HomeMy WebLinkAbout030-140-00630-14-6
S. M. L�ndrum
�28 Euclid Ave., Oroville
Perm #3817-81P,E(relocate MH util.
is.
on -exis ite)
ELEC. i -A- &I -2,6oA- -_ZeAJt&r_
GAS
SUPPORT STRUCT - /l/W
COMPACTION TEST - + —Af-a
30-14-
contr: Feather River ba ty
Permit IP4589-8114H
j sued
s-
30-14-6
Permiv-,40616-81P(relocate water & sewer
li 9'on ex MH -site)
030-140-006 06-0800
HENRY,RUBY A
1288E-UCLID,0RQV111j�r1
Cont: MARVIN PLOURD
EX MH PERM FND
B06-2775 030-140-0
i2_0 �O
MI.SCELLANE0US_A,3uA-ii�an0I Y/C-,"-P
CARPORT �1�01�T PEP"
'j,r�L I D A V E",
1?88fi, LID AVE
114_�RY, JOHN D & �U�BYV_--
r Fm-
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE KLL BE REQUIRED A T TIME OFAPPLICA TION
Welbsite: www.buffecounty.nettdds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name
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Mailing Addres
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City
State cA-
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Phone #
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E-mail IV114
--- � - _APPLICANT INFORMATION,
ARCHITECTIENGINEER
CONTRACTOR
Name
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Address
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State
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Lic. #
--- � - _APPLICANT INFORMATION,
ARCHITECTIENGINEER
Name
city
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Address
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City
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State
Zip
Phone
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Fax
E-mail
Address
State License Number
--- � - _APPLICANT INFORMATION,
Name ab�
Address / f, �4&1
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city
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APPLICANT SIGNATURE
X _.' -It, Z��� , __ I
oy
For office use only:
AP#
Zoning
I Flood Zone Ism
__F7
F Yes
No
Occ.
WORKER'S COMPENSATION
Type Const.
Subdivision Name
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
Map B�O7�
LENDING AGENCY
I Lot #
Address
Date Approved:
PERMIT
NO.,
Ob - ID -T5
11-lizffL
PROJECTLOCATION
AP#
I c) (��
Property Address
L;) -w J
city
Cross Street
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:
Sq FT- Living Garage Open cd&j
C Structure Built without Permits
0 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.
L= --ft
Arnounjt09@MPB1dg
Received by:16
SRA
Receipt Sheriff
SMIP
Date: ----Other
Total
Butte County Department of Development Service's
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourselffrorn
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division ofIndustrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own Work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. 1 PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. (&OR NO)
2. e��HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. 1 HAVE CONTRACTED WITH THE FOLLOWING PERSON (FUM TO PROVIDE THE PROPOSED CONSTRUCTION:
NAME_
ADDRESS
CITY
PHONE CONTRACTORS LICENSE NO
4. 1 PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO -
5. 1 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
Description: CARPORT WITHOUT PERMITS
Reference Number: B06-2775
Applicant Name: HENRY, JOHN D & RUBY E
Signature of Property Owner: Date: -Af-) 06
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications
(not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are
for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of
$54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration
of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any
refund amount) to determine no work was done.
Fee/refund information can be read on-line at http://municit)alcodes.lexisnexis.com/codes/butteco/
Reference Number: B06-2775
Location: 1288 EUCLIID AVE
Parcel Number: 030-140-006
Owner Name: HENRY, JOHN D & RUBY E
Description: CARPORT WITHOUT PERMITS
Date: 12/05/2006
Phone:
Signature of Property Owner: /2 e Date: 12/05/2006
0 FILE Q
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 75965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
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4 -qft- WWII-
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tilic
0
0
0
National pollutant Disharche Elimination System (NPDES) Phase 11 Construction Storm
Water Permit and.Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
[LESS THAN 1 ACRE I
Reference Number: B06-2775
Location: 1288 EUCLID AVE
Parcel Number: 030-140-006
Owner Name: HENRY, JOHN D & RUBY E
Description: CARPORT WITHOUT PERMITS
Date: 12/05/2006
By: KEJ
Sub Type: AwninpJCanopv/Car1
Phone:
By signing below, I the project owner/owners' agent, certify that this pro'ect WILL NOT DISTURB I acre or more
� J -
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed:
Title:
FILE
Date: 12/05/2006
BUTTE COUNTY FEE SUMMARY
7 County Center Drive
Oroville, CA 75965
Permit Number: B06-2775
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Job Address: 1288 EUCLID AVE
Contractor: HENRY, JOHN D & RUBY E
1288 EUCLID AVE OROVILLE, CA 95965
Printed: 12/05/2006
3:14 pm
Fee Description Account Number Fee Amount Paid Date Pmt Amt
Awning/Canopy/Carport 0010-440001- . 4210500-1010 $384.93 12/05/2006 $384.93
SM -1P - Residential
1001-0-280-1011298 $0.63 12/05/2006 $0.63
Printed By: Karen Jones
385.56 $385.56
Balance Due: $0.00
At the time of permit application, I was advised the above fees are required prior ro issuance of the permit. These fees may be changed during the plan
checking process.
Signature: �0�
Date: 12/05/2006
Pursuant to Government code Section 66020, you are herby notified those items listed above may been imposed on your project. You have 90 days from
the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a
protest are specified in Government Code Section 66020(a).
M
PERMIT NO.
PERMIT EXPIRES
If
S. M. Landrum
OWNER
owner
CONTR.
ASSESSOR PARCEL 1288 Euclid Ave., oroville
LOCATION
I
Temp. Power Pole
Called PG&E
Temp. Elec. Sery ce
Called PG E
Temp.GasSe/vice
CalledJG&E
-j 13
JOB NA ED (Date)
Signature
-f
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, 6�ovi Ile — Phone: 534-4541
Skyway and -Elliott Road, Paradise — 14hone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS'
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office immediately.
lnspectori�_'�_ Date "el
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 =ement.s
of the California Administrative Code, Title 25, Chapter 5, permit
number for the following location:
Owner
Owner's Address
Mobilebome Mfg.
M ode I Year
n s i g n i a N o. 2A, 1/ -01 -W— -2– - Serial No., -4
It is hereby certified for occupancy at the above described location and
r�ay be occupied.
Director of Public Works
D,.ate 7, By -
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
4% County of Butte
rial DEPARTMENT OF PUBLIC WORKS 891-.17-s/
6 y 606 Gleamder Ave., Chico — 342 4211, E*I.
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd., Plaradise — 877 348
87a-a%j-Ex-r--57
CORRECTION NOTICE
................................. ........... ...
Building or Property Address
A routine inspection indicates that the following
violations of County Ordinance exist at the above
address and should be corrected. Please notify this
office when correction of work is completed. If you
have any question pertaining to this matter, or need
additional explanation, please contact this office
immediately.
. ..... . .. . . .......... P lzaw
.72 .0
1 41
........ ..
...............
.... t?Z . . .......
................................................... ......... ......................................
................................. ....... ....... ........... ................. ..........
DatW-V?---;1ZAL ln�pec o ...... ..
Do Not Remove This Tog
(400-41
V =. OK
0 = Not OK
- = Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (P*Kss) OK except #'s
V-15o'nitIg-Requir -Setbacks-Easements
Ig Requir ments
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except.#'s
1. Zoning Requirement s-Setbac ks- Easements
�4�1 I s; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
j. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Raits
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Locatior�
7.Clearances Grnd.-/ Amp -Concrete
5.- Alum. Awn.; Columns-Conne6tions-Splice-DecaI -Enclosures
6. Gas; L9P!2io,:TK-WjK.0j/"L"ft./ Nat. orA/�"ft./ __JLL4_-PG
6. Carports; Windows -Doors
7. Utility Clearance
7i, Elec.
-BI
Date A;-___S4,Card- BI Date
Card -BI
Date Card -BI Date
Card -BI
Date fAA,,)/-fjCard-BI Date
Card -BI
Date Card -BI Date
Date
M EHOME INSTALLATION (PlaRST OK except #'s
k.*foning Requirements -Setbacks -Easements
Date
POOLS (Plans) OK except #'s
1. Setbac ks- Easement s
4
2 --footings; size -spacing -Marriage Line
2. Soils; Compact i on-StruCture Stability
1,16p,"MH Test -Demand -Valve -Connector
3. Pool Structure;. Steel -Connections -Thickness -Dead Men -Lining
!�,_x9ctricity; MH Test -C rossovers- Brea kers-C I earances
4. Elec.; Receptacles and Lighting; Distances-!GFI
5e"`bq�in; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
Aer; MH Test-Regulator-Cpaaeoto
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
Waler and Sewer CorweeCTe-d_-C10 toGrade!SkVr�val�/
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
Ije"G Electricity Tagged
,p6"and
8. Elec.; Groundind; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes- Enc I osures- Pane I boards- Ins. to Main in Conduit
%11�,-its; Insp.-Sketch
KCert. of Occupancy
9. Health Department Approval
IF
10. Plumb; Cir. Test -Water Supply Test
Cqed' B -I
A;&- Datea-)/-S7 Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
6' 61� 7-5?, j 17 619 A 4_�s
IY4'(
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -R ise-Run-Landing-F ire 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; Stee I -B I ockouts-Wrapped-S lab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access
7. Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protecti on -Sky I ights- P last ic
8.
D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.- Water Pipe; Test-Anchors-Regulator-Sery ice Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
Card -BI
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -61
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent- Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
57.
Smoke Detector
58.
Furnace; Vents -C leara nce-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
DXV.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
62.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
19. Gas Pipe; Size & Anchors
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -Bl
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL (Permit) OK except #'s
67.
68.
Garage Fire Door; Swing- Land i ng -C loser
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -C learance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
22.
23.
Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
70.
Plb., Elec. & Mach. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
1 nsu lat ion- Foam- Looked in Attic El Yes
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73.
Guard Rails & Deck Construct ion -Post Caps
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor El Yes
26. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At
27.
Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or Al,
Insulated Neutral E]Yes El No
75.
Following instId.: Drive C] Yes No; Walks []Yes C] No;
Planters Dyes EJNo
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Pane I s-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs.
7i.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B-1
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except #'s -
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -0/0 to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
__33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
-B1
Date Card -61 Date
Card -61
Card -BI
Date Card -61 Date
Date Card -BI Date
Ca �d - Card -BI Date
Date
FRAMING(Plans) OK except #'s
36. Sills; Proper Material & Anchors
Comments at Final:
37.
38.
39.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
6.ari�g Wall., over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Chng. Joist -#fir. Ties-Purlin- Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access: Size & Romex Protect ion -Draft Stop -Ins. Baffles
4 6.
'B'd- --nd
rm. Wi ows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage F ire.Protect ion Framing
(NOTE: An entry must be made each time you visit jobs ite)
COUNTY OF BUTTE - DEPAPTMEN-f OF PUBLIC WORKS
10, 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSETSOR PARCEL NVIBE
,50—/ _ &
ZONIN.9
BUILDING PERMITU
OWNER
A_/-
ONE
#R—H /a 72--
SQ. FT. OCC. BUILDING VALUATION
OWNE�'S MAILING ADDR
Z7_ :51L9!W&E1qF
CONTRACTOR'S NAME
FrJ47#EW RIVC-,�' IAJ6.
