HomeMy WebLinkAbout031-252-021- - A.P. 31-252 Zj„•ra ----- -- -
EDON DOWNER
921 Tehema- Ave.,. ..0rovil.le.
Permit 2900-7313 12-4-74
(demolish .singl family) Y
A.P.-31-252-2:L, '
ELON DOWNER.
921 Tehema Ave
Permit 3633-73P,E. (uti ities for MH)
AP 31-252-21 r
ELON DOWNER
1921 Tehema Ave., Orovill
Permit# 3091-74B
X2 covered decks, �ffi);
031-252-021
COURTNEY, KIMBERLY
917 TEHAMA, OROVILLE
CONT: DOLLAR CONST
NEW MH PERM FND EX S
PERM 1 T #251 76P(-S-EWER2 52
.1 NST.. MH — a
ELON DOWNER
31-252-21 joaecel A(
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T-eh-ama--Avenue,_ Oroville f
Permi 404-82P,E(util, MH)
ELEC _
FGkS
4 SUPPORT STRUCTUREpn� �.
�f COMPACTION T EST REQ /lid
y
31-252-21 ' --
Contr •M bile "home tenter, Inc; Orovi.
Permit`#3418-82 I
Issued
31-252-21 134-909 (m Nl)
921 E. Tehama, Oroville
(MH INSTALLATION)
031-252-021 V PERMIT#97-204
DOWNER, Oba
921 Tehama Ave., Oroville 0�
Cont: Jack's Mobile Home
( MHI Ex Site
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Butte County Department of Development Services
ADMINISTRATION • BUILDING' GIS • PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538.7541 Telephone
(530) 538.2140 Facsimile
May 30, 2003
Jim. Courtney
921 Tehama Ave
Oroville, Ca 95965
RE: Formal Warning Notice
Butte County Code Violation
921_Tehama Ave. Oroville, Ca 95965
rSAP# 031=252=021
Dear: Jim Courtney
Through our courtesy notice on April 30, 2003 , you were notified pursuant to Section 41-2 of the Butte County
Code of the presence of code violations on your above -referenced property. According to our records, the
courtesy notice has not resulted in abatement or correction of the:
Unauthorized camping activities.
2 Unauthorized camping or otherwise occupying a recreational vehicle.
Your failure to eliminate the stated violations are cause for the issuance of this formal warning notice.
As of this date, our records indicate that the following violations to the Butte County Code still exist:
Butte County. Code, Chapter 24, Section 24-260 (a) - Camping Limitations and Prohibitions.
No person shall place or park or allow the placing or parking of any trailer coach, recreational
vehicles, tent trailer or tent, or otherwise occupy or allow the occupancy of any parcel (as defined in
Section 24-305.310) for the purpose of camping (as defined in Section 24-305.095) on public or
private property within the County for a period in excess of 9 days in any one calendar year,
exceptin an outdoor recreational facility, campground, recreational vehicle park, or hunting/fishing
camp, lawfully established and maintained pursuant to this Chapter.
Jim Courtney
May 30, 2003
Page 2
The determination that this violation exists on the property is based on the following definition in the Butte
County Code:
Butte County Code. Chanter 24, Section 24-305.095 - Camping. Occupying or maintaining for
occupancy any place for temporary living, sleeping or other human occupancy purposes.
"Camping" does not include: The parldng or storage of an unoccupied and otherwise unused
trailer coach, recreation vehicle, or tent trailer on a privately owned parcel, as defined in Section
24-30531; occupying a trailer coach, or recreation vehicle, connected pursuant to county permit to
permanent sewage disposal and water supply systems; or occupying a trailer coach or a recreation
vehicle for any accessory use allowed in the applicable zoning district.
In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions,
you are hereby requested to take the following abatement or correction actions:
Cease and desist camping activities on the property in accordance with the Butte County Code,
Chapter 24, Section 24-260(a).
This'isour final w
y arnin . Unless you contact this office and make the proper arrangements to correct or abate
the violation(s) voluntarily, within ten (10) days from the date ofthis letter, enforcement shall be pursued through
the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this
warning letter.
Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines)
and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of
Violation will include a description of the premises the violation concerns, a description of the violation, the date
of your convictions and the action necessary to correct or abate the violation(s).
Should you have any questions concerning this matter, please contact me at the address or telephone number
listed above.
Sincerely,
Rick Hamilton
Code Enforcement Officer
cc: Department of Development Services, Code Enforcement
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PROOF OF SERVICE BY MAIL
I am a citizen of the United States and employed in the County of Butte; I am, and
was at the time of the service hereinafter mentioned, over the age of eighteen years and
not a party to the within action. My business address is Department of Development
Services, Building Division, 7 County Center Drive, Oroville, California 95965. 1 am readily
familiar with the County's practice for collection and processing of
correspondence/documents for mailing with the United States Postal Service and that said
correspondence/documents are deposited with the United States Postal Service in the
ordinary course of business on the same day.
On May 30, 2003, 1 served the foregoing 10 Day Notice on the person(s) named
below by placing a true copy thereof in a sealed envelope, with first class postage thereon
fully paid, addressed as indicated below, and by placing said envelope.
X In the appropriate place within the Department of Development Services
where mail is collected for mailing with the United States Postal Services
on the same day.
In the United States Postal Service Mail in Oroville, California.
Jim Courtney
921 Tehama Ave
I declare under penalty of perjury under the laws of the State of California that the
foregoing is true and correct and that this declaration was executed on May 30, 2003 at
Oroville, California.
r�
Butte County Department of Development Services
ADMINISTRATION' BUILDING' GIS • PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538.7541 Telephone
(530) 538-2140 Facsimile
April 30, 2003
Jim Courtney
921 Tehama Ave
Oroville, Ca 95965
RE: Butte County Code Violation
921 Tehama Ave. Oroville, Ca 95965
031-252-02
Dear Jim Courtney
pgATED (,14')D:3
The Butte County Department of Development Services, Code Enforcement section has determined by
inspection and research that there are currently code violations present on your property at the above -
referenced location. Specifically, the violations include:
Unauthorized camping activities.
This is an advisory notice that these uses are in violation of the Butte County Code, as follows:
Butte County Code, Chapter 24, Section 24-260 (a) - Camping Limitations and Prohibitions.
No person shall place or park or allow the placing or parking of any trailer coach,
Recreational vehicles, tent trailer or tent, or otherwise occupy or allow the occupancy of any
parcel (as defined in Section 24305.310) for the purpose of camping (as defined in Section
24305.095) on public or private property within the County for a period in excess of 9 days
in any one calendar year, ezceptin an outdoor recreational facility, campground,
recreational vehicle park, or hunting/fishing camp, lawfully established and maintained
pursuant to this Chapter.
The determination that these violations exist on the property is based on the following definitions in the
Butte County Code:
Butte County Code, Chapter 24 Section 24-305.095 - Camping. Occupying or maintaining
for occupancy any place for temporary living, sleeping or other human occupancy
purposes. "Camping" does not include: The parking or storage of an unoccupied and
otherwise unused trailer coach, recreation vehicle, or tent trailer on a privately owned
parcel, as defined in Section 24305.31; occupying a trailer coach, or recreation vehicle,
connected pursuant to county permit to permanent sewage disposal and water supply
systems; or occupying a trailer coach or a recreation vehicle for any accessory use allowed
in the applicable zoning district.
Jim Courtney
April 30, 2003
Page 2
It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be
advised that Butte County has an active code enforcement program which provides an effective means of
enforcement. If voluntary compliance with this notice is not accomplished by correction or abatement of the
violation(s), enforcement may be pursued through the issuance of a citation to appear in the Butte County
Municipal Court. Upon conviction, violators may be fined and a Notice of Violation may be recorded which will
include a description of the action necessary to abate the violation.
In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions,
you are hereby requested to take the following abatement or correction action:
1 Cease and desist camping activities on the property in accordance with the Butte County Code,
Chapter 24, Section 24-260(x).
You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for
abatement or corrective actions. Should you have any questions concerning this matter, please contact me at the
address or telephone number listed above.
Rick Hamilton
Code Enforcement Officer
cc: Department of Development Services, Code Enforcement
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
L-;u"Y of Document Recorded
09 -Apr -2003 2003-0022217
Has not been compared with
original
BUTTE COUNTY RECORDER
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 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.
KIMBERLY K. COURTNEY
7 COUNTY .CENTER DRIVE
SANDPOINTE
REAL PROPERTY OWNERILESSOR_
DATE OF MANUFACTURE
OROVMLE BUTTE CA
917 TEHAMA
CITY COUNTY STATE
ZIP
MAILING ADDRESS
538-7541
BUILD PERMIT NO TELEPHONE
TELEPHONE NUMBER
OROVILLE BUTTE
CA
95966
CITY COUNTY
STATE
ZIP
SAME
INSTALLATION MAHdNG ADDRESS, IF DIFFERENT
CITYr COUNTY
STATE
ZIP
ASSOCIATES/AVCO FINANCIAL SERVICES
UNIT OWNER (if also property owner, write "SAME")
2061 WHITMAN AVE. # E6
MAaJNG ADDRESS
CHICO-- BUTTE-
CA
95928 ----
CITY COUNTY
STATE
ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY .CENTER DRIVE
SANDPOINTE
MAILING ADDRESS
DATE OF MANUFACTURE
OROVMLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
03-0419 (530)
538-7541
BUILD PERMIT NO TELEPHONE
TELEPHONE NUMBER
�{
SIGNATURE OF LOCAL AGENCY OFFICIAL
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
DEALER LICENSE NO.
FLEETWOOD
1979
SANDPOINTE
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAME/NUMBER
CAFL 1X914673164
60'X 12'
CAL 143232
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNWLABEL NUMBERS)
REAL PROPERTY EQA- SCRR ON ASSESSORS PARCEL NUMBER
AP # 031-252-021
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept.
BUILDING PERMIT NUMBER: 03-0419
Address or location of unit: 917 TEHAMA, OROVILLE CA 95966
Legal Description of Real Property: AP # 031-252-021
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: ASSOCIATES/AVCO FINANCIAL SERVICES
Owner's address: 2061 WHITMAN AVE., # 6, CHICO CA 95928
INSIGNIA OR HUD NUMBER: CAL 143232
SERIAL NUMBER OR V.I.N.: CAFL 1 X914673164
MANUFACTURER'S NAME: FLEETWOOD YEAR: 1979
OFFICIAL APPROVING INSTALLATION: , &2=,
,'
DATE: 4-9-03
H.C.D. 513C
LEGAL DESCRIPTION
A.P.# 031-252-021
All that certain real property_situate in the County of Butte, State of California, described as follows:
. PARCEL 4 OF THAT CERTAIN PARCEL MAP RECORDED IN THE OFFICE OF THE
BUTTE COUNTY RECORDER ON DECEMBER 5, 1980 IN BOOK 81 OF PARCEL MAPS AT
PAGE 4.
STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
REGISTRATION CARD
—� Manufactured Home. Decal No: AAR8139
Manufacturer ID/Name
Trade Name
Model DOM DFS RY
Exp. Date
FLEETWOOD
SANDPOINTE
04/16/1979 1979
Apr 30, 2002
Serial Number
Label/Insignia Number
Weight Length ! Width i SPC i SCC Exempt !
Use Type
CAFL1X914673164
CAL143232
j 60' 12' ACL ' 04 I
i
SFD ILT
Issued
Total Fees Paid .
i
May 08, 2001
$21.00
Addressee
SHERRI L KNAPP
1625 12TH ST
OROVILLE, CA 95965
_.--
SHERRI L KNAPP
1625 12TH ST
OROVILLE, CA 95965
Situs Address
1625 12TH ST
OROVILLE, CA 95965
O,oSING
O ��� ■■■Z
3 �iij ■■ W
O
DEN
ATTENTION OWNER:
THIS IS THE REGISTRATION CARD FOR THE UNIT
DESCRIBED ABOVE. PLEASE KEEP THIS CARD IN A SAFE
PLACE WITHIN THE UNIT.
INSTRUCTIONS FOR RENEWAL:
IMPORTANT
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.
DTN: 1799338 R 05082001- 107
REGISTRATION FOR THIS UNIT EXPIRES ON THE DATE
Legal Owner(s)
INDICATED ABOVE IN THE BOX LABELED "Exp. Date".
ASSOCIATES/AVCO FINANCIAL SERVICES
THERE ARE SUBSTANTIAL PENALTIES FOR
2061 WHITMAN AVE #E6
DELINQUENCY. IF YOU DO NOT RECEIVE A RENEWAL
CHICO, CA 95928
NOTICE WITHIN 10 DAYS PRIOR TO THE EXPIRATION
DATE, CONTACT H.C.D. FOR RENEWAL INSTRUCTIONS.
Lien Perfected On: 10/18/9916:19:31
IMPORTANT
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.
DTN: 1799338 R 05082001- 107
c AO financial
March 24, 2003
TO WHOM IT MAY CONCERN:
RE: 1979 Fleetwood Sandpointe
#CAFL1X914673164
CitiFinancial, Inc.
1103 Buttehouse Rd.
Suite D
Yuba City, CA 95991
Tel 530 671 7970
Fax 530 6717975
This letter gives Kim Courtney our authorization to move the above
referenced mobilehome to a permanent foundation.
