?## 4<z>s w::`•:vi##o
MIL, OTHER ❑ A 2S ACRE OR LESS Y:;:; :.s.::{.r.,.} :;.>:?><.;.;:;.;;::o:•:>t::3.> x•:•:;;::§n::#.y..;:;. n..
' ':r <: . I I . • :�s?;: STATUT. � s:
CAUSE (STARTS IN 1 2 5 ❑ B •26 9 ACRES` RESPON. Oj ACRES BURNED
5 O OR O ONLY) I I w OF
[] LIGHTNING ❑ DEBRIS PLAY W FIRE # ❑ C 10-99 ACRES `' STATE
;..y ❑ / r?
❑ CAMPFIRE ❑ ARSON ( OTHER/MISC. ` ❑ D 1100-299 ACRES #i U.S.F.S.
❑SMOKING EQUIPMENT I I �}6`f'•>
❑ E 300-999 ACRES ` r•': B.L.M.
6 `LAND USE (STARTS IN 1 2 I> OR 1& ONLY) ❑ F 10000-4999 ACRES %?%' B.I.A.
s DOMESTIC
i ❑ RANCH-FARM ❑ FOREST INDUSTRY :` ❑ G 5000 ACRES OR MORE :ii'E B.O.R.
❑ RECREATION :.;•
c.:.
❑ DUMP *'r'> OTHER
❑ OTHER INDUSTRY-C >'>f,:>::>.::::;:;>.::•rw #i:#ii'}; :<`#:::#
OMRCI. i;•?•:.:.�:.,,:..:•:;{;�..........;;...,3::•r:•i:�:rii#<.:> FED.
:�. ❑ ROAD #:c`:::::;:?#{#>.< i:•'•':##:}•':#:;:iii;>3:##•>:•?:<.r:•.+. rv.?:r.{;.; w:
, ❑ WILDLAND ;{ .......... ....::: .....:. ..... ?:.:
_. ❑ UTILITY, RAILROAD s... ...a.:::.:..:,
❑ NON-WILDIANr;?.;.;:l:i::;:%i';ti;i:%zi/'•`•`?�53#%:':%.ui•#:>'•�:'<::✓:{{f OTHER
G;iiyfi..... r {•... 5 ` •••:.: u::: •: i...... r.. r:?nrr:}S,firri ;:S::
UTILITY, ELECTRIC OTHERx•:; }:•t::::.s:::::• .}.......:.r:•.i::....?r•:. •:.: •.
`g.''^y�,unT•r•{raR:<. ,,,::.?•.�::.'•.:n'3i':;'i'#::::;## ';#%f?k'iyfi'�Y
❑ r:•�3 t .o /
.<:..;..::4}�•�.}E:>r..;:..}.,• ;:>.#.:•>: TOTAL
fv .J.•.:.Q( nS t:} v :.nom..:: r?'iv'�3l:'j:: r4�#?�<:•:
.; ;..:nR•::1,•::{A?.}. ?•: tiv:.w.vr\•:n ; �\;::ii:+y'is�i:>'::y:i?;:;:;iiir:rr:•:::i\r:;r:4}: •r:?.:\
.....f.•ri:4r:?{•^•.�.::::v..,.;...:..;;..v:::: {i:•::: rr:4y:?i:>.•?r}}:iii::i>::ti?:::::ji:;:;i:};;::;:i;\,:: i{4';';:;i}}niv Y<ti };:}':
a DAMAGE (� ' 2 s OR <a ONLY)
S DAMAGE
Number Ra doff to Nwnq joM
` 1 2 8/ora 5 9 ON ARRIVAL (O VEGETATION FIRES ONLY)
TIMBER 8/OR FREE s{# E
YOUNG GROWTH% 'tS{ `'"" SIZE DISTANCE (Origin to head)
WILD VEGETATION' "%`e {:'•
L {k•: ,
Other than T 8 Y G ACRES
x EET
:wF
AGRICULTURAL PROD ,•.•::>.;::::, WEATHER ESTIMATE AT SCEN
Other than T 8 Y G {?`?'.
DWELLINGS WIND SPEEDI (M.P.H.) DIRECTION (FROM) TEMPERATURE (°F)
8/OR CONTENTS L-
OTHER "STRUCTURES
8/OR CONTENTS
VEHICLES; 8 CONTENTS
w 10
OTHER .. >�.:• , '�� '4? I I
OYtrR PLEASE '
O
T TAL 5`4 <p 3 ��•. (� COF7340-130-011 a
.ate...:
'o.
86 399s7
�� ORDER NUMBER
REG.E
INCIDENT NO.EAR
-� t�_T
L
nPion Qcr•non
--IImc
OUTSIDE O 2 O 8D
PERSON
AIRCRAFT
CDF STATE 8 LOCAL GOVT. CONTRACT
ORGAN-
Enter 1ST. CD Dis af:h
AIRCRAFT
IZATION
INSIDE 1 2 5 OR 8
SERED•,
CREW NAME ,
IZATION
HOURS
'FLT. HRS.
1 ST. ATK
O 1 521RTPORTK
EFIRSTATTACK
CDF CREW
BY CDF
OZ- Iq
INED
s1l;•
C?3_t7
CREW /OVERNFen Qor^nen
Of
} GO TO
LOOKOUT: If 1ST. or 2ND. report made by 1.6660 `
SITE ti
NAME:
SITE ;.
NAME:
�Y.
CDF STATE 8 IOCAI GOVT. CONTRACT
CREW NAME
ORGAN-
PERSON
AIRCRAFT
CDF STATE 8 LOCAL GOVT. CONTRACT
ORGAN-
PERSON
AIRCRAFT
IZATION
HOURS
FLT. HRS.
CREW NAME ,
IZATION
HOURS
'FLT. HRS.
1 ST. ATK
CDF CREW
Jif.r
4:
CDF OVERHEAD TOTAL
, Z
�7
ON ) 2 8 FIRES, ENTER
;•;•,•>:
",
ky
TOTALS BELOW
U.S.F.S. (Incl. Overhead) TOTAL
OTHER FEDERAL (Incl. Overhead) TOTAL
FIRE DIST. 8 OTHER LOCAL TOTAL``
"`"'""<•
PAID HOURLY (E.F.F.) TOTAL
Viz;';';>°<�:•,'•:
"fir" `•
VOLUNTEERS (Unpaid) TOTAL
E? �fw
❑ FC -188 (Additional crew activity) ATTACHED
ORIGINAL REPORT BY:
r\ COMMENTS
1315
MAP IS: NE SECTION 0 FOUR SECTIONS MAP ATTACHED
BYI
t PERMIT NO. 1160-R6PF(MR)
PERMIT EXPIRES V
OWNER ROBERT BARKER
CONTR. owner
''---X ASSESSOR PARCEL 28-18-47
N/S Upham Rd mi W Robinson Mill Rd
} LOCATION P > >
Oroville
t
OFFICE COPY
Address
GAS /
Meter By Dat�r � -b
ELECTRIC /
t Meter By Datl�ab
Temp. Power _ _
Called PG&E
Temp. Elec. Service
Called PG&E
j Temp. Gas Service
Called PG&E
t1 JOB FINALED (Date)
A
Signature
r
s3
V = OK
0 = Not OK
= Not Applicable
= Not Ready
MOBILEHOMES
^1'
4
> MISCELLANEOUS
-
Date
MOBiuegoME UTILITIES (Plans) OK except b's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
Zoning Requirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—Easements
oils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
e ocation—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
YIt1
ater; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
le city; Location—Clearances—Grnd.— Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
as; Location-Test—Wrap:/ /"L"ft./ P'Nat. or "L"ft.(�
"LPG
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec.
Card -BI
Date:1 Card -BI Date
Card -BI
Date Card -BI Date
Card-BIctv
Date.�_Card-BI Date
Card -BI
Date Card -BI Date
Date
BILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
Date
POOLS (Plans) OK except q's
1. Setbacks—Easements
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—Enclosures—Panel boards—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 -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J
�K �e 1.,1 ,U�Isohi
V = OK
0,= Net O,,
- = NotAppli°able RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK exceptq'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.
Fig., 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-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
-
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -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 N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except N's
14. Ht.; Vent -Access -Combustion Air
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
_Water
15. Water Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
_
_16.
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
_
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
-
-
63.
Fireplace or Stove; Clearances -Hearth
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 Pern.ii OK except p'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.
22.
Elec. Receptacles Spacing -Lights &Switches at Doors
Size Boxes & No. of Conductors -Stapled
70.
71.
Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
_
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes
73.
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 Al
74.
Fdn. Vents & Crawl !dole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
_28.
27.
_
29.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated_ Neutral Yes �]No
Service -Riser Conductors & Ground -Main Disconnect
Equip. Clearances: Panels-Motors-Mech. Equip.
75,
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
76.
77.
Stucco; Brown -Finish
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
-
Card B -I
Card B -I
30.
Clothes Closet Light -Shower Light
- - - --
-- - --.
Date _ Card BI Date
Date Card -BI Date
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
Date
MECHANICAL (Permit) OK except N's
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
_
Card -BI
Card -BI
31.
32.
33.
34.
35.
A.C. Ducts_ Insulation & Support _ _
Vent Fan: Exhaust above Insulation _ - _ _
Condensate Drain & Overflow; Size & Grade _
Furnace -Vent Access -Comb. Air -Return Air Vent -_115V outlet
Attic Access & Platform if Furnace in Attic
- - - .- -
Date Card -BI _ Date_
Date Card -BI Date
85.
Water & Sewer Connected=C/O to Grade -HD Approval
86,
Energy Compliance Certificate -Other Certificates
-
Card -BI
Date Card -BI Date
Card -BI
Gate Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except N's
Comments at Final:
_
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
Sills; Proper Material & Anchors
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops: Furred Ceilings -Stairs -Chases -Tub
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
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
_
(NOTE: An entry must be made each time you visit jobsite)
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
t
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 explanation, please contact this office immediately.
y� n
Inspector �J ���� Date
PO
''
w 181
,11__ 4
�
PA O`1
\
!t
4 R
riLIE
Inspector �J ���� Date
• MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE "
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541 /
PERMIT N0.
Address or location of mobilehome
�, e_
Owner's name , e'
Owner's address 1' 1'�', (C_. f1 �r
Insignia or hud number
4�
Manufacturer's name !!
; Serial numbe of V j..M.o 6 �� /n '� Year of manufacture
+ 1- 4,, (O—,> l
(Official Approvi�6 Installation) (Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILD40ME IS INSTALLED ON A FOUNDATION SYSTEM.
p 513B White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 40.
0/
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT - -
ASSE o PA L �y�M R
�-f
ZONI G
CTOWN
BUILDING PERMIT
R
� i, � �
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWT7,S I ING f(IgDORESS L
CON ACCTT)OR'S NAME
C
TELEPHONE
CON RACTOR'S MAILING ADDRESS
Fireplace
CONST UCTION LENDER
UNKNOWN
Total Valuation $
Filin Fee
g
.^
$ .SOU
LENDER'S MAILING ADDRESS
Permit Fee
$
ARC FJ I'p ECT OR ENGINEER
U/ /j
LICENSE NO.
Plan Checking Fee
,$'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADD ss /9�l
44
Permit fee
$ f s.
PLUMBING PERMIT
Filing Fee 10.00
c
Each Trap
2,00
6041 / C
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
10.00 ea .Q
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities'o Installation❑ Other[]
Describe work:
0.0
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
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their Sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.DWELLING OCCUP.6I ,
A � 2/z sqft
New
CONSTR. ULTBI.OUTLET
0ea
NON.RESID BRANCH CIRCUITS2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20030t
DAL030
Ex. Occup. FIXED APPOUTLETS TS (LRES. OR SID.) EA.I 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 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 s County in consequence of the granting of this permit.
X ' �eo
Date
Signature of Applicant — Owner [r Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OC cup.
CON ST.TYP!
FLo
PARC
P
N
9 0
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR TOR OF UBLIC
,s
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date /
Receipt No.5'6941
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -IN PECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF
PUBLIC-'WORKS -
BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFO.RNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET --
OWNER
Proposed Building Use.