LEPHONE
CONTRACTOR b AILING ADDRESS
72 _ P -Z> YV619L
CONSTRUCTION LENDER
Fireplace
Total Valuation i$
Filing Fee
$ 10.00
LENDER'S MAILING AC4:)RESS
Permit Fee
's
ARCHITECT OR ENGINEEPA
LICENSE NO.
Plan Checking Fee 7(;l;;
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BU ILDING�?ff /V25 -
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SFO DuplexF� Mobilehomeg----Other SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New n Addition 0 R emode 1 [:1 Uti I ities [:1 Instal lation Other
Describe work: )-rC- e, V77�_ 85FA531Y -A'-- Se17—SZ
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I ing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST (DWELLING OCC U P. III)
OR ADDNS.' ACC.BLOGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El 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
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason I
NEW CONSTR. ( MULTI -OUTLET 2.50 ea
NON.RESID, BRANCH CIRCUITS)
NEW.CON,STR. (POWER APPARATUS &
NON RES D. SINGLE OUTLET CIR.
50 @ 250
Ex. OCCUP(OUTLETS OR FIXTURES BAL @ 100
OCCUP.(FIXED APPLNS. OR
Ex. OUTLETS (RESID.) EAT_ 2.00
Temporary service 10.00
Mobile Home Facilities
15-00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FilingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
[_� The permit is for $100.00 (valuation) or less.
E] 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.
PO1 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 th.e.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 1
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 ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabAities, judgmentV, costs, and expenses which may in any way accrue
ag e of the granting of this permit.
X Date 1,,2 _ ;2,
Signature of Applicant — OwnerEl ContractorE] Agent F-1
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 $ 0, cc)
TOTAL PERMIT FEE $ 50 0 d
OCCU P* G "Ou P
I TYPE OF CONST,
J;1ARCr1J
PD
I No
1 1�7
This permit is hereCy issued under
sions of the But e ounty Code and/or
work indicated above for which
DIREC OF PUBLIC
B y
EAM/1
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
7-7-P Z__1
Receipt No. '45 -gs
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT
Im
COUNTY OF BUTTEI DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO-.,
t-_�e/2- k1
'ri
ASSISSI R I 111 R
ZONING
BUILDING PERMIT V V
OWNER
51 IL4 1,fiAJL)a�M
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ACDRESS
57-9- :511_V6-)eL-6AF
CONTRACTOR'S NAME
TECEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENCER��.
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER(7..
LICENSE NO.
Plan Checking Fee
$ M.00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDI�YgDVSS
PLUMBING PERMIT
Fi ling Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
0AEO t11 UE
Water piping -
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 5 outlets
1/20-00
USE OF STRUCTURE
SF [:1 Duplex[] MobilehoineD2_--6ther SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
NewF� AdditionEj RemodelE] Uti I itie� Ejgl"_Installatioh� Other
,I- —
_4 _62
Describe work: P -1C -04677— C -C
Permit Fee
$ 20. 00
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
6101 OR LESS
main service 100 AMP OR LESS
5.00 SO
Main service EA. ADD -L 100 AMP
2.50
NEW CONST DWELLING OCCUP.N)
OR ADDNS. ACC. BLOGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declar 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 e ffect.
License No. Classification
a—,'. 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)
D I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F] I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTR. MULT'-OUTLETITS) 2.50 ea
NON.RESID, BRANCH CIRCU
NEW CONSTFL POWER APPARATUS &)
NON-RESID. %SINGLE OUTLET CIR.
50 @ 250
Ex. Occup(OUTLETS OR FIXTURES, BAL @ 1400
Ex. OCCUP- IXED APPLNS OR
(oFrUTLETS (RESI'D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15-00 0 C)
Misc. Wiring J -1 7.50
1 1
Permit Fee $ 1,90
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F -I The permit is for $100.00 (valuation) or less.
E] I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
-P! f Consent to Self -Insure.
A1 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 County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all llabil��es, judgments , coh s, and expenses which may in any way accrue
ag unt n . o �n sc. ut
ainst .. d Co ence of the granting of this permit.
X 32 Date
Signature of Applicant - Owner E Contractor [I 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 $ 6, 0
OCCUP. GROUP
I TYPE OF CONST.
IPARCELI
P,
s,u IE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE R OF PUBLIC
B 17
1
P EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
— Date
Receipt No. 56;, a 5� 7
WHITE-D.P.W-. YELLOW -ASSESSOR. PINK-INSPE CTOR. GOLDENROD-APPL I CANT
I
I
.L. owner's name:
2. Installer's na
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
Is the site currently under permit? Ye� No
(If yes, furnish permit number -3 7
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? ------------------- Amps
6. What is the mobilehome site'service rating? --------------------- a 6 Amps
7. What is the mobilehome site circuit breaker rating? ------------- C1 Amps
8. Is there any other electric load to be ser-ved by the mobilehome
siteservice? --------------------------------------------------- Yes N o
(If yes, identify the load and size: (Load) (Amps)
What is the mobilehome site gas pipe size? ---------------------- (in.)
What is the type of gas service? ----------------------------- Natural LPG./
What is the gas pipe length from meter or tank to the mobilehome? (ft.)
Ma 1, COW
"W
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.)
CA) "t . V� Cort 0 a 0
KI H- 5.1.000
0
MOBILEHOMIE SUPPORT DATA
If other than single wide,
Mobilehome Mfr.__-_ furnish Setup Model No. Year
Width (ft.) BoxLength,��, (ft.) Tagalong or Expando Size --- f t. X
(SHOW SUPPORT DETAILS BELOW)
On all mobilehbmes 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.
(ft.) (in;
Center supp
locations
'1L,V
(f t. K
I
ite
St
f i
(ft.)l
(in.)
(in.) (in.)
Center support
footing sizes
(in.)
(in.) (in.)
1 -3z"30 -
(in.) (in.)
(in.) (in.)
. . . (in.)l (in. I )
Footings (check one)
Single [Tl. Wood either
A pressure treated or
foundation grade.
El 2. Other'
(specify)
Supporta (check one)
�1.; Concretiblock.
Ej .2. Other. (specify)
o( -.Tagalong or Expando,'
show support details.
12- x_-30 -- Typical Support
in.) (in.) Footing Size
-- Max. Pier Spacing
(f t.) (in.)
I I VL Max. Overhang
t
BUTTE COUNTY
WILDING DEPARTMENT
1. 1
A-PPROVED
*If center piers are other than drawn above,
A �ny.7 4 - .1 n"am f- i n" a annnina nnd dimAnsions.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PkRMIT NO.
I
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
�$_ APPLICATION AND PERMIT
ASSESSOR PARCEL NUVER,
ZONING
BUYIDING PERMIT
OWNER
S, Al. I_AkJDF111"
ELEPHONE
St7-10-7Z_
SQ.FT, OCC. BUILDING VALUATION
-
OWN??
,gAILING ADDRESS
I '51L JIEe&5"�r_ V VILZE
CONTRACTO R*S NAME
I —h—ONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
Total Valuation is
CONSTRUCTION LENDER (,) --]UNKNOWN
t,ol
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINE
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEIER'S MAILING ADDRESS
Permit fee
$
BUILDING ADD ESS
M-9 f� C—aeU D M145,
PLUMBING PERMIT
Fi I Ing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
OLL,5-
Water piping
/0.00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAR
1
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
i
USE OF UCTURE
SFEI DuplexR Mobilehome; Ot8her SPECIFY
Building sewer
/0,06
Lawn sprinkler system
5.00
TYPE OF WORK
New F1 Addition [J Remodel [] Util i <nstal lation Other
Describe work: AMIM5C
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. AOC'L 100 AMP
2.50
NEW CONST ( DWELLING OCCUP.5J)
OR ADDNS.' ACC.BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
JQ44i*"I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F] I am exempt 'under Sec.—, Business and Professions Code
for this reason
NEW CONSTPL(MULTI-OUTLET 2.50 ea
N...RESD, BRANCH CIRCUITS)
NEW.CONSTR. (POWER APPARATUS.&)
NON RESID. SINGLE OUTLET CIR
Ex . Occup(OUTLETS OR FIXTURES
,
50 @ 25C
BAL0100
(FIXED APPLNS. OR
Ex. Occup. 0 UTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith Comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Venti lation
Permit Fee
S
Contractor
—
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
1 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#d County in co quence of the granting of this permit.
X Z -,;? I I Date /,,;z -
Signature of Applicant - Owner VJ Contractoi El Agent[3
�n OSHA permit is required for excavations over 5'0" deep and demolition or con struct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
H
T.h I ermit is hereby issued under
s s pf the But;e County Code and/or
or d' ted above for which
ECTOR OF PUBLIC
2
PERMIT EXPIRES Date—/
the applicable provi-
resolutions to do
fees have been paid.
WORK
- D te/Z,43/s/
Z -311,f
Receipt NO. 2-s-
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDEN ROD-APPL I CANT
Return to DPW
8 1 —3
AGRICnTURAL STATEMENT OF -ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT OFFICIAL-
' * BUTTE 00UNT1Y-,',?�.L.!F_
Section 26-8.1of the Butte County Code requires this acknowled t- 40SR
14
be recorded prioi to issuance of a building permit. g
C
EC
-3
The property described herein is adjacent to land or includ d
within an area zoned for agricultural purposes, and residents of CLARK XNEt�SON
this property may be subject to inconveniences or discomfort aris&JRK-RE00ADER
from the use of agricultural chemicals, including, but not limited to herbicides4,FE
pesticides, and fertilizers; and from the pursuit.of agricultural operations including,
but not limited to cultivation, plowing$ spraying, pruning, and harvesting which occa-
sionally generite dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priori ' ty 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:
Lots 11 and 12, Block 2, of the Mayo and Smith Tract, according to the
Official Map thereof filpd as of record, in the office of the County
Recorder of the County of Butte, State.of California.
Date: /0 — -; 2- 3 — 9—/
PROPE,3TY WNERS:
�S
V
f, 19
State of0�1Fvfl-,v,4- On this the-;�'3fz> d a y Z'�'6 2 "
) SS. before me, the undersiuecFNotary Public, personally
County of'1'T—'-r-a_ appeared
L A-�J I) a- U vA 4—
OFFICIAL SEAL
DANIEL F. HUNT
NOTARY PUBLIC - CALIFORNIA
PRINCIPAL OFFICE IN THE
COUNTY OF BUTTE
Comm. Exp. Oct. 1, 7982
Present A.P. NO.
known to me to be the person(s) whos
subscribed t the within instrument
that executed the'same fo
therein contained.
IN WITNESS WHEREOF, I hero� to s n my
seal.
e name(s) 0 X171 -
and acknowledged
r the purposes
VWLary
END OF DOCUMENT
/I
M
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rn
C.D
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00
10
vo
oo-
loo-
I J. T
rL
0-1
t3
it
00
10
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loo-
I J. T
Inter -Depart emorandu'm
TO:
FROM:
SU BJ ECT: elly 3,f:)
DATE:
ce
/1-7-
7
R 4�5/v 1^e 6— 1 Ae' 6 'All —Is
16,.,
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALAR(jO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530).538-2140 Facsimile
www.buttecounty.net/dds
ADMINISTRATION * BUILDING * PLANNING
October 19,2006
John and Ruby Henry
1288 Euclid Ave.
Oroville CA 95965
RE: Building Code Violation
Location: 1288 Euclid Ave. Oroville CA 95965
AP#: .. 030-140-006
Dear John and Ruby Henry;
This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -
referenced location for the failure to obtain the required pen -nits, inspections and approvals from this office
for the following:
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 you 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 Cotfrity'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 Bill Barron at 538-5367 or visit our office located at 7 County Center Drive,
Oroville. Our hours of operation are from 7:30 a.m. to 4:30 p.m.
Sincerely,
0
B_ 6VA'la ft n
Supervisor, Building Inspections
BB:
Cc: Assessor
W<
C:) c
c
1K
- - , C-� - I . - -
ok
to
TT
'A,
V4
*ZoA
le
it
jr
41
.01
Ile
If RIM
477
"I,
r -v
-I N�al
L
S
RECORDING REQUESTED BY: _'
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
2006-0020624
Recorded I FEC FEE 10.00
Official Records I
County of I CONFORK0 COPY 1.00
Butte I
DWPICE I GRUBBS I
County Clerk-Recorderl
BW
012:M 24 -Apr -M I Page I of 2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code 41
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
JOHN & RUBY HENRY
REAL PROPERTY OWNER/LESSOR
1288 EUCLID AVENUE
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
ORTU",
UNIT OWNER (ifalso property owner, write "SAME")
SAME
MAILfNGADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
06-08W--) (530)
538-7541
BUILD PERMI TELEPHONE NUMBER
(_/_ 2- V --6)
SIGNATURE OF LOCAL AGENCY -OFFICIAL
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
SKYLINE HOMES 1981 JAY5703
MANUFACTURER'S NAME DATE OF MANUFACTURE MODELNAME/NUMBER
0475017OA/BR 56 X 24 227141/2
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 030-140-006
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WRITE -County Recorder CANARY-HCD PTNK-Applicant GOLDENROD- Building Dept.
PM LIBERTY R"EVER"'l MTG
111 0. 9 16 63, 5 0 19 0
Exhibit A
DFSCMPTION. '
THE FOLLOWING DESCREBED REAL PROPERTY fN THE COUNTY OF BUTTE, VAT8 OF CALIFOELNIA:
LOT 11 AND 12, BLOCK 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAYO AND SMITH TRACT', FILBD IN
THE OfFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALVORNLik. ON DECEMBER 31.1908, IN BOOK 6 OF
MAPS, AT -PAGE(S) 7 1,
APN: ONW40-006
w =I:m tud—.�dwjc. M.ih4lzw P—Aflo
CAIPY of Document Recorded
24 -Apr -2006 2006-.0020624
RECORDING REQUESTED BY: Has not been compared with
original
BUTTE COUNTY COUNTY RECORDER
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOMIE (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
JOHN & RUBY HENRY
REAL PROPERTY OWNER/LESSOR
1288 EUCLID AVENUE
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME')
SAME
MAILING ADDRESS
SANIE
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
06-08W---) /—) (53 )
538-7541
BUiLI)W(l PERMIT Nq,,/ TELEPHONE NUMBER
SIGNATURE OF LOCAL AGENCY OMCIAL
DATE
NONE
DEALER NAME (if not a dealer sale, write"NONE")
NONE
DEALER LICENSE NO
SKYLINE HOMES 1981 JAY5703
MANUFACTURER'S NAME DATE OF MANUFACTURE MODELNAMEW)MBER
0475017OA/BR 56 X 24 227141/2
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S)
REAL PROPERTY LEGAL DFSCRIPTI ASSESSORS PARCEL NUMBER 030-140-006
SEE ATTACHED
I— I. -I lilt, N Dicir offil
BUILDING PERMITS NUMBER:'06-0800
Address or location of unit: 1288EUCLID AVENUE, OROVILLE
Le, al Description of Real Property: 030-140-006
,9 P
SEEATTACHED
(x) M6bilehome[Manufactured Home
Commercial Coach
Has been affixed to thereal property Above by installation.. on A foundation system
pursuant to, Health and Safety Code Section 18551.
Owner's name: JOHN ANDRUBY HENRY
Owner's address: 1288 EUCLID AVENUE, OROVILLE
INSIGNIA OR:HUD NUMBER: '227141/2
SIERIAL� NUMBER OR V.I.N.: .0475017OA/BR
MANUFACTURER'S NAME: SKYLINE AR: 1991
OFFICIAL APPROVING INSTALLATION:
DATE: YL7 L111,
PHONE: (530�53.8-7541
H.C.D. 513C
2010 6,11 A R/3; J/F 01! : 3, 3 PIA LIBERTY R-EVERSE MTC,
Exhibit A
DESCREPTION;
9 1 E 6 3 S 1 10; a
THE FOLLOWING DESCRIBED REAL PROPULTY N TIM COUNTY OF BUTTE� STATZ OF CALIFORNL4--
LOT I I AND 12, BLOC' K 2, AS SHOWN ON THAT CERTAIN MAP MMTLPD, "MAY0 AND SWTH TRAM, FILED IN
THE OfFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA. ON DECEMBER 31.1908, IN BOOK 6 OF
MAPS. AT PAGE(S) 7 1,
APN: 030.1"06
Butte Cou nty Department of Development Services
N 0 T E S 7 County Center Drive, Oroville, CA 95965
(530) 538-7601 vf%vw.0qqqjcoVnty nqyo44s
RES I DENTIAL
APN
030-140-006 06-0800
Owner- HENRY,RUBY
Site Address: 1288 EUCLID, OROVILLE
Cont:.MARVIN PLOURD
Contractor. r'EYX MH PERM FND
Type of Permit
SPECIAL CONDITIONS
CHECKEDBY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINkLERS REQUI r RED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HETH CLEAF�ANCE
DATE JOB FINALED:
SIGNATURE:
= OK
E;MANUFACTURED HO ME S
M I S . CELLANEOUS
.
DATE PERMA14ENT FOUNDATION " SOFT -SET DATE IDECKS*COVERS*CARPORTS-GARAGES
Zoning -Setbacks -Easements I Zoning -Setbacks-Easements
2 Soils; Special MH Suppoet Sketch 2 Ftg�.-, Soils-Sz-Dpth-Spacing-C nnctrs -Steel
3 Sewer, Loctn-Test; FallICIO-Concrete 3 Decks, Girders/Joists-Dcking-Brcing
4 Wtr; Loctn-Test-Eatement Needed-Re�ulator Stairs-Guard/Handrails
5 Elec Loctn-Clrncs-Grnd Amp -Concrete 4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-S hthg
6 Yard Gas; Loctn-T6st-wrap. Nat Li or LPO Frmg-Brcng
Inch Sz Ft Lngth 5 Alum Awn; Columns-Cnnctns-Splice-Decal-Encisrs
4- �Ic�g_. sz-Spacing-Marriage Line 6 CarpQrts; Wndws-Doors
8 Gas; MH Test-Demand-Valve-Cnnctr 1 7 Electric
9 Elec MH Cntnty Test-Crossovers-Breakers-Cirnc-s 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses
10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing-Veneer-Stucco4-ath
I I Wtr & Sewer Connected -C/O to Grade 10 Roof; Shthg-Roofing
12 G and Electricity Tagged 11 Ext; Steps-Doors-l-andings
Downs Foundation r 12 Braced Wall prils
�
4 its
I S.P,� of Occupancy
4'9'HUD Labelfinsignia Numbers Serial Numbers
DATE JPOOLS
1 Setbacks-tasements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men-Uning
i 4 Elec Rcptcls[LUng; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec Encls; rs; Conduit Entries-Terminals-l-isted
7 Elec Bonding; Metal w/S*-Crcltng Eqp-Htr
8 Elec Gmdng; Eqp w15' Creltng Eqp-Pool Ightg
136xes-EncisrsTrilboards-Insultri to Main Conduit
9 Health Dept ApprvI
10 PImb; Cir Test-Wbr Supply Test
I I Lt Niche
12 Enclsr, Fencing-Aarms
13 Bonding, Diving board or Slide
Pool Drawing
OK
Not OK
RESIDENTIAL (Singla &Duplex')
DATE JUNDERFLOOR
I Zoning-Setbacks-Easements-Flood-Stope
2 Ftg Main; Soils-Elec Grnd Ftg' Opth
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth.
4 Fig Porches/Decks; Soils -Steel Ftg Dpth
5 Sternwalls Main; Steel-Blockouts-Wr-apped
6 Sternwalls Garage; Steel-Blockouts-Wrapped
6af Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frptc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF. Gas Pipe; Sz Anchrs-Sz Test
�.j Wtr Pipe; Test-Anchrs-Rgitr-Service Test
12 Elec Undrgrnd
.13 Plenums & Ducts; Clrnc-Material-Support-Insultn
14 Girders-Sills-Anchr Bolts -J oists-Vnts -Cripples
15 Acc & VntItn
16 Insulation
DATE IFRAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs -Nailing Spacing & Bra6es-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-Truss-Shthg
25 Frplc Ties or Type A Flue-Frplc Throat Clrnc
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
27 Bdrrn 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-Fridtri Vnts-Undrflr Acc
3S Glazing Area -Glass Prtctn-SkyLts-Plastic
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnis
38 lnsultn-Walls-Ceilings
39 Infiltration-Walls-Wndws
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 Circs in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz. sp CU or [DAL
AC Wire Sz _,,. 0 CU.r DAL
48 Range Circ ga M CU or nAL
'Oven Circ qaEj CU or nAL
Insulated Neutral Dyes E]No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Cirrics pnls-Motoy-s-Mech Eqp
51 Clothas Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
LJ�K I C LP L U M 6 1 N G
53 Wtr Htr; Vent-Acc-Cnibstn Air Baffle
54 Wtr Pipe; Test & Anchr-Naff Prtctn
55 DWV; Test Fittings & Anchr Nail Pr.tctn
56 Shwr Pan; Test First fIr-Tub Acc
57 Test Tub & Shwr, 2nd fir - Tub-Acc
— 58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas Piping
DATE MECHANICAL
61 AC Du�_ts lnsultn & Support
62 Vent Fan, Exhaust abv Insultn
63 Condensate Drain & OvrfIw. Sz & Grade
64 Furnace -Vent Acc-Comb Air RtrnfVent I IS Outlet
65 Attic Acc & PItfrm if Furnace in attic
41
DATE IFIN
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
— 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Ar -c -Spa
71 GF1 Arc Fault
72 Elec Trim & Subpnl, Breaker Sts & Labels
73 Stairs, Guard[Handrails
74 FrpIc. or Stove, Clmc-Hearth
75 Elec Outlets at Wood Pril, Int & Ext
76 Ktchn. Fxtr & Appinc; Grnd-Air-Gap-Cooking CIrnc.
T7 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 Mctn
83 Insultn-Foam-Looked in Attic
- 84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 CIrnc Drnge Planters FlYes F ]No
87 Stucco Brown -Finish
88 AC Unit Dsr-nncJ, Elec-Plmb
8§ Wits aby Roof, PImb-AppInc-FrpIc-CImc to Opngs
90 Wtr Well, Dscrinct, Elec, Plmb
91 Ext Elec Trim, GF1 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-CIO to grade -HD Apprv1
97 Energy CmpincCert-Other Certs
98 Address Posted
.99. Fire Sprinkler
BUTTE COUNTY DEVELOPMENT SERVICES
COMPLAINT FORM
This information is not available to the public!!!!!!'.
D 0 NO T COP Y FOR THE P UBLIC OR THE FIELD INSPE CTOR!.f
The following information is required for Housing Complaints and the
Complainant MUST BE the person living at the complaint address!
Complainant:
Address
Phone Number:
The above information is not available to the public!!!!!!!
(2)
KAFORMS\Complaint Form revl.doc
STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
)SING
Division of Codes and Standards 11
0
0 0. Nor
age Uj
Title Search
Date Printed : 02/03/2006 D
Decal #:
LAA8055
Manufacturer:
90002 SKYLINE HOMES INC
Tradename:
BUDDY
Model:
JAY5703
Manufactured Date: 09/09/1981
Registration Exp:
First Sold On:
0'1/08/1982
Serial Number
04750170AR
04750170BR
Record Conditions:
Registered Owner:
HUD Label / Insignia
227141
227142
PPF Exempt
Use Code: SFD
Original Price Code: AFY
Rating Year:
Tax Type: LPT
Last ILT Amount:
Date ILT Fee Paid:
ILT Exemption: NONE
Length Width
56' 12'
56' 12'
JOH'N D HENRY
RUBY E HENRY (Joint Tenants with Right of Survivorship)
1288 EUCLID AVENUE
OROVILLE, CA 95965
Last Title Date: 04/05/2000
Last Reg Card: 04/05/2000
Sale/Transfer Info: Price $20,000.00 Transferred on 10/29/1999
Situs Address:
1288 EUCLID AVE
OROVILLE, CA 95965-4211
Situs County: BUTTE
Legal Owner:
CONSECO BANK INC
2825 E COTTONWOOD PKWY #230
SALT LAKE CITY, UT 8412 f
Lien Perfected On: 03/17/�000 09:35:25
END OF TITLE SEARCH
a
HE
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION M. (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect. I
License Class License Number: 3 ff 1 1 -7
Date: " 7 contractor: M4JkuidQ PiS01<101,
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
permit to construct, alter, improve, demolish, or repair any structure, prior
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
the Contractor's State License Law (Chapter 9 commencing with Section
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
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
C3 1, 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
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
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
sale.).
1, 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.).
I am Exempt under Article 3 of the Business and Professions Code
Date: — Owner:
WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
CiK I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
PERMIT NO.
BP060800
Issued Date: 04/12/2006 APN: -07�-04JIQ-00�>
Site Address: 1288 EUCLID AVE ORO
Map Index:
Description: EX MH EX SITE PERM FNDN (1344)
Owner: HENRY JOHN & RUBY
1288 EUCLID AVE
OROVILLE, CA
95965
Applicant: PLOURD, MARVIN
DBA PREMIER BUILDERS
1584 WAGSTAFF
PARADISE, CA 95969
530-872-1096
Contractor: PLOURD, MARVIN
DBA PREMIER BUILDERS
1584 WAGSTAFF
PARADISE, CA 95969
530-872-1096
License #: 343173
Architect:
Engineer:'
carrier: 5;r1q,-7-AF-- C 0 AtP Total Square Ft: 0 S. F.
Policy #: 1 1 :2 7 4 .2 �C - Valuation: $0.00
Census Code:
Q I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to 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 provisions.
Date: Z77L6 41
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties alnd on,
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of ft
code, interest, and attorney's fees. I V J L4 � qq0 s
CONSTRUCTION LENDING AGENCY This permit is hereby!$sued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the Resolutions, tp-do vwfk indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.) , I ( — le4— CP ./Q.O(
Name: I By:_ Date: 0,
Address:
PERMIT
0 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.
0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
El 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 of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. 11-1%
PrintName: L) Signature:
Date: 7
Zo
0 owner
W�—Contractor
Q Agent for Owner
El Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
2
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATfON
AND SUBMITTAL REQUIREMENTS
24 HOUR rNSPECTIONC OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE#: (530) 538-7541
A FEE [VILL BE REQUIRED A T TIME OFAPPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY*
. '.T� Y�)
16",
CONTRACTOR
OWNER INFORMATION
Last Name
city
[v
irst Name
Address
12- 9-1a, Euct—tD
City
State
"6-
ClasD
Fax
Ehone
Emai'
E-mail
16",
CONTRACTOR
Name
Address
0 S--&- 74,9 -
city
[v
State
C� n -
Zip
I Phone
Fax
E-mail
Lic. 141�-�)j -bl
ClasD
APPLICANT INFORMATION
ARCHITECTIENGINEER
Name
Address
Address
city
?w��b (se
City
State
cv!:�
State
Zip
Phone
Fax
Fax
E-mail
rPlanner
State License Number
APPLICANT INFORMATION
Name u
?L610 InN
Address
& V 1-5 rp�
city
?w��b (se
Yes
State
cv!:�
Zip
?U 7
Phone
Br 7;2
Subdivision Name Map
Fax
E-mail
I Lot #
APPLICANT SIGNATURE
t
X 11'�__�at"
For office use only:
Zoning
Property Address
1 -2
Flood zone
Cross Street
G-2—
SRA
Yes
No.
Occ. I
Type Const.
Subdivision Name Map
Boo T�
Name
I Lot #
rPlanner
I Date Approved:
nVFR FC)R StIRMITTAl RF0tJlRFMFNT.1;
PERMIT
NO.
f
BP:_
BIN 9
PROJECTLOCATION
AP4
6 -30
Property Address
1 -2
City
Cross Street
G-2—
g4 -A Other
WORKER'S COMPENSARON
Policy Number
-7 r
Carder
lfhiringanyone otherthan license contractors, a certificate ofworker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Descriptioin or Scope of Work:
'F6UA_11A_77Z5,V
?_Sj ZE
Sq FT- Living Garage Open Cov,
0 Structure Built Mthout Permits
0 Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF ATPLICATION
Applications for which a Permit has not been issued will expire one
year after the date of application. In order to renewlaction 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 departfnent costs are not
refundable.