Should you need anything further, please let us know.
Regards,
Z�'�t- W&&.
Cori Walker
Manager
A memberof cittgroup`
WHEN RECORDED, MAIL TO:
KIMBERLY K COURTNEY
917 TEHAMA AVENUE
OROVILLE, CA 95965
MAIL TAX STATEMENTS TO:
KIMBERLY K. COURTNEY
917 TEHAMA AVENUE
OROVILLE, CA 95965
APN: 031-252-021
Recorded I REC FEE 7,00
Official Records I
County Of j
BUTTE
CANDACE J. GRUBBS I
Recorder
ROSEMARY DICKSON 1
!Assistant I MaryR
09:22AM 04 -Feb -2003 I Page 1 of 1
DOCUMENTARY TRANSFER TAX $
Computed on the consideration or value of property conveyed; OR
Computed on the consideration or value less liens or encumbrances
remail at time ofale.
Signature of Declarant or A ent det mining tax - Firm e
IL��L, � lOL l 1 r1 t -F-
GRANTDEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
JAMES CLOVIS COURTNEY, an unmarried man, who took title as JIM CLOVIS COURTNEY, a single
man,
hereby GRANT(S) to:
KIMBERLY K. COURTNEY, an unmarried woman as to his'right, title, and one-half interest.
The real property in the Incorporated area of the County of BUTTE State of CALIFORNIA, described as:
Description:
Parcels 1 and 2 as shown on that certain Parcel Map, filed in the office of the Recorder, County of Butte, State of California on
December 5, 1980 in Book 81 of Parcel Maps, at Page 4.
Property address: 917 Tehama Avenue, Oroville, CA 95965
JAMES CLOVIS COURTNEY
OFCALIFORNIA
COUNTY OF BUTTE
On February 2003 before me, 0 1 WAIM5 , a Notary Public, personally appeared: JAMES CL IS
COURTNEY [ ] personally known to me, or, [roved to be&entity
he basis of satisfactory evidence to be the person whose name are
subscribed to the within instrument and acknowledged to me thahe/they executed the same ire she/they authorized capacity(ie/d), and that
by(Yrs er/their signature/) on the instrument the person( -7j, or upon behalf of which the person acted, executed the instrument.
WITNESS my hand and official seal.
HEATHER M. WILLIAMS�
0 }'> CO&gM. # 1251758
(� e� NOTARY PUBLIC -CALIFORNIA
BUTTE COUNTY
COMIlr1. EXP. JAN. 28, 2004 "�
LEGAL DESCRIPTION
A.P.# 031-252-021
All that certain real property situate in the County of Butte, State of California, described as follows:
PARCEL 4 OF THAT CERTAIN PARCEL MAP RECORDED IN THE OFFICE OF THE
BUTTE COUNTY RECORDER ON DECEMBER 5, 1980 IN BOOK 81 OF PARCEL MAPS AT
PAGE 4.
NOTES
RESIDENTIAL
I`
031-252-02103-0419
03-0419
PERMIT NO. COURTNEY,.KIMBERLY.--}---.._w _..
j 917 TEHAMA, OROVILLE
CONT: DOLLAR CONST
1 NEW MH PERM FND EX SITE
THE HCD FORM 433A FOR THIS MH CANNOT BE
4 RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION: I
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY ON NEW
MH' S).
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
OFFICE COPY
Address
GAS
Meter Byte
ELECTRI
Meter By Date
JOB FINALED Dat
Signature
'J=OK
0 = Not OK
. = NotReadyable
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements-Setbacks-Easements
1.
2. Soils; Special MH Support Sketch
3. Sewer; Location-Test-Fall-C/O-Concrete
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
4. Water; Location-Test-Easement Needed (Sketch)
3.
5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete
6. Gas; Location-Test-Wrap;-/ /" L'ft.
/ P Nat. or/ /" L "ft./ P LPG
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
7. Well Clearance & Disconnect
5.
8. Utility Clearance
6. Carports; Windows -Doors
7. Electric
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Roof; Shthg-Roofing
1. Zoning Requirements-Setbacks-Easements
11.
2. Footings; Size-Spacing-Marriage Line
3. Gas; MH Test-Demand-Valve-Connector
Braced Wall Panels
4. Electricity; MH Test-Crossovers-Breakers-Clearances
5. Drain; MH Test-Fall-Flex Connector
Date
6. Water; MH Test-Regulator-Connector
Card B-1 Date Card B-1
7. Water and Sewer Connected-C/O to Grade-HD Approval
8. Gas and Electricity Tagged
Date
9. Tie Downs-Type-Installation Cert.
10. Exits; Insp.-Sketch
Setbacks -Easements
11. Cert. of Occupancy
2.
Soils; Compaction -Structure Stability
3.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERM_,YENT END SYSTEM (ONLY)
Elec.; Pool Lighting; 15 Volts-GFI
Zoning Requirements-Setbacks-Easements
6.
potings; Size-Spacing-Marriage Line
oro-Blockigg
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
as; MH Test-Demand-Valve
8.
ctri ' ; MH Test
er; MH Test
Health Department Approval
7. Water-and Sewer Connected
49--E�ecals
11. Verifv #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Ciff & ) V 3 P_? L
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
'8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings .
.12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
'Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /' Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
Date ELECTRICAL (Permit) OK except #'s
16.
Insulation
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
26.
Date
27.
Card B-1 Date Card B-1
Date
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
31.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Service -Riser Conductors & Ground Main Disconnect
18.
Water Pipe; Test & Anchor -Nail Protection
34.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Smoke Detector
20. Shower Pan; Test, First Floor -Tub Access
Attic Access & Platform if Furnace in Attic
21.
Test Tub & Shower, Second Floor -Tub Access
Card B-1 Date Card B-1
22.
Gas Pipe; Sixe & Anchors
Card B-1 Date Card B-1
23.
Fire Sprinkler; Test
81.
41.
Sills Proper Materials & Anchors
Date
42.
Card B-1 Date Card B-1
Date
43.
Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24.
Fixture & Transformer Clearance -Ins. Protection
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
26.
Size Boxes & No. of Conductors Stapled
27.
Romex Installed Close to Edge of Studs & C.J.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes O No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Tr.iss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. I nfi Itration-Wal Is -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64.
Ext. Steps -Door &'Sidelight Protection -Landings
Date
Smoke Detector
Card B-1 Date Card B-1
Date
67.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
69.
36.
A.C. Ducts Insulation & Support
Stairs & Rails
37.
Vent Fan, Exhaust above insulation
Elec. Outlets at Wood Panel, Int. & Ext.
38.
Condensate Drain & Overflow, Size & Grade
74.
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Garage Fire Door; Swing -Landing -Closure
40.
Attic Access & Platform if Furnace in Attic
Date
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protecticn
Card B-1 Date Card B-1
Date
79.
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
81.
41.
Sills Proper Materials & Anchors
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Tr.iss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. I nfi Itration-Wal Is -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64.
Ext. Steps -Door &'Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protecticn
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. Following Instld./Drive O Yes O No/Walks O Yes 0 No/Planters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12/96) • APPLICATION AND PERMIT -M 00`�
ASSESSOR PARCEL NUMBER
031-252-021
ZONING
C-2
BUILDING PERMIT
OWNER
Oxxtne . Kimberely cell 990-0026
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNERS
W 917 MAILING
° 0 K 813
CONTRACTOR'S NAME
Dollar Construction 533-0701
TELEPHONE
CONTRACTORS MAILING ADDRESS
PO Box 5893, Oroville CA 95966
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 38.880.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee 343.00/2
$ 171.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDIN��DRE„SSS__
j_
7! jl�� Oroville
EPlan Chking F
Energy Checking Fee
$
$
PERMIT FEE
$214.50
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00°
15
Each as water heater or vent
15.00
TYPE OF WORK
New .❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe .Work: new my 1. Perm fnd ex site
Gas piping system 1 - 5 outlets
15.00. .()()
Building sewer
15.00.5 00
Mobile Home I S I G I WF
@20.00
PERMIT FEE
$65.00
ELECTRICAL PERMIT
Fling Fee 20.00
600V OR LESS
Main Service . , .LESS
23.0023. 00
LICENSED CONTRACTOR'S 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 fU force and effect.
License Class Lic. No.��^ 7
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DW EWUP. NG OCC
OR ADONS. ( a ACC. BLD S.
SO
3.50FT.
NoµROESIDT MULTI -OUTLET
@7,50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. OCCU . OUTLETORFIXTURES
2O@''0o
BAL @ .50
Ex. Occup. oFlx A A o OREA5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
're -Inspection
PERMIT FEE
$ 43.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
1 certify that in the performance of the work for which this permit is issued, I shall
n not employ any person in any manner so as to become subject to 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
fo hwi'thmply with those provisions.
%� /10J
U(a) /2,indicated
lognatufre'of 'Applicant- ❑Owner ontractor ❑ Agent
An OSHA permit is required for excavaIr s over 60” deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $322.50
HA
'Es , OD OF PARCEL
'
Po
HD
ISSUE
This permit is hereby issued under the
of the Butte County Codand/or
a ova for which' fees have
Lr
By "' !
PERMIT EXPIRES ON
applicable provisions
ie
Resolutions to do work
been paid.
Date14
Date
Receipt No. 07 •D a
WHITE-D.D.S.-B.D. CANAR . A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT Q� �9�
ASSESSOR PARCEL NUMBER
031-252-021
ZONING
C-2
BUILDING PERMIT
NCourtne Kimberel cell 990-0026
!
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS '
917 Tehama
72-0-K— 38780.CO
CONTRACTOR'S NAME
Dollar Construction 533-0701
TELEPHONE
CONTRACTORS MAILING ADDRESS
PO Box 5893 Oroville CA 95966
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $38.880.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee 343.00/2 $ 171.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 2-3-00
BUILQ!(Jf TDTe�iama Oroville
Energy Plan Checking Fee $
PERMIT FEE $214.50
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00 L5, 00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Other ❑
Describe Work: new my perm fnd ex site
Gas piping stem 1 - 5 outlets 15.00 5, 00
Building sewer 15.0015. 00
Mobile Home I S I G I W @20.00
PERMIT FEE $ 65.00
ELECTRICAL PERMIT Fling Fee 20.00
EOOV OR LESS
Main Service zo.A OR LESS 23.0_0.Zj.00
LICENSED CONTRACTOR'S 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 fu l force and effect.
License Class Lic. No. Oy 7
-BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A To ,000A 46.00NEW
CONST. DWELLING OCCUP. SO
OR ADDNS. ( a ACC. S.3.5¢T.
HON-RESID. OUTLET CIRCUITS @7,50
POWER APPARATUS
SINGLE OUTLET CIR.
OUTLET OR FIXTURES 0 @ 1.00
Ex. Occup. a2
OWNER
Ex. Occup. .FIXES galp,OEq 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
_
Inspection
PERMIT FEE $
43.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the or Code, I shall
f hwit �rTply with those provisions.
X a 2 Q
Ignat re of pylic nt - ❑ Owner Contractor ❑ Agen
An OSHA permit is required for excavat' ns over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee s
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTA FEE $322.50
HA
PO HD
ssuE
This permit is hereby i sued under the applicable provisions
of the e County ode and/or Resolutions to do work
indic ed for ictf fees have been paid.
By Dale l
/c 0'3
PERMIT EXPIRES ON ?' L ` 0
Te
Receipt No. d ��
WHITE-D.D.S.- .D. RVASSESSOR ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
• COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
OWNER
NG
PROPOSED BUILDING USE
SCHEDULE OF FEES DUE
9
V
F1. UILDING PERMIT FEES U
rnc
Balance Due ....................... $ /
Additional Fees Due ................. $
Additional Fees Due ................. $
Revised Plan Checking Fee .............$
2 SCHOOL DISTRICT FEES 0-902a k C "/P K ;I -/,Q -08Z4 ---j
(paid at District Office) (Available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential ...................... x $360.00 = $
Units
Commercial (sq. ft.) ............... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ................... -x-=$
# Units Amt.
Commercial (sq. ft.) ............ -x_=$
Sq. ft. Amt.
5. RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
A.P. # �3 •-v�-� O�
DATE
RECEIPT # DATE REC.
-37P36 /
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed durin the plan checking process.
APPLICANTDATE _ /1112,1a
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00)
31ltd ,1 P4' , •:3ri '7, 7" t _ �: tr
''/-X` i:.: f 3� Y��.' `ri' 1_% R - : W ti n'S.. (//'%%i.J``)
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Cent -,r Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: �Ou/�iSESS.O�ARCELNUMBER
Proposed Building Use: a6 Counter Technician: _ Date:
Items required in order to apply fa+./a permit. All boxes MUST be checked OR marked NA in order to apply.
VPlot plans, 3 or 4 sets, signedty tF a preparer of the plans.
�� Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans, 3 or 4 sets, with wet signature on plans.AND 2 sets of stamped and signed calculations.
4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supmorting documentation in duplicate.
. Manufactured home . (A) ata sheets and installation instructions, (B) Marriage line informatio, ( loor Plan, (D) Tie down or
foundation plans, all to ualicate.
N,7 Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received.�7(-)
"Date Rece e �
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form.............................................................................. _
❑ 13. Other
i g items needed to issue the pe -mit. (May require additional plan review upon /AY o3the fo�ms.)
Sees as shown on the attached Schedule of Fees Due Sheet ....................................... Ll 1
5. Statement of Intent for Non-heatec and A/C Buildings ...........................................
16 itation and plot plan approval from the Environmental Health Department in
17. City of Chico Plumbing permit........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... _
❑ 19. Planning approval for (A) Use: CD i'< (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about 0 Improvements, ❑ Drainage ..............................
eq
ncroachment Permit for driveway from the ubli Works Dep . (construction approval prior to occupancy).
rey=Inspection for �, required ................
.ontractor's license information. umber, Vame yle, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26.';Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................... ...........
Manufactured home ility clearance .................................................... ........
Exi mg violat' or expired permits............. 0 C�
K30'
ant Dee H. Title/Statement of Facts, 9L -Letter from Legal Owner, ck to H.C.D. $
❑ 31. Other:
When issued Telephone and holdfb pickup.
f
I have been informeo of the above items and requirements for obtaining a buildi 7ej;
#e4
icant: a e_h,21.f P Y/ `w; b {A
1. Index permit application for the above items nu b e Plani Cd�Le /N�
2. A o al items required
Contracto , designer, owner, was advised cfthe above data by ho e, ❑ mail, ❑ counter, by _Date: /
tor, designer, owner, was advised of the ab ve dto by Elphone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: _�ILO Cate: Plans approved by: Date: Vm 13
Structural reviewed by: Late: - --Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division '
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District D ( b L)
a j
k. c �n.
Building Department No.
A.P. Number 3
Jurisdiction:
City ®County
Property Owner
M 6,e r I
u /) u
t" 4" N<
Property Location/Address
9/
�
/ 4
/`'U L, l
Subdivision
Lot No.
Residential Development
....................................................................................................................
[ Sq. Footage '
No of Living
Mobile Home
Addition/
*Supplemental to (Group R)
Units
nstallation
Conversion
Permit #
................................................................................................................
*(No foundation inspectioni .
Commercial/Industrial
Sq. Footage =
New
Addition
(Including Exterior
Roofed Areas)
n
` U 3
Building Department Representa;rve
Date
reviewed by School District Personnel)
District Identification No. 030096
4GSchool District certifies that
`1--7-
Address)
(City)
has complied with the requirements of Resolution No.
representing 54')4 - + square feet.
rII
— I School District Representative
i
Paid by Check # Remarks:
2
0�� &JJJ�Va -- -(Applicant)
(Phone Number)
(State) (Zip Code)
f lug 9 U
by payment of $
AB 2926
FULL MITIGATION $
;>/J 9 kl�'
Date
n
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 660201x), within 90 day's from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action. v ��
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fee% to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building departments Pink (school district) feeform.xls (10/98)dmm
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (5308-154 N�
cRev., 6� APPLICATION AND PERMIT —�?-
/LS5650RPA"Ca.NUMBea �+ �� ... BUILDING PERMIT
71
Ey yMMAMMUT vuwjjlmcw I i
Total Valuation Is
ORENMROM UZENM Filing Fee s 20.00
A"zrC= oa a UQM AM= Permit Fee s • S
Pian Checidng Fee s
mm.om mr"'_s Energy Plan Cheeidng Fee s
. s
- - PERMIT FEE S Z
tarter suso"�was wuee
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome O Other
TYPE OF WORK
0 Addie, P'\ Remodel 0 des 0 I tnsW
- -1L : e -r ova c -mss✓ S
C77 �D C,
Water piping
$ O2;1
Each gas water heater or vent
Gas piping system
I - 5 outlets
0 BqKmq sewer
/SNERtFF
OT
Mobile Home
I S I G W
PERMIT FEE
ELECTRICAL PERMIT
AMOV `s 1 kCeX Ct>
Mein smvim
�,QDOH,, o°Aa
Maim Service (
2NA To $—A
*PS MiT FEE PSD
$ O2;1
SRA
$
$
/SNERtFF
OT
$
AMOV `s 1 kCeX Ct>
*PSCWT
" TO m PJT ZNTO CO#WM
cu= cmnrmmm
icing Fee 20.
7.00
23.00
15.00 (CJ
15.00
15.00
1 s.00
@20.00
20.00
PERMIT FEE I S --
MECHANICAL PERMIT I Filing Feel 20.00
6.50
PERMIT FEB $
Mobile Home Installation Fee s
Energy Inspection Fee $
oix C mtTm TO AL FEE $ �j Z
KAZd R.C90 I
This permit Is hereby Issued under the applicable provisions
Of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
BY • Date
Receipt! a * PERMIT EXPIRES ON
WNrTE•DD S.•B.0. GANARI•ASSESSOR PINK•INSPECTOR �GOLOZN�FIOOAPPU�CAW
lt.
PRE -INSPECTION REPORT
OWNER
LOCATION:
CONTRACTOR
DATE:
ZONING:
PRE-INSPETION FOR: 1 " l I 'T
DATE TO INSPECTOR: 1 PERMIT HISTORY:( ) NONE AS FOLLOWS:
W LDING INSPECTOWS REPORT
Building Description:
CcmmerciallUsagc:
ResidentiaW of Units:
Currently Occupied
Abandone&Vacant
Electric:
Yes No Electric currently Onz1off
Condition of Electric
Gas: ..
Natural Propane None Currently On Off_
Obvious Problems:
Sanitation: /
' Plumbing Woddng 1
Well Working Potable Water
Obvious SewageProblems�
ACTION RECOMMENDED: ISSUE: I / HOLD FOR ,"
Date ed-�
Sketch buildings on reverse and indicate location on proper
DIRECTORS
y ' Lloyd A. Wilcox
Division 1
Charles G. Allen
Division 2
Vurden L. Tolman
Division 3
Elden J. Brown
Division 4
Ernest L. Reynolds
Division 5
THERMALITO IRRIGATION DISTRICT
A PubISc: Agency
410 Grand Avenue
Oroville, California 95965
(916)533-0740
November 15, 1982
Mrs. Elon Downer
921 Tehama Avenue
Oroville CA 95965
James O. Schmidt
Manager/ Secretary
William H. Spruance
Legal Counsel
Subject: Availability of Domestic Water and Sewer Service
This letter is to confirm that Thermalito Irrigation District
is approved by the Department of Health, State of California
to supply domestic water and sewer service to users within the
District and that ample water for normal use and fire protection
is available. Service will be furnished to AP..#.31-252-2.1 for
a second unit upon completion of financial arrangement.
Very truly yours,
THE LITO:IRRIGATION TRICT
Jame O. Schmidt, Superintendent
:ss
Your future economy depends on your most valuable resource — WATER.
Organized 1922
-< 51
ze
I
A. Pr 55 92 :L
921 Tene-Trta Ave., 7 J.. 1 1-
CODE ENFORCEMENT � - 71�/
-900-737- -�;oZZLIlI
e-
30 DAY j, s i nc!
A.P. -31-252-21
ELON DOWNER -71-1
MENT 921 Tehema Ave.., Oro ."741 z1
CODE ENFORCEPermit 3633-73P,E (utiYities for M)
10 -DAY -AP 31-252-21
JELON DOWNER
921 Tehema Ave., or'ovill
Permit# 3091-74B /� --I -
12 covered decks, MH).
S/ S// A31- 2 52
i. ..PERMIT #251-76P(SEWER INST,) MH
31-252-21 joaAe-
ELON DOWNER
Tehama Avenue,
Perms - t il, MH)
ELEC
GAS - il - V3 8z (54fELtiL,7) Fr
SUPPORT STRUCTURE
COMPACTION TEST
31-252-21
Contr: ile-ftome Center, Inc Orovi.,.
Per ' 3418-82mui
Is d
31-252-21 134-90M (fA
jaRLI,� S41awn L __)e u) K e r, CLO.-
921 E. Tehama, Oroville
(MH INSTALLATION) H 0
1-9
031-252-021 PERMIT#97-20114
DOWNER, Oba
921 Tehama Ave., Oroville
Cont: Jack's Mobile Home
MHI Ex Site
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-1541 -- PERIWT No.
iev:12/95) ' APPLICATION AND PERMIT
�ss6sonPaAca.xumset� / �G, - _,�)L I =Fina I BUILDING PERMIT
MOs, UCC A=R= ru cp�nco i
Total Valuation 5Ae
ARCH= ofl EMBER �� nra Firm Fee I 3 20.00
r �xra CoA Permit FeB 254 S
Pian Checkino Fee 5 Z_
aN6�IIn.A00ASS En Pian ChscWng Fee S
• S
PERMIT FEE I S 7, 17P _-
Inraa I nso Mam HUM
USEOFSTRUMIRE
SF 13 Duplex O Mobilshome O Other
TYPE OF WORK
W=_ n . 1...4.1
PLUMBING PERMIT
Fifmg Fee 20.00
Each Trap
7.0 D
Solar or heat pump water heeler
23.00
_ water piping
15.00
Each ass ss wat9r heady or vent
15.00
Gas piping systsim 1 - 5 outlets
15.00
Build sewer
15.00
Mobile Home S G W
020.00M
PERMIT
•
• ELECTRICAL PERMIT
Imo. • Oeeu OIn1Er OA F�7VAE9
=CM =
Mein Service
Ex. =702=1Occu .Ea
Main Servim
+ 1—A
oA�
(=Mm
47
a
,arss,.ov,trz
PCFWM APPARCM
6.50
20.00
20.00
Mobile Home Installation Fee
Energy edon Fee Is
*AE ii' �Z5 C-� C= ' TOTAL FEE $ 3,;�7 Z ,
a TO"Pir Iii o COAAFUTE� "z L'� O' R'°' `°F PAR='° `�
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By . Date
ReeeiptNa PERMIT EXPIRES ON
WMiTE•Q.D.S.•ti.0. GANARI•kSSESSOA PINK•IKSPECTOR GOIo NROD-APPUGAIfT foeto
Imo. • Oeeu OIn1Er OA F�7VAE9
2
Ex. =702=1Occu .Ea
*PEWT FEE ?Alb
Temporary ServL-B
SI
$
baleHome Facirl6es
Wulmil
Si-tWFF
9 .,
•
OTM.$
$
P KBIT FEE
MECHANICAL PERMIT
Heat'ng
$Cooling
Hood
Ventilation
+�W�f 1 ��i► .ice G�
$
PERMIT FEI;
6.50
20.00
20.00
Mobile Home Installation Fee
Energy edon Fee Is
*AE ii' �Z5 C-� C= ' TOTAL FEE $ 3,;�7 Z ,
a TO"Pir Iii o COAAFUTE� "z L'� O' R'°' `°F PAR='° `�
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By . Date
ReeeiptNa PERMIT EXPIRES ON
WMiTE•Q.D.S.•ti.0. GANARI•kSSESSOA PINK•IKSPECTOR GOIo NROD-APPUGAIfT foeto
x--12
j ALL STRUCTURW AND EQUIPMENT INCLUDING
f OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS.
i A SET SACK OF ID FT. FROM THE ST -11 AND
FT. FROM THE REAR PROPERTY iNES AND
f FT. FROM THE ROAD CENTERLINE SHALL BE
CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT
mOR A 2 FT. EAVE OVERHANG.
f
i
v
e®T�:
A 1 l Tro vc l
os
.g,
(t o 6; t -c
be- f4 A a�gp�a••«/
i
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C
•
4
1
N� ci rL
BUTTE COUNTY
BUILDING DEPARTMENI
AP P
F
1. Owner's Name:
2. 'Assessor's Parcel Number:
3. Installer's Name:
4. Is the site currently under permit? Yes[ ] No[)I Permit No.
5. Is the site an existing site? Yes[A No[ ] (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehome? 104' Amperes.
7. What is the mobilehome site circuit breaker rating? /0 Amperes.
8. What is the electrical rating of the mobilehome site? ev Amperes.
9. Is the main service remote from the mobilehome site? Yes[ ] NoM If it is, what is
the rating? Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[ ] NoW If yes, please identify the load and size:
a) The mobile home site:
Load- . Amperes -
b) . The main service:
Load- Amperes -
11. Type of gas service at mobilehome site: Natural] Propane[ ] None[ ]
12. Size of gas pipe at the . mobilehome site from the meter or
tank: 3 inches.
13. What is the gas pipe length from the meter or tank to the mobilehome? `o (ft.)..
14. What is the mobilehome gas demand? ®ti B.T.U.*
*(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
t o r r En ; p
E
May 1995 8.5
}.
Mobilehome Manufacturer: &zg�zevzo Manufacture Year:
If other than single wide, furnish Setup Model Number:
Width: (ft.) Length: (ft.) Tagalong or Expando Size_(ft.) x %2(ft.)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation grade[, Other:
SUPPORTS: Concrete block[] Other:
Provide Tie Down Specifications for all Mobilehomes:��r&(AM6 Aiie
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line 1 Line 1
Line 2 Line 2
Main Beams
Line2 ............................................................................................... e 2
Line 1 Line 3
Line 2
................................................................................................
Main Beams
Line 2
.............................................................................................. Line I
............................................ e S
Tag or Triple ine 4
el
Line 1 Piers:
Size minimum: r 1 x
Spacing maximum: I I 1 `
From ends-maximum:1 4`
Line 2 Piers!
Size minimum:[ j,2) x [ ].
Spacing maximum: , `
From ends -maximum: ` p, `
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
May 1995
Line 1 Openings
Size minimum: [ ] x [ ].
Each side of openings
with- width over: `
Line 4 Piers:
Size minimum: x
Spacing maximum: 1`
From ends -maximum: ` U `
DEPARTMI
APPROVED*
J.
2-x 2"x S%lb`
STEEL ANGLE
I
DETAIL "A"
CHASSIS FRAME
1/4' GRIPPER PLATE
(2) REQUIRED
1/4' GRIPPER BASE
1/2-13UNC-A307 x 4'
BOLT MIM NUTS
(4) REQUIRED
of 1/2' SCH 40 PIPE RISER WITH
01/2' ADJUSTER HOBS AND 3/8'
THICK TOP PLATE
02' SCH 40 PIPE STAND WITH TWO
- 0I/2' A03II57ER HOLES
ABESCO ABS PAD /503
STEEL FRI
SE t DETAIL 'A"
3/'r,- CAu FLA -.[D DCL-, N'SWASHEP
COUNTER BORED FLUSH WITH BOTTOM
AT 8' O.C. (8) REQUIRED
1/4" STAND BASE
i— ABESCD ABS PAD 1503
/
36" MAX
�
TO BOTTOM
s�
OF PAD
o.
�
ae
Oi/2'x 3' C.R.
LOCK PIN MOTH
4
01/8 ' BRIDGE
PW
Ir
COACH 'r' FRAME
2" CHANNEL
1/4'xt-1/4'•
TEK STS
(2) REQUIRED
1/4- GRIPPER
BASE
1/2- A307 BOLT
(2) REQUIRED
3/E'x 6'x 6'
STEEL PLATE
1/2' A307 BOLT
(2) REQUIRED
1/4" GRIPPER
PLATE
10.00 --i
0 0
10.00
0
09/15 HOLE (TTP)
r STAND BASE
TOP VIEW
—C�'i��z�il( i'„'
-B AM
ATTACHMENT
&I Nv
COACH "J" FRAME
1/4"xi-1/4'
TEX STS
(4) REOUIRED
l
1/4" GRIPPER
BASE
1/2' A307 BOLT'
(4) REOUIWED
J -BEAM
ATTACHMENT
B' 1/2' DIA. HOLE (B) PLACES
STEEL FRAME
T OP VIEW
STATE APPROVAL
TUF-1 PERMANENT
FOUNDATION SYSTEM
ARFSCO-GUS GUARD COMPANY
5851 FLORIN - PERYJNS ROAD
SACRAMENTO, CA 95823
PH: (800) 382-8831
FAX: (916) 383-5207
WAYNE T. POLVADO, PE -LISTING NO. F94249 SHED 1 o1 3
�
0�
w
s�
o.
�
ae
GENERAL NOTES GUS GUARD TUF-1
1 • oESTGN LOADS: UVE LOAD - 30 LB.
FLOOR LIVE LOAD - 40 PSF
WIND LOAD - BO MPH EXPOSURE 'C" .
SEISMIC ZONE '4*
•IH SNOW LOAD 100 PSF (SEE NOTE #15)
2 THIS
FOUNDATION
VAIN NO EXISSYSTEM IS TING SOIL PROBLEMS.NED TO BE BLCONSTRUCTED ON
3. CHASSIS BEAN SUPPORTS SHALL BE LOCATED ANO SIZED FOR THE LOADS
AS SNOW" IN THE "MOBILE HOME INSTALLATION 1MSTRUCTIONS".
4, IN AREAS WHERE OIFF£RENTVX SETTLEMENT (O.S.) CAN OCCUR.
MANUfACT1EXCEEDS 1/4'.
1 WILL AOVE=LY AFFECT MONLE NOME UNIT.
OR WHEN
S. ARE OESWHED FOOTINGS DOWN To FOT
CARRY ALL 1,000 PSFTOPRESSURE. LOAD SOIL TIS
SHAL1 BE COMPATIBLE WTM LOCAL SOIL GOMUT05' COMPACTED SANG
MAY BE USED 70 FILL LOCAL VOIDS UWKR PADS.
6, STRUCTURAL STEEL: FABRICATED ACCORDING TO ASC SPECIFICAT"'
WELD ACCORDIMO SY M A3ULCMM-370 PLATES -ASTM
CO
7. THE
GUS Go" ASSEMBLIES SHM ON 7M PACE SwU K 1151ED AM
BY BOK AND ASSDCIAI MIMO THE FOU19LOW"
L
AUT eTTA>—IA&M HOMONTAL VMTICAL
GUS GUARD TUI• -1 2200/ 60001
GUS GUARD MGP PAD 2200# 60000
GUS GUARD E -Z TIE PAD 2200# 6000#
d• DURING , pRELp "RY RfSPECnW. THE ESTWAIOR SHALL ENSURE TIWk---- .:
MOBILE NOME CHASSIS BEAMS ARE OF STANDARD SECTION.
9• q�ls'ITj{ LING 6CUSESU
ARD TUF-1 LRr�ASASHOW RMS SEISWIIC FORCES By
ON THIS PACE OF TYPICAL 14,
.F'Q W61I<TtW PlAOS .. G
10. ERS ARE SAIT FOR INSTALLATION IN FLOOD
�ab RD Mr -1 �REAS �OF FLOM14G DOES NOT EXCEED THE HEIGHT
OF THREE FEET.
16. F DA L
ON D AT IOCKS t 01SCRETION RPOURED
IN 0 PADS. GROUND LEVEL WAY
BE
SINGLE W1OE COACHES DOUBLE/MULTIPLE COACHES
E= 2' MIN. / 8' MAX. E= 2' MIN. / I V MAX.
S= 6' MRL. /18' MAX. S= 6' MIN. / 22 MAX.
VARIES 10'-70" (SEE TABLE ON SHEET #3) -- '
S S — -- - S E
❑ ❑
It. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED
THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS
THE SAME AS SHOWN REQUIRED PER EACH UNIT.
12. SINGLE -WIDE UNITS ILQUK ADOIIIOMAI RESZRW' • (SEI SHEET #3)
13. ALL PETAL COMPONDITS AND ARACIMENTS RENS SWILL 1E PROTECTIVE COATED.
14. \MEN CONCRETE SLAB IS NN EXTSTANCE. PAD IS 1401
REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH
FOUR (4) 1/2-1. 3 1/f EXPANSION ANCHORS -
15. GUS GUARD TUT -1 FOUNDATION SYSTEM PROVIDES
ALLOWABLE SNOW LOAD TO IOD PSF WHEN LNSTALLED
WITH EXISTING STANDARDS REQUIRED BY COACH
MANUFACTURER OR REPLACE THEM ON A ONE TO
ONE BASIS.
TUF-1 PERMANENT
FOUNDATION SYSTEM
AWSCO.GUS GUARD COheMY
56518LORDT - PFAKM ROAD
SACRAMMIno, CA 95823
PH: (800) 382-8831
FAX: (916) 383-5207
STATE APPROVAL
1
8 Q
W
gv O ;4
7Q>- r: ! T �`s iCyt q6(
xZ o a
H
04
WAYNE T- POLVADO, PE -LISTING NO. F94249 SHECT 2 off 3
RIDGE BEAM SUPPORT AS
a
ED
per( ALMAKWi'UREREl ❑ .❑
a�-� a ❑ 110
s' NOW.
2-MOkL ❑
PADS IN' ANY PAIR WAY BE STANDARD M.H. FOUNDATION
ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BYOFFSET
PVC SERIES
PORT
To OTHER SIDE TO THE mANIUFACTURE
AVON) CLEARANCE PROBLEMS. ENONEERR.. TT'YWALRTOHRO UGHM
PTHE AP P)
It. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED
THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS
THE SAME AS SHOWN REQUIRED PER EACH UNIT.
12. SINGLE -WIDE UNITS ILQUK ADOIIIOMAI RESZRW' • (SEI SHEET #3)
13. ALL PETAL COMPONDITS AND ARACIMENTS RENS SWILL 1E PROTECTIVE COATED.
14. \MEN CONCRETE SLAB IS NN EXTSTANCE. PAD IS 1401
REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH
FOUR (4) 1/2-1. 3 1/f EXPANSION ANCHORS -
15. GUS GUARD TUT -1 FOUNDATION SYSTEM PROVIDES
ALLOWABLE SNOW LOAD TO IOD PSF WHEN LNSTALLED
WITH EXISTING STANDARDS REQUIRED BY COACH
MANUFACTURER OR REPLACE THEM ON A ONE TO
ONE BASIS.
TUF-1 PERMANENT
FOUNDATION SYSTEM
AWSCO.GUS GUARD COheMY
56518LORDT - PFAKM ROAD
SACRAMMIno, CA 95823
PH: (800) 382-8831
FAX: (916) 383-5207
STATE APPROVAL
1
8 Q
W
gv O ;4
7Q>- r: ! T �`s iCyt q6(
xZ o a
H
04
WAYNE T- POLVADO, PE -LISTING NO. F94249 SHECT 2 off 3
n
:J
Q
a
T -T ' rod- y 1 g"-
I/2"x 1/2"x 8' LONG v� (4) REQUIRED
EXPANSION ANCHOR ANCHOR BOLT 3/8- CAD PLATED BOLT, NUT & WASHER
(4) REQUIRED (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM
AT 8O.C. \ (8) REQUIRED
• s•
1,
CONCRETE PAD INSTALLATION I /
CHASSIS FRAME
1/4' GRIPPER PATE
(2) REQUIRED
1/4- GRIPPER BASE ...
1/2-13UNC-A307 x 4'
BOLT WRH NUTS
(4) REOtBRED
01 1/2- SCH 40 PIPE RISER WITH
01/2" ADJUSTER HOLES A14D 3/8'
THICK TOP PLATE
02- SCH 40 PIPE STAND WITH TWO
01/2- ADJUSTER HOLES
ABESCD AIRS PAD /503 8
STEEL FRAME --
POURED IN PLACE 16x16xT2 CONCRETE
FOUNDATION INSTALLATION
LIGHT HEAVY—WEIGHT
PLASTIC PAD INSTALLATION
36" MAX KuLls-*ilDE Wa Sao= wma umm
r w w"'Jlo
OF PAD
01/2"x 3" C.R.
LERM OF
NOME4
-WIDTH Oi 011E
26 44
LIP TQ a
a 12
44'-1 b 12
12 12 1a
ss' -1' h 20
20 2
W{Gill orNOY
NOME 10 _1YT IC 1 1
UP TO 44 6 1 6 1 6
44 - 10 a 1 a a a
St -11 to so io 10 o fo
LOCK PIN WITH NUMKR OF TUF-1 REQUIRED NUMM Of iUF-1 RFAINREU
01/8" BRIDGE MMI WIDE UNITE REWIRE (4) E -Z T>E PADS. GUS GUARD AW -1 PIERS ARE
PIN TO E FAD AT APPROXIMATELY EQUAL WTERVAIS ALONG EACH FRAME RAIL.
TATE APPROVAL
-a i 1 L 3 cT
L:.9 O
v p v~i 2 s
TUF-1 PERMANENT z
FOUNDATION SYSTEM4
ABE CO -GUS GUARD COWANY 40 8
1
WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 a1 3
_� O
s
car'n� lie-- t�Q c�-C� -
---- ----- --
k
~� RESIDENTIAL
�3ly �v
'n
JOB FINALE
Signature
J=OK
i' ,
O = Not OK
- = Not Applicable
= Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2, Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Date Card B-1 Date ;: j_,Card B-1
Date Card B-1 Date Card B-1
/.Y. Zon g"Requirements-Setbacks Easements
ootings; Size -'Spacing -Marriage Line
as .MH Test-Demand-Valve—Connector
Pe'Ele t►Icity; MH Test -Crossovers -Breakers -Clearances
r in; MH Test -Fall -Flex Connector
star; MH Test -Regulator -Connector
ylater and Sewer Connected -C/O to Grade -HD Approval
Gas and Electricity
exits; insp.-Sketch
Cert. of Occupants
Datq Card B-1 I Date Card B-1
Date Card B-1 Date Card B-1
-� g"�-13
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5, Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK
= Not Applicable
' RESIDENTIAL�(Sinale
& Duplex)
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ 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 -Bloc kouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel -Wrapped
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
8. Piers -Fireplace Ftg.-Steel
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. Gas Pipe; Size -Anchors
55. Siding -Nailing Veneer
11. Water Pipe; Test -Anchor -Regulator -Service Test
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
12. Electric; Underground
57. Glazing Area -Glass Protection -Skylights -Plastic. ?
13. Pienums & Ducts; Clearance -Material -Support -Ins.
58. Shear Walls; Nailing -Bolts
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
59. Insulation -Walls -Ceilings
15. Insulation
60. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
:r
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
Card B-1 Date Card B-1
16. Water Htr.; Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchor -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
20. Test Tub & Shower, Second Floor -Tub Access
- In Garage; Above Floor-Ducts-Mech. Protection
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
Date
Card B-1 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clearances -Hearth
22. Fixture & Transformer Clearance -Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
24. Size Boxes & No. of Conductors -Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing -Landing -Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage -Damper
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74, Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
In Garage; Above Floor-Mech. Protection
Cu or At
75. Plb., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI.
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
Insulated Neutral ❑ Yes ❑ No
77. Insulation -Foam -Looked in Attic O Yes
30. Service -Riser Conductors & Ground -Main Disconnect
78. Guard Rails & Deck Construction -Post Caps
31. Equip. Clearances Panels-Motors-Mech. Equip.
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
32. Clothes Closet Light -Shower Light -Spa Light
Clearance Looked under Floor O Yes
33. Smoke Detector
80. Following instld.; Drive 0 Yes 0 No; Walks O Yes O No;
Planters I] Yes ❑ No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
' Date
MECHANICAL (Permit) OK except #'s
Openings
34. A.C. Ducts Insulation & Support
84. Water Well; Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
36. Condensate Drain & Overflow; Size & Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Date
Card B-1 Date Card B-1
91. Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Date
Card B-1 Date Card B-1
39. Sils, Proper Material & Anchors
Date
Card B-1 Date Card B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Date
Card B-1 Date Card B-1
41. Bearing Walls over Girders & Floor Nailing
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 Coun-y Center Drive, Orovi Ile — Phone: 538-7541
- ` 747 Elliott Road, Paradise— Phone: 872.-6307
rf CORRECTION NOTICE
Sh UA91A
JER
A routine inspection irdicates that the following violations of County Ordinance
exist at the above adress and should be corrected. Please notify this office
when correction of worx is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
w
Inspector Date n —Z-90
•
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT N0.
Address or location of mobilehome
Owner's name
•
i
Owner's address
Insignia or hud number _
Manufacturer's name
Serial number of V.I.N. = Year of manufacture
(Official Approving Installation) (Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE - L?E5►ARt9ENT OF PUBLIC WORKS PERMIT NO.
r 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICAT1,PWAND PERMIT
ASSESSOR PARCEL NUMBER
3/_ 2S-2 _ 2
ZO
BUILDING PERMIT
OWNER,- o AIT-
06-44:1,1:11111. BA DOW
TELEPHON
CJi
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'SNAME
"
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ r —�
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS O
Permit fee
$ _?S
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each gas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome6�' Other
` SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W I
10.00ea
TYPE OF WORK
New ❑ Addition ❑ R�Ae�AmfodeI ❑ Uti lities ❑ Instal Iation[E Other ❑
Describe work: /N4 ?+ B<Z �%T,ST`Lf✓�s _
Permit Fee
$
Contractor
-
ELECTRICAL PERMIT
Filing Fee 10.00
Main service OOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2,50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y i y (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
Q I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.,
OR ADDNS. ( DWELLING OCCUP.& ACC. BLDGS. 2hQsgft
NEW CONSTR. ULTI.OUTLET
NO N.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS a
(SINGLE OUTLET CIR.
Ex. Occup( OR FIXTURES 20®50t
eALO 30
FIXED APLNS. \\
Ex. Occup. OUTLETS (RESID,)REA.) 2.00
Temporary service' 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
[JZ,,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
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains . al Count 'n con ence of the granting of this permit.
%( �^�9Dafetl -, ��—
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 3Cstories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $'17. 0
occuP.CONST.TYPE
I FLODD
ARCE
;j
PD
l
ND
�...
s E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
PERM EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 1" 7' Z'" Qfl
Z
Receipt No. �/J %
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDINGDMS ON
7 COUNTY CENTER DRIVE- OFdOVILLE, CA' ORNIA 95965- TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
~ Permit No.
OWNER ,�.4Gff✓i� lJ� A. P No. - " o
Proposed Building Use _,A1��1Z— Building Inspector Date /,4
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 be bmitted.....................................
2. Plot plans in u licat iiplicate, 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. Hazardous Material Forn..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business Itense approval from City of
(see City for other requirements)
17. Planning approval for (A0 Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec.request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
f22. Certificate of Workmans Compensation Insurance ....
23. Owner -Builder Verification (Given to owner o Mail to owne41 " " . � d
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
Whyou issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at e'_3P office. Deliver w/inspector.
Other
Applicant [ _
Copy of plans sent Hea th Dept., Fire Dept., Otht r Date
The following data must be su,)mitted 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 adeised of above required data by_phone---jnail—counter by .date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by. date
Plans checked by Date Plans approved by Date
Sets of plans on hold in . File cabinet AP folder
Copy—DPW
�t o w
COUNTY OF BUTTE.- D.eg§E.t•.mant of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
,t
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information At your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the 'major labor a&d materials for construction of
the proposed property improvement '(yes or no) �.
2. I (have/have not) signed an application for a building permit
for the proposed wore.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
.Name Address . Phone Type of Work
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.
iA �'r' fJ ftz, s ftons f
!
e� S
Sep'y on f'^" {7ij•
r
r.1.0 withoui
froni a'�a 1/ sGc w �.r ttss .
Be in
LLLLLL a�'tif.-f t?' u
r.::e in via
,Pk. n Godes and
'tkie Nutic` maj GtY.s�fi lCq� Code.
VI I i _
l� rz
Q• 5 §t fr�orn tl,a
etback o§ a Setback
A lines and ,
property§rorr'tre road �
Of 50§t- clear °
Centerline o 2e4 �pment eXW�L
� Cdr �e o�C14
x",8
.LE -000
✓.CV�
6z.5
A,fS YZ 5. -lot
G
MOBILEHOME SUPPORT DATA
L A Cls U Z 1b If o'thet than single wide,
Mobilehome Mfr..2gA c /ilo,6`Le furnish Se-t"up Model No. yL. - , 74
Width .2 y (ft.) Box Length (ft.) Tagalong or Expando Size -E? 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) N1. Wood -pressure treated or foundation grade. F-1 2. Other (specify)
SUPPORTS (check one)DQ1. Concrete block. _12. Other (specify)
Pier Footing Sizeik.,and Locations
SINGLE -WIDE
Size -Min .------------
MULTI -WIDE
Liao l
Spacing -Max----------
— Line 1
�.—
Line 2
e 2
Main
Beams
Lin
_ _
Linp
--- --
— -- — -- --
— .� Line 2
Main
Beams
.
Line 2
Line 1
— — — — — — — —
'Line
— — — Line
Tag or Triple
tine
Line 1
Line 1 Piers:
Size-Min.------------
Spacing-Max -
-----------
Spacing-Max. ---------
From
-------From Ends -Max .-------
Line 2 Piers:
Size -Min .------------
Spacing -Max----------
From Ends -Max --------
Line 3 Roof Loads:
Size -Min. -----------.-
Location .(From Front)
Line 1 Openings:
Size -Min- ------------------
nx u
Each Side of Openings
With Width Over ---------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min -------------------
Spacing -Max---------------_ ,
From Ends -Max .-------------
X30 aV- at / .-P*r(Cr ber v' r r
[jp
.Line 4 dere;
Size -Min .------------
Spacing -Max.--------- ,
.q From Ends -Max .------- ._
Line S Roof Loads:
Size -Min -------------
Location (From Front)
e S Piers: (Under Bearing Wa a Only)
Size -Min -------------------
Spacing -Max.--------------- r_ n
From Ends -Max --------------
'- ��
BUTTE COUNTY DEPARTM.WT°OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: S A R GciiV CR 41 S e-
2.
2. Installer's Name: '51) -> w N CQy S ,:�
3. Is the site currently under permit? Yes 1-1 No
(If yes, furnish permit number . ) OR
Is the site an existing site? . Yes No [—]
(If yes, furnish two plot plans.) 4P 31-2S2-2-1
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 P No [—I
(If no, clarify
V
5. What is the mobilehome electrical rating? --------------- J50. Amps
6. What is the mobilehome site service rating? --------------- 1 O O Amps
7. What is the mobilehome site circuit breaker rating? ----- v Amps
8. Is there any other electric load to be served by the
mobilehome site service? -------------------------------- Yes F] No
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? -------------- 3Kf (in.)
10. What is the type of gas service? --=---------------- Natural ID LPG
11. What is the gas pipe length from meter or tank to the
mobilehome?---------------------------------------------
(ft.)
* 12. What is the mobilehome gas demand? ----------------------(BTU)
*(This information not required if pipe .length less than 6; t:v'on �
natural gas or less than 50 ft. on LPG.).
.r
April 26, 2002
Oba Downer
924 Grand Ave.
Oroville, CA. 95965
RE: Formal Warning Notice
Butte County Code Violation
917 & 921 Tehamam Ave., Oroville, CA.
AP# 031-252-021
Dear Oba Downer:
60,
L A N D O F N A T U R A L W E A L T H A N D B E A U T Y
PLANNING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965.3397
TELEPHONE: (530) 538-7601
FAX: (530) 538-7785
Through our courtesy notice on March 22, 2002, you were notified pursuant to Section 41-2 of the Butte County
Code of the presence of code violations on your above -referenced property. According to our records, the
courtesy notice has not resulted in abatement or correction of the unauthorized camping or otherwise occupying
a recreational vehicle and the accumulation of junk in public view. Your failure to eliminate the stated
violations are cause for the issuance of this formal warning notice.
As of this date, our records indicate that the following violations to the Butte County Code still exist:
Butte County Code, Chapter 24 Section 24-145 - The C-2 (General Commercial) zone does not
"specifically authorize" large accumulations of junk. The storing of more than 100 square feet of
"junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A
"junkyard" is not an allowed use in the C-2 zone without a Use Permit. "Automobiles and other
vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4
forbids people, whether at a licensed junkyard location or not, from storing junk in public view.
Butte County Code, Chapter 24 Section 24-260 - Camping Limitations and Prohibitions.
A. No person shall place or park or allow the placing or parking of any trailer coach,
recreational vehicles, tent trailer or tent, or otherwise occupy or allow the occupancy of any
parcel (as defined in Section 24-305.310) for the purpose of camping (as defined in Section
24-305.095) on public or private property within the County for a period in excess of 9 days
in any one calendar year, except in an outdoor recreational facility, campground, recreational
vehicle park, or hunting/fishing camp, lawfully established and maintained pursuant to this
Chapter.
Oba Downer
April 26, 2002
Page 2
The determination that this violation exists on the property is based on the following definition in the Butte
County Code:
Butte County Code, Chapter 24 Section 24-305.240 -Junk. Any worn-out and discarded material in
general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin,
lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages,
automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or
piled in public view, and all other similar personal property ordinarily defined and classified as
"junk" kept, stored, located, situated or piled in public view and not screened from public view by a
fence.
Butte County Code, Chapter 24 Section 24-305.095 - Camping. Occupying or maintaining for
occupancy any place for temporary living, sleeping or other human occupancy purposes. "Camping"
does not include: The parking or storage of an unoccupied and otherwise unused trailer coach,
recreation vehicle, or tent trailer on a privately owned parcel, as defined in Section 24-305.31;
occupying a trailer coach, or recreation vehicle, connected pursuant to county permit to permanent
sewage disposal and water supply systems; or occupying a trailer coach or a recreation vehicle for
any accessory use allowed in the applicable zoning district..
In order to bring the property into compliance with the Butte County Code and avoid further enforcement
actions, you are hereby requested to take the following abatement or correction actions:
Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24-305.240.
Cease and desist camping activities on the property in accordance with the Butte County Code,
Chapter 24, Section 24-260(a).
This is your final warning. Unless you contact this office and make the proper arrangements to correct or
abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be
pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing
to comply with this warning letter.
Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties
(fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The
Notice of Violation will include a description of the premises the violation concerns, a description of the
violation, the date of your convictions and the action necessary to correct or abate the violation(s).
Should you have any questions concerning this matter, please contact me at the address or telephone number
listed above.
Sincerely,
J
Scot Johnson
Code Enforcement Officer
SJ: kJ
cc: Dept. of Development Services, Code Enforcement; Occupant, 917 & 921 Tehama Ave, Oroville,
CA. 95965
I.rte ,..
March 22, 2002
Oba Downer
924 Grand Ave.
Oroville, CA. 95965
RE: Butte County Code Violation
917 & 921 Tehama Ave., Oroville, CA.
AP# 031-252-021
Dear Oba Downer:
L A N D O F N A T U R A L W E A L T H A N D B E A U T Y
PLANNING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE. CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7601
FAX: (530) 538-7785
The Butte County Department of Development Services, Code Enforcement section has determined by
inspection and research that there are currently code violations present on your property at the above -
referenced location. Specifically, the violations include:
Unauthorized camping or otherwise occupying a recreational vehicle.
2. The accumulation of junk in public view.
This is an advisory notice that these uses are in violation of the Butte County Code, as follows:
Butte County Code, Chapter 24, Section 24-145 - The C-2 (General Commercial) zone does not
"specifically authorize" large accumulations of junk. The storing of more than 100 square feet of
"junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A
"junkyard" is not an allowed use in the C-2 zone without a Use Permit. "Automobiles and other
vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4
forbids people, whether at a licensed junkyard location or not, from storing junk in public view.
Butte County Code, Chapter 24, Section 24-260 - Camping Limitations and Prohibitions.
A. No person shall place or park or allow the placing or parking of any trailer coach,
recreational vehicles, tent trailer or tent, or otherwise occupy or allow the occupancy of any
parcel (as defined in Section 24-305.310) for the purpose of camping (as defined in Section
24-305.095) on public or private property within the County for a period in excess of 9 days
in any one calendar year, except in an outdoor recreational facility, campground, recreational
vehicle park, or hunting/fishing camp, lawfully established and maintained pursuant to this
Chapter.
Oba Downer
March 22, 2002
Page 2
The determination that these violations exist on the property is based on the following definitions in the Butte
County Code:
Butte County Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in
general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin,
lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages,
automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or
piled in public view, and all other similar personal property ordinarily defined and classified as
"junk" kept, stored, located, situated or piled in public view and not screened from public view by a
fence.
Butte County Code, Chapter 24, Section 24-305.095 - Camping. Occupying or maintaining for
occupancy any place for temporary living, sleeping or other human occupancy purposes. "Camping"
does not include: The parking or storage of an unoccupied and otherwise unused trailer coach,
recreation vehicle, or tent trailer on a privately owned parcel, as defined in Section 24-305.31;
occupying a trailer coach, or recreation vehicle, connected pursuant to county permit to permanent
sewage disposal and water supply systems; or occupying a trailer coach or a recreation vehicle for
any accessory use allowed in the applicable zoning district. .
It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be
advised that Butte County has an active code enforcement program which provides an effective means of
enforcement. If voluntary compliance with this notice is not accomplished by correction or abatement of the
violation(s), enforcement may be pursued through the issuance of a citation to appear in the Butte County
Municipal Court. Upon conviction, violators may be fined and a Notice of Violation may be recorded which
will include a description of the action necessary to abate the violation.
In order to bring the property into compliance with the Butte County Code and avoid further enforcement
actions, you are hereby requested to take the following abatement or correction actions:
1. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24-305.240.
2'. Cease and desist camping activities on the property in accordance with the Butte County Code,
Chapter 24, Section 24-260(a).
You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for
abatement or corrective actions. Should you have any questions concerning this matter, please contact me at
the address or telephone number listed above.
Sincerely,
Scot Johnson
Code Enforcement Officer
SJ: kj
cc: Department of Development Services, Code Enforcement
Occupant, 917 & 921 Tehama Ave, Oroville, CA. 95966
'�'1 0 2
�n`�,—
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541��^ r �ME MII NO.
(Rev.12/96) APPLICATION AND PERMIT I
ASSESSOR PARCEL NUMBER
031-25-2-021
\Receipt
ZONING
1
BUILDING PERMIT
OWNER
TELEPHONE -
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONTRACTORS NAME
JACKS, MORTI.E.140ME.
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
20.00
Permit Fee $
23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING�1/STEHAMA AVENUE, OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee .00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑X Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 10 Other ❑
Describe Work: MHI/REPLACE EXISTING
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
000OR LE
Main Service zo.A OR LESS
23.00
LICENSED CONTRACTOR'S 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.P
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
�. I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service sow TO
46.00
NEW CONST. DWELLING OC
NG CUP.
CCU
OR ADDNS. ( 8 ACC. S.
SO
3.5Q�.
rwµRESID. MULTI.OUTLET
@7,50
OWERAPPAR U
8 SINGLE OUTLET CIR.
Ex. OCCu OUTLET OR FIXTURES
BAL O 1.00
.50
Ex. Occup. oun�orsPR J Ew
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
VL 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 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 com ly with those provisions.
_ Date ^ �'\
nature of Appl ant Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
D. FEES IMP
OD
COF
P C
IV
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
ate
No. Z4iYyoZ %
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1;
11
a
.".
a`Q COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERM T NO.
(Rev. 12/96), APPLICATION AND PERMIT
�B-«a�
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER s-
P
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAIUNG ADDRESS
'N
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAULING ADDRESS ,
1 CONSTRUCTION LENDER - -
Fireplace
LENDER'S MAILING ADDRESS t�
Total Valuation Is
ARCHITECT OR ENGINEER
i
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGS
� r-TMIAMA AVENUE, OROVILM
Energy Plan Checking Fee
$
'74 +'
PERMIT FEE
$
Loi I f
/'SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee " 0.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑X Other Y
v. SPECIFY
TYPE OF WORK
New ❑ 1 Addition ❑ Remodel ❑ Ulilifies ❑ Installation ]CI Other ❑
Describe Work: MHUREPLACE EXISTING p,
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT -FEE
$ -
ELECTRICAL PERMIT
Fling Fee 20.00
R LESS
Main Service zo.A VOR LESS
23.00
LICENSED CONTRACTOR'S 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.
License Glass Lic. No.
' -' OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following°reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
. I Eas owner If the property, am exclusively contracting with licensed contractors
to construct the pioject. '
❑ I1'am exempt undgr Sec. % Business and Professions Code for this
`reason i ,
Main Service 200A TO 1000A
46.00NEW
CONST. DWELLING OCCUP.
OR ADDNS. ( a Acc. Bugs.
SO
3.5 so
NEW ID MULTI -OUTLET
97.50
POWER APPARATUS
a SINGLE ourLer CIR.
Ex. OCCU ° f OR FocTUREs
20 @'.0°
BALI o .w
Ex. Occup. ountis Ao .°E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
/ PERMIT FEE
_
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 havgyand will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 yof the Labor Code, for the
performance of the work for which this permit is issued.
0 I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued,
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
`1 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 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.
: G
X V)_ \ Date I� L `
ignature of App ant Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
-.
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 143.00
HAZ
D FEES IMP
DOD
I COF
PAfiCK
PO
I HD
I ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Dete
ReceiptNO.2CY RL %
WHITE-D.-B.D�CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Air,
p�; -,•. �� � .. � � .. � .- Z . int.. K. r g n-
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMT N0.
(Rev. 12/96) APPLICATION AND PERMIT qA— I
ASSESSOR PARCEL NUMBER
031-2562-021
ZONING
BUILDING PERMIT
OWNER
TRACEY P .RIM
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P 0 PAT 1 81A P
CONTRACTOR'S NAME
MORTTVHM
TELEPHONE
CONTRACTORS MAILING ADDRESS
13 FP _HT LAn., C41
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING `�1 / sT i'�,A A �y OROVI=
y1
Energy Plan Checking Fee
$
$
PERMIT FEE
$ lot
*LOTNO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 2-.00
USEOFSTRUCTURE
�tr
SF ❑ Duplex ❑ Mobilehome OX Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ 1 Utilities ❑ installation) Other ❑
1.Work: MI/REPACE EXISTING
Describe
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
020.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
R LES
Main Service 200, OR tESS
23.00
LICENSED CONTRACTOR'S 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.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following -reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
"tr], l,'as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service zoo, TO 1000,
46.00
NEW CONST. DWELLING OCCUP.
ADDNS. ( a9c
3.5¢Fr.
NOR
EW CONST. MUAU
NON•RESID.
@7.SO
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
B 20 @ 1.000
Ex. Occup. OFlxs p p OFRA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
i
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued. .
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed 0 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 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 f - 1 �.
Signature of Applicant Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $ 2D0 ,00
Energy Inspection Fee $
Occ
CONST. TYPE 143►00
TOTAL FEE $
HAZ.
D. FEES IMP
/FLOOD
CDF
PAR
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
(Date)
ReceiptNo.2 C/Y 94 1
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
''ir7i•'^n ^ T., 4i.-5,._ . 'T%". si."_:r -T-.._ w -,..t+.,{..... t` • ry a. -
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Dpive • Oroville, California 95965 • Telephone (530) 538-7541, PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
031-25-2-021
ZONING
BUILDING PERMIT
OWNER TELEPHONE
OWNERS MAILING ADDRESS
SO. FT. OCC. BUILDING VALUATION
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
LANE
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 3 • Off -
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING`Jl/sTmum A , ORor1LZG
71�
Energy Plan Checking Fee
$
$
PERMIT FEE
$
'LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 01E Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WC RK
New ❑ Addition ❑ Remodel
0 `Utilities ❑ Installation h Other 0
Describe Work: M REPLACE EXISMG
Gas piping system 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
600OR LES
Main Service 2I IA VOR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I arc 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.P
License Class LIC. NO.
OWNER -BUILDER DECLARATION
1 hereby affirm u
-under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
CJ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I am exempt under Sec. BLsiness and Professions Code for this
reason
Main Service TO
46.00
NEW CONST. oWEwNo oCCUcuP.
EE
(
ADDNS.EW CLTICO
s°
3.52Fr;
NOR
CONST. MU
NON•RESID.
@7.50
OWER APPARATUS
d SINGLE OUTLET CIR.
Ex. Occu OUTLET OR FIXTURES
BAL @ '; a
Ex. Occu ounErs E=.) ERn
A
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
_
WORKERS' COMPENSATIOV DECLARATION
1 hereby affirm under penalty of perjury one of tde following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by sectirn 3700 of the Labor Code, for the
performance of the work for which this pernit is issued.
❑ 1 have and will maintain workers' compensajon insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completec if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
O 1 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 workers'
compensation laws of California, and agreethat if I should become subject to the
workers' compensation provisions of secion 3700 of the Labor Code, I shall
forthwith comply with those provisions.
I
X Date
Signature of Applicant - 13 Owner ❑ ContractDr ❑ Agent
An OSHA permit is required for excavations over 5'C' deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
`'`
PERMIT FEE $
Mobile Home Installation Fee $ 100.00
Energy Inspection Fee $
Occ
CONST. TYP00
TOTAL FEE $ •
=.AZd
IMP-
V
I FLOOD
I CDF
I PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Data
Receipt No. 2 )
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
• COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 � , j{-pF tnf1T No.
(Rev. 12/96) APPLICATION AND PERMIT I(t "
ASSESSOR PARCEL NUMBER
Zo"No
BUILDING PERMIT
OWNERTELFDHONC —1 �
I race_ Pe c(-�s
T QOSS
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING,AODRESS
VA/�
CONTRACTOR'S NAME 1 A_6_1 rC" �� I r ���
TELEPIgNe
CONTRACTOR'S MAS) ADORE)
1 �f- ��-
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation S
ARCHITECT OR ENGINEER
LICENSE NO'
Rlina Fee S
20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit Fee
Plan Checkin Fee S
BUILDING ADDRESS
-r✓ ��.. Z A<i �p
Energy Plan Checking Fee S
q� 0(ou L((,:o0
$
PERMIT FEE $
y ,
IDT No.
8UBDNLSpN'SNAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex O Mobilehome K Other
SPECIFY
Each Trn
7.00
Solar or heat um water heater
23.00
Water piping
15.00
TYPE OF WORK
New Addition O Remodel 13 Utilities [3 installation Other O
Describe Work: M T! J_
Each aas water heater or vent
15.00
Cans i in stem 1 - 5 outlets
piping
15.00
sewer
15.00
Mobile Home I S I G W
(920.00
PERMIT FEE _
ELECTRICAL PERMIT
Main Service � L
LICENSED CONTRACTOR'S DECLARATION
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 effectPOWER
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. , Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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 peormit Is Issued.
❑ I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed If the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 workers'
compensation laws of California, and agree that N I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50• deep and demolition or construction
of structures over 3 stories in height.
Main Service 90" To LOOOA
q,"nF"20.00
NEW CONST. DWE LING OCWPI
oR ADoN3• a ADD. BLOs.
NON -REBID. MULTFOun.Er
APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occu . ounETORFkTURES
EL. Occu .FDAPPlNB. oR
cceETs FSID. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23,00
PERMIT FEE f
MECHANICAL PERMIT Filing Fee 20.00
Heating
Coolin
Hood 6.50
Ventilation
PERMIT FEL: i
Mobile Home Installation Fee $ IDO .Ofd
Energy Inspection Fee $
occ
CONST. TYPE TOTAL FEES 143.00
M/z
D. FEES I wP
I FLOOD
I COF
PARM
PD
NO
MUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
ro
Receipt No.�- L/ 92-/
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Pi
;;`�"�•, r•+,r�t'�"it rr;ri 4(i1' � a �} 1„"��`�"' +�'" .�Cr!'Z' , '�Yt� R�^�"�'i };�`� �Cl�r'i[r
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: Tr6Ge1 PCS l/t Y1 S ASSESSOR PARCEL NUMBER: 31— 25--,�, —D,
Proposed Building Use: m N Building Inspector: 51 Date: _4 9e
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All items have been submitted.
,I2. Plot plans, 3/4 sets, signed by the preparer of plans. ------
om lete plans, 3/4 sets, signed by the preparer of plans.
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
06. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $ ---------- ---------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -----------------------------------------------------------------
❑ 12. California Department of Forestry plan approval/fees. ---------------------------------------------------------
❑ 13. Flood elevation certificate.----------------------------------------------------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department. -------------------------------------------
❑ 15. City of Chico plumbing permit. -----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking: --------------------------
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
0 20. Pre -inspection for required Request to Building Inspector on - (Date)
112 1. Contractor's license information. (Number, Name Style, Classification). ---------------------- -------------
022. Workers' Compensation carrier and policy number. -----------------------------------------------------------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
k4. Letter of signature authorization. pM_1�L?1 r _Q - C¢� --dj� �p - p y1,0_ on nrnrr oA .
025. Recorded copy of Agricultural Acknowledgment Statement. ---------------- -----------------
❑26. Letter of intent on building use. -------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ------------------------------------------------------------
❑28. Existing violations and/or expired permits. ------------------------------------------------------
029. 0433 A,,,DGrant Deed, ElM.H. Title, 11 Check to H.C.D $
K30. Other: / r oo 4 o aP11 fl o -0 vI_C S Q 0 i
When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor.
Lhelephone3 `/2 - 6 06 and hold for pickup at office. !] Deliver with inspector.
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department,t.Air-Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered:o`Z 11Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was sed of the above required data by 13phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: CS Date: /�/ Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division. 10kJ7IV
�a'l�li0 v� .
Inter-epurh emor®ndum
To: Land Development Section, DPW
FROM: Building Division, DPW
SUBJECT: Improvements and Storm Drainage Clearance
DATE: :
We have recently received an application to construct a
(use)
by
(owner and/or contractor)
at
(location)
A.P. No. Permit Appin. No.
and he has been advised to contact your section regarding requirements.
Would you please advise, by signing this memo, when you have cleared the improve-
ments and storm drainage facilities for this project so we may issue the required
permit.
` .F. Clan
der
JFG:dd t` Chief Building Inspector
Improvements and drainage plans approved for construction.
/ / Improvements.and drainage not required for construction.
Other
(specify)
(signature)
(date)
-41
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�Dy al 0
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
• School District d�r �` Q ✓j S Building Department No.
A.P. Number Jurisdiction: City FV01 County
Property Owner nh Q I 1t) h (4
Property Location/Address
i
Subdivision Lot No.
Fa
Residential Development
Commercial/Industrial
New
Sq. Footage (O
//Addition (Group R)
� /i% Oyfad
Sq. Foota
Addition oncwamg rxienor
/Roofed Areas)
V
Date
(rioor runs reviewea oy scnooi uistnq
ct versonne
District Identification No. 9 9' 0 O l re^l a `
Oroville Vol 91-6 School District certifies that � ow n r
Y (Applicant)
Z
(.Street Address)
(City)
has complied with the requirements of Resclution No.
representing square feet.
IIl„
C(02 -
District Representative
Paid by Check # Remarks:
(Phone Number)
/� (State) (Zip Code)
--
(/ 90 by payment of e
1FBW2R26 $
IFULL MITIGATION $
-7113 V
Date
ti
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building departr-ient), Pink (school district) feeform.xls (2/97)dmm
,
No of Living
Mobile Home
Units
Installation
New
Sq. Footage (O
//Addition (Group R)
� /i% Oyfad
Sq. Foota
Addition oncwamg rxienor
/Roofed Areas)
V
Date
(rioor runs reviewea oy scnooi uistnq
ct versonne
District Identification No. 9 9' 0 O l re^l a `
Oroville Vol 91-6 School District certifies that � ow n r
Y (Applicant)
Z
(.Street Address)
(City)
has complied with the requirements of Resclution No.
representing square feet.
IIl„
C(02 -
District Representative
Paid by Check # Remarks:
(Phone Number)
/� (State) (Zip Code)
--
(/ 90 by payment of e
1FBW2R26 $
IFULL MITIGATION $
-7113 V
Date
ti
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building departr-ient), Pink (school district) feeform.xls (2/97)dmm
,
\- ...-.+• ..�'.-}... ... .. .. �r-..ft`•.,^+..-...+.c,-��=,.�...•..-.>Tl,•RY�-r-rF..r'�in1 :.. :4i'�,,,:.-.-;'�irLti{...,: A•-,.,1�,•r. „f. -,.JL.,. ., , ,. ,. ,�yv.P*.,-. . _. ... �.
Y
tin. .•�� t � � 1
77
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)' • ?
School District . D V I 0-e l "l. i"• Building•Department No.
A.P. Number 31 —;L 5 ZJurisdiction:' ; , City- County
Property Owner Q� /� W.,J -e
Property Location/Address %-e I'll /J --U.. Q- Or D u I
Subdivision sM; , Lot No.
' Residential Development
O FX i D
Ao of Living Mobile Home Addition,
RLP G j sy NS Units Installation
Commercial/Industrial
Department
Sq. Footage 7 a;? O
(Group R)
Sq. Footage
New Addition (Including Exterior
Roofed Areas)
IFlcor Plans reviewed Dy scnool uistnct Personnei)
District Identification No. q$003�0
9'- -2 -orb
Date
VtQV1��� U01'O6 A, School District certifies that 0 t2,• E)y.►ir1Pr '
(Applicant)
Ave
5-3-4 -6T9,5-7
(Street Address) (Phone Number)
brov.l CA
(City) (State) 4 (Zip Code),
has complied with the requi ements of Resilution No. �f7S qQ
representing „'square feet. B 2926
,k
School District Representative
by payment of $
- Date
/e 0
Paid by Check # Remarks:
Notice: You may protest the imposition of th•9 fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 93 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the Imposition of the fees in any court actio6.". , - �-
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification F&M the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental; uality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. N.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm
.r
'11,
Mobilehome Manufacture)=: C�!+i�R Q:l Manufacture Year:
If other than single wide, furnish Setup Model Number:
Width: -(ft.) Length: g71_4ft.) Tagalong or Expando Size (ft.) x (ft.)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets. y
FOOTINGS: Wood pressure treated or foundation grade[,o]'Other:
SUPPORTS: Concrete block[jole Other:
Provide Tie Down Specifications for all Mobilehomes:
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line 1 Line 1
Line 2 Line 2
...........................................................................................
Main Beams
.......................................
Line2 ................................................. ine 2
Line 1 Line 3
Line 2
Main Beams
Line 2
.............. Line 1
..........................................
Tag or Triple
..........................................
Line 1 Piers:
Size minimum:' x
Spacing maximum:
From ends -maximum: `
Line 2 Piers:
Size minimum: ] x 1341.
Spacing maximum: L4L V`
From ends -maximum: `
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
5
4
0
Line 1 Openings
Size minimum: [ ] x [ ].
Each side of openings
with width over: `
Line 4 Piers:
Size minimum: ].
Spacing maximum: `
From ends -maximum: `
OVER t
♦ a
M.H.I.-2
:.:`:::}:::;:ti:;::::';:r is i:5::::::>:' ' �5 ;>f.;::?•fH%(v .�, �'�`:b
:..r .
•:?v:}:??•}:•rvri::•;:?^:v: :w:n �:Li .'..... ......... ..... .....................................................:.:vv:::::::::::::::::: m::::.� ::::v.:vvw:::.v:.v.w:: x:.vv.:v::.vv:v.:�nv:�;:4:.v:: •nx 4:Ch:'•;}}..2v.
1. Owner's Name:
f V' Y��� e y �ce�
2. Assessor's Parcel Number: Ci 2 " d00
3. Installer's Name: �I Le
4. Is the site currently under permit? Yes[ ] No[ ] Permit No.
5. Is the site an existing site? Yes[01000No[ ] (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehome?'/ 00 Amperes.
7. What is the mobilehome site circuit breaker rating? O Q Amperes.
8. What is the electrical rating of the mobilehome site?,
Amperes.
9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is
the rating? Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(oe. well, garage etc.)? Yes( ] No [ oj<f yes, please identify the load and size:
a) The mobile home site:
Load- Amperes -
b) The main service:
Load- Amperes -
11. Type of gas service at mobilehome site: Natural[vj100PFropane[ ] None[ ]
12. Size of ga pipe at the mobilehome site from the meter or
tank: inches.
13. What is the gas pipe length from the meter or tank to the mobilehome? S (ft.).
14. What is the mobilehome gas demand? B.T.U.*
*(This information is not required if the pipe length is less than 6 feet on natural-gas or
less than 50 feet on propane).
THE OTHER SIDE OF THIS FORM.MUST,BE COMPLETED IN' ORDER TO
PROCESS THIS PERMIT APPLICATION
May 1995 8.5
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION
NOTICE
Post this job card In a safe conspicuous place. Do not
remove until all required Inspections are made and
--;.i irinnn rn=,t ov
avaiiar031-.25-.24021,. #98-1721
PERKINS—,TRACEY
A.P. No. '9 1-7.;..TEHAMA -AVE,— OR ' OWILLE
OwnerIJACKS MOBILEHOME
MHI/R-EIT—Adt EXISTING
Contractor -
Permit No. Expires
PERMITTEE MUST CALL
FOR INSPECTIONS
Piers
Underground Conduit
Pre-Gunite
Underfloor Plumbing
Underfloor Electrical
Underfloor Mechanical
Underfloor Framing
Slab
.... .. .......
Rough Plumbing
Rough Electrical—
Rough Mechanical
Framing
Shower Pan
.... .......
00NotIn uWCUntil:
.................. .........................
....
Insulation .-T
..... . ...........
.... ... Not Cover :::.Until
....... ...
Fireplace Footing
Fireplace Throat I I
Stucco Lath
Scratch and Brown
. . ........ .... . .....
'I Above Signed
S'
Unti
........... . . . .....
Sewer Service
Water Service
Pool Final
Plumbing* Final
Electrical Final
Mechanical Final"
Buildino or M.H. Final
DO NOT OCCUPY UNTIL
ALL THE ABOVE IS SIGNED
AND THE BUILDING OR MOBILE HOME
IS APPROVED FOR OCCUPANCY
...............
Addre'sies::-
Information..
Oroville 7 County Center Dr. 538-7541 538-7636
Chico 1469 Humboldt Rd. 891-2751 891-2834
Revised 7/94
031-25-2-021 #98-1721
PERKINS, TRACEY, i
RESIDENTIAL 917 TEHAMA AVE; =OROVILLE i
JACKS MOBILEHOME i
MHI/REPLACE EXISTING
I
' 031-25-2-021 _ #98-1721 ;
-PERKINS, TRACEY
i 917 TEHAMA AVE, OROVILLE ,
I JACKS MOBILEHOME G i
PERMIT NO.
PERMIT EXPIRES _
OWNER
CONTR. .
ASSESSOR PARCEL
LOCATION
MHI/REPLACE EXISTIN I
031-25-2-021 #98-1721 _
PERKINS, TREY ` �
} CHECKED
917 TEHAMA AVE, OROVILLE ' BY
JACKS MOBILEHOME SRA
MHI/REPLACE EXISTING _ FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQS
SPECIAL INSPECTION ITEMS
VERIFY
Temp. Power Pole
Called PG&E
Temp Elec. Service 'fir
rCalled PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
V=OK
O = Not OK
Not
* = Not Reaaldy ble MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements - Setbacks - Easements
2. Footings; Soils-Size-DepthSpacing-Connectors-Steel
2. Soils; Special MH Support Sketch
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
3. Sewer; Locafion-Test-Falb/ Concrete
4. Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg.-Rfg.-Bracing
4. Water, Location -Test -Easement Needed (Sketch)
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Carports; Windows -Doors
6. Gas; Location -Test -Wrap; / tVtt
/ /Nat or/ 11211d /LPG
7. Electric
7. Well Clearance & Disconnect
8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses
8. Utility Clearance
9. Siding; Nailing-VeneerSh xo-Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date,
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1. Zoning Requirements -Setbacks Easements
Card B-1 Date Card B-1
2. Footings; Size -Spacing -Marriage Line
POOLS (Plans) OK except #'s
3. Gas; MH Test-Demand-Vahe-Connector
1. Setbacks -Easements
4. Electricity; MH Test -Crossovers -Breakers -Clearances
2. Soils; CompacbonStructure Stability
5. Drain; MH Test -Fall -Flex Connector
3. Pod Structure; Steel -Connections -Thickness
Dead Men -Lining
6. Water; MH Test -Regulator -Connector
4. Elec.; Receptacles and Lighting, Distance -GR
7. Water and Sewer Connected -C/O to Grade -HD Approval
S. Elec.; Pool Lighting; 15 Volts-GFI
8. Gas and Electricity Tagged
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
9. Tie Downs -Type -Installation Cert.
7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater
10. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/S Circulafing Equip. -Pod Lghtg.
Boxes-Enclosures-Panelboards4ns. to Main in Conduit
11. Cert of Occupancy
9. Health Department Approval
12. Permanent Foundation Only: License Decal
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses
9. Siding; Nailing-VeneerSh xo-Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; CompacbonStructure Stability
3. Pod Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GR
S. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/S Circulafing Equip. -Pod Lghtg.
Boxes-Enclosures-Panelboards4ns. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓ = OK
O = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1.
ZoningSetbacks-Easments-FloodSlope
2. Ftg., Main; Soils-Elec. Gmd. / i Ftg. Depth
Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing.-Ring.
3.
Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat clearance
4.
Ftg. Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
50.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
51.
6a.
Hold Downs and Special Anchors
52.
7.
Slab, Steel0rapped
53.
8.
Piers -Fireplace Ftg.-Steel
54.
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Siding -Nailing Veneer
12.
Electric Underground
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13.
Pienums & Ducts; Clearance -Material -Support -Ins.
Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies
59.
15.
Access & Ventilation
60.
16. Insulation
61. Insulation -Walls -Ceilings
Date
Infiltration -Walls -Windows
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
Date
18.
Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
Ext Steps -Door & Sidelight Protection -Landings
20. Shower Pan; Test, First Floor -Tub Access
64.
21.
Test Tub & Shower, Second Floor -Tub Access
65.
22.
Gas Pipe; Size & Anchors
66.
Bedroom Exiting
Date
G.F.I. & Bath Fixtures & Tub Access -Spa
Card B-1 Date Card B-1
Date
Elec. Trim & Subpanel, Breaker Sizes & Labels
Card B-1 Date Card B-1
Date
Stairs & Rails
ELECTRICAL (Permit) OK except #'s
70.
23.
Fixture & Transformer Clearance -Ins. Protection
71.
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
72.
25.
Size Boxes & No. of Conductors Stapled
73.
26. Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral 0 Yes 0 No
31.
Service -Riser Conductors & Ground -Main Disconect
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
82.
Following Instld./Drive 0 Yes Q NoNValks 0 Yes 0 No/Planters Q Yes 0 No
Date
83.
Card B-1 Date Card B-1
Date
84.
Card B-1 Date Card B-1
Date
85.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
89.
38.
Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
90.
39.
Attic Access & Platform if Furnace in Attic
91. Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Plans) OK except #'s
Card B-1 Date Card B-1
40.
Sits Proper Materials & Anchors
Card B-1 Date Card B-1
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Card B-1 Date Card B-1
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior / Exterior Wall Panels
61. Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mach. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following Instld./Drive 0 Yes Q NoNValks 0 Yes 0 No/Planters Q Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88. Ventilation Throught House
89.
Glass Protection
90.
Corrections from Previous Inspections
91. Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
RE:' Attached Building Permit
Dear Permittee:
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538.7541
FAX: (916) 538-2140
B E A U T Y
Attached is your building permit along with the approved set of plans
and a job card. Please post the job card on the job site in a
conspicuous location for the inspector to sign during the various phases
of construction, and also have the approved set of plans on the site at
all times. Inspections will not be made if the job card and approved
plans are not on the job at the time of inspection.
Please review the approved set of plans before construction and make
note of any corrections made in red. If any of these notes or'
corrections are not clear to you, please contact this office - do not
proceed with the work without making the correction.
The job card must be signed by the inspector before proceeding with each
item listed. Should he not sign the card, a white correction notice
will list the corrections to be made and a call back inspection must be
made before going any further. Please allow 24 hours for inspection
service.
As a reminder to you, it is illegal to occupy this building or portion
of building for which this permit is issued without approval from this
office. On certain occasions a temporary occupancy will be permitted.
Please do not confuse gas or electrical service to the building as an
occupancy clearance. Before occupancy, all of the "final items" listed
on the job card must be signed by the inspector or special permission
given.
Your permit expires one year from date of issuance. If the work has
started, but is not completed and finaled by the expiration date, a
renewal permit is required. If the renewal application has not been
made within 30 days of the original permit expiration date, or if the
work has not commenced, a new permit application and fees will be
required.
Upon completion of the work covered by this permit please contact this
office for final inspection.
Should you have any questions concerning this
pertaining to building construction, please
this office.
Micliael C. Vieira, C.B.-
(T.-Manager, Building Inspection
MCV:ahb
Attachments
letter or any other matter
do not hesitate to contact
,
COMBINATION.
SAC IND TIE DOWNS
MANUFACTURED HOME TIE DOWN INSTRUCTIONS AND
SCHEDULES FOR SINGLE / DOUBLE / TRIPLE WIDES
j DESIGN & GENERAL NOTES
DESIGN LOADS:
i * WIND — — — — — — — — — — — — — — — — 15psf (70 MPH EXPOSURE "C)
* SEISMIC ZONE — — — — — — — — — — 4
* SOIL BEARING — — — — — — — — — — 1000 psf NOTE: MAXIMUM SOIL PRESSURE
IS 1000 psf WITHOUT A SOIL REPORT.
*EARTH AUGERS --------- 4750# MIN. TOTAL LOAD CAPACITY
3150# WORKING LOAD CAPACITY
* STABIL—X DRIVE ANCHORS-- 4750# MIN. TOTAL LOAD CAPACITY
3150# WORKING LOAD CAPACITY
*CONCRETE SLAB ANCHORS-- 4750# MIN. TOTAL LOAD CAPACITY
3150# WORKING LOAD CAPACITY
{
*TIE DOWN STRAPS — — — — — — — 4750# MIN. TOTAL LOAD CAPACITY
3150# WORKING LOAD CAPACITY
I TIE DOWN STRAPS MEETS FEDERAL SPECIFICATION QQ—S-781H FOR TYPE 1, CLASS B,
GRADE 1 STRAPPING AND BE AT LEAST 1 1/4" x .035 ZINC PLATED.
GENERAL NOTES:
1. THE CHARTS SHOW THE REQUIRED NUMBER OF TIE DOWNS ON THE SIDES AND
ENDS OF THE MANUFACTURED HOME.
2. COMBINATIONS OF THE DIFFERENT TYPES OF TIE DOWNS CAN BE USED.
3. FOR ALL TIE DOWN INSTALLATIONS, THE MANUFACTURED HOME CHASSIS MEMBERS
ARE SHOWN AS "I" BEAMS. (FOR ILLUSTRATION PURPOSE ONLY) CHASSIS BEAMS
CAN ALSO BE "C SHAPED OR "RFC' SHAPED.
4. SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS. END TIE
DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION OF THE
MANUFACTURED HOME.
5. END TIE DOWNS CAN BE LOCATED WITHIN 18" IF EITHER SIDE OF CHASSIS BEAM
AXIS.
6. THE SIZES, TYPES, LENGTHS, ECT. OF MATERIALS SHOWN HEREON ARE MINIMUM.
LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY SAC INDUSTRIES, INC. MAY
BE USED AT THE SAME SPACING AND LOCATIONS SHOWN.
7. ALL PARTS ARE COATED WITH RUST RESISTANT INDUSTRIAL SHOP PRIMER.
STATE APPROVAL
APPROVED
SUBJECT TO CORRECTIONS NOTED
4pprovol does not nvthorize or approve any omission of
deviation from requirements of applicable State laws and
repulotions.
.. State of California
Department of Housing and Community Development
DIVtS1ON O CODES AND STANDARDS
BY -....----- - - Dcl.a,
(signature)
SPA NO._._, _T_3 _".2c
_ l rhiS Plan Approval E
i
SAC INDUSTRIES, INC.
3236—C FITZGERALD RD.
RANCHO CORDOVA, CA. 95742
PH: (800) 771-3055
PACIFIC CONSULTING ENGINEERS
2150 BELL AVE. SUITE 145
SACRAMENTO, CA. 95838
PH: (916) 564-6028
THIS TIE—DOWN SYSTEM
MEETS THE REQUIREMENTS
OF SECTION 1336.3
SUBSECTION (a)
- wv wvp i
EXPIRES: 7/-f7/Al
I
r
a ,
SAC IND. EARTH AUGER TIE DOWN ANCHORS
•m ® a p�
00 0
#6005
#6006 #7000 #7002 #4002
. 0 � 0 - CHASSIS
//4002 PIER -
BOLT -ON TOP -
b7002
`7' STEEL 87000 7' STEEL STRAP �� STRAP W/BUCKLE
W/HOLE
m'0. #6005 SPLIT
►d °a BOLT & NUT
'10
M 6a LN�N �
NOTE 2:"
6006
STABILIZER
NOTE '`3 :..r'•: ':; ' PLATE
#6001 #6000 #6000 SERIES.
EARTH AUGER
J.
r
y I (TYPICAL)
NOTE ;4
VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL
AUGER TIE—DOWN
INSTALLATION INSTRUCTIONS
1. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES.
2. INSTALL GROUND ANCHOR INTO GROUND LEAVING 12"-14" OF SHAFT EXPOSED.
3. PLACE. STABILIZER PLATE NEXT TO SHAFT BETWEEN THE ANCHOR AND CHASSIS a
BEAM, AND DRIVE INTO GROUND.
4. FINISH TURNING ANCHOR INTO THE GROUND APPLYING CONSTANT DOWNWARD
PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL ANCHOR HEAD IS FLUSH WITH
STABILIZER PLATE.
5. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
6. IF ANGLE OF SIDE STRAP IS GREATER THAN 60% STRAP CONNECTION CAN BE
MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM.
7. INSERT STRAP 'THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN
BOLT UNTIL STRAP IS SNUG.
END TIE DOWN END TIE DOWN END TIE DOWN
SEE CHART SEE CHART
SEE CHART
SINGLE WIDE
DOUBLE WIDE
TRIPLE WIDE
SAC IND. STABIL—X DRIVE TIE DOWN ANCHORS
. a
#6005 #7000 7002 #4002
#6013
#7000 or #7002
7' STEEL STRAP
#6013 STABILE -X
DRIVE ANCHOR -
GROUND LINE-,
)#6002
SEE NOTE #7
AND NOTE #8
CHASSIS -
#4002 PIER
BOLT -ON TOP - -
7a7002 STEEL - #7000 7' STEEL
STRAP STRAP W/BUCKLE
W/HOLE
#6005 SPLIT
►`o BOLT do NUT
6d
a�J C G~f H
VN
DETAICA"
STABIL—X DRIVE TIE DOW
SEE DETAIL "A"
I INSTALLATION INSTRUCTIONS
1. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES.
2. DRIVE STABILIZER PLATE INTO GROUND.
3. DRIVE CROSS RODS THROUGH HEAD TUBES INTO SOIL AS SHOWN.
4. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
5. IF ANGLE OF SIDE STRAP IS GREATER THEN 60', STRAP CONNECTION CAN BE
MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM.
6. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN
BOLT UNTIL STRAP IS SNUG.
7. #6002 ANCHOR CAN BE USED WHERE HARD OR ROCKY SOIL OCCURS. IF THE
GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT, USE STABIL-X
ANCHOR OR ENCASE ANCHOR WITH 127x12"x12" CUBE OF CONCRETE.
8. WHEN #6002 ANCHOR IS USED FOR ANY REQUIRED ANCHOR -- (2) ANCHORS
MUST BE USED AT THAT LOCATION.
WIND=15 PSF - 70 MPH FYP "c" - cFIc1.Ill' 70ur d
REQUIRED NUMBER OF COMBINED ANCHORS FOR
EACH
SIDE AND
END OF MANUFACTURED
HOME
WIDTH
LENGTHNo•
OF SIDE No.
OF END TOTAL No. OF
TIE DOWNS TIE
DOWNS TIE
DOWNS
SINGLE
0'-38'.
2 1
2
8
WIDE
38'-57'
3
2
10
TO 14'
57'-78'
4
2
12
DOUBLE
O'-38'
2 1
4
12
WIDE
38'-57'
3
4
14
TO 28'
S7'-78'
4
4
16
TRIPLE
0'-38'
1 2 1
6
16
WIDE
38'-57'
1 3
6
18
TO 42'
57'-78'
1 4
6
20
w
WIND=25 PSF - 85 MPH EXP. "C" - SEISMIC ZONF 4
REQUIRED NUMBER OF COMBINED ANCHORS FOR
EACH
SIDE AND
END OF MANUFACTURED
HOME
WIDTH
LENGTH
No. OF SIDE I No.
OF END TOTAL No. OF
TIE DOWNS TIE
DOWNS TIE
DOWNS
SINGLE
0'-38'
5
2 1
14
WIDE
1 38'-57'
1 6
2 1
16
TO 14
1 57'-78'
1 8
.21
20
DOUBLE
0'-38'
1 5
4---T-18
WIDE
1 38'-57'
1 6
4
20
TO 28'
1 57'-78'
1 8
4
24
TRIPLE
O'-38'
5
6
22
WIDE38'-57'
1 6
6
24
TO 42'
57'-78'
1 8
6
28
#6003
#6004
O ,0
#7000 #7002
N
CHASSIS
#4002 PIER
BOLT -ON TOP _
#7002
7' STEEL #7000 7' STEEL
STRAP STRAP W/BUCKLE
W/HOLE
INSTALLATION INSTRUCTIONS
EXISTING CONCRETE — #6003
1. CONCRETE MUST BE A MINIMUM 3 1/2" THICK AND IN . GOOD CONDITION.
2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET.
3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY SIDE.
4. EXPANSION BOLT IS 5/8" x 3 1/2" WITH MINIMUM 2 3/4" EMBEDMENT, AND
6,180 POUND PULL OUT, 7,160 POUND SHEAR.
NEW CONCRETE — #6004
1. PLACE CONCRETE ANCHOR INTO WET CONCRETE, AND ALLOW TO PROPERLY CURE.
2. ALTERNATE CONNECTION REQUIRES #5 REBAR PROPERLY EMBEDDED IN CONCRETE.
CHASSIS CONNECTION
1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
2. IF ANGLE OF SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE
MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM.
3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN
BOLT UNTIL STRAP IS SNUG.
_ � k
h
i
Sam'
SIDE VIEW
"C" BEAM CHASSIS
SEE '7' Bf_AM CHASSIS NOTE #3
SHEET #1• FOR TIE DOWN INFO.
DRILL 9/16" HOLE AT MID HEIGHT
OF BEAM AND INSTