HomeMy WebLinkAbout030-102-03330-102-: ' ? `
NELSON & GEORGIA LARABY
cor 16th_ & Grand Ave,{; lot 3, Oro.-.
f`J1 Contr'. No, Valle Gradall a
Permit�kl/b7-83P, E(util, MH)
p�
GAS 8-16-83 �'iM4l
SUPPORT STRUCTUR RE
1 COMPACTION TESTAE `E5 7�1�
30-102-29
Contr: M Ile Home Center `
Perm'Fty 2767-83
Is ued
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r
P'
30-102-33''
�•
NE.W ..OWNS
. E:-1iAUNG
.616 1.6th St, 0`roville � n
Contr., Mobile Ho� Center. /LQe-{�
i Permit#2405-86MHI(e ting site)
Issued
$ a -t 8f�
! 30-102-33 `
Coritr: Center
{
e ��2438-86-P(gas -piping/ff-ex-site
30-102-33 �..
/ Permit#3303-86B(new deck/MH
M T g )
3�-1�2-33
' Contr: Tomss MH {{[73i�i7�•j
Issued_1/�hl�/67i��p��L
ermit#675-88i (ex tin si �f
030-102-033 06-0113
ROSE, RUSS
1616 16TH ST
Cont:OWNE \ \
M/H PERM F (EX) \\`
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I Butte County Department of Development Services. OurrE
IN O T E S 7 County Center Drive, Oroville, CA 95965
C�UN�y
(530) 538-7601 vnwv.butteOLI ty neVdds
RESIDENTIAL
APN: Permit No.
030-102-033 f 06-0113
owner. _ ROSE, RUSS - -
4
site Address: j 1616 16TH ST, THERMALITO
- Cont: OWNER - — — -
Contractor. i MM PERM FND (EX)
Type of Permit: — — —�
�U, C4 CL -R51 16LL
its
Dom o3 -03-1 g8
�Fqz i A L *t C98 - M -19 (o `f
C � Arnpi o n1 �vrnt✓ �u � t_i�i2 S
o FF C 2FfivZ
SPECIAL CONDITIONS
CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUBSTANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
DATE JOB FINALED:
SIGNATURE: Q.�
= OK
«OV
MANUFA -URED HOMES
MISCELLANEOUS
DATE I Ly�PERMANENT FOUNDATION U SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; FaIUC/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap . Nat Q or LPQ
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr.
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs e� Foundation Q
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
I _Null 1
•
DATE D E C K S'C O V E R S`C A R P O R T S 'GARAGE S
1 Zoning -Setbacks -Easements
2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg .
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs.
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnis
°"� 0` °�• °c
DATE IPOOLS
1 Setbacks -Easements
2 Soils; CompactionStructure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w1T-Crcltng Eqp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Bones-Enclsrs-pnlboards4nsultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr; Fencing -Alarms
13 Bonding, Diving board or Slide
P
�p l S• '
Pool Drawing
OK
RESIDENTIAL (Single &
Duplex)
DATE JUNDERFLOOR
DATE
PLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth.
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
56 Shwr Pan; Test, First flr-Tub Acc
5 Stemwalls Main; Steel -Blockouts -Wrapped
57 Test Tub & Shwr, 2nd fir - Tub, Acc
6 Stemwalls Garage; Steel-Btockouts-Wrap ped•
58 Gas Pipe; Sz & Anchrs
64 Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
' 1t Wtr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgrnd
DATE
IMECHANICAL
13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn
61 AC Ducts Insultn & Support
14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insultn
15 Acc & Vntltn
63 Condensate Drain & Ovrflw, Sz & Grade
16• Insulation
64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
DATE [FRAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
22 Headers & Beams-Sz & Bearing
23 Hangers -Post Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg
25 Frplc Ties or Type A Flue-Frplc Throat Clmc
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -RC Channel
29 Prprty Line Firewall & Opngs
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnls
3B Insultn-Walls-Ceilings
39 Infiltration -Walls -W ndws
s
DATE JELECTRICAL
40 Fxtr & Tmsfrmr CImc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz 9 ❑ CU or ❑AL
AC Wire Sz ga ❑ CU or ❑ AL
48 Range Circ ❑ CU or AL
Oven Circ ya ❑ CU or ❑ AL
Insulated Neutral Q Yes ❑ No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp CImcs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector'
A C
DATE FINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Acc-Spa
71 GFl Arc Fault
72 Elec Trim & Subpnl, Breaker Sis & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, CImc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cimc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct in Garage -Damper
80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3" drain
81 Plmb; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
63 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Drnge Planters 0 Yes [_]No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs
90 Wtr Well, Dscnnc% Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
92 Vntltn thru House
93 Glass Prtctn
94 Corrections from previous lnspctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C/0 to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
o'er-
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
. BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (536) 538-7541
PERMIT NO.
BP060113
B. C. Building Permit 01-16-04 pg 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 01/23/2006 APN: 030-102-033-000
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business andProfessions Code, and my license is in full force and
effect.
Site Address: 1616 16TH ST ORO
License Class : License Number:
Map Index:
Date: Contractor:
Description: EX MH ON PERM FND
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or.county which requires a
Owner: ROSE, R•USS, SMITH, JOHN, OSBORN,
permit to construct, alter, improve, demolish, or repair any structure, prior
DONALD
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
1616 16TH STREET
the Contractor's State License Law (Chapter 9 commencing with Section
OROVILLE, CA
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
95965-3120
violation of Section 7031.5 by any applicant for a permit subjects the
530-534-9959
applican o a civil penalty of not more than five hundred dollars ($500).):
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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: ROSE, RUSS, SMITH, JOHN, OSBORN,
owner of property who builds or improves. thereon, and who does
DONALD
such work himself or herself or through his or her own employees.
provided that such improvements are not intended or offered for
1616 16TH STREET
sale. If however, the building or improvements are sold within one
OROVILLE, CA
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of.
95965-3120
sale.).
530-534-9959
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor:
❑ 1 am Exempt under Article Business d Professions Code
Date:�IOwnE
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -Insure for
License #:
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number.are:
Carrier:
Policy #:
Total Square Ft: 0 S. F.
❑ I certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
Census Code:
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those
^
C�1
Cil `JG/
provisions.
-l+
Date:
��]' �f .
3
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section ,3706 of the Labor
code, interest, and attorney's fees...
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolution to work in 'sated abo e r whi h fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Date:
Name:
By
1-2-23-0
PERMIT EXPI ES ON:
Address:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance o I form or doc t of Butte County. I hereby
authorize represents�f Butte County ter upon the.above mentioned property for inspection purpos s.
'� �S 0 Signature:
Print Name: /\
L� O
Date:
�wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
� � f
,0
UN
BUTTE COUNTY
o DEPARTMENT OF DEVELOPMENT SERVICES
C 4 BUILDING PERMIT APPLICATION
o AND SUBMITTAL REQUIREMENTS
p 24 HOUR rNSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
C OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY*
OWNER INFORMATION
Last Nam
First u S5
Addre / AJ w
City(9 /
StatEQ �.
Zip
Phone
Fax
E-mail
PPLICAN IGNATURE
X.
For office use only:
CONTRACTOR
Name
01A_j
Address
SRA
City
I No
State
Zip
Phone
Book
Fax
E-mail
Planner
Lic. #
FC—lass
PPLICAN IGNATURE
X.
For office use only:
ARCHITECT/ENGINEER
Name
/-
V
Address
SRA
City
I No
State .
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
PPLICAN IGNATURE
X.
For office use only:
APPLICANT INFORMATION
Name
/-
V
Address
SRA
City
I No
State
Zip
Phone
Book
Fax
E-mail
Planner
PPLICAN IGNATURE
X.
For office use only:
Zoning
Pro a dress f
72P y Z /`6 �'
Flood Zone
Cross StreetG2 A IJ
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
Bpob 01-f
BIN #
PROJECT LOrCATTIO2N,
AP#0 0-10Z— 6? //
Pro a dress f
72P y Z /`6 �'
Ci f
A �t l
Cross StreetG2 A IJ
WORKER'S -COMPENSATION -
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
P12 -W FAI
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount
Receipt #:I
u" 5
1l�
I
1
Date: Other
it�j � .�
Total
r
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK,
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
0 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in. triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
O 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5.. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
El 8; Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if'required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Legal description from current recorded grant deed, ❑,Copy of M.H. Title, Title transfer, or MCO.
❑ 12. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable. .
OVER FOR BUILDING PERMIT APPLICATION
K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
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
'a
OWNER: S S �a S ASSESSOR PARCEL NUMBER 3a / 3 -
Proposed Building Use: �f / S/TZF/ i aW P ermt Technician: (ifi / Date:
Items required in ord r apply or a p
fermit. All boxes MUST be checked OR marked NA in order to apply.
�p�jW 1. Site planLr4 sets; signed by the preparer of the plans.
❑ 2. Complete p ans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxesl
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑,�� 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
/ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or f d`Ip ans„all in
duplicate.
❑ , 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Hazardous Material Form
❑ 12. Acknowledgement of building permit application without required clearances.
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 15. Fire Sprinklers...........................................................................................
❑ �16. Agricultural Buffer clr and site plan apr from the Ag Commissioner .Sent by ..
\17.
❑ Soils Report and/or Engineered Foundation required ...........................................
❑ 18. Erosion Control Plan Required........*................................................................
1, ['
._
QI� 19. Fees as shown on the attached Schedule of Fees Due Sheet ....... A ..... P.0/Z
❑ 20. City of Chico Plumbing permit...:....................................................................
❑ 21. Site plan and business license approval from the City of Biggs ..............................
❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: .............
❑ 23 .� Planning approval.for (A) Use: (B) Parking: (C) Parcel Check: "''........
O 24? Contact Land Development about _ Improvements, _ Drainage ........................
❑ 25. Fire Marshall Review (commercial projects only). Sent by° ......................
x
❑ 26, NPDES Form ................................................•........,,,.,,,,,,.....................,.,,,
❑ 27. Encroachment Permit for driveway from the Public Works Dept........` ..................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑'' 29. Worker's Compensation Carrier and Policy Number ..........................................
, r
o.°_. ' 30.' Owner -Builder Verification (_ Given to owner, _Mailed to owner) ................. • ...
0 31. Letter of Signature authorization..................................•..............................
❑ 32. Recorded copy,of Agricultural Acknowledgment Statement .................................
❑ r 33. Existing violations and/or expired permits......................`.•...............:.................
❑ 34. Deed* Restriction...... .......:..:.................................................................
35.NZLegal description, M,H. Title, title search', registration MCO.,- .....................
or
' ❑ 36. Other: .1
C
C �
01 37. Other:
When issued Telephone l/ 5 5 J `� - /.� and,hold%r pickup.
/ � 70 / � '
r V I have been informed of the above items,and"requirements for obta n eg a building permit.
I
Applicant: i r, -ti / /
Date:
1. Index permit application for the above items numbered: _ Plan Check Letter
2. Additional items r
Contractor, desig r, owner as advised of the above data by Yphone, ❑ mail, ❑ counter, by
Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by
Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by
Date: F
Plans reviewed by: Date: Plans approved by:
Structural reviewed by: Date: Structural approved by:
Note transfer by: Date:
Date:
Date:
,
Yellow: Building Division
K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05
-1.1lb1/1b05 11:25 916-374-0150
avector Dynamics
y cs.
WESTLAND
""Foundation System"
by TIE DOWN ENGINEERING, Inc.
Installation Instructions 'for the
State of California, Wind Zone 1,
15 PSF Wind, Seismic Zone 4
Introduction
These instructions describe the proper use of the lateral and
longitudinal foundation system.
General
The Vector Dynamics Foundation 'System resists lateral &
longitudinal wind loads by anchoring the two longitudinal
main rails. The system is approved to be used on single or
multi section homes:
• These plans -and specifications meet the
requirements of Title 25 section 1335
and i C GcC _: requirements.
• Maximum eave width (roof overhang of sidewall)
of 12" for Zone I.
The Vector Dynamics Foundation System has not been
designed for use on exposure "D" homes within 1500 feet
of the coastline.
Additional vertical anchor ties that are unique to a home's
design may be required by the home manufacturer. These
locations may include shear walls, marriage line ridge
beam support posts, end frame ties and rim plates.
BUTTE COUNTY
BUILDING DIVISION .
APPROVED.
.s .
PAGE 01
im
Engineer Approval
State Approval
28AL'sem
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RECORDING REQUESTED BY:
Fidelity National Title Company of California
Escrow No.: 05 -108024 -TG
Locate No.: CAFNT0958-0958-0001-0000108024
Title No.: 05 -108024 -BEE
When Recorded Mail Document
and Tax Statement To:
Mr. Russ Rose, et al
2671 Oro Quincy Hwy
Oroville, CA 95966
APN: 030-102-033
GRANT DEED
Recorded I
Official Records I
County of i
Butte I
CAMACE J. GRUBBS I
County Clerk-Recorderi
I
I
02:05PM 28-Cet-2005 I
REC FEE 10.00
TRX. . 110.00
tC
Page 1 of 2
SPACE ABOVE THIS LINE FOR RECORDER'S USE
The undersigned grantor(s) declare(s)
Documentary transfer tax is $110.00
x ] computed on full value of property conveyed, or
] computed on full value less value of liens or encumbrances remaining at time of sale,
x ] Unincorporated Area City of unincorporated area of Oroville,
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Janet L. Rogers, an unmarried
woman
hereby GRANT(S) to Russ Rose, a married man as his sole and separate property and Johnny A. Smith, a single man
and Donald D. Osborn , a married man as his sole and separate property, all as Joint Tenants
the following described real property in the City of unincorporated area of Oroville, County of Butte, State of
California:
SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF
DATED: October 27, 2005
STATE OF CALIFORNIA
COUNTY OF
ONC >G i • r�'� UC before me,
the undersigned Nota Public personally appeared
personally known to me (or proved to me on the basis of
satisfactory evidence) to be the person(s) whose name(s)
is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted,
executed the instrument.
J . t L. Rogers
TERRI GEROY
Commission #1442021
a- Notary Public - Calitomia
U Butte County 24, 2AD7
My Comm. Exp, OCT.
Witness my h d and official seal. /J
Signature
MAIL TAX STATEMENTS AS DIRECTED ABOVE
FD -213 (Rev 7/96) GRANT DEED
(grant)(08-05)
Escrow No.: 05 -108024 -TG
Locate No.: CAFNT0958-0958-0001-0000108024
Title No.: 05 -108024 -BEE
EXHIBIT `'A"
THE LAND REFERRED TO HEREIN BELOW IS SITUATED UNINCORPORATED AREA, COUNTY .OF BUTTE, STATE OF
CALIFORNIA AND IS DESCRIBED AS FOLLOWS:
State of California,
3 as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte,.
Parcel ,
on May 27, 1983, in Book 92 of Maps, at Page(s) 74.
Initials:
RECORDING REQUESTED R'
Fidelity National Title Company ` dlifornia
Escrow No.: 05 -108024 -TG
Locate No.: CAFNT0958-0958-0001-0000108024
Title No.: 05 -108024 -BEE
When Recorded Mail Document
and Tax Statement To:
Russ Rose
2671 Oro Quincy Hwy
Oroville, CA 95966
Recorded i REC FEE 1Q=
Official Records I
County of I
Butte I
CANDACE J. GRi1BBS i
County Clerk -Recorder
I SC
L0.05PM 28-0ct-2M I Page 1 of 2
SPACE ABOVE THIS UNE FOR RECORDER'S USE
APN: 030-102-033 INTERSPOUSAL TRANSFER DEED �-
(Excluded from reappraisal under California Constitution Article 13 A Section 1 et seq.)
The undersigned grantor(s) declare(s)
Documentary transfer tax is $ City Tax is $
_. 'I1. inrnrnnrated area: ( ] City of Oroville
nters ousaI Transfer and not a change in ownership under
Soon 63 of the Revenue and Taxation Code
This is an I P licable exclusion from reappraisal:
and Grantor(s) has (have) checked the app
- A creation, transfer, or termination, solely between spousehereby acknowledgedof any -co -owner's ter�su nita Rose, spouse of the
FOR A VALUABLE CONSIDERATION, receipt of which
is grantee herein
ea married man as his sole and separateof Butte, State
hereby GRANT(S) to Russ Ros, of California:
the real property in the City of unincoporated area of Oroville, County
SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF
for is executing this instrument for the purpose of relinquishing he llllnof grantor's
herein antd placing titlein
The gran Interest in
including, but not limited to, any community property
the name of the grantee as his/her separate property.
DATED: October 27, 2005
STATE OF CALIFORNIA & 1- FL;�—
COUNTY OFZ-7-� �� before me,
ON _
the undersigned Notary Public personally appeared
uA-fV 1.� 20 S
personally known to me (or proved to me on the basis of
satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed
s c and that
same in his/her/their authorized capacity(' )
by his/her/their signature(s) on the instrument the
person(s),
or the entity upon behalf of which the
person(s) acted, executed the instrument.
Witness my hand n officia I
�YOQ�
]uaa Rose
C. Oosta0
- Commission 81517479 �, N
a Notary Public-Calitomia T
;0, �UQunty3012008My Com
Signature MAIL TAX STATEMENT AS DIRECTED ABOVE
NSFER DEED
UD -13C (Rev 12/95) INTERSPOUSAL TRA
(intrspsl)(08-05)
Escrow No.: 05 -108024 -TG
Locate No.: CAFNT0958-0958-00G. 0108024.
Title No.: 05 -108024 -BEE
EXHIBIT "A„
THE ITUATED UNINCORPORATED AREA, COUNTY OF BUTTE,' STATE OF,
LAND REFERRED TO HEREIN BELOW I$ S
CALIFORNIA AND IS DESCRIBED AS FOLLOWS: Office of the Recorder of the County of Butte, State of
Parcel 3, as shown on that -certain Parcel Map, filed in the O
California, on May 27, 1983, in Book 92 of Maps, at Page(s) 74.
March 22, 2001
O.E.Faunce
1616 16°i St.
Oroville, CA 95965
RE: Building Code Violation
1616 16"' St., Oroville
A.P. #030-102-033
Dear Mr. Faunce:
BEAUTY
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
This is a courtesy notice to notify you that you are in violation of the Butte County Code, as
follows, at the above -referenced location.
Failure to obtain the required permits, inspections and approvals from this office for the
construction of a carport.
Since permits and inspections are required for the above work, please submit three (3) complete
sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop
until these permits are issued and ycu are authorized by our field inspector to proceed. The field
authorization cannot be made until the existing work is inspected and approved.
It is the County's goal to obtain voluntary compliance with the Butte County Code. However,
you should be advised that Butte County has an active Code Enforcement Program which
provides an effective means of enforcement if voluntary compliance is not obtained.
Enforcement may be pursued through the issuance of citations, fines and the recording of a
Notice of Violation including a description of the action necessary to abate the violation.
You have thirty (30) days to voluntarily comply with the above directions or to present an
acceptable plan for abatement or corrective actions to be taken by you. Should you have any
questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office
at the address or telephone number listed above.
Sincerely, �
Michael Vieira
Manager, ..-
Building Inspection
MCV:pa
cc: Assessor
s �
0
10
March 22, 2001
O.E. Faunce
1616 16"' St.
