HomeMy WebLinkAbout030-182-009, r
.30-182 09, �'-�— � ... _ � {� :_ •, t.
E 1I, E'MORRIS
r bkoville
ermit#2774 P,E(util, !MH)
ELEC .
GAS
SUPPORT STRUCTURE• REQ r
COMPACTION TEST REQ.
-182-09 0 „t
ADDIS & AZELL,�B 0
'ContR: - Ce�z�"ercado MH
Permi��44-88MHI/2774 88)
ss�e y
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182=09`
Permit#3376-883(new ope deck & anin t••
_ •' '. �__: ,�a_.`,_ .n)-
Permit#763-89B(182=0
new 30priva gara
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3376-88
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.PERMIT NO.,'
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PERMIT EXPIRES v
• 4
3,"e
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OWNER' AMES BRC1-G_1N
CONTR.' e�aner
}
ASSESSOR PARCEL 30-1R?_n9
LOCATION.Y182 "12th' St, Oroviiie
ij
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• �
11.6
r=
• '
..
_
Temp. Power Pole '
Called PG&E
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•
.
e'
=
Temp. Elec. Service
Called PG&E.•
.
Temp: Gas Service
{
Called PG&E
,.
JOB FINALED (Date)
} `
Signature
•. d
�h
a +,Y
............_—_.__._.__.___.
rH�
xx
a .9'A ASS
{
a..
-----------
as
�t
(also). 03 s.AIV3 601.
sail '*^
Ivu
=OK
0 =Not OK rbc >,, , . 1.. .' ' .�, c �"�.�'_. r�' , • tic: CA •% -
,
= Not Applicable
Read �II.OBILE_ F' 0MES
_ .<��..•
_.MISCELLANEOUS:
_
-----Date --'-MOBILE HOME UTILITIES (Plans) OK;except #'s -
Date DEC SCOVERS,CARP-ORTS,dARAGES;.,(Plans)OK- except #'s
1 Zoning Regu{rements Setbacks Easements.,
ci -;,j oning Requirements=Setbacks-Easements.-- —
;Soils ,Special MH, -Support -Sketch-„ , - . ,; -
'' ,. ,00tings;,Soils=Size-Depth- Spacing -Connectors -Steel-'
Location -Test Fall-C/Q,-Concrete'.
;; ersand/or,Jo{sts-Decking=Bracing-Stairs=Rails
4 WaterLocation Test Easement Needed (Sketch)
n Posts Beams Rftrs Connie-
,. r
5 Electnci Location Clearances Grnd / /.Am Concre to
tY p-
' Shthg Rfg Bracing'sY _
6 -Gas; Locationr,Test Wra /
ocati n rap':
' o umns Connecbons'Splice Decal -Enclosure
, ,, r
... ._ r s, . m ows_Doors v-`'�_c .z ---• _ .. _
7 .Utility Clearance._-
-;�Sills`Anchors-Studs.Aftrs=Trusses'
-:'•
_,S 1..
Siding;•Nailing-Veneer=Sfucco-Mesh
81 Date _ �= ---
_Car4-131: - :.- DateyRoti ..` :
°• hg:ng
.-1O�oof; `.Slit o'
- _•Card ,-
_. Card Bf :. Date _ Card B1. Date _�__
R "• -
t Ste s Doors Landsn s
g _._ .. _. .
---Date -MOBILEHOME INSTALLATION (Plans) 0K except #'s -
:• -_p
- -
- - 1. Zoning Requirements Setbacks -Easements'--
--
• ' •- -
Card-B1� Date , and -B1 ;,,;;fJate;,j�<.r
•,,,
- - 2: Footings;-Size-Spacin`g•_Marnage Line
w•'
-
Card -B Dat§E Card -B1 - ' -Date' -
,.
- - 3. Gas; MH Test -Demand -Valve -Connector
4. Electricity;'MH-T,e§t-.Crossovers=Brgakers-Clearances
Date POOLS,,;(;Plans) OK except #'s
5. Drain,; -,MH TestFaII ,FIez Connector-,- t•a.�. ;, ,-,
1 _Setbacks -Easements -.__
'Water; MH Test=Regulator-Connector - -
2._Soils; Compaction Stcucture.Stabil{ry `_. ,,
7. Water and Sewer' Connected -C/O to Grade -HD Approval:
a 3: Pool. Structure;`Steel-C_ onnections Thickness-
- t ^ '&s Gas andyElectncity,Tagged:a z d
,00k d Men Lining ,
9. Exits; Insp.-Sketch , ' .j ;. ,?.. w•
r,4:;,EIec rReceptacles and,Lighting,. Distlnces-GF1
�.t,AO�Cert:of --.':I••!• -'
Occupancy,n
5.,Elec.; Pool Lighting 15;volts-GFl,
r: .r:•, c; ,a. a ::. 7 .. z s. t,7>xr: y .+,
_
6Eleca; Enclosures;; Conduit Enfries-Terminals-Listed
7. Elec.: Bonding; Metal'w%5'-Circ6lating-Equip.-Heater
"Date `
8• Elec.;Grounding; Equip: w/5 -circulating Equip: -Pool Lghtg.
-Card-B1 ,Card=B1 :p,_ate`
_ _ _
Boxes Enclosures Panelboards Iris. to Main in Conduit
Card -B1 - ' -Date ` :• Card=Bf : Date -. - 4
_ 9, -Health Department�Approval f r%
Plumb,; -Cir. Test -Water Supply Test
xJ I'll "i
_ .. _
- .. �Y • . _..
Cird-B1�k,� :c,.ctDate.... r <•. t Card B1,.,,,. n <Date,,
+,
_. o� fik I ,:c� �: 3 r
._
_
Card -B1 ,,.d fiDate:•f ,,, •,sY:Card-B1,.^:. :?Date:, .;•.
> ' •o
_ _. ....... 10A.+:7J < -l1%1� ',._S '' Z '-1 ,. ��+ .. _... ..
... t�:Jl,k_ .-i •� 1t'i' -.. i. ,Sr? -^"c r 1 .a - .. _. ..
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� � 17 3'..; •'' YIitJ -` (. j.! Y..,.Jn75.t7k ,; ,� ..
�, ` _' i .-!"1 s...n...c .>�•"I:� ;tCSCr :«C 'a.' '.. �.8
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' < � •rr ,f,3
-_ _.- ....--.-_ _..._.__.. •�'' S,f, ,!•h'"' .I:'73"J,". A'"er ) L,�-i
scal -.•: "�
,In ': 0 S„r..,r 71"..h,i C, i'' "-+ fSi� r�
1 a1UQ cls 1'1_ ,S' '!!�- �. i':. :+.i ...Y irS.
c,i 7J ,
�I 0,
:k.a>>:.�. .....� ,f.. ..'-::-:: :._�o�---x-se•......�� .... -_..'. .• e:. a +..'_.•.-.-.-.:-=....
- s. :::v.-:.. ,._ .-.. :♦. a.. ._.. xu :..,.-
.':.
.. _.- _ ._ ...-t' -.,s-:
0 =Not OK I
- =Not Applicable -RESIDENTIAL (Single and Duplex)
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ ..._ -/" Ftg. De
3. Ftg., Garage; Soils -Steel-/__ /" Ftg. Depth
4. Ftg., Porches'& Decks; Soils -Steel-/ ' /"Ftg. Del
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped'
7. Slab; Steel -Wrapped - •••••
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground •,1
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18.,D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test,•First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21._Gas Pipe; Size & Anchors
Card -B1 Date Card -131 Date
Card -131 Date Card -81. Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Instal,led Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mach. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -131 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -B1 Date Card -B1 Date
Card -81 Date Card -131 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing.&Bracing-Plates-Sound
41• Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Date FRAMING (Contin
45.
nnectors
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
48.'Attic Access -,.Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50..Garage Fire -Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
53.,Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54'Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -B1 Date Card -81 Date
Card -81 Date Card -B1 ' Date..
Date FINAL (Plans) OK except #'s
61. Ext: Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; 'Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
85. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails -
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73-A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic _ ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive •❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
8i. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84.,Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
9i. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -B1 Date • Card -81 Date
Card -131 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit iob site) .
I
�~ t COUNTY OF BUTTE - DEPARTMENT OF�PUBLIC,WORKS 'PERMOT NO
t' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. �f7(
APPLICATIWAND'PERMIT
ASS AR PAF NUMBE
ZONI
-
BUILDING PERMIT.
owNE ITELEPHORE�
S9. FT. OCC. -BUILDING, VALUATION
OWN AI 1 G 70 ESe ^
,dll �`•J
00e
�,�^�
CON C TOR'S N A -ME TELEPHONE
-
' CONTRACTOR'S MAILING ADDRESS -
1_
Fireplace
r -
CONS R CTION LENDER -- UNKNOWN
Total Valuation"'' •$
-' '- .
I
LENDER'S MAILING ADDRESS
-
Filing Fee --"t _ ,
•�• 10.00 •
'
Permit Fee '
$
`
ARCHCT CT -OR ENGINEER . LICENSE NO.:
Plan Checking -Fe@ `
$
Ener,.
., gy Plan Checking -Fee
ARCHITECT OR,ENGINEER'S MAILING ADDRESS ;
Penalty".,,
$
BUILDING ADDRESS
Z1Z
PermPi Pee -
$
e
PLUMBINGPERMIT+ z '.
Filing Fee' 10.00
_
-Each Trap
2.00
)t�L
Solar or heat pump water, heater
20,00
LOT NO. SUBDIVISION NAME- P_ARC EL MAP
eWater piping
5,00 + r
'
Each pas water heater or vent'' .
. 5.00
USE OF'STRUCTtAE
•ie.
Gas piping system 1; 5 outlets
5.00..
SFEJ. Duplex❑ Mobilehome❑. Other VT
Building sewer + ~
„r 5.00
• - SPECIFY -
Mobile Home -S I G.I WT,-
0.00 ea•- -
TYPE OF WORK
_
New � , Addition ❑ Remodel ❑ Utilities ❑ 'Installation[:] Other ❑
Permit Fee ..
$
Describe work
: Contractor
ELECTRICAL PERMIT '.'
Filing Fee ' : 10.00'
,Main'service 100 AMP 00V OR ORSLESS
10.00
,Main service EA. ''ADO'L 100'AMP
2.50
^ CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
NEW CONST. I DWELLING OCCUP I.
OR ADDNS, % ACC.IBLOGS:
, /z2sgft ,
;❑ I am'licensed under provisions of Chapt. 9, Div..3 of the Business
NEW CONSTR: - T.LOUTLET--
.0 11-R .BRA CH CIRC ITS
2.50 ea s�
and Professions Code and my license is in full force and effect.
/POWER APPARATUS e.\
(SINGLE OUTLET CIR.
License No. i Classification
Ex: OCCUp(OUTLETS OR FIXTURES
} DA @30
1, as the owner, or my employees with wages as their sole.compen-
`- FIXED APPLNS, OR
EX. OCCU p•• OUTLETS (RESID.) EJ-
_- 2.00 '
-sation;•will do the work,and the structure is not intended or offered
Temporary service.
10.00'
for sate. (Sec: 7044)
` El I; as the owner, am exclusively contracting with licensed'contract-
Mobile Home . Facilities
15.00,
ors. (Sec. 7044)
Misc. Wiring
15.00' Z
['] -1 am exempt under Sec,. Business and Professions Code
for this reason
Permit Fee
$ ,
'
Contractor t`
-
WORKMEN'S COMPENSATION, INSURANCE
I declare under penalty of perjury (check one):.
" MECHANICAL PERMIT -;
FilingFeel 10.00
❑ The permit is for $100.00 (valuation) or less.
Heating
-
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.
Cooling , F
a� '
' -I shall not employ any person in any manner so as to become subject
Hood . .
3,00.,.
to the W.,C. laws of California.
Ventilation • 7_
Notice to Applicant If after making thisitatement,.shouId you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
it Fee
ee
$
provisions or this permit shall be deemed'revoked.
Contractor,
certify that I have read this application and state that the above information
Mobile Home Installation Fee
$' • f
is correct. I agree to comply to all County Ordinances and State Laws relating
Energy Inspection Fee
$
to•building construction, and hereby authorize representatives of the County or
Butte to enter upon the above-mentioned property for inspection purposes.
TOTAL PERMIT FEE
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
Occu P. coN ST.TT L SCNOOLJ FLOG PARC PO , NO 39UE
against said County in consequence of the granting`of this permit.
I
147 -` 2 p_ '$ 9 ,
This permit Is'•hereby issued under the.appiica8le provi-
Date
sions of the Butte County Code and/or
resolutions to do
Signature of Applicant — Owner El ' Contractor ❑ Agent ❑
work indicated above for which fees have been paid.
An OSHA permit is required for excav'otion5'over'5'0" deep and demolition or construct-.
''DIRECTOR OF PUBLIC WORKS
ion of structures over 3 stories in height.
i - -
-
Receipt No. - ''
By T
2
Date 3— tom,
WNITI-D. P. W., YELLOW-ASBC330R,•PINK-INSPECTOR, aoLD.ENROD-APPLICANT
PE IT EXPIRES Date
�,Kis-.ems;�i�;'vf..��'1��''#:%"`�:yj+i'!�i'iGah�%;'ic��'�+`'6;:.. "t',�:�•+�`aa7��t.'te.•f� v�4.,�.,t��.'-���, ��.�.•�„s��'""e�.����,f4'�,�•��,srti„ •c .».:�• t: :•�
COUNTY OF BUTTE - DEPARTME,,NT'_OFA PUBLIC WORKS - BUILDING DIV SIO
7 COUNTY CENTER DRIVE - OROVILLE, CA21FORNIA 95965 - TELEPHONE: 916/538-7541 h
'PERMIT APPLICATION DATA SHEET I -'
• d Perniit•No.
3 ,OWNER', 6� Ems- -� A. P..No. c_
' Proposed Building Use Q Building Inspector. Date (Q}
At time of permit application, •I was advised the following data must be submitted priorto permit processing and/or issuance:.
_ DATE RECEIVED APPROVED
i All.items have been submitted; ....................................
# Plot plansiin dupiicat iplicate, sighed by preparer of plans........ -
t !' 3. Complete plans In dap�i' icatte . riplica e, signe by preparer of plans . .
4. Complete engineer pe -Id ans and calcs^ith eisignature on Flans.
5. Energy Design Compliance and supporting, documentation .........
6 Statement of Intent for Non -Heated and AC Buildings .........•.....
_47. Engineered truss details and layout in duplicate (required prior to plan check)
I 8:' Mobilehome installation data including manufacturer's installation
instructions .. ........:............................... ........:..
.9. Fees of $ ........................... -
10: Chico Urban Area fees paid ....................................... .
` 11. Park fees 'paid .
12.. School Dis ri t fees paid ..................
13. Sanitation apprdval from Health Department,....
14., City of Chico plumbing -permit . . .............................:1:.... .
15. Plot plan and .business license approval from City of
• i
(see City for other requirements)
A 16. Planning approval for (A) User (B) Parking: . .........
17.Improvements may be required.
{ • 18." Driveway permit "(construction approval required prior to occupancy) ...
Pre-Inspec. request to
t 19., Pre -Inspection for required •...... Building Inspector
t 20. Contractor's license information (No., Name Style, Classification) .......
a; 21.'Certificate of Workmans Compensation Insurance ....................
22.'Owner-Builder,,Verification (Given to owner ❑, Mail to owner ❑) ........
23. ,Recorded copy of Agricultural Acknowledgment Statement ............
d
(Date) `
_ s•
24. Letter of signature authorization .....................................
I 25.
26.
' When you issue the permit, process as follows: Mail to owner. Mail to contractor.,
7K
Telephone" and hold for pickup at t office. Deliver w/inspector.
Other
Applicant . T->' Date 7--a o„—��
Copy'of plans sent Health Dept., Fire Dept,, Other Date
The following data must k e 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�nail_counter by date
.', Contractor, designer, • owner, was advised of'above required data by_phone_mall__ —counter - date
Plans bhecked by t Date Plans approved byDate�
C f
r Sets of plans on hold in File cabinet AP _folder. r -
Copy—DPW + . ',� ” + i ►. a
�•
i
d
(Date) `
_ s•
24. Letter of signature authorization .....................................
I 25.
26.
' When you issue the permit, process as follows: Mail to owner. Mail to contractor.,
7K
Telephone" and hold for pickup at t office. Deliver w/inspector.
Other
Applicant . T->' Date 7--a o„—��
Copy'of plans sent Health Dept., Fire Dept,, Other Date
The following data must k e 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�nail_counter by date
.', Contractor, designer, • owner, was advised of'above required data by_phone_mall__ —counter - date
Plans bhecked by t Date Plans approved byDate�
C f
r Sets of plans on hold in File cabinet AP _folder. r -
Copy—DPW + . ',� ” + i ►. a
COUNTY OF BUTTE - Department of Public Works
7.County Center Drive, Oroville, CA .95965 Phone:: 916-538-7541' -
OWNER -BUILDER VERIFICATION
S ,
• Attent'ion Property Owner - '
' A' "owner -builder" -building permit.has been applied for. in' -your name and bearing
' your, signature. K _
r Please complete and•return.this-'information at your earliest opportunity'to avoid
##` unnecessary delay in.processing and issuing• your building',permit,-•.No building permit:
will' be issued until- this verification 'is received.
1. I personally plan to provide. the major labor and'materials;for construction of
the 'proposed property improvement ,(yes or no)
-,' .