Permit Fee Based Upon
Building Inspector
4o d Y, t 8a ✓' l� e ✓'
Complete Contract Price
Permit No. G ,J
A. P. No. 0O —R" T
DPW Valuation
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: IDATE RECEIVED APPROVED
1. All items.have been submitted. . . . . . . . . . . .
2.., Plot plans in duplicate/triplicate. . . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
Letter of signature authoriza 'on.
0 10. Sanitation approval from C ✓O U )10— Health Dept. s—G-
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)`
Pre -Inspection for Required. Building Inspector
Recordt9imof NgftP �I Ac�knowl�d ment Statement . 0
S G- 19. Other ons ruct o approval required prior to occupancy
Wheq you issue thepe miOt, prI°cess s follows: Mail owner. Mail to contractor.
_ Telephone /'d nd/holdfor ickup a office. Deliver w/inspector.
OthereD 111� Sc. ' L}ciCi� (�l /Y _e n t t e i
Applicant ` %��G. Date��
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance;
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone —'Mail Other
By Date
Plans checked by
Plans approved b,
Other:
Date
Date
Copy—DPW #
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
�tl3ukey &1,3/ 6) &z44 Iq 9 1Y --'(t7
owner'location AP #
Driveway permit se has been issued for the above property.
t6'
signat a date
To: Building Department
From: 'Environmental Health
Subject: Sanitation1- Clearance
212 b6,6,
OwnerI Location AP//
Plan Approved for: Sewage disposal water supply
Hold final for: water supply
Final clearance O.K. for: water supply
Clearance for bedroo mobil home. Other
DOTE
unitarian :. Date
To: Build' Derart�cnt
^ `^
0(e (2
Owner
- '
Plan Approved for: (I J:
Hold finad for:
Final clearance O.K. i"nr:
Clearance for bcar000 mobile hmne^ 0tbsr
waLor
viater supply
Sanitarian �------- —~ ---�
RECORDED.114 OFFICIAL RECORDS
OF BUTTE COUNTY. CALIFORNIA
At THE REQUEST OF
1988 MAY -8 P141 15
ELEANOR M.BECKER
CLERK -RECORDER FEE
86-14'29
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limitPe1
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
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: i
A portion of the North half of the Northeast quarter of Section 12, Township 18
North, Range 5 East, H.D.B. 6 H., more particularly described as follow:
Beginning at the North quarter corner of said Section 12, and running North 89'
00'51" East, on and along said line, 2331.27 feet to the Northwest corner of
parcel 3, as shown on that certain Deed dated August 19, 1969 and recorded Aug—
ust 19, 1969 in Dook 1579 of Butte County Official Records, at page 347; thence
along said Westerly 1,ne, South 00'32'32" East, 218.90 feet; thence South 37'58'
36" West, 410.71 feat; thence South 23'46'55" West, 30.0 feet to the centerline
of Upham Road; thence along said centerline, the following bearings and distances:
North 66'13'05" West, 182.86 feet; thence from a,iangent which bears North 66'13'
05" West, along a curve to the left having a radius of 110.0 feet, through an
angle of 69'09'05", for a distance of 132.76 feet; thence South 44'37'50" West,
376.63 feet; thence from a tangent which bears South 44'37'50" West, along a
curve to the left having a radius of 70.0 feet, through an angle of 37'44'25",
for a distance of 46.11 feet; thence South 6'53'25" West, 508.66 feet to the
South line of said North half of the Northeast quarter of said Section 12; thence
leaving said centerline, and running on and along the South line of the North
half of the Northeast quarter of said Section 12, South 88'47'11" West, 1451.06
feet to the Southwest corner of the North half of the Northeast quarter of said
Section 12; thence North 00'46'17" East, on and aloog the West line of the North
half of the Northeast quarter of said Section 12, a distance of 1324.27 feet to
the point of beginning.
Date: May 6, 1986
PROPERTY OWNERS:
see below
A/07 -C
ORIG/NAC p�C 0 l-s.!iTh
MENr
.kxx%X1AXxxxxxxxxxxXX) X=Xbcjw)CXKXXXXXXXXxxx)o)fXXXXXXXXXXXXXXXXk4 X� �
• )
SS.
CoMM)OXXxxxxxxXXXXXX
PROPERTY OWNERS. BERT,E. BA ER ,c / LYLE LINSE, witness
CECILE G. 13ARKER LYLE�LINSE, witness
X&)ixRomxxlzxxKOWKXKN 'xxx]kARKO xxaxmxxlxxtxx xxx
xxxfcx*M)txbMxKxWA9k0RMx
xwxkKxamxx lotomxocr,<KK(Kwxxxxxxxxxxxx&VhGxxbWxxQC
x�exxa-xx�xx>�c�txx�xk-x�x�c�x
xe�xxt��x�cec���x�xx��xxx�xx>Rx�axx��x
x��RRX�tXxx�c�xa�xx��►x>����x4xX���Rx�• .
1 Notary Public.
Present A.P. No.0
i
AP # 47 '
OWNER
PERMIT
MH UTIL.CLEARANCE DATE
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compaction
Test Re .
service
;ize
Other
Load
Type
Pipe
Size
Length
YES NO
YES NO
g�LPG-
`
4C ®
v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7M47w:�
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER O
ZONIN
BUILDING PERMIT
o VvyE
TEL P ONF
SO. FT. OCC. BUILDING V ATION
OWN 'S MAILING ADDRESS
U .Z .e.B
CONTRACTOR'S N E
m� /2- �" , �,I•
TEI�PHONE
`53s y�1-03
CONTRACTO 'S MAILING ADD SS
•j-,�ig�
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
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRES7
r
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
I r
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[W Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OROOV OR LESS10.00
Main service EA. ADD'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 Bushes$
and Professions Code and my license is in full orce and effect.
License No. ���—� Classification �",
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed cont
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.tr ,h�sgft
OR ADDNS. ACC. BLDGS.
TLET
NEW CONSTRES'D* RANCH CIRCO 2.50 ea
NO N•R ESID BRANCH CIRCUITS)
POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20050S
eAL030
FIXED APPLNS
Ex. Occup. OUTLETS ((RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00ract-
Misc. Ilyirin g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The per for $100.00 (valuation) or less.
ave 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
Conlin 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 en o the above -me _tinned property for inspection purposes.
I also ree to ve, indem y an keep harmless the County of Butte against
all I' bilitie judgment ,cost and which may in any ay a crue
ag 'nst s C unty in onse en of the granting of this permit.
X Date J,
Signature of pplicant — Owner ❑ Conrraotor �' Agent ❑
An OSHA permit is requir d for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 sto ies in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST.TYPEJ
IFLOODIPARFELI
PD
No
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
ByDate
PET EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Receipt No. `
WHITE-D.P.W., YELLOW -ASSESSOR, P16 -INSPECTOR. GOLDENROD -APPLICANT
/
f�hF .,��,. _ ,� _ _ ... :t^i't' P- ; ; : . t .,i: " t.-• .7Si ,i .. . T . 5 J. i ,' .. , „ _ _ a�_
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING VISION
7 COUNTY CENTER DRIVE - OROVILLEAtMfIrANIA 95965 - TELEPHONE: 9E6/534-45'41
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER d ✓ ✓ e ✓ 6 A. P. No. ,
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price DPW Valuation
MZ��
p in)
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and./or Issuance: DATE RECEIVED APPROVED
1. All items.have been submitted. . . . . . . . . . . .
2., Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate/tri.plicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
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. 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 maybe required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
• . Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector (Date)
18. Other- I iAgf �,t VonscGuoctiotimapprova�' required prio o occupancy -
19. Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at pffi e. Deliver w/insp6ctor.
Other '
av . lel
Applicant Datd✓
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
ssuance:(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
Plans checked by.
Plans annrnved by
Other
By Date
Copy—DPW
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville,.CA
PHONE: 634-4541
4
MOBILEHOME INSTALLATION SHEET
1.
Owner's Name:
��4-�
mobilehome electrical rating? ---------------
2.
Installer's Name:
Zed Z
xre�;,V
3. Is the site currently under permit? Yes D ----No 'F-1
(If yes, furnish permit number //A -94 ) OR
Is the site an existing site? Yes No ET -7
(If yes, furnish two plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic9�-No
tank and leach
fields and clear of all setbacks and easements? Yes
(If no, clarify
5.
What
is the
mobilehome electrical rating? ---------------
/OD.
Amps
6.
What
is the
mobilehome site service rating? -------------
`0
Amps
7.
What
is the
mobilehome site circuit breaker rating?
----- �Ov
Amps
8.
Is there any
other electric load to be served b
the
mobilehome
site service? --------- ----- ------------------
yes No
(If yes,
identify the load and size:
(Load) o�G
(Amps)
9.
What
is the
mobilehome site gas pipe size?--J--------�-------(
in.)
10.
What
is the
ty pe of gas service.
Natural F I LPG
11.
What
is the
gas pipe length from meter or tank to
the
mobilehome?
---------------------------------------------
(ft.)
* 12.
What
is the
mobilehome gas demand? ----------------------
(BTU)
*(This
inform ation'not required if pipe length
less than 6 ft, on
.natural
gas or less than 50 ft. on LPG.)
//
BUTTE COUNTY
BUILDING Dr:PARTMGNt
APPROVED
MOBILEHOME SUPPORT DATA
�:. �/� /J If -other. than single wide, _ ��
Mobilehome Mfr. c ,���% fuxaish- Setup Model No. Year
- U
Width (ft.) Box Length -53/ (ft.) Tagalong or Expando Size ft. x ft.
_ ,
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup eets (if not on file with the County of Butte).
FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. a 2. Other (specify)
SUPPORTS (check one) 1. Concrete%block. 2. Other (specify)
Pier Footing Sizes and -Locations
SINGLE -WIDE • MULTI -WIDE
T.1 Line I
— _— 2
Main Beams
—
Line 2 _ _ _ — T.ine 2
Main Beams
—— —.—.__—_ _—_ _.
Tag or Triple
Line 1 Piers • & r • • t �•v Li � o nRe �w CSI
Size -Min. ------------ Size -Min- ------------------ „x „
Spacing -Max !--- ---
, „ Each Side of Openings
From Ends -Max.------- With Width Over ---------
Line 2 Piers:
Size -Min .------------
Spacing -Max.----_---- ,-
From Ends -Max .-------
Line 3 Roof Loads:
Size -Min --------------
Location
-,y---------
Location (From Front)
Line 3 Piers: (Under Bearing Wall Only)
Size -Min ------------------- 5c
n
Spacing -Max._______________
From Ends -Max .------------- ,_ u
Size -Min .------------ ,k „
Spacing -Max.--------- ,-
From Ends -Max .------- ,
Line 5 Roof Loads:
Size -Min. ------------
Line 5 Piers: (Under Bearing Walls Only)
Size -Min.------------------ ,x
. u
Spacing -Max.---------------
_
From Ends -Max .-------------
nx „ ux nx „ ux „ „x. n N a r,x
location (From Front)I
, 1 t • r
Y1=1Vr
1 n's set ofcans end s ecif�icatio
P p ns MUST b1'
<ept on the job at all times and it is unlawful to
nake any changes or alterations on same without
written permisson from the Department of Publir
Works, County of Butte_.
utility connections shall be within
A it. of the rriobilehome, either NOTE:—AII Materials & Workmanship Shall Be 111
;re.�tly behind or within the rear /accordance with Recognized Good_ Practices and
of the of a quality prescribed for the Speci
C,1 fied use in the
'"elf Uniform Building, Plumbing & Mechanical Codes and
mobilehome. the National Electrical Code.
oY7 r p pac�f
500 SQ. FT. MINIMUM!
FOR MOBILES
A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be rnent except
of
structures or eq p
for a 2 ft. eave overhang.
k%O
J�
st M100
BUTTE COUNTY
BUILDING DEPARTMENl
APPROVED
k,