Oroville, CA 95965
RE: Building Code Violation
1616 16°i St., Oroville
A.P. #030-102-033
Dear Mr. Faunce:
Eutte, Count
L A N D O F N A T U R A L W E A L T H A N D B E A U T Y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
This is a courtesy notice to notify you that you are in violation of the Butte County Code, as
follows, at the above -referenced location.
Failure to obtain the required permits, inspections and approvals from this office for the
construction of a carport.
Since permits and inspections are required for the above work, please submit three (3) complete
sets of plans, apply for the required permits, and, pay the appropriate fees. All work must stop
until these permits are issued and ycu are authorized by our field inspector to proceed. The field
authorization cannot be made until the existing work is inspected and approved.
It is the County's goal to obtain voluntary compliance with the Butte County Code. However,
you should be advised that Butte County has an active Code Enforcement Program which
provides an effective means of enforcement if voluntary compliance is not obtained.
Enforcement may be pursued through the issuance of citations, fines and the recording of a
Notice of Violation including a description of the action necessary to abate the violation.
You have thirty (LO) days to voluntarily comply with the above directions or to present an
acceptable plan for abatement or corrective actions-to-betaken by you. Should'you'have "any"
questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office
at the address or telephone number listed above.
Sincerely,
Michael Vieira
Manager, Building Inspection
MCV:pa
I cc: AssessorCA
0 E -F,-�(Jocn
6.30
i
PERMIT NO. 3303-336B
PERMIT EXPIRES
OWNER O.E. FAUNCE
CONTR. owner
ASSESSOR PARCEL 30-102-33
LOCATION 1616 16th St, Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas, Service
1 '
Cal led PG& E
JOB FINALED (Date)
f
Signal
%1'='0K '
0 = Not OK
= Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Date
DE COVERS, CARPORTS, ETC. (Plans) OK except H's
K. Z ing Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
_
F tings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/O—Concrete
t3 -. '_Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4, Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shing.—Rfg.—Bracing
S. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ P'Nat. or/ P'L"ft./ /"LPG
6. Carports; Windows—Doors
7.1 Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date —,Or— §% Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date I Card -BI Date
POOLS (Plans) OK except q's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness-Dead Men—Lining'
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4, Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/O 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 L-ghtg.
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 -I
Date Card -BI Date
Card -BI
• Date Card -BI Date -'
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single'and Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
_
t.
Zoning requirements -Setbacks -Easements
_Ftg._,
48.
Property Line Firewall & Openings
2.
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,
Ste_mwalls, 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.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
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 H's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except N's
57.
Smoke Detector
Gard -BI
Card -BI
Date
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
Date _ Card -BI Date
Date Card -BI Date
ELECTRICAL Permit OK except N's
58,
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. 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
Gard B I
Card B -I
20.
21.
22.
23•
24.
25.
26.
27.
28.
29.
30.
-
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral YesNo -_ _ --
Service -Riser Conductors & Ground -Main Disconnect _- -
Equip. Clearances: Panels-Motors-Mech. Equip. --
Clothes Closet Light -Shower Light
Date Card -BI Date
Date Card -BI Date
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 ❑Yes
73.
Guard Rails & Deck Construction -Post Caps
74.
Fdn. Vents & Crawl !-Tole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75,
Following instld.: Drive C Yes []No: Walks [ Yes ❑ No;
Planters ❑Yes ONO
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
Date
MECHANICAL (Permit) OK except N's
_
83.
_
Corrections from Previous Inspections
_
84.
_
Gas `est -Meters Tagged; Gas -Electric
Card -BI
Ca,d-61
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
-
-- "- - --- -
-BI
Date Card -BI Date
_Card
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except it's
Com tents 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 CeiIinjs-Stairs-Chases-Tub-
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhnq.-Rfnq.
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 Anentry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PA CEL NUMBER
(fO��-J�
ZONING
BUILDING PERMIT
owN
I
TEL PHONE
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADD R SS� '
SS
CONTRACTOR'S -NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ Q p�
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ (Z
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ O
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
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❑ MobilehomeX Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home is G W
0.00ea
TYPE OF WORK
NeW9 Addition Remodel❑ Utilities❑ Installation❑ Other E]
Describe work: 1�, J-- !ZX 2 _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
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
21"IXED l, 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.tr
New CONiSTR.� AG )
, h2sgft
MULTI -OUTLET
NON.RESID BRANCH CIRCUITS)
2.SOea
POWER APPARATUS &)
SINGLE OUTLET CIR.
EO
Ex. CCu
Occup(OUTLETS OR FIXTURES
z0 ® 30C
5ALO 30
Ex. DCCUp. OUTLETS ((RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �yirin 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.
Ell 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
again sa) /Coounty in consequence of the granting of this pe It.
vDate Z '
Signature of Applicant — Owner Lf 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 $ �Ja
occu P.
CONST.TYPEJ
I
FLo D
PD ND SSU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY S2g��
P MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
II
....� _ ,..•... •y:• „•r:� R'y" rx. r n .;; !r+` .. Y:`i+'FC.a •:.air i,.1�'.1t �!���-'r "1�C t, r � �. �� yi"°' t•
COUNTY OF BUTTE - DEPARTMENTOF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,.CALIFORNIA 95965 - TELEPHONE: 916/534-45141 1
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER /� �• ��lit /[J G A. P. No. 3 O — xg
Proposed Building Use ,1�Bui>Iding Inspector 27,422 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, 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 authorizat'
10. Sanitation approval from ealth Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14.. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ),
_15. Improvements may be required. . , . . , . . , . ,
16. Mobilehome Installation Data. . . . . . . . . .
17. Pre -Inspection for Required. Pre-Inspec. request to (Date)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, rocess as follows: Mail to owner, Mail to contractor.
lephone ���� ��� and hold for pickup at eV 40 office, Deliver w/inspector.
Other
Applicants ate �� �` ow
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_phone---nall—counter by date
Contractor, designer, owner, was advised of above required data by—phone—mall—counter 0 y date
Plans checked by Date Plans approved by A�`r ' Date /Z'6
Sets of plans on hold in File cabinet AP folder
- Flours: 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 a als 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 coordic�axe, supervise, and provide the major work:
Name /U
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
lzq r
Signed:
Property Owner
Social Security Number (� —
Date _ o
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.
-41
NOTE;--Aq Materials & V
Accordance with Recognize
Of a quality prescribed for t
Uniform Building, Plumbing &
Me National Electrical Code.
Kmanship Sh-,1; ",e m
Good Practices and
Specified use in the
Fchanical Codes and
This set of plans and specifications MUST be
kept on the job at all times and it is unlawful to
make any changes or alterations on same without
written permission from the Department of Public
Worts, County of Butte.
oll
A setback of 5 ft. from i
property lines and a se k
of 50ft. from the road
centerline shall be clear 4
stnxtures or equipment r� e pt
Or 7 ?,.n r„�nrl, ,.
BUTT:COUNTY
BUILDING DEPqqMENT
APPROVE
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GIRDER
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FRMN G.
-
MOBILE HOME
OR DEC,IC--,-,
iMTL. FRM1J`--
CLIP (EA.t:;�
4% („
POST -
2 11 Y
OST=2"X 12"
�rN11Nr /
2'x 12" STAIR STRINGER. 48'0.x. MAX.
70P VIEW
H AUPEAIL. NOT SHOW'M F07, CLARITY.
T 3/g l BOLT
PREO LIRE_
Rf.11i�'t� oR
4"x9„ POST�,�1�9N•
- �pFQUATE NAG ONA L
BRACING, T KPICAL' RESIDE -MMI- 5T1Z`P,5 ,onY%eUfCAC
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi lie, California 95965
Telephone: 534-4541 .34
SS
V
PERMIT NO. — 24 0 5 8 6MFiI _ excite.
PERMIT
x- s -i p -
PERMIT EXPIRES
OWNER O.E. FAUNCE
CONTR. Mobile Home Center
ASSESSOR PARCEL 30-102-33
LOCATION 1616 16th St. oroville
F OFFICE Copy
Address
Temp. Po
Call ei GAS, Dalz-
Meter BY
Temp. Elec ELECTRIC Date
Meter By
Called
E.
Temp. Gas Service
Cal led PG&E
JOB FINALED (Date)
Signature
J = OK
O - Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Y
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except ll's
1. Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
3. Sewer; Location—Test—Fall-C/0—Concrete
_
2. Footings; Size—Depth—Spacing—Connectors
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./ /"LPG
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBI OME INSTALLATION (Plans) OK except N's
b."zorliRg Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except a's
1. Setbacks—Easements
ootings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
as, W Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4 Vfletricity; MH Test—Crossovers—Breakers—Clearances
4. Elec.: Receptacles and Lighting; Distances—GFI
rat ; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
fir; MH Test—Regulator—Connector
"r a ewer Connected—C/O to Grade—HD Approval
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
G and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip. -Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in•Conduit
Insp.—Sketch
1 Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date and -BI Date
Card -BI
Date Card -BI Date
Card B -I
S3Date Card -BI Date
Card -BI
Date Card -Bl Date
S;
J = OK ,
0°= Note'K
- = Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued)
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils -Steel -Flet. 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,
Ste_mwalls, Garage: Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. 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.
10.
Gas Pipe; Size -Anchors
Water Pipe: Test -Anchors -Regulator -Service Test
11.
12.
Electric; Underground
Plenums &_Ducts; Clearance -Material -Support -Ins.
Card -BI
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
DateCard-BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Card -BI
Card -BI
Date Card -BI 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
--
Date _ _ _ Card -BI Date
Date Card -BI Date
57.
Smoke Detector
58.
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
Date
ELECTRICAL Permit OK except P's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
Gard B -I
Card B -I
Date
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/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 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: Pane ls-Motors=Mech. Equip. -`
30. Clothes Closet Light -Shower Light
Date Card -BI Date _-
- Date Card -BI Date
MECHANICAL (Permit) OK except N's
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.Ft.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 C Yes ❑ No: Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
76.
77•
Stucco; Brown -Finish
A.C. Unit; Discondect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs.
79.
80.
Water Well; Disconnect, Electrical, Plumbing
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
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 -out let
Attic Access & Platform if Furnace in Attic
Date Card -BI Date -
Date Card -BI Date
_
85.
Water & Sewer Connected -C/0 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:
Date FRAMING(Plans) OK except p's
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-fost Caps -Anchors -Connectors
Ging. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhnp.-Rfnq.
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 Anentrymust be made each time youvisit jobsite)
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
J /
PERMIT
N�O.. ,)
Address or location of mobilehome _ / 47 ! U
Owner's name �� �_AI a h C
Owner's address to I (11 LQ S 0
++(�
Insignia or hud number t. -! D 3 U
Manufacturer's name OQn /YY\ i Q Y)
Serial number of V.I.N. . 0 \ Year of manufacture u
(Official Approving Installation) (Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBItf.EHOME IS INSTALLED ON A FOUNDATION SYSTEM.
5138 White - Owner, Yellow - Installer, Pink - D.P.W.
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
Inspector_ 2zbLj—Date=
C7ONTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P MIT N0. ZZ
7 Cdunty Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
A
S.:7V A=CE R fi
ZONING
BUILDING PERMIT
OWNER/19TELEP
ONE
SQ. FT. OCC. BUILDING VALUATION
OWNER MAILING ADDRESS
ON RACTO R'S NA
M4A
TELEPHONE
CONTRACTOR'S MAILING ADDESS '
&.� /1'//E: -/Z Ii
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ d
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING AD s
Permit fee
$ Ign
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 ❑ Mobi lehome Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: _
` `
c
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
I00 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
of I y (Check One):
I declare under penaltyperjury
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession ode and my license is in full-Iorce, and effect.
Q`� C_ /
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.IY ,
OR ADDNS. ACC. BLDGS. 2/zQsgft
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e)
SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES 20@50C
eAL030
Ex. OCCUp. OUTLETS ((RESID,)FIXED APPLNS. REA) 1 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):
❑ 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, judgment and expenses which may in any way accrue
agai Cou y i conse nce of the granting of this permit.
Date
Signature of App iconr -r Owner ❑ Contractor R 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 $ 00
Energy Inspection Fee $
i
TOTAL PERMIT FEE $ Ion
occUP.
CONST.T;
I
I PLOOD
ARCEL PD
HD ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO"F PUBLIC
BY2_2�:
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �/ y��Q��
�/t/ ter/
Receipt No. :
WRITE-D.P.W., YELLOW-A58ES10R. PINK -INSPECTOR. GOLDENROD -APPLICANT
OWNER
COUNTY OF BUTTE - DEPARTMENT QF�U$LIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE3tC !',FQRNIA 95965 TyELEPHONE: 916/534-4541 /= ;
PERMIT APPLICATION DATA SHEETS,
1 Permit No.
�/.
11 --cell N! d�(_- A. P No.
Proposed Building Use k 4
Permit Fee Based Upon
Building Inspector
Complete Contract Price
DPW Valuation
At time of p (nit application, I was advised the following data must be submitted prior10 permit processing
and/or i Dance: DATE 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 $ . . . . . . . .
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 -E], Mail to owner ❑ )__�
15. Improvements may be required.
16. Mobilehome Installation Data...
17. Pre -Ins eetion for �Re uired. Pre-Inspec. request to / (Date)
p q Building Inspector
18. Recorded copy of Agric�al-Acknowledgment Statement. ..I I
19. Other
Whe you issue the Tit,. processus follows:---Mail-+oowner. f Mail to contractor.
Telephone ,53i and hold -,for pickup at V✓ office. Deliver w/ihspect.r
Other AIC2 f �_ 9l -i '
Applicant /6� / Date J
Copy of plans sent Health Dept., Fire Dept., Otfiier Date_
During the plan checking process, the following data must be submitted prior to permit iss
(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
By
Date
Plans checked by Date
Plans approved by D
Other: -`
Copy—DPW
Other
ENCROACHMENT PERMIT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS _
7 County Center Drive - Oroville, California 95965
-'�• Phone: (916) 534-4683
,t
APPLICATION
Permit No. 1411 <11
I, WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the ork u r over
the county roads and highways, all in accordance with county ordinances and general law
NAME A! .. ..`.......!.9'_.. v!C GNAT -- . ----•-
MAILING'ADDRESS ....�.........._Q... ��%II.---J.Sr............. ���.LS�............-•------.....------......-•---....._.........---.........._.....--
Phone._.. 5,.11.x.- Y/f!_..-.._.....:..-..._... - .... Dace.t. ...........................•----------•-•----•-•---•----••----•-••-••--••----
Location',of work to be done --- - --- 16 _..2<._...,e.`l%!p��............................................
................................._....._....._..----------•-----...._.--------..........-...--•--...---.....----•---.............-.....----•-•-----------.........------.......--•--------•--......... .; ...
TYPE OF WORK TO BE DONE
1.. Curb ........... Gutter ....... -................... ._...... Sidewalk
2. Driveway (List type)
3
3. Underground Conduit .... ......... _.... _.... .................
"Please check"
1154�IM
4. Other ... . ...................................-...... ,.............. .._.......................... _.............................. ......
PERMIT RANTED
In compliance with your above request, and subject to all terms, conditions, or special conditions written below or printed on
the back of this form, permission is hereby granted.
SPECIAL CONDITIONS
............._.._.............._...------.-._..._.•...._....................._.............-•---•---................-----...---...............------..........•...........---.......---•-•-----
This permit is null and void after v / / �3
....................---........_......................................................................... ........
Date Issued ...:.—.._.l�O...Y .-.----------- - .............
Surety.......... e/_._- ............. ........ ......... - ................ -..._.
DIRECTOR OF PUBLIC WORKS
RECOVOED Iii OF.FIC14 RECPRDS
OF B AT T E �tFQjj CST OF
Al
CFZtd4A
1988 AUG 15 Pio 1s6
ELEANOR 14.8ECKER
CIERK�RECORDER FEE----
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT SGT26747
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 I40TC-0,MPAREDt'JITH
within an area zoned for agricultural purposes, and residents of this GIRIGiNAL.DC)C-UP.ENT
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 limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have asa
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:
Parcels 1, 2, 3 and 4, as shown on that certain Parcel Map entitled, "Lying in Section
11, T.19N., ME., M.D.M.", said Parcel Map was filed in the Office of the Recorder of the
County of Butte, State of California, on May 27, 1983, in Book 92 of Parcel Maps, at
Page 74.
Date: PRO R Y OWNERS:
State of ) 0q this the day of 19 , before
—_ _—)_SS.._._me_.�11(e undersigned Notary Public, personally appeared.
STATE OF CALIFORNIA
COUNTY OF
Butte
On August 15, 1986 before me, the undersigned, a Notary Public in and for
said State, personally appeared PAUL W. FARRIS personally known to me
to be the person whose name is subscribed to the within instrument, as a witness thereto, who being by me duly )n the basis
sworn, deposed and said: That he resides in Oroville, Butte, California `y evidence.
that he was present and saw O.E. FAUNCE _
subscribed to
personally known to him to be the same person___ described
in and who executed the said within instrument, as tained.
part _thereto, sign, seal and deliver the same and ®o■�������■�astrs■■■■la■�■■ official seal.
that the said_ O.E. FAUNCE
DEBORAH A. DAVIS
NOTARY PUBLIC -CALIFORNIA
duly acknowled a in t e resence of said affiant; that e B Butte County
v 9 P IW „ My Commission Expires April 30,19
executed the sa e,. a d that. he, the said affiant, %t up _ at � �
requ y su cried IKi"a a as a ss eret
WITNESS my nd o� �/��
Signature
DEBORAH A. DAVIS
Name (Typed or Printed)
(This area for official notarial seal)
I Ions onJ specifications MUSS 'phis's f
w o
-11 vim
is unlawful +0
L 0-1
make any changes or alterations an so e witho
If Pu is
wri•tten permission from the Dep �n:
arfmi;�f of Pu le
Works, k;ounTY 01 PuTTwe / I I
NOTE—.AH Materials & Woikl;nanship� Shall Be 4
Accordance with Recognize4-1 Good Practices and
of a quality prescribed for e Specffied useAii the
Uniform Building, Plumbino & Mec�Anicol Coes end
the Notional Elictricil
Utility connections 'shall be N
of the mobilehome, eitl
directly behind or within -t ,
half of the roadside (left) of
j�� mobilehome.
R-1 0
V
cop
'.0 6.4
fiwcel 3
aege,
in
rear
A s thack of 5 ft. from the
r
-s � i
pr perty lines a a setback
f rV
o /50ft- from theiroad
a
4enterline shall clearof
ui m
ent except
/'structures or eq
for a 2 ft. eave overhang I
E4 S&wxrs
.4
7.47 - ->7-
I
40 6eloe
5-0 6 - SA
BUTTE COYNTY
UILDING DEPARTMENT
APPROVED
69'51req / - I
MOBILE HOME CENTER INC.
1740 Feather River 81.
0mville, CA 96965
i
BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville CA.
PHONE: 534-4541
SHEET
1. Gainer's name:
2. Installer's name: _ MOBILE ]ROME CENTER,. INC.
3. Is the site currently under permit? No /
(If yes, furnish permit number ) OR
Is the site an existing site? Yes / No
(If yes, furnish two (2) plot plans.)
4, Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes / No
( If no, clarify )
5. What is the mobilehome electrical rating? ----------------------- /d0 Amps
6. What is the mobilehome site service rating? --------------------- deN!!:? Amps.
7.. What is the mobilehome site circuit breaker rating? ------------- 60, r, Amps:
8. Is there any other electric load to be'served by the mobilehome
siteservice? --------------------------------------------------- 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 mobileh e?
12. What is the mobilehome gas demand? ------------------------------ (B
(This information not required if pi gth less than 6 ft. on nature
or less than 50 ft. on LPG.) 6/SFT %NSGI%cam /�%01�/
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
MOB ILEHOME SUPPORT DATA ,.
/ If 'of her y' than single wide,
Mobilehome Mfr. furnish Setup Model No. Year
)lidth_(ft.) Box Lengthf_(ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1923; 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
mobilehome unless otherwise specified.`
(ft.)(in.)
Center support
locations*
1-.J
(ft.)(in.)
I I
(ft.)(in.)
(ft.)(In.)
(in.) (Vn•)
Center support
footin sizes
(i .)
(in/.) (in.)
(in.) (�n.)
X
(in.) (in.)
Single
A ,
,If center piers are other than drawn above,
'draw in -locations, spacing, and dimensions.
Footings (check one)
1'. Wood either
pressure treated or
foundation grade.
2. Other. (specify)
Su rt (check one)
1: Concrete block.
.2: Other. (specify)
Tagalong or Expando,'
show support details.
x -- Typical Support
(in.) (in.) Footing Size
-- Max. Pier Spacing
o „ -- Max. Overhang
(ft.)(in.)
THERMALITO _IRRIGATION DISTRICT
410 GRAND AVENUE L --
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address:
Owner's Name:yoloon Larcbv Date: b•18.0�
Address: 3140 nonoban Avonue Acct. No:
Ocovilloo 0. (Par
A.P. No.: 30•102.22
Phone: 534-8846 No. Units: 1 r : P'.
Applicant/Agent: Agents Proof:
Address:
Fees:
Phone: Application $ 20,00
Arrearage
Preliminary Review By: Date: CSA 26 550.( D
900A 0
Remarks: SC -0 R
1st mo. S.C.
Other knsroach. 10.1 0
Tav,) Ecco 60.10
Total Fees
f Collected By:
Date:
Field Review By: - <. •J /L"2!.r.Lr= •, ,, ,S
Date: d i L
Remarks:
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
❑, Date of TID approval of completed building sewer (early connection).
❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes
first ("existing construction", prior to Mar. 5, 1974). ,
❑ 180 days after date above, or on date, of D.P.W. approval of completed building sewer, which ever comes
first ("new construction", after Mar. 5, 1974).
DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AM PERMIT
PERMITN . i
l3�
ASSESSOR PARCEL NUMBER
_
ZO I
BUILDING PERMIT
ow E
Heb
TELEP ONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1
C f; TOR' NAME
ELE HONE
CO T�i/�0OR' „MAILIN ADORES
-/�/ (/�I r- I/
Fireplace
C NSTRUCTIO LENDE UNKNOW
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
/ r
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
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 [IDuplex ❑ Mobilehome Other SPECIFYD
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G
10.00 ea
TYPE OF WORK
New❑ Addition❑ Remodel❑ 0 I;ties0 Installati n❑ Other❑
Describe work: o PContractor
A IL
Permit Fee
$ (�
ELECTRICAL PERMIT
Filing Fee 10.00
OL
gJ
U/1
OOOV OR LESS
Main service 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
license is in full r`e a d ffect.
and Profession Code and m ��
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-
ontract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.N ,z¢sgft
A 2/
New
CONSTR. UC TB
MULTI -OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
p OUTLETS OR FIXTURES eAoL®030s0e
Ex. Occu Z
Ex. Occup. out OUTLETS IPR
RESID )EA.1 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):
❑ 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 constr and hereby authorize representatives of the County of
Butte to enter pon the ova me ed property for inspection purposes.
to sa Indem y and eep harmless the County of Butte against
r�ab ants sts, d expenses which may in any way accrue
Co ty in a ting of this per it. Date
Signature o Applica t — Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavations over '0" eep and demolition or construct-REC
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST.TYP!
FLOOD
PARCEL
PD
ND
SUE
This permit is hereby issued under
sions of the Butte County Code and/or
aindicd above for which
PUBORKS
RES Date
the applicable provi-
resolutions to do
fees have been paid.
..-
Receipt No.DteWHITE-D.P.W., YELLOW-ASSE,SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
7F STATE OF CALIFORNIA
r > COUNTY OF
Butte ISS'
August 15, 1986
`+ a On before me, the undersigned, a Notary Public in and for
v said State, personally appeared PAUL W. FARRIS personally known to me . .
w to be the person whose name is subscribed to the within instrument, as a witness thereto, who being by me.t,duly
i sworn, deposed and said: That he resides in Oroville, Butte, California
that he was present and saw O.E. FAUNCE ---
personally known to him to be the same person-- described _
Q in and who executed the said within instrument, as
ii part thereto, sign, seal and deliver the same and
In that the said O.E. FAUNCE ®ammemmmmmmemmmmmmmolgi. b ■
z DEBORAH A. DAVI&!-
NOTARY PUBLIC-CALIFORNIA,e
® Butte County
00 duly acknowledge in t e presence of said affiant, that e ® My Commission E:xpiresApril 30,IM
00 executed the sa e, a d that, he, the said affiant, t up _ at
E requ su. cr' ed i a e as a i ss eret ®® laalemmmolio�mommmmm■mmmis
t LL WITNESS my nd o 1 e
' Signature
DEBORAH A. DAVIS
Name (Typed or Printed) (This area for official notarial seal)
86-2671:-7
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT RECORDED IN OFFICIAL RECOPS
FOR RESIDENTIAL DEVELOPMENT OF BUiiE CCU�IY,CALIFCRAiFA
GTHE REQ '"5T 01
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building 'permit. ss"26747 19-86 AUG 15O
The property described herein is adjacent to land or included,
within an area zoned for agricultural purposes, and residents of this ELEANOR M.:BEC..KER
property may be subject to -inconveniences or discomfort arising from CERK�RECORDER the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
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 Count of Butte State of described I• Q
P P Y Y California,
as follows: pages
Parcels 1, 2, 3 and 4, as shown on that certain Parcel Map entitled, "Lying in Section
11, T.19N., R.3E., M.D.M.", said Parcel Map was filed in the Office of the Recorder of the
County of Butte, State of California, on -May 27, 1983, in Book 92 of Parcel Maps, at
Page 74.
Date: PRO R Y OWNERS:
/01
G2^��
State of
Coumty of
Prej.sant A.P. No.
eq this the day of , 19 , before
SS. me, a undersigned Notary Public, personally appeared
Personally known to / / Proved to me on 't£�e' basis
of satisfactory ,evidednce.
to be the person(s) whose name ( sulsscri�aed to
the within instrument and acknowle d that
executed the same for the purposes the n contained`: -
IN WITNESS WHEREOF, I hereunto set my han nd of£3ic-a3l�° peal.
Notary Public
ND O,E P=QENT
Gam+ ', .. � . �. .•..;�
N
9
X767 -,?-3 At ffz
• u T NO. 1467-83P,E (MH)
PERMIT LXPIRES
2 Y4
Ll W
OWNER NELSON & GEORGIA LARABY
CONTR. No. Valley Gradall
ASSESSOR PARCEL 30-102—> ort
LOCATION NE cor 16th & Grand lot 3, Oroville
s
,i
n
r
i Temp. Power Pole
Called PG&E
�- n
Temp. Elec. Service
Called PG&E
-
Temp. Gas Service
_.
Cal led PG&E
JOB FINALEI
Signature
it' OK -
0 Not OK
- = Not Applicable MOBILEHOMES -�
= Not Ready '
i
MISCELLANEOUS
Date
MOBI HOME UTILITIES ( s) OK except ff's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except ft's
01-11 Zo g Req uirements-Setbacks- Easements1,
?
Zoning Requirements -Setbacks -Easements
oils; Special MH Support- ketch
3. Sew Loc n -T t-Fall-c/O-Concrete
2; Footings; Size -Depth -Spacing -Connectors
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
ate ; Location -Test -Easement Needed (Sketch)
4. Wood Awn.;, Posts-Beams=Rftrs.-Connec.-Shthg.-Rfg.-Bracing_
ectricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
•-9-Gest-(5E�FiorrTest-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7--brility clearance
7. Elec.
rd -BI'
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
_
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (P s) OK except ff'
Date
_
POOLS (Plans) OK except N's
oning Requirements -Setbacks -Easements
1. Setbacks -Easements
Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
es emand-Valve-Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining__
lectricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
rp—Drain; MH Test -Fall -Flex Connector
ater; MH Test -Regulator -Connector
5. Elec.; Pool Lighting; 15 volts-GFI:
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
76 -Mater and Sewer Connected -C/O 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
zits; Insp.-Sketch
pert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
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
= OK
= Not OK
= Not Applicable RESIDENTIAL
= L4oi Read ,(Single and Duplex)
Date
UNDERFLOOR Plans OK exce t#'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-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Fig. -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
56. Ext. Steps -Door & Sidelight Protection -Landings
57. Smoke Detector
58. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except N's
_ 14. Water Ht.; Vent -Access -Combustion Air
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.
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 N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
_
A.C. Duct in Garage -Damper
---
-
20.
21.
Fixture & Transformer Clearance -Ins. Protection
Flet. Receptacles Spacing -Lights &Switches at Doors
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
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
Insulation -Foam -Looked in Attic C] Yes
--
25.
2 Appliance Circuits in Kitchen & Conductor Size
Guard Rails & Deck Construction -Post Caps
-
26.
Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor El Yes
-
27.
28.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral --Yes �No
Service -Riser Conductors & Ground -Main Disconnect
75.
76.
Following instld.: Drive El Yes ❑ No; Walks ❑Yes C1 No;
Planters []Yes 1JJNo
Stucco; Brown -Finish
-_
29.
Equip. Clearances; Pane I Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_
_30_
Shower fight
Clothes Closet Light -Shower Light _ -
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
--- --
Card B -I
Card B -I
----------------------------
---
Date - _Card -BI - Date _-
Date Card -BI Date
79.
Water Well; Disconnect, Electrical, Plumbing
80.
81.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
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
-
31:
A.C. Ducts: Insulation &Support --
85.
Water Sewer Connected -C/O to Grade -HD Approval
Card -BI
Card -BI
32.
33.
34.
35.
-- -
Vent Fan; Exhaust above Insulation - -_
_Condensate Drain _& Overilo_w; 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
86,
-&
Energy Compliance Certificate -Other Certificates
-
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
37.
38.
39.
40.
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
41.
42.
43.
44.
45.
46.
47.
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:Anentrymust be made each time youvisit jobsite)
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. �' f
� Model •` Year
Insignia No. % ' I ! Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
!L Director of Public Works
i
Date _ By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
_ 196 Memorial Way, Chico — Phone: 891-2751
�- 7 County Center Drive, OroviIle— Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
-% r
r J
CBUILDING 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.
I /.
.ef/—�ii/�%r. i/r•l'%/�•�i�l�J //.ter / ./.: '
AAAA I
1;
/ / f
</Inspector �1+ • �f �'�'� = Date r!
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-275:
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
RRECTION 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.
W
ins pec
�V,1 Date
t r
,f COUNTY OF BUTTE - DEPART M TPUBLIC WORKS
7 County Center Drive - Oroville, California 96b5Telephone 916/534-4541
" APPLICATION AN PERMIT
PERMIT NO.
0
ASSESSOR PARCEL NUMBER�
� ...
ZONING
BUILDING PERMIT
OWNER /AV/` d Q
/Sd� f,QA�O
T LLQEPHONE
V�
SQ, FT. OCC. BUILDING VA - i4T10
OWNER'S MAILING ADDRESS
CONTRACT OR'SN ME /
nlpAl e / AIC --
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINE
LICENSE NO.
Plan Checking Fee
Penalty
$
ARCHITECT ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT9
Filin Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome V Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation Other ❑
Describe work: /Y�:,sb :ao'g I !9vi(.-h'
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 OCCUP.&
OR ADONIS.( ACC. BLDGS.
2t/20sgft
CONTRACTORS LICENSE LAW
I declare tinder penalty of perjury (check one):
% I am licensed under provisions of Chapt. 9, Div. 3 of the Businessa0esoa
/ \ and Professi s Code and my license is in full Price a d effect.
"ESID
License No. �/CJ 12-5Ex.
Classification "�
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR LTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR / POWER APPARATUS &'\
NON.RESID. %SINGLE OUTLET CIR. /
Ex. Occup(o OR FIXTURES SAL®30
FIXED A PLNS
Occup. OUTLETS (R )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
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):
❑ The permit is for $100.00 (valuation) or less.
lslf 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.
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 ab o tioned property for inspection purposes.
1 also agree to save, ind mnify nd keep harmless the County of Butte against
all liabi dgmen co s, and expenses which may in any way accrue
ag ai my in o pence of Ing of this permit.
0����/g
Date
Signature of A licanr Owner [:] Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ �.
ocCUP. GROUP
I TYPE OF CONST.
I V
F
I PARCEL
PD
HD
IS E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR TORO UBLIC
o
BY ' —Date
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
��
Receipt No. An;61
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
`.R COUNTY OF BUTTE - DEPARTMENT OF i}B WORKS -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CA.LIFO NIk95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER // A. P. No.
v,
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explain)
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. /triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . .. . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner, Mail to owner ❑,)
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
.
Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector (Dote)
18. Other
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
ApplicarSt _ _ Datel4/ ,4 .
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 Date
Plans approved by Date
Other:
Copy -DPW
OWNER
PERMIT ' lk
MH UTIL.CL=AT�/CQ�$
INSPECTOR
ELECTRIC
GAS.
Support Compaction
Struc. Test Re .
Service
Other.
Pipe
YESI N01 Y,ES/ NO
Size
Load
Type
Size
Length
r.�
�M ti
•h
• M'
t �
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
A APPLICATION AND PERMIT
PERMIT NIO.
ASSESSOR PARCEL NUMBER '-' ZON G
— -�— .-
BUILDING PERMIT
OWNER
Nip
�(////j
`
S
ELt PHONE
'I r
SO. FT. OCC.1 BUILDING VALVA lON
OW ER's MAI LIN D R
r
NT AC R•S A
d
TELEPHONE
CONTRAC OR•S A NG ADDRESS
1.0
Fireplace
CONST UCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 76.00�
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ r
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRIESS
Permit fee
$
BUILDI G ADDRESS
XV
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
10
Water piping
5.00
L O�N o.
SUBDIVISION NAME
PARCEL MJZ
4d 3
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehomeOther
SPECIFY
Building sewer 4
5.00
Mobile Home G
10.00 e
-9 oon
TYPE OF WORK
New Addition Remodel❑ Utilities Installation❑ Other [:1
Describe work:
Permit Fee
1
$ Cyp
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 larD
Main service EA. ADD'L 100 AMP
2.50 t
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
21/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. MULTI -OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. / POWER APPARATUS &)
NON-RESID. %SINGLE OUTLET CIR.
20050C
Ex. Occup(o TS OR FIXTURES BAL030
FIXED
Ex. Occup. our ETS P(RESID )R EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 ^
Misc. Wiring
15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
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
�I of Consent to Self -Insure.
LJ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
in cons u
against sai County the granting of this permit.
Xvv' enc of Date 1171P— 3
Signature of Applicant — OwnerContractor E]]Agent ETwork
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
��
li
6
PARCEL
PD HD 1 ;8
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
OI TO�i OF UBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
J
Date � —
Receipt No. ��3
WHITE-D.P.W.. YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
THERMALITO IRRIGATION DISTRICT
410 GRAND AVENUE 1647
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address:
Owner's Name: Nelson Laraby
Date: 4-18-83
Address: 3140 Roseben Avenue
Oroville, (Ca,
Acct. No:
(Par .
A.P. No.: 30-102-22
Phone: 534-8846
No. Units: l
Applicant/Agent:
Agents Proof:
Address:
Fees:
Phone:
Application $ 20.')0
Arrearage
Preliminary Review By: Date:
CSA 26 550.(11
900 . C 0
Remarks:
SC -0 R
1st mo. S.C.
Other Encroach. 1.0,( 0
Tap Fee 60.(13
Total Fees 1540.(10
Collected By: -
Date:
Field Review By: Date:
Remarks:
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
Date of TID approval of completed building sewer (early connection).
❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes
first ("existing construction", prior to Mar. 5, 1974).
❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes
first ("new construction", after Mar. 5, 1974).
DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID
OWNER
f
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
fN PERMIT APPLICATION DATA SHEET
Proposed Building Use
Permit No. a(
A. P. No. 3n- , / 0 - :2a(i
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Oth r (Explain)
Building Inspector J Date i
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. /triplicate. . . . . . . . .
4.
Complete engineered plans and calcs. . . . . . . . . .
5.
Plans with Energy Design Compliance Statement. . . . . .
6.
State Energy Forms No. ..
7
Statement of Intent for Non -Heated and AC Buildings.
8.
Fees of $ . . . . . . . .
j�
Letter of signature authorize ion.
•palth
10.
Sanitation approval from 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 owner ❑•)
15.
Improvements may be required. . . . . . . . . . . .
16.
Mobilehome Installation Data. . . . . .
•Pre-Inspec.
17.
request to
Pre -Inspection for RAquired. Bo;IdIn9 I
(Dote)
0 1- 8.
pector
Ot er V �9 1 5 // �� 5i
IN
�
n y ��,,00t �e
C��' h o ss as f , I lows: ' oowner�
M ( to cont1,
e --ata
Telephon d hold for pick o ice.
Deliver w/inspector.
Other
Appl icant -/g0l-1
ate /
r
Copy of plans sentHealth 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
2. Aqlditio a items r uired:
(Contractor, Designer Owner) was advised of above required data by Telephone
Mail Other
By
Date
,,
Plans checked by ffDate
41
Plans approved by Date
Other
Copy—DPW
Return to DPW
n
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement
f b ild' ermit
8.",1-1Q(;7 �-
)f'fi:.1
S TOWN
be recorded prior to issuance o . a u ing
F` 1
The property described herein is adjacent to land or included��fy
within an area zoned for agricultural purposes, and residents of Wong
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 includi4,
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:
Parcel 3, as shown on that certain Parcel Map of a portion of Lot 8, in
Block 105, THERMALITO, which mp was filed in the office of the Recorder
of the County of Butte, -State of California, January 3, 1983 in Book 92
of Parcel Maps, at page 8.
Date: May 17, 1983
PROPERTY OWNERS:
�Cr '� = i L fes. �'-- L���•—G-GCJ
State of California ) On this the 17th day of May , 1983 ,
SS. before me, the undersigned Notary Public personally
County of Butte ) appeared Nelson W. Laraby and Georgia
IL'
who proved
to me on the basis of satisfactory evidence
nmeeneooeaeeaeeunoeeeeeaunoenueteeneeeeenn K5&(M) )ft to be the person(s) whose name(s) are
OFFICIAL SEAL subscribed to the within instrument and acknowledged
.L. M. MUNDY that they executed the same for the purposes
"' ..,. NOTARY DUBLIC'��— CALIFORNIA therein contained.
COUNTY OF BUTTE : IN WITNESS WHEREOF, I hereunto set my hand and official
Comm. Exp. Sept. 23, 1985 seal.
meeteeoeeeeeeeaeeee4meeeeeue�eeceeeeeeuineeeomD
Notary Public
Present A.P. N0. 30
OFFICIAL RECEIPT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
LAND DEVELOPMENT SECTION
T
':5-17-"3
6471::�So_
2SU—
/✓��Iso v ,�--mll a
GATE
RECEIPT
TOTAL
TENTATIVE
- ER IS
CNECRtr
STREET
PUBLIC
COMP•
FIRE
OTNER
APPLICANT
RECEIVED FROM 1
NO.
RECEIVED
MAPS
INSPECT
SIGNS
DOCVMENTS
LIANCE
RVORANT
OFFICIAL RECEIPT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
LAND DEVELOPMENT SECTION
RECEIPT
6479
ISSUED BV �-C/l�L�
/77
T
RECEIPT
6479
ISSUED BV �-C/l�L�
/77
%i/ z
Thiset-of plans and specifications �"
kept on the job at all times and it is unlaw vl to
make any changes or alterations on sa a with-
dI
®tit written permission from the Depa mento
Public Works, County of Butte. J A setback df 5 ft. from tho �h J-351-88�f�
c property lin s and a setbacl✓
of 50ft. fro the road.
(VOTE: -All Materials & Wor meshhall Be in
centerline sh II be clear of
Accordance with Recogniz d ctices' and structures or quipment aVe�i ,
of a quality prescribed fa the use in fih®fora 2 ft. eav' overhang.
Plurmy&n -ical Cods
E,gnafiomn Building, -�
and the National Electrical � �..
10
/A
®/ i
/A peri will be requked o the r /
installati, n of the mobilehorie.
`f Utility connections shall be within
4 ft. of the mobileho e, either
directly behind or wi hin the rear
half of the roadside (left). of the l t
mobilehome.
i 1
$emo. Eesrr.Pr�
m H. BUTTE COUNTY
BUILDING DEPARTMENT- k
APPPCED -�
i
C 1313 K ASSOCIA
James Glander
Department of Public Works
7 County Center Drive
Oroville, California 95965
Dear Jim:
T
2060 PARK AVENUE
OROVILLE. CALIFORNIA 95965
PHONE (916) 599-6457
CALIFORNIA P. E. NEVADA P. E. OREGON P. E.
August 19, 1983
Re: 83555
Reference is made to our correspondence of August 18, 1983,
regarding compaction tests on a mobile home fill for:
Nelson and Georgia Laraby - 16th & Grand Avenue
A.P. No. 30-102-29
Based on our observation, it is concluded that the structural
fill was placed in an orderly and efficient manner and that the
field density tests taken are representative. It is our opinion
that the structural fill is compacted to an average of at least
90% of the maximum density, in accordance with the requirements
of the County of Butte.
Very truly yours,
COOK ASSOCIATES
0
RoMcElr y
Associa a Engineer
RMc:nj .
DR. LLOYD M. COOK ED. D. JOE E. COOK M. E. DAN J. COOK C. E.
III
COO
IATES
James Glander
`Department—of Public Works
7'County Center Drive
Oroville, California 95965
R
i CONSULTANTS
2080 PARK AVENUE
OROVILLE, CALIFORNIA 95985
PHONE (918) 598-8457
CALIFORNIA P. E. NEVADA P, E. OREGON P. E.
August 18, 1983
Re: 83555
Dear Jim:
We are pleased to submit the enclosed compaction tests on
a mobile fill for:
Nelson & Georgia Laraby - 16th & Grand Avenue
A.P. No. 30-102-29
If you have any questions, please do not hesitate to contact us.
Very truly yours,
COOK ASSOCIATES
Ron cElro
Civil Eng' eer
No. 15170
RMc : n j
Enclosures
cc: Ed Nieto
DR. LLOYD M. COOK ED. D. JOE E. COOK M. E. DAN J. COOK C. E.
' `�� �'1%Z ald9►
SUMMARY OF TESTS
h
PROJECT: Nelson & Georgia Laraby
..A.P.'No. 30-102-29
16th &-Grand Avenue
Oroville, California
Mobile Pad = 18" Max.
Fill
FIELD DENSITY TESTS: This.Fil.l
is at Maximum of 18"
Field
Test Density
Percent
Maximum
Degree of
No. Date Elev. pcf
Moisture
Density.
Compaction Remarks'
1. .8/18/83 6" from
(Looks
top 111.75
6.5
126.0
89% Good)*-
2. 8/18/83 8" from
- top 116.0
11.2
126.0
.92%
COMPACTION TEST:
Maximum dry density, pcf: '126.0
Maximum size tested: 3/4" Minus
Optimum moisture,.percent: 9.0
VISUAL CLASSIFICATION:
boil type: Redish-Brown Sandy Clay
,,t
Lq O
265 /• N 129 66 1
w o
394.66-1 I'.
^�— -- —1 — — m to . .� .`;J ' .. x,62 -- • I"�'
ID
395
a .�. .i•._. :e _ _ - 898 ;y
.OSS -��-. j �: 1. � _ �.r.' - - `i ,e •• • O r
19$.84°T
552.
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IV
BUTTE COUNTY. DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name:
2. Installer's name:
3.
Is the site currently under permit? Yes /Z"7
No / /
•
(If
yes, furnish permit number
) OR
Is the site an existing site? Yes / /
No
`
(If
yes, furnish two (2) plot plans.)
4.
Will
the
mobilehome be located at least 5 ft. away frog., -septic tank
and leach fields and
clear of.all
setbacks.and easements? Yes /' /
No
( If
no, clarify
)
5..
What
is
the mobilehome electrical rating? -----------------------
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
siteservice?
---------------------------------------------------
Yes
No
(I£
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? -----------------------------
Naram- 1 %,.../ 'PGS
11.
What
is
the gas pipe length from meter or tank to the
mobilehome?
(ft.)
12.
What
is
the mobilehome gas demand? ------------------------------
(BTU)*
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
��Mobilehome Mfr. /'/'. o,t—,3� furnish Setup Model No. .............. Year
4Z
Width—a&� (ft.) Box Length_ (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
MOBILEHOME
SUPPORT DATA
otherwise specified.
If
other than single wide
��Mobilehome Mfr. /'/'. o,t—,3� furnish Setup Model No. .............. Year
4Z
Width—a&� (ft.) Box Length_ (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
mobilehome unless
otherwise specified.
Footings (check one)
Single
. Wood either
pressure treated or
x
foundation grade.
(ft.)(in.)
(in.) (in.)
2. Other: (specify)
Center support
locations*
Center support
footing sizes
Supporta (check one)
..
(in.)
- 1
.r'doncrete block.
x
Q .2 : Other. ( specify)
(ft.)(in.)
(in:) (in.)
*---Tagalong or Expando,'
show support details.
(in.) (in.)
x
Typical Support
.(in.) (in.)
Footing Size
L -x
(ft.)(in.)
(in.) (in.)
.--
-- Max. Pier Spacing
in.)
s
Max. Overhang
(ft.)I(in.)
II
(in.) (in.)
(ft.)(in.)
05
27��.4
BUTTE COUNTY
BUILDING DEPARTMEW
APPROVED
*If center piers are other than drawn above,
draw in-locations,.spacing,. and dimensions.
2��
PERMIT NO. 675-88MHI
a. PERMIT EXPIRES v
OWNER O.E. 4NCE'
CONTR. Tom's Mobile & Motor
ASSESSOR PARCEL 30-102-33
LOCATION 1601 16th St, ORoville.
i
Temp. Powr- s-'-
Called
Temp. Elec
Called
Temp. Gat
Called
► JOB FINAL
Signatu
OK.
'0 = Not OK
NNot ot Ready MOBILE
MOBILE HOMES MISCELLANEOUS y
Date MOBILE HOME UTILITIES (Plans) UK except fvs
1. Zoning Requirements -Setbacks -Easements
, 2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap:/ /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Card -81 Date' Card -1211 Date
Card -131 Date Card -B1 Date
Date M9�EHOME INSTALLATION (Plans) OK except #'s
1 nina Requirements -Setbacks -Easements
fngs; Size -Spacing -Marriage Line
MH Test -Demand -Valve -Connector
tricity; MH Test -Crossovers -Breakers -Clearances
n; MH Test -Fall -Flex Connector,
3r; MH Test -Regulator -Connector
3r and Sewer Connected -C/O to Grade -HD Appri
and Electricity Tagged
s; Insp.-Sketch
:. of Occupancy
Card -B1 ('�� Dat@i�21-X41 and -131 Date
Card -B1 r" Date1-j_3Card-B1 Date
Date
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
Card -Bt Date Card -B1 Date
Card -B1 Date Card -B1 Date
' 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, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
ICard -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
= OK
0 = Not. K
NdtXpplicable 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-/ /" 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-Walls-Wndws
Card -81
Date Card -131 Date
Card -131
Date Card -131 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
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 -61
Date Card -81 Date
66. Stairs & Rails
Card -131
Date Card -131 Date
67. Fireplace or Stove; Clearances -Hearth
68. Elec. Outlets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK'ezcept #'s
.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 -81
Date Card -61 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -81
Date Card -131 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 -B1
Date Card -B1 Date
Card -131
Date Card -131 Date
Card -131
Date Card -131 Date
Date
FRAMING (Plans) OK except #'s
Card -131
Date Card -B1 Date
38. Sills, Proper Material & Anchors
Card -81
Date Card -131 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: Awn entry must be made each time you visit job site)
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT NO.
Address or location of mobilehome
Owner's name ���
Owner's address
r
Insignia or hud number
Manufacturer's name l f,+
Serial number of V.I.N. ' * . _ Year of manufacture
t
(Official Approving Installation) (Date)
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.
513B White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS .
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi lie — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
h c e 6 76*--- �
R PERMIT
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 Immellately.
IE
Inspector �(V C� Dateza
�O
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
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.
Inspector \ `� sLaJ Date .. Q�—
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Califorriia^95965 - Telephone 916/534-4541 7 �/
APPLICATION AND PERMIT
ASSESSO AR Nu� ER
�j6—'�6L2-7
ZONING
BUILDING PERMIT
OWNER O.E. FAUNCE
TEL
SO. FT. OCC. BUILDING VALU TION
0 W S6+AILIN 64DRESS �t� �t7� STREET OROV I LLE , CA 959 65
CONTRACTOR'S NAME
TOM1S MOBILE & MOTOR 153
TELEPHONE
3-9117
CONTRACTOR'S MAILING ADDRESS
6366 LINCOLN BLVD OROV 1 LLE 95966
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ I i
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
IL
$ S ,
BUILDING ADDRESS
0 l��
PLUMBING PERMIT
Filin Fee 10.00
9
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAMERCEL
P MAP
7_— /�
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex[; Mobi lehome Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10-00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationEX Other ❑
Describe work: RFMOQF FX f 4T 1 NG MOR 1I Fl40ME
INSTALL NEW MOB I LEHOME
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 OCCUP.&
OR ADDNS. ACC. BLDGS.
t
2h2sUft
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 Professi Code and my license IS In full effect.
License No. "64 Classification 0!
❑ 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 -REST. BRANCH CIRC ITS
NEW CONSTR. (POWER APPARATUS &�
NON-RESID. %SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES BA ®30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA,) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
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 out in cons uence of a granting of this permit.
X Date ,3�—� 9,
Signa re of Applicant — Owner ❑ Contractor In Agent F1work
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in hei t.
Mobile Home Installation Fee $ ZZO ; d
TOTAL PERMIT FEE $ 7G, 0
OCCUP. GROUP I
TYPE OF
PA C
PD HD
19 0
This permit is hereb issued under
sions of the Butte County Code and/or
indicated above for which
DIRECTOR PUBLIC
By
PERM EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date J'�yA��P�
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION
- 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No. G1
OWNER A. P.
Proposed Building Use �/V / Building Inspector Date
At time of h�ermit application, I was advised the following data must be submitted prior to permit processing
and:, /or ii s�uance: DATE RECEIVED APPROVED
y 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. School District "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 may be required. , . . , . , . , , , ,
_16. Mobilehome Installation Data. . . . . . . . . .
—17. Pre -Inspection for Required. Pre-Inspec. request toBuilding Inspector
_18. Recorded copy of Agricultural Acknowledgment Statement.
_19. Driveway Permit.
—20. Plot plan approval from city of
21. Engi�nJeered trLLss s in d}��lica a (required p 'or to plan the ).
22.
,Peered
r, J o n i'/F h e8 ✓I 5 ef ►pct yr 4� 0 _e e- �Up - (� U , P c
W e you issue the permit »»pro ess as follows: MaI o owner, Mail to contractor.
rTelephone ��7% and hold for pickup60office, Deliver w/inspector.
Other
Copy of plans sent Health Dept., Fire Dept., Other 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_rnail—counter by
Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by
Plans checked by
Copv—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Date)
date
date
Date 3-
This set of clans and specifications MUST be
kept on the job at all times and it is unlawful to
' make any checnges or alterofions on same without
written permission from the Department of Public
Works, County of Butte.
-',VO`TE:—All Materials & w rKmanship hail
Accordance with Recognize Good Practices and
of a quality prescribes! for the Spec' ►ed use in the
tlnifo►m Building, P6mbin & Mach icai Codft and
b Off of the obile
directly b ind or
half
mobileh me.
tis
I beithin
Fte
e
inrear
ft)the
97-7+ 70 s WE&
s s -1, 46
A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except // f
for a ? ft. esvp nverhana. *WD (�
CL EAR OF, C- 49MENis
. BUTTE OOUNTY
BUILDING DEPARTMENT
A1i P ro"' 99 D
ep75`g�'
/J#17
X13
16�-3�� 4► -6°( 9�-8°► 10°-I I°° j 14 =8°�
w6 -.—j >- w,h a
P Bo J p$, DINING
BEDROOM I ATH $►� AREA LIVING ROOM
a
IV ►�� J a Za
23' -4°' �.
041Z4,
w
12-1 ,74
0 MABTE p LIVING ROOM
BATH BEDROOOfA
09KITCHEN
L �
WNtAp 0 (-jQ hf►
C70 LJ
4" 8�-811 17°-1 1°' 11°- I" 17'-8n 4°°
36' -On
2 Bedroom Model MC480-C 24x56' 1306 sq.
(Overall Length does not include 4 jt, hitch)
_ _ ..r. •• -• ;-�--orf• - -,,:- • ,-- - .r.-'c;�_..__.._ r��•; :�•
.., ao..,.,,.--w+-..-rte•_. .y.i..y : - - ... `. - - ,�. -{ . i•, f".; , r�+ __[[��' � .'\ J ���1.: i.
- r
r' •i r »'4
r
_t.-'a
��a
S
• ., .. . ... ,. � ...
� ' . � _ ..cam .,:• _
. � ., .. _ r
... � _ {. t,
.... ..,. � _. _ ..
16�-3�� 4► -6°( 9�-8°► 10°-I I°° j 14 =8°�
w6 -.—j >- w,h a
P Bo J p$, DINING
BEDROOM I ATH $►� AREA LIVING ROOM
a
IV ►�� J a Za
23' -4°' �.
041Z4,
w
12-1 ,74
0 MABTE p LIVING ROOM
BATH BEDROOOfA
09KITCHEN
L �
WNtAp 0 (-jQ hf►
C70 LJ
4" 8�-811 17°-1 1°' 11°- I" 17'-8n 4°°
36' -On
2 Bedroom Model MC480-C 24x56' 1306 sq.
(Overall Length does not include 4 jt, hitch)
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BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
r 7 County Center Drive, Oroville, CA.
PHONE: 534-4541
8. Is there any other electric load to be served by the mobilehome
MOBILEHOME-INSTALLATION
SHEET
------- Yes
No 77
O.E. FAUNCE
(Load)
(Amps)
9.
What
is the mobilehome site gas pipe size? ----------------
1.
Owner's name:
10.
What
is the type of gas service? -----------------------------
Natural 777
LPG
11.
What
is the gas pipe length from meter or tank to
the mobilehome?
2.
Installer's name' TOM' S MOBIL E & MOTOR
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? Yet / /
No
/X
/
(If yes, furnish permit number
)
OR
Is the site an existing site? Yes
No
(If yes, furnish two (2) plot plans.)
'
4.
Will the mobilehome be located at least 5 ft. away
from
septic
tank and leach
fields and
clear of all setbacks.and easements? Yes /%,
No
( If no, clarify
)
5.
:What is the mobilehome electrical rating? -----------------=-----
100
Amps
6.
What is the mobilehome site service rating?
200
Amp
7..
What is the mobilehome site circuit breaker rating?
------
200
Amps
8. Is there any other electric load to be served by the mobilehome
site
service? --------------------------------------------
------- Yes
No 77
(If yes, identify the load and size:
(Load)
(Amps)
9.
What
is the mobilehome site gas pipe size? ----------------
�%4
(in.)`
10.
What
is the type of gas service? -----------------------------
Natural 777
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 information not required if pipe length
less than 6 ft. on natural
gas .
or less 'than 50 ft. on LPG.)
MOBILEHOME SUPPORT DATA
If •other• than single wide,
Mobilehome Mfr. CHAMPION furnish -Setup Model No. MC480—C Year �:g„$8 _
Width ;)4 (ft.) Box LengthCn(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
mobilehome unless otherwise specified.
x ..
-- Max. Overhang
(in.) (in.) (in.) BUTTE UNT
_
IG
BUILDIN
Ap0 L
I
*If center piers are other than drawn above,
';'draw in -locations, spacing,, and dimensions.
3�3
Footings (check one)
E—Tagalong or Expando,'
Single. r� i ®
1. Wood either
pressure treated or
O
x
foundation grade.
(ft.)(in:)
(in.) (in.)
2. Other: (specify)
Center support
locations*
Center support
footing sizes
'.
Supporta (check one)
(in.)
I.; Concretes block.
x -- Typical Support
[:]..2i
Other. (specify)
(inn.) (in.)
(in. (in.) Footing Size
x ..
-- Max. Overhang
(in.) (in.) (in.) BUTTE UNT
_
IG
BUILDIN
Ap0 L
I
*If center piers are other than drawn above,
';'draw in -locations, spacing,, and dimensions.
3�3
E—Tagalong or Expando,'
show support details.
O
/Z .
x -- Typical Support
(in. (in.) Footing Size
(ft.)(in.)
(in.) (in.)
:, (Q" -- Max. Pier Spacing
x ..
-- Max. Overhang
(in.) (in.) (in.) BUTTE UNT
_
IG
BUILDIN
Ap0 L
I
*If center piers are other than drawn above,
';'draw in -locations, spacing,, and dimensions.
3�3
.:........._.................._............ ...... _............. ......_ .
SITE PLAN 5L44a3/32. = 1
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Assessor's Parcel Number. ❑ ❑ ❑ — ❑ ❑ ❑ — ❑ ❑ ❑ Scale: 1" _ ° 0� T 'F° FOR OFFICE USE ONLY PROVIDE. FOR ALL
Owner Name
Address / Phone No.
Site Location
Contact: Name
Phone
Zoning: ADJACENT PARCELS
SIZE (AC):
General Plan Desig: ZONING:
(JUN Size, Acres GEN PLAN:
a.00r USES:
od