2. I (have/have not)A41 (' signed an, application,,for a building permit
for'the 'propo'se'd. work.
r 3.; I have",contracted with the following,person (firm) .to; provide the proposed
construction: -
Name
Address' City
�t 'L Phone'• Contractors License No.
4. I..plan•to provide'portions of this work, but I have hired the following person
to coordinate; supervise, and'provide the major work_:
Name.
4.} Address City E
Phone Contractors.License No. -
.. 1 -5.,`,I will -provide some of the work4but I'have contracted. (hired) the following`
,. persons to provide the work indicated:
x Name Address Phone Type of Work
f -
• Signed:
Property Owner,'
Social. Security Number' �,_
Date 3
-NOTE: This Owner -Builder Verification is,sent to you as required by Sections.1983.1 and
t 19832 of„the California Health and'Safety Code.
This verification must be completed',and returned to•.our office before we are -per-
mit ted
re per -
mitred to issue the permit.
F • ..
Vey •. � •A �' •_+ `} {? !4 , •_ '• •, a•"•+ ., Y • - a- � }r
(his set of plan's and �speciticaticns ` +M i M1
Aept on tl�'a job at all 'tiR� s and it be t
is unle-vUSuI
a: o ' r
' rn ke 6ny char;gas or all::,r ation on sarne vvithovl
V! i;t n perruisson• fro; i" he Department of Publtr
}. Works, County of Bu- to.
• , 'NOTE:—All Materials A Workmanship, Shall Be _•in
' tAcccrdonce vtifh, Rezognixoc:i 'a and
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of a qualliiy prasc; a?ori fir Ehe -P ec:rRod vs -a in fho
Uniform Cuildit.g, Numbing & Mechanical Codos and
the National Electrical Code.
di
r, A setback of 5 fr. frori the o
'property lines and a.setba& i "
F of 50ft. from the'road
N centerline shall -b6 clear of
structures or equipment except
4 for a 2 ft. eave overhang.: ` r
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OUILDING DEPARTMENT
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PERMIT NO.' 7774-88P FQW
}.PERMIT EXPIRES' E .
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OWNER'��
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CONTR. f
Owner.... a
ASSESSOR PARCEL Y 3�1H2-O9
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'. "LOCATION � Lip -_12th -St; ORoville�
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Temp. Power Pole
Called'PG&E
Temp.
Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
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COUNTY -OF BUTTE
•_�� < .. DEPARTMENT OF PUBLIC WORKS.
`
196 Memorial Way, Chico — Phone: 891-2751
_ 7 County CenterOroville-- Phorf6: 538=7541
:.
,Drive,
747 Elliott Road, Paradise— Phone: 872.-6307.
CORRECTION NOTICE.
1 4
OWNER PERMIT. NO.:,:�=i`i
A routine inspection indicates that the following violations of'County Ordinance-'
=' w
exist at the above address and should be corrected: Please .notify this -office-
a:
when correction of work is completed. if you have any question pertaining to this
matter, or need additional explanation, please.contact this office Immediately.'
mr.w
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Inspector -Date �
MOBILEHOME INSTALLATION'ACCEPTAKE,
• _ COUNTY>OF BUTTE
DEPARTMENT OF PUBLIC WORKS - 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA = 534-4541• '
PERMIT NO.
r' Address or location of mobilehome
! Owner's name
Owner's address
�• Insignia or hud number
Manufacturer's name
Serial number.of V.I.N. ! / %f 7 j� Year of manufacture77
(Official Approving Installation) (Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHENiTHE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
f -
513B White - Owner, Yellow - Installer,_ Pink - D.P.W. y r
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-.`tom
OWNER "-PERMIT N0.
A routine Inspection indicates.that the following violations of County Ordinance _#
' :;
exist at the above address and should be corrected. Please notifychis office `;_s,
when correction of work is completed.,lf you have any question pertalning.to this
matter, or need additionaI'explanation, please contact this officeimmedlatel;y.
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Inspector �/ Date
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• -COUNTY OF BUTTE
11 �'
DEPARTMENT OF PUBLIC WORKS -
196 Memorial Way, Chico - Phone: 891-2751
7 County Center Drive, Oroville — Phone'. 538-7541H',
++ 747 Elliott Road, Paradise one: 872-6307
CORRECTION. NOTICE
-• P /// V
�. 18 Av
OWNER - 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
�•... ... .......1 ni. -*-f Y61c Mfirc mmnrfi �fulu'
Inspector Date
r Ao COUNTY OF BUTTE
DEPARTMENT.OF-PUBLIC WORKS QTY- O BUTT`?
.. �� 196 Memorial Way,•Chico — Phone 891-2751 .� . NT OF PUBLIC yy RMS.
7 County Center D-rive,,Oroville — Phone: 538 75 t'+� s t
!.. s§ . * ty ;INSPECTION DI VI:'! :)
747 Elliott Road, Paradise — Phone 872-6307
i° '� "OTHORIZA.TION
CORRECTION NOTICE.,_ �1 11
QA% ,'� � T }
i''OWNE ; '*'2 ' dress a�`��•(�fr� 5
A routine inspection indicates.that the fol [owing* violations of County Gir —�
+ ; exist at:the abo.ve address aril should`'be corrected Pfease rr2*ffti
4 � �+�
Dates
when correction of'work is completed.*If you have any quesUo!�jj�perf-w, r
matter or need'additional"explanation,'ptea'se•contacf ,i`�:�G�r
+..�� ate
MIW.&W 'MRS41-1
-42
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Inspector.
Date_—
= 'OK
s
0-= Not OK t
-'Not Readyable MOBILE HOMES
` _.
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MISCELLANEOUS
Date
MO LE HOME UTILITIES (Plans) OK except #'s, "'
Date..
•_: DECKS,COVERS,CARPORTS, GARAGES, (Plans)OK except #'s
VZopierfg Requirements -Setbacks -Easements.
1. Zoning Requirements -Setbacks -Easements
l's' Special MH Support -Sketch
2. Footings; Soils-Size-Depth=Spacing-Connectors-Steel
S er; Location- t -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails .
dj2der; Locatio -Tes 'Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
ectricity; Location-Clearances-Grnd.-/ . / Amp -Concrete
Shthg.-Rfg.-Bracing.ejr+
6. Gas; Location -Test -Wrap: / P'L"ft.
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
/ /"Nat. or/ P1 ft./ /"LPG- ,
06. Carports;.Windows-Doors
.•
7. Utility Clearance,
7. Elea _'
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -B1
Date ...Card -B1 . Date '
11. Ext.; Steps -Doors -Landings
Date
MOWUHOME INSTALLATION (Plans) OK except #'s
Ar,_Zpm,ng Requirements -Setbacks -Easements
, Card -B1
Date` Card -B1 Date
Fogs; Size -Spacing -Marriage Line-
.'Card -B1
Date Card -B1 Date
G ; MH Test -Demand -Valve -Connector
`
EI tricity; MH Test -Crossovers -Breakers -Clearances.
Date
POOLS (Plans) OK except #'s.
I
ain; MH Test -Fall -Flex Connector
1. Setbacks -Easements'-
.dater; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability -
ter and Sewer Connected -C/O to Grade -HD Approval'
3: Pool Structure; Steel -Connections -Thickness-'
i,as;and
Electricity Tagged
-Dead Men -Lining
i
Vits; Insp.-Sketch
4., Elec.; Receptacles and Lighting, Distances-GFI
. Cert. -of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
..
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
•7. Elec.;'Bonding; Metal w/5'=Circulating Equip. -Heater
t Card -B
Date Q/Q Card -B1 Date
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
t
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -B1
Date Card -B1 Date
9. Health: Department Approval
10. Plumb.; Cir. Test-Water•Supply Test
Card -B1'
« Date Card -B1 _- Date
Card -B1
_ Date :.Card -Bl. Date
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= OK
0 = Not OK
- ;i Not, Applicable RESIDENTIAL (Single and Duplex) -
�.
_• Not Ready �•�„� ":: {�:.t..,, -
Date" UNDERFLOOR (Plans) OK except.#'s
Date FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors; -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/, . P', Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof, Brac.-Truss-Shthng.-Rfng.
3.:Ftg., Garage; Soils -Steel-/ P' Ftg. Depth
47. Fireplace Ties or Type A Flue' -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ •/" Ftg. Depth '
48. Attic Access; Size & Romex Protection -Draft Stop -'Ins. Baffles
5.•Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framin.g._.'
7. Slab; Steel -Wrapped
51. Property Line Firewall.&: Openings,
8..Piers- Fireplace Ftg.-Steel
52. Ext. Doors -One 3L-Gheck GararJe,-3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run. -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer ; ;a
12. Electric; Underground
56. Stucco Mesh -Drip -Screed -Fd..Vents- UnderfIr.'Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation -
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -B1 Date Card -131 Date
Card -B1 Date Card -B1 -Date^
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access .