)Wq - 9 6
Received by: Amount Bldg
SRA
Receipt #:
Sheriff
q c� C� Ll 6
SMIP
Date:,41 �9
g4 -A Other
Total
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.
0 1.
0 2.
0 3.
0 4.
0 5.
0 6.
0 '7.
10.
Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
Complete plans, 3 or4 sets, signed by the pre'parerof 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.
Engineered truss details and layouts in duplicate (if required). No faxes!
Energy compliance design and supporting documentation in duplicate.
Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
Manufactured homes: (A). Installation manual, (B) Marr.riage line info, (C) Floor Plan, (D) Tie down or frid plans,
all in duplicate
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 enginee .
Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
Site plan and business license approval from the City of Biggs.
Letter of intent for non-residential buildings.
11. Building Permit Application Without Required Clearances Form
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.)
0
1 .
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
11
2.
Impact Fees.
0
3.
California Department of Forestry plan approval (if required).
El
, 4. '
NPDES Form.
0
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
0
6.
Contractor's license information. (Number, Nam e Style, Classification).
13
7.
i
Workers Compensation Carrier and Policy Number.
11
8.
Owner -Builder Verification (if required).
0
9.
Lefler of Signature authorization (if required).
11
10.
Recorded copy of Agricultural Acknowledgment Statement.
0
11.
0. Legal description from current recorded grant deed, 13 Copy of M.H. Tide, Title transfer, or MCO.
11
.12.
Sanitation and site plan approval from the Environmental Health Department.
I
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 acfion
on an.applicbtion after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds ca ' n 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
KAFORMSWILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 8-12-05
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMEN7,,�it:Kvi(;t:,�;-BUILDING DIVISION
7 County Center Drive, Oroville, CA. 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
_30
OVINER: 4ASSESSORPARCELNUMB 6 - 66
Proposed Building Use: a^,� �A -31t D�,W rn OL_�Ierrnit Technician: Date:
Items required in order to apply for a perr )bxes MUST be chocked OR marked NA in order to apply.
1 . Site plans, 3 or 4 sets, signed by the preparer of th ' e plans.
0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
0 3. Engineered plans,' 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0 4. Engineered truss details and layouts in duplicate. No faxesl
0 5. Letter from Engineer or Architect for truss design review.
0 6. Energy compliance design and supporting documentation in duplicate.
D 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
�U 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, J(P, Tie down or fnd plans, all in
duplicate. 4
El 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 enginee .
0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
.0 11. Hazardous Material Form
0 12. Acknowledgement of building permit application without required clearances.
0 13. Other
Remaining items needed to issue the permit. (May require additional plan review uponreceipt of the following items.)
El 14. San.itation and site plan approval from the Environmental Health Department in'D Chico Obroville, as applicable
El15. Fire Sprinklers ..........................................................................................
0 16. Agricultural Buffer cIr and site plan apr from the Ag Commissioner Sent by-..
0 17. Soils Report and/or Engineered Foundation required ...........................................
0 18. Erosion Control Plan Required ............................................................ ***'* .......
.0 19. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
0 20. City of Chico Plum bing permit ........................................................................
0 21. Site plan and b ' usiness license approval from the City of Biggs ..............................
0 22. California Department bf Forestry plan approval 0 paid. Sent by: . .............
0 23. Plann * ing approval for (A) Use: - (B) Parking: _(C) Parcel Check: .............
11 24. Contact Land Development about - Improvements, - Drainage ........................
0 25. Fire Marshall Review (commercial projects only). Sent by: ......................
0 26. NPDES Form ............................................................ * ....... * ......... * ... **
0 27. Encroachment Permit for driveway from the Public Works Dept ...........................
0 28. Contractor's license information. (Number, Name Style, Classification) ............
0 .29. Worker's Compensation Carrier and Policy Number ..................................
El 30. Owner -Builder Verification Given to owner, -Mailed to owner) ......................
0 31. Letter of Signature authorization ............................................................ " ......
0 32. Recorded copy of Agricultural Acknowledgment Statement .................................
0 33. Existing violations and/or expired permits .........................................................
0 34. Deed Restriction ..........................................................................................
-Al n,'p
35. Legal clescriptio ' M.H. Title, title s
registration or MCO ........................
El 36. Other:
0 37. Other:
When issued Telephone and hold for pick6p.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: Date: /7 /10
1. Index permit appli6atibriffoir tfie abov,e numbered: Plan Check Le er
2. Additional items required
n designer, owner, was advised of the above data by IX'phone, 0 mail, 11 counter, by (/kr Date:
Contractor, designer, owner, was advised of the above data by 11 phone, 0 mail, 0 counter, by Date:
Contractor, designer, owner, was advised of the above data by Q phone, 0 mail, 0 count�r, by Date:
Plans reviewed by: -Date- Plans approved by: Date:
Structural reviewed by/4U/%,'-< Date: 7-1.1, Structural approved by: 4e:�� Date:
Note transfer by: Date: fdZd6
f Yellow: Building Division
K/Building/Plan Check/Data Sheetsidata sheet page 2 9.27.05
Mao m
Xi2 Foundation System
Installation Instructions for California
for Ground & Concrete Systems
HUD Wind Zone 1,
15 PSF Wind Load Seismic 4
By Tie Down Engineering
BUTTE COUNTY
BUILDING DIVISIw
APPROVFn I -
Xi2 Concrete System* j
Engineer Approval
State Approval
MANUFACTURED HOMEIMOBTLE HOME
FOUNDATION SYSTEM
BRAILTH AND SAFETY CODE, SECTION 18531
APPROVED
BUDIECT TO CORRECTIONSNOTED
AFM(YVAL DOES NOT AUTHORIZE OR APPROVE ANY
WSSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULA71ONS
stme otcalifomis
DgWt=d Q.f Homing and Cam -*y Deydapn%nd
OF COI.VES AND STAMARDS
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