21. Gas Pipe; Size & Anchors
Card -61 Date Card -81 Date
Card -131 Date Card -B1 Date
Date 'ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection'
• 23. Elec: Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ' Yes No .
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -131 Date Card -131 Date
Card -131 Date Card -B1 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -B1 Date
Card -131 Date Card -131 Date
Date' FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41• Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Card -61 Date Card -131 Date
Card -131 Date Card -B1 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings.
62. Smoke Detector I ` '
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa r
66. Elec. Trim & Subpanel; Breaker.Sizes-Labels
67.'Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73, A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
8i. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection -
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -131 Date Card -B1 Date
Card -131 Date Card -131 Date
Card -Bi Date Card -81 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC.WORKS EMIT NO..
c. .• 7'County Center Drive - Oroville, California 95965 -.Telephone: 916/538-7541
APPLICATION AND PERMIT q 000
ASSESSOR PARCEL NUMBER,
v-� a 0
ZUNT G
x
.4.-° =:� BUILDING PERMIT
-
OWNER— - ���
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TELEPHONE
S3 � 7.5
-
• SO. FT. OCC. •• BUILDING VALUATION r• • •
-
OWNE 'MMIAILIN_GADDRESS ,• c
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.tom
CONTRACTOR'S NAME _ --
TELEPHONE
"! ✓` `
CONTRACTOR'S MAILING ADDRESS
Firep!&e e
CONSTRUCTION LENDER -
UNKNOWN=
Total Valuation $
- _ 1 • -
Fee C $.
- LENDER'S; MAILING 1. ADDRESS - -Filing
Permit Fee
ARCHITECT.OR ENGINEER - i -
LICENSE NO., , -
Plan Checking Fee -
$
Energy Plan Checking Fee
$•
ARCHITECT OR ENGINEER'S MAILING ADDRESS-+ - -
�-
Penalty {
$
BUILDING.ADDRESS
, y
Permit fees ..
•' PL'UMBING,PERMIT
Filing Fee 10.00
Tn
C� S
Each Trap1,2.00
' or�;' .e
Solar or heat pump water heater ` 20.00
LOT NO. ]SUBDIVISION
NAME • • PARCEL MAP
;Water pipin
5.00
Each qas water heater or vent '1=
1.5:00;
USE Other OF ST UCTURE •
SF El Duplex Mobileho L -y," t
me OSPECIFY
Gas piping, system 1•- 5 outlets,
5:00
Building sewer .
5.00 "
Mobile Home'v'_ . S CAW V
10-00ea' 311r'O-V
TYPE OF WORK
New ❑ Addition Remodel❑ Utilities ,Installation❑' Other Q
Describe work:
f%�. G2 DDroU��
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Penult Fee'-- s
Contractor ' -
ELECTRICAL PERMIT-; Filing Fee 10:0D
Man service 6001•OR LESS '
i .100 AMP OR LESS `- _ 10.00
Main -service EA. ADD'L•10o AMP ,. •_ 2.50
_
CONTRACTORSLICENSE.LAW r
I declare under penalty of er ur check one f
P- y .. P J y ( )•
I-
❑ 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.
•• o '
License No. `' ClasSiflcatlon
_
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) z
` ❑*3:1 am'exempt under Sec: Business and Prof essions, Code
for this reason A
NEW CONST. DWELLING OC cup,") 1
OR ADDNS.,' ACC. BLDGS. I ��2sgft
NEW CONS TR U TI.OUTLET 2.50 ea
NON.RESID .BRA C CIRCUITS)
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. OCCUp(OUTLETS OR FIXTURES 2AL@30 ��. •,,
sALe 3o
' FIXED APPLNS. OR -
EX. OCCUp.OUTLETS L SID.) EA.) 2.00
-Temporary service `; 10.00
Mobile Home Facilities, r_, .15.00,
Mises Wiring 15.00
Penult Fee
$ r6�D
Contractor.
•• • • "'
WORKMEN'S COMPENSATION INSURANCE
I declare under penalry.'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.
1 shall not employ any person in any manner so,as to become subject
E �7' to the W. C. laws of'California..
Notice to'Applll:int: If after making this statement, should you become subject.
to the W. C. provisions of the Labor Code, you must'fort iwith comply with such
4 provisions or this permit shall be deemed revoked.
MECHANICALPERMIT
Filing Fee 10:00 ,
Heating
'
Cooling +
..Hood ••
300
Ventilation
~�•
permit Fee - '
_
Contractor -
II 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 mentionedproperty 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 we accrue
agains i County in consequence of the granting of this per It.
X Date-
-Signature of Applicant — Owner Contractor Agent
An OSHA permit is required for excavations over'5'0" deep and demolition or construct-
ion of,structures over 3 stories in height.
Mobile'Home lnstallatlon Fee` s ;
Energy Inspection Fee
,
TOTAL�PERMIT FEE $ b�
,Occup.
CONST.TYPE
SCNooL
v� rOD
PA CEL
PD
ND/
V/
39UE
This permit is hereby Issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
^ work indicated above. for which fees have been paid.
DIR PUBLIC WORKS
-A -
By, _��
;IT,EXPIRES Date
R13ceipt No. - a2 1
11.
WHITE-D.P.W., YELLOW -ASSESSOR; PINK -INSPECTOR, GOLDENROD -APPLICANT
�`'�+,;-v�';'�;��,W'. 7RG�'r� x. ��Gw�"�'�`�, .�'"++'f,�f�"',���,ayaFi Vit* w� -•
. 3i.:, } e'W7�' 'r.;'•�tiA-t •tet:'- .,�•"r-^-'.� j
COUNTY OF BUTTE - DEPARTMENT..OFtP9BLIC-WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILL fE,c(CALIFORNIA 95965?- TELEPHONE: 916/538-7541 '
PERMIT--APPLIC'ATION' DATA SHEET
Permit No.
" OWNER, i5llkiGr 41 114P� ��R. A. P.'No. 30
Proposed Building Use 4 � � � r "Building Inspector %� �' 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. .
. Plot plans in d.1 1uplicate./tr,,f,te, signed by preparer of plans.
3. Complete plans in duplicate. /triplicate, signed:;by preparer of plans, lie
- 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.
k . 7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of. $
9.w Letter of signature authorization.•
Sanitation approval fromZ, Health Dept.
`t 11. Planning approval for (A) Use: (B) Parking; '•
12.' Certificate of Workmen's Compensation Insurance.
13. Contractor,,s.,License Information (no., name style, classif.)
"^-Builder-Builder Verification Given to owner
�,. ( ❑„Mail to owner ❑)
Improvements may be required.,w .';`
f. R` f16..Mobi lehome Installation Data.
Pre -Ins ec. request to
` 17. Pre -Inspection for Required. "(Date)
p, s q Building Inspector �
a'', --� 'tib• Recorded_C.opy of Agricultural Acknowledgment Statement. .
9. ;Driveway Permit.
' 20:• 'Plot plan approval from city of •:^ '
L �win6ered tru§jes'in duplicate required prior to p an check).”
en y . u- issue the permit, proce s as,fol lows: Mai I to owner, -Mail to contractor.
�: ! Telephone �3�`�%✓� and hold fo pickup af�1 0. office, -Del iver'.w%inspector: ,
r. Other.
'. Applicant Me=:s Ae /
L ,
Copy of plans sent Health Dept., Fire.�D.ept., Other Date
The following` data must be,submitted rior to permit issua ce (Circle new item not checked above).
1. 'Indexpermit for above items No.
2:` Add itional'items;requi'red: Aaod' _ "
Contractor, designer, w�was advised of above required data by one_-naiI-counter by AN V date_2r- Z / aW
- E?
G Contractor, designer, owner, was advised of above required data.by_phone_maII_counter by date
ti Plans checked by Date Plans approved bye�iD Date
Sets of plans on hold in —'File cabinet AP folder f –�
_. •i Copy—DPW',. ? ,
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance.
Elmer or'rf'� 12-d Sx Z -'-
owner
-owner location AP #
Driveway permit ���"l 6 c has been issued for the above property.
n b
sign re date
r
RECEIPT 10 3 9
OFFICIAL RECEIPT
COUNTY OF,BUTTE
r DEPARTMENT OF PUBLIC WORKS
LAND DEVELOPMENT SECTION
ISSUED By
R
DATE
RECEIPT
NO.
TOTAL
RECEIVED
TENTATIVE
'r MAPS
ERIS
CHECK III
INSPECT
STRHET�
SIGNS
-
PUBLIC
DOCUMENTS
COMP-
LIANCE
PIpH
HYDRANT
OTHER
APPLICANT
s
RECEIVED FROM -
r
RECEIPT 10 3 9
OFFICIAL RECEIPT
COUNTY OF,BUTTE
r DEPARTMENT OF PUBLIC WORKS
LAND DEVELOPMENT SECTION
ISSUED By
R
COUNTY OF BUTTE - Department of Public Works, '
7 County Center Drive, Oroville, CA 95965-- Phone.: 916-538-7541
e4.
OWNER -BUILDER VERIFICATION
.Attention Property Owner, a -
An 'owner -builder" building permit has been applied -for in your name and bearing
F'
your
signature.,—
At
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'ma a ials for construction of
t1:
the proposed property improvement (yes or no)
`
2.- I (have/have not) signed an,application-for a building permit
for the proposed work.
3: I have contracted with the following person (firm_) to provide the"proposed -
•
construction:
,
Name
�
Address ; City
.
Phone Contractors License No.
4. I plan to, provide portions of this work, but I have hired the following person.
to coordinate,, supervise, and provide the major work:
Name
Address T 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
'
` I
Signed:
Property,Owner `-
-
Social Security NUMber
F
%• Date —
-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.
..�F•! a • c• '.} .�. •r6 •• .. ;, ,,.; a • • +. .1 ..w.'G41{ ... ,L••rtY ia'Y.� .PL`. ,« ..r. Tay-:,p..+w ,. ..�
.a
THERMALITO IRRIGATION DISTRICT
410 GRAND -AVENUE J-1 vt -
r OROVILLE, CALIF014NIA 95965 `' a
•TELEPHONE;533-0740 '
it
CSA 26 SEWER SERVICE APPLICATION AND •CONNECTION' PERMIT.-. ,
Service Address:
-Owner's Name: '1^t .- �,;;r �fi
Date: 11;'.�r"38` •.
Address:. _{, +, ��...,� ,
Acct.No':
_
r, A.P. No.:s" 33 21 '....��
Phone: ', :.�': t:� `.
No. Units:" ..?•
A Iicant/A ent: "
App 9
f
Agents Proof: I '
Address:
Fees: `'
Phone:
Applicatiori . $} ••�' 0
Arrearage
t
'Preliminary. Review By: Date: ''
t
••CSA 26 .. .
w
Remarks:
SC OR a}
.� ., _•. �_cz �c l�cs� --: U t�� .::) �,r,
.
+• i•, s�•. .•l T. n M 4 ,,. iS �y
1st mo. S.C. r 'r
Other .E 3'
CA, 1,719 !gilt >a-. ,:t,��• l"' � iY,�_ at rt:71;'^rt;t'
Total Fees.5
Collected By: `�' •sr� c
!r.
Date:
Field Review By:Date:
7%_ �/ l ��tr�,'•�., •`''.!s ; j
Remarks:
I. .s''—' J•"'cd'.
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
[11 Date of TID approval of completed building sewer (early connection):
[° 30 -days after•date above,'or on date of D.P.W.•approval of'completed building sewer, whichever comes-,'
first ("existing construction", prior to Mar. 5, 1974). ' .. •
r ..:: - '
❑' 180 days after date above; or on date of D.P.W. approval'of completed building sewer, which ever•comes ,
first ("new construction", after Mar.i5, 1974).
DISTRIBUTION: WHITE - TID, YELLOW -A PPLICANT„PINK - DPW, ,GOLDENROD - DPW to TID
' , �• Ti V
L
AP# ` 30r"4$ -,02
OWNER .� �� A O r r S.
PERMIT4
MH ' UT IL. CLEARANCE DATE
f INSPECTOR
ELECTRIC GAS Support Compaction
;ervice Other r :Pipe, St i -c-. Test Re .
;ize -Load �Type Size Length YES V.VO YES NO
jr
e
A ,
I
COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California,95965 -'Telephone: 916/538-7541.
APPLICATION AND PERMIT. .
ASSESSOR PARCEL NUMBER
ZONt G_
BUILDING PE
L,T. y
9W ER p ,
A 's 4_ 6 Al
TELEPHONE
.SQ, FT. _ OCC. BUILDING VALUATION -
-
• -
'
OWNER'S MAILING ADDR 5 /J u
rr �
IN 14" r 6� 3
NTRACTOR'S NAM -
/' r a o e 5eJ'v'
TELEPHONE
533 15- e,
,
• -
µv
CON RACTOR'S MAILING ADDRESS
LA -V A o WAl-
,'
Fireplace
-
CONSTRUCTION LENDER - •
UNKNOWN
TOIaIValUatlOn $
_ •-
•`10•00
Filing Fee
$ .
LENDER'S MAILING ADDRESS , -
Permit Fee
,$ ` t ;
ARCHITECT. OR ENGINEER, - LICENSE NO.
•ARCHITECT OR ENGINEER'S M AILING' ADDRESS
Plan Checking. Fee k$
p�
Energy Plan Checking Fee
$ �-
Penalty t
$
BUILDING ADDRESS
Permit fie,
$ 12 5
• . PLUMBING PERMIT
Filing Fee 10.00
4—
Each Trap
2.00
r " ' V j
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME -
( `
PARCEL MAP
D
Water -piping - ' - _>: 5.00
Each gas_water heater o.r vent
5,00 `
r USE OF ST TURE
SF ❑ Duplex❑ Mobilehome Other
sPECIFr
Gas piping system 1 - 5 outlets
5.00'
Building sewer
5.00
Mobile Home t S 'G, W `
`• 0.00 ea
I w' TYPE OF WORK
New ❑ I Addition ❑ Remodel ❑ Utilities[]. Installation Other ❑
Describe work:' PJ.�'% j
`ELECTRICAL
AN ki tJ -' a1'% i:1-4iY � �ff D ,4,oDro ved
Permit Fee ;
$ -,
Contractor
z,
PERMIT
FiIIn9 Fee 10.00.
- .• I
Main.service eOOV OR LESS 10.00
-100 AMP,OR
Main service EA. ADO'L 100 AMP
'x2,50
CONTRACTORS LICENSE' LAW
_
I declare under penalty of perjury, (check one): i
❑ I am licensed under provisions of Chapt: 9, Dlv.•3 of the Business/POWER
and Professions Code and my license is in full force and effect.
- _ -*License No. Classification ..
«_ ❑, 1,'aS the owner, or my employees -with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
_•
` ® I, as the -owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044) t
❑ I am'exempt under Sec. Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.eI 1
OR ADDNS. ACC. BLDGS.?�S(j ft -
NE W. CONSTR TI -OUTLET
NON-RESID .BRA CH CIRCUITS) '• 2.50 ea
APPARATUS a .a.
(SINGLE OUTLET CIR.
EX, OccupOUTLET- 2000t
S OR' FIXTURES BA 090 '
FIXED APPLNS. OR.
EX. Occup.- OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities : .15.00 '
Mist. Wiring 15.00 '
g
"
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): '.-(.,
❑ The permit is for $1:00.00 (valuation) or less. -
❑ 1 have placed on file with the County of Butte Building Department,
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure. s
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 becoine.subject
to the W.'C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked. -
'Contractor
MECHANICAL PERMIT
FiIingFee `°1.0.00
Heating
TI
Cooling" -
r
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
all liabilities, .judgments, costs, and expenses which may in any way accrue
against said Countywin consequence of the granting of this permit.
%� l`U Date
Signature of Applicant - OwnerZ• 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.. "
MoblIe,Home Installation Fee $"Ozv
Energy Inspection Fee $
TOTAL PERMIT FEE $ 0
-CON
OC CU P.
ST,TYPC
SCHOOL
f
VDIPARCELt
PD
ND
SUE
This per6t is hereby issued under
sions of the Butte County Code. and/or
work -indicated above for which
RE .0 F PUBLIC
By t
,PE tT - PIRES,- Date
the applicable'provi-
resolutions to do
fees. have .been paid.
WORKS '
Date �z
— Z-.7"•
Receipt(No.
WHITE-D.P.W.• YELLO -ASSES, BOR, PINK -INSPECTOR. GOLDENROD -APPLICANT'
T t•� p�,l ;yam , ,T�'
COUNTY -OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVTISION ; F
I ry
'i7 COUNTY CENTER DRIVE - OROVILLE ,,CALIFORNIA 95965 - TELEPHONE: 916/538-7541
`f. PERMIT APPL'�IC►TIbkDATA SHEET '
' //�� // dd�nJ k Permit No.
!
OWNER—
Proposed
WNER /"I;e, `�' e Bre tc�Ai A. P. No.30- /S —� —D�C�
Proposed -Building Use M l% Building Inspector Date
' At time of permit application, I'.was advised the'followling.data must be submitted prior to permit processing
and/or issuance:'
DATE RECEIVED APPROVED
v 1. All items have been submitted. . . . . . .
' 2. Plot plans in duplicate/triplicate',Jsigned by,preparer of plans. '
ic�3. Complete Plans in du licate/triPlate, sinted 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.
k 7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $. . . . . . . j
•
- 9. Letter of signature authorization.
;,. 10. Sanitation approval from _ Health Dept.
F,; .
v .11. Planning approval for (A) Use: (B)'P8rking: ,
12. Certificate of Workmen's Compensation Insurance. . . . . . *'
13. -*Contractor's License Information (no., name style, classif.)
_14kOwner-Builder Verification (Given to owner❑, Mail to owner ❑41") �—
"- t
15. Improvements may be required.
16 'Mobilehome Installation Data. tp
Pre -Ins ec. re uest to +; °
17. Pre-Inspection_Required.. Building Inspector
18. Recorded copy of Agricultural Acknowledgmelit Statement.
l_+ 19. Driveway Permit.
20. Plot plan approval, from city of_.,
21. —� —
�, 22. — — ---,
{f: •� ,{,.you issue the permit, process as follows: Mail to owner; Mail to contractor_
°Toelephone and hold for .pickup at office, Deliver w/inspector.
Other:., —
' ApplicaDated
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.�T
p 2. Additional• items required:
Contractor, designer, owner, was advised of above required data by—phone---mail —counter by date
Contractor, designer, owner, was advised ci above required data by—phone _mail—counter by date
Plans checked by Date Plans approved Date /,e� 77—a
Sets of plans on hold,in File cabinet AP folder
Copy—DPW
yw,
-^ - — MOSiLP HOME MUST
i Utility ci6��ct(6no -hall
4 ft. of the mobilehome, either BEAR H.U.• LABELS
s directly behind or within the rear
'O half of the roadside (left) of the �`� -� �•
4 mobilehome. t2
permit will be required for .
! tallafion of the mobilehome.
J A setback of 5 ft, fl #�►�
Property lines and A SJ01154Ai'
i
/ of 50ft. from
the_rob _
/ centerline shall be clear of --
__� -equipm -- —
structures_or ent except
- �o9.'�76 for a 2 ft. eaveoverharig.
----•--, — . - _.---- - - --cam
L
U '
t • ,_� _ I _ _ . ��f.e'f - ans' and iJIUST.bE _...... r .
S and ' un as ff1 s
X� ke r on ik dab at all iilrpes sc3,
r F
Carl ''t'1.>�' Yllfc`�
mtral;e any Put,
7'i`ri�C'ri�i
wri l -e ! .�
+ lic
Works,-C'
a'e�rls, Cot; y ob
P.
s_Q DOTE:—All M, Hals: & Workmanship �ShaN
Accordance wiih' P%ccognized Good PrcgtiGQo o
I of a duality prescribed for the Specif
Uniform ied -uoe In the •"
UnifBuilding, Plvmbing & Mechanical Codes and` �
f
r the N&ional E'E�ct; ical Code.
t - '///tom•
T.
_ 4lil ��7 r .(ITME
NI
i t ii I mac+'
'r
P
•
t
t
4
.,•r
a 3
.
BUTTE COUNTY DEPARTMENT OF.,-PUBLIC WORKS~ f
` 7 County Center Drive, Oroville,CA' - ,
PHONE: 538-7541. SPECIAL r G', F L0VrD1qq��/�,
1 - - .. • - 1'i.li' ie'f ING RE:,it4�
i
_ MOBILEHOME INSTALLATION SHEET
M_ 1'. owner_ Name . ',l�c�c�i S Aad 0 Z Vol U/ S
2: Installer's..Naa'e: k1f o A - e !
3: Is the site currently,-under permit? Yes No a v
(If yes; furnish permit number OR '
Is the 'site an existing site? Yes. a No
`(If yes; furnish two plot plans.)`' `
4. Will the mobilehomebe located,at.least 5 ft:'away from septic% tank and leach
fields and'clear of all'setbacks and easements?' Yes' No `
(If.no, clarify
i5. What is'the.mobilehome•electrical rating?----------------- e ® Amps
it
6. RWhat is the- mobilehome' site service rating? -------------- Amps
:7. What is.the mobilehome site circuit breaker-rating? =-- = o Amps-
.8. Is there any other electric load to-be served by the.;• •,
w�I
. a.
mobilehome site service? --- ----------------------=- Yes No
(.If yes,,identify the load,and size: (Load.)T (Amps)
,4 9. What is the mobilehome site gas pipe size? ---- „%-- (in.)
;a • �• 10. What is the ,type of. gas service 'Nat-ural ~.LPG
ll: .What is the' gas pipe length from-meter or tank to the
"+ mobiiehome?------------------------------------------. v2 S (ft.)
,* 12.. What is the;mobilehome gas demand?---------------=------ ;32 (BTU)
ti *(This informat.ion not required if pipe length less than 6 ft. on-
'I
natural gas or less than 50 •ft. on LPG.)BUILDING i''4�?T
QED
VOAp ,*'Z L&OC Aso Vle:--allow, �
MOBILEHOME SUPPORT DATA
Zt,,
,O If other -than single wide,
Mobilehome Mfr.EA y� L 'A f furnish -Setup Model No.& k,,CI Pin. I ,f? Year 7
Width9'...1-1 (ft.). Box Length(ft.) Tagalong or Expando Size ft. x ft.
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).
.FOOTINGS (check one) 1. Wood -pressure treated or foundation grade.El2. Other (specify)
SUPPORTS (checkone)a1. Concrete block.2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI-WIDE
Line 1
.in
Main Beams
—7 Line
— _ Main Beams
Line
Line 1
Line
Tag or Triple
4
Line 1
Line 1 Piers: Line 1 Openings:
Size -Min. ---------- --
Size -Min. ------------------
x
Spacing -Max. --------- _ Each Side of Openings
From Ends -Max.------- - " With Width.Over---------
Line 2 Piers:
Size-Min-------------
Spacing-Max - ---------
From Ends -Max.------- "
Line 3 Roof Loads:
Size -Min .------------ x
Location (From Front)
Line 4 Piers:
Size -Min .------------ k
Spacing -Max.--------
From Ends -Max. -_-----
Line 5 Roof Loads:
Size-Min.--r---------
Location-(From Front)
Line 3 Piers: (Under Bearing wail Uniy)
Size-Min-------------------
Spacing-Max ----------------
From
------------------
Spacing-Max----------------
From Ends -Max .-------------
x "x k
Line 5 Piers: (Under,dearing Walls Only)
Size -Min -------------------
Spacing-Max ----------------
From
------------------Spacing-Max.---------------
From Ends -Max.------------- "
c 7Return to DPW I AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT '
FOR RESIDENTIAL DEVELOPMENT
Sect`i.on 26-8.1, of the Butte County, Code
re ures'Lh:is, acknowledgement be recorded
prior to issuance.of a building permit.
They 'described .herein''i
property ,. s adjacent
to land or included within an area zoned e8-031223 Rec Fee 5.00
for,agr:i.cu].tural purposes', and residents Cash 5.00
of this property may be subject to incon= Recorded
veniences or discomfort arising from the Official Records
4 use of: agricultural chemicals, including, County of
but noti limited to herbicides, pesticides, ButtePAKP >3 &a t!y yea.MVN
and fert:i.lize'rs; and from the pursuit Candace J. Grubbs
r
i of agricultural operations including, } Recorder
but not limited to cultivation, 'plowing, g • 01am 14-Sep-88 1 JJ l
r,-spraying, pruning, and harvesting which
occasionally generate dust, -smoke, noise, and odor. Butte County has esLahl:i.shed ;igr.irn-I -_•
Lural. zones which' have `as a priority use for productive agricultural. purposes, ;.cncl roti i den.I
within said zones and' on adjacent property should be prepared to accept such i nc (raven i cllc'c
or disconf:orm from normal, necessary farm operations.
All that real property situate in the County of Butte, State of: Calif ornJ
..a, (I esu ri.1)
Parcel 2, as shown on that .certain Map of a,port.ion of Lot 1 in
. Y•.
,Block 99 of Th•ermalito and a portion'of land lying between said
lot and the land of Henry Bird, which Map was filed,in the office
` of the Recorder of the County of.•Butte, State 'of' California,. on
August 24-; 1987` 'in Book 107, of Maps, at page 71.
t `pate:' Sept., 13, ,1988 PROPERTY OWNERS: .
t, , . T _ . .
`.
AXINE.I. MORRIS
State•-of. On this the 13th da of September
Sept. ) y 19 88 1)cf16'r e. ii'ie
).,SS.the undersigned Notary. Public, personally appeared \0s
County of ButteX.
)
Maxine I. .Morris'+ ,;'.<1",
Personally known to me. ❑x Proved to me on 'the basis
OFFICIAL SEAL ' of `satisfactory evidence.
PAT$Y l CARTER o .be the person(s) whose name(s) is '
Nq,!ARY, PUBLIC -CALIFORNIAubscribed to the within instrument and acknowledged that. she____
�� COUNTY xecuted the same for ' the purposes therein contained . IN, W I TNI-NS
Myr emin. expires PAI, 2.3„ Il� P P
HEREOF, , I hereunto set my, hand and official. seal..
I Ind,. Q%VW 0 Q41"
�I Present A. P." No. 036- 19 2 _000- 0 Notary Public.,
ter,
'•�..' � '
=�: 'r3
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Is.
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• � •fly
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• `
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Irk/
Y
16
;
.+•'
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lw., .. �.
• •. .. • .. r �•'`.yw-\� �� mow. "�'`1 „'+r. �n+4�„^yw�w .. •y�.ti + �+e+Y•„�...•.w�r� �+�.s•r__..+�rw. srr.
t
....•�� �'�.I✓'.. .- — -----�
a
THERMALITO IRRIGATION DISTRICT,
{'
410 GRAND AVENUE, -
~
.178.E ,
OROVILLE, CALIFORNIA 95965
t
TELEPHONE 533-0740 „
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT. ,
Service Address: 12th Street
Owner's Name: Elmer "orr : Date: 8/30/88% `
Address: 2805 Elgin Streeta
Acct: No:
c,rovii...e, c.,t ��965 -,
A.P. No.: 30 182 009.-
Phone: 533-8756 No. Units:
I mobilo
Applicant/Agent: Agents Proof:
Address:
Fees:
Phone: iii, tf .
Application
Arrearage ~
Preliminary Review By: Date:_ CSA 26 5.50
Remarks: £alance of. connectibn fees must be pai.d
SC -0 R
prior to connection to tac system and will
s.l: ,.... '4— rac.... a. ..4.. 4.4.4.. ,r.t ....., .An A�..�,..., 1st mo. S.17, '•j
Other
Cleanout up to,,g raaz r,-juxreo at propert,
• • y�+kortartm`�t�t - l0 •1I
Fees
Col lected'By:.�t �'` j' `'"-• .`
{ Date- y
Field Review By:x .�-u � r`^ ,...k 'Date: 9-42 Plf 1',7� •�% 1�t.��1 r �' �:
;Remarks: = r x!57
t,l /x • ,�,�.S • •7�r� ire � A%x�P�,� ' �a� �1db!%` �' � f��
n r�- -- j,
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).
I] 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 -TIO, YELLOW - APPLICANT, PINK -DPW, GO LDENROD - DPW to TID • a }
a
a
PERMIT NO.
3376-88B
ra F—
x
PERMIT EXPIRES
"ADDIS BROWN ,
OWNER
CONTR.
owner :^ 5
,.:
, •,
PARCEL
! , 30-182-09 +
•,".
�
-
SASSESSOR
- � - �,: • •
�
-
1182•12th - St , OROvl11e
g`
LOCATION
,•y
rte.
i
' '
.tl �.i r ,
{ '' +• , ','�,,
•
� + - • •
•
' !
.i •• w
Temp. Power Pole
#"
Called PG&E
+
Temp. Elec. Service
Called. PG&E
k :.•'
�
.
''_.ry
•
;
°
._ � • . � '
....Temp. Gas Service
Celled PG&E
}
''
:� • % ,
JOB FINALED (Date)
_
`y
Signature,
,
1
i
" - OK
1. 0.= Not OK
= Not Applicable
MOBILE HOMES' •
,..MISCELLANEOUS
=Not Ready
t Date --
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
,D CKS OVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
•
Requirements -Setbacks -Easements
s
2. Soils; Special MH Support -Sketch'
, `' o gs; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3 ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4., Water Location -Test -Easement Needed (Sketch)
4
4. Wood Awn.; • Posts- Beam s-Rftrs.-Connec.-
Sht - fg.-Bracing
c 5. Electricity; Location-Clearances-Grnd.-/ /Amp -Concrete
'
6. Gas; Location -Test -Wrap: / P' ft. _um.
, Awn.;•Col umns-Con nections-Splice- Decal- Enc losures
6.' Carports; Windows -Doors
+ / P'Nat. or/ P' ft./ P LPG
4
7. Utility Clearance
7. Elec.
8.,Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1, Date,
10. Roo thg-Roofing
Card -B1: •
Date Card -B1 . Date
xt.; Steps -Doors -Landings -.
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B
DatqF-30 Card -B1'•( '••, Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
- Date-" . Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
.
4. Electricity;.MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except#'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements -
6. Water; MH Test -Regulator -Connector
2. -Soils; Compaction -Structure Stability
'
7. Water and Sewer Connected -C/O to Grade -HD *Approval
3. Pool Structure;'Steel-Connections-Thickness-
'
8. Gas and Electricity Tagged
Dead Men -Lining -
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and lighting, Distances-GFI
'
10. Cert. of Occupancy
-5. Elec.; Pool Lighting;'15 volts-GFI `
r
-
• 6. Elec.;'Enclosures; Conduit Entries -Terminals -Listed -
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
7.
8.•Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
), Card -B1
Date Card -B1 Date
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
• Card -B1
Date • Card -Bl Date
9. Health Department Approval
P
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -B1-- • Date s
c
Card -B1
Date Card -B1 ' Date•
• 1
1
M �
1
•til
, 1 _ - .. •
«
,. ,
_ ..
.. i. _ . .r , . ..
gas
, w • ... r � . 4«•, t ,.
j
=OK ,
0 = NotOK
RESIDENTIAL `Single and Duplex)
- =Not Applicable
' Not Ready � A " . '
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning-Setbacks;-Easements-Flood=Slope ,
2..Ftg., Main; Soils -Steel -Elea Grnd.-/ . P'.Ftg: DeptFi
_ 3. Ftg., Garage; Soils -Steel-/.,. /" Ftg. Depth r
4. Ftg., Porches & Decks; Soils -Steel-/ •/"Ftg. •Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped '
6: Stemwalls, Garage; Steel-Blockouts-Wrapped'_° .
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way•C/O=Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation - •+
Card -131 Date Card -131 Date -
Card -61 Date Card -131 Date •
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air-
Baffle
17. Water Pipe; Test & Anchors -Nail Protection
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57 -Glazing Area -Glass Protection-Skylights=Plastic'
58. Shear Walls; Nailing -Bolts
_ 59.Insulation7Walls-Clg.
60. Infiltration -Wal Is-Wndws
.Card -81 Date Card -81 Date
- ; Card -B1 Date Card -81 Date
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19.,Shower_Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access -
21. Gas Pipe;•Size & Anchors
Card -131 Date Card -131 Date
Card -131 Date Card -81 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
= 23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
. Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -81 Date Card -131 Date
Card -B1 Date Card -B1 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -131 Date
Card -B1 • Date Card -131 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41• Bearing Walls over Girders & Floor -Nailing
42. Draft Stop in Walls (rat proof)
43: Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header &•Beam -Size & Bearing
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings -
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection '
64. Bedroom Exiting - 4
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75, Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -81 Date Card -B1 Date
Card -61 Date Card -131 Date
Card -131 Date Card -131 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
^ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 -'Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT O.
w
ASS SS OR PARCE NUM
ZO N
_
BUILDING PERMIT
OW R
TELEPHIONE -
)
SQ FT. OCC. BUILDING VALUATJbNAripim
_
•
% M ILING — RESS � ��
n
CO ACTOR'S./N�AME TELEPHONE
" I L
-CONTRACTOR'S
- -
_
_ -
MAILING ADDRESS -- - „
Fireplace
- CONST UCTION LENDER
UNKNOWN
Total -Valuation $
"
Filing Fee
$ - 10.00
LENDER'S AILING ADDRESS •
Permit Feb
$ '
A . RCHIYrECT OR ENGINEER LICENSE NO.
C
CHITEC OR ENGINEER'S MAILING ADDRESS ♦' ,,
"1 `'
Plan Checking Fee
' $
Energy Plan Checking Fee
$t
Penalty .
S
BUILDING ADDRESS +
• 'c
' Permit fees "
S.
PLUMBING PERMIT
Filing Fee 10.00
Each Trap '* • •
' 2.00
v t
Solar or heat pump water heater
20.00
LOT NO.
'
SUBDIVISION NAME -• PARCEL MAP- -
F
• Water piping
5.00 • _
Each gaS,water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome[ Other
SPECIFY.
Gas piping system,11 - 5 outlets
5.00 '
Building sewer
5.00
Mobile Home S G W
10.00 ea
' TYPE OF WORK
New ❑ Addition ❑ • Remodel ❑ . U Ilities Installation[] Other
Describe work: ° -;
Permit Fee'
S
Contractor
`
EL°ECTRICAL'PERMIT.
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW ' t
_ -
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
'O 1, as the owner, or my employees with wages as their sole compen-
•. sation, will do the work,and the structure is not intended or. offered
„ for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. �, Business and Professions Code
for,this reason g
NEW CONST. DWELLING OCCUP.ed 1�=+
OR ADDNS. ACC. BLDGS. �SQ ft
NEW CONSTR U TI -OUTLET 2.50 ea
NON- RESID .BRA CH CIRC S
4 /POWER APPARATUS e
(POOUTLET CIR. �-
Ex.CCUpOUTLETS OR FIXTURES O�209506
eAL9ao
FIXED A.PPLNS. OR
.EX.. OCCUp. OUTLETS (RESID,) EA.) 2.00 y
Temporary service z 10.00
'Mobile Home Facilities '"• 15:00,, '
1-Misc. Wiring 15.00
g
Y
Permit Fee' _
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):.
❑ - The permit is for $100.00 (valuation) or. less.
❑ I' have•placed on file with the County of Butte Building -Department
a Certificate of Workmen's Compensation Insurance or a Certificate•
of Consent to Self -Insure. ;
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W.,C. provisions of the Labor Code, you must forthwith'comply with such
provisions or this permit shall be deemed revoked.
Contractor
'
MECHANICAL PERMIT' Filing Fee 10.00
-Heating -
,
Cooling
g
Hood 3.00
Ventilation '
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. Iagree to comply to all County Ordinances and State Laws relating'
to building construction,, and hereby authorize representatives of the Countyot
Butte to enter upon the above=mentioned property for inspection purposes.
I also agree to save,'indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County ,in consequence of the granting of this permit."
�° jj%t�-�a� Date /�—/�/ ^
Signature,of Applicant - ' Owner ❑ Contractor ❑ Agent ❑'
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation, Fee $
Energy Inspection Fee $
F,
TOTAL -PERMIT FEE $ /
OCCUP.
CON9T.TTPE
s
SCHOOL PlooD
PARC
PD
HD sSU
This'pennit'is hereby issued under
sions of the Butte County Code and/or
work indicated' above for which
E OR PUBLIC
By.
PERMIT•EXPIRES Date`
the applicable provi-
resolutions to do
fees have been. paid.
WORKS ^ 1
Date
Receipt No.
WHITE-D.P.W.• TELLOW-ASSE330R. PINK -INSPECTOR. , GOLDENROD -APPLICANT
,_ .�,-ts�,�f' f�3�•'Y"i��ra"'�,�#��` a�;�'�"�•C",�t�d..,-�•`".�"'�..}r'�d.:, "'(It''!Y•ls:��i'yC�''+i�`":�r`i°.'•�F�s''soh,�.��.!"�F�""��,,e�T'►'��i��.'+�r'`^'� �,
' COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS - BUILDING.. DIVISION
,7 COUNTY CENTER DRIVE - OROVILLE, CALI ORNIA 95965 - TELEPHONE: 916/538-7541'
PERMIT. APPLICATION DATA SHEET ---- •' , '_
' - f Permit No.
`
OWNER .. �/P - ✓�F i A._P.0.�—�00
} Proposed Building Use C'G'SGflY1 11 Building Inspector / - Date Q��//O'+:'•
At time permit application, I was advised the following data must be,submitted prior•to permit processing
and
:/issuance: DATE RECEIVED t. APPROVED' '
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:"' " 's
6. School District "Fees Paid" Stamp'on Floor Plan.
} 7 Statement of Intent for Non-Heated and AC Buildings. r
"r. 8. Fees of .$-
9. Letter of signature authorization. 4
r 10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
w' 12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style,•class if.)i
y: 14, Owner-Builder Verification (Given to owner0, Mail to ownerEl)
_15. Improvements may be required. . . . . . . . . .
16. Mobi lehome Installation Data. . . . . . ' . . . .
Pre-Inspec. request to (Dot,)
17. Pre-Inspection for Required. Building Inspector
18. Recorded copy -of Agricultural Acknowledgment Statement.
t _
i 19, Driveway Permit. `+ `'.
r
20. Plot plan approval from city of {'"4
21. Engineered trusses'in duplicate (required prior to plan check).
iii 22.
f ' ' When you issue the permit, process as follows: Mai l to owner, Mail to contractor:
Telephone and hold fo pickup at office,• Deliver w/inspector.
L Other
F
A p p I i c a n � �-z Date` /o' �c,�- gam`•
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
' 1, Index permit for above items No.
2. Additional items required: 'r•
Contractor, designer, owner, was advised of above required data by _phone�nai I —counter by date
k Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by da
Plans checked by Date Plans approved by
'Sets of plans on hold in File cabinet AP folder
{+
Copy—DPW'. ,
COUNTY OF BUTTE - Department of Public Works
Orov.ille, CA, 95965,:. Phone: 916-53
7.County.Center Drive, 8-7541
OWNER -BUILDER VERIFICATION 4'
Attention :Property Owner
An "owner -builder" building .permit has been applied or. 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. ;Ilpersonally.plan to provide the major labor and materials for construction of
the,proposed property improvement. -(yes or no) _.
2. I ,(have/have not) "signed an application.-Ior 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'hir`ed the following person ,
to coordinate, supervise, 'and provide the -major work:.
Name ,
Address City
Phone ` Contractors License' No.
5. I will,provide,some of the work but I have.contracted`(hired) the following
persons to provide' the 'work indicated:
Name Address Phone - Type of Work
Signed
Property Owner`%___�'�
Social' Security Number
Date
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.
4Rr Low-
.TM' 4ti
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COATING. MAY, M tPINEWLED 18 STRUCTURAL PANEL
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MINING 00.,TONE GRANULES., (ALUMINUM X0(. -H311) VS STRUCTURAL PANEL TM1T/
-
(ALUM] RUM30
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1TRVCTUM ! 1 /
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NR GTA•ILISER CLI}
AT-i.►LICE,&EE NOTE 12
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EXTRUDED HEADER -LE
SPLICE DETAILS
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jrfTAfiLZZIR CLIP
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G.M1-t ROLL FORMED 162
!PLIC[. TISHT FIT '
IN JOEOF HEADER.•^ A'•AI
77 ll���lll EACH i2DF K GPLICE
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GTRUCTI ML PANEL' 6i�Mi-N]!I w[ Rluy. t L OR O. O.i•
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R•0 " ALTERNATE CANTILEVER
Trp. ROLL FORMED HEADER
1'. ALUM. U•St Tfl��
SPLICE�)1/1•-
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♦; 1 : zINC►uTEO
u G. �- s .., ..1i• - I E-- I aF� .� ]/�r• T�+/r . I�,. Taw 6.•I»_
--� OLIS PAC'' {1. -
EXTRUD •HEADER A R..., ,.•.w T"' !'e� �. -^� " • - A.ITI0HA ,M!1A TRA"LII._� F -
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(ALUMINUM 6063-76) • L/t s 2 ; 2.5/ E-
• • • _ T• MM IIEHM.IE {TUGS
NFN AWNINO ATTACHE• TOP 1F NOOI LENOME _
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;NTN FLA•:TE \ ' ' 6067 -TO ALUM EWER PANEL k•LL FORMED CELLVATIIN\ Crf • ..
;N
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1- L, wA, AGLr• (ALUMINUM 3006-H331) _.. - I r1 '� /--\
pL VLDL
I F'--•`�'.S•I DFM •1- Miff - i�.. a "NANGLR''ENALL'VAt' tIF'•P'.TAJ'R'3T[FLE
1 ^`•'t J1J^r•S x•7/1 -R12^ MAX. AINTED ATTACHEI.1T., I
' -- 124^ O.C. y/ RND OR MOO• MTN7li . TTA�IL iZER CLiP FOR HEADER 'A• MN ILEHOME RI1N
I OF AT VE FACIA. MAr 1,M - SOS IN TNIG A'Itt
/MTF I FLA"
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U.I3ER NRNP} OFAN NFA^•" 1 - • FRONT EDGE 1 T-4 1%16^. !-7/1i•M 7r4•
DETAIy1 ry, \\ - Al'A.:.'"AL F/•I!Fl I -NOT[: AWNTNGI {HALL NOT BE ATTACHED TO nIILEHNE SIDE ANG%M' - 'If GACN rf~ri� lftlTr[D IML[{,
L D END WALL OVERHANGS. A.MVIG. SHALL 1E CONNECTED TO A SOLID/
C��j) /', I WOOD MEMCEJr OF THE NOBILENOME'WALL. /E" MAXIMUS!
CILVNNIHAI.I.-!%I$TtNn LMGILF NT'r DECORATIVE FACIA. (i 1 FROM OR MEAR O
!ROOF VERHANG'
SE PLACES ♦T I DETAIL .a.
^ 1 i HARDER ATTACRRERT FOIL LLt���LLL K:'7[A.(.tO41;
.rNt11NInG Tlr �» Arr. rtIL1r1!rI + :' Ej FRONT (T' -OVERHANG
rITE'•(G M"NAr . rvF. a :, 'nt 1., _ _ '
X- ANCHOR DOLTS
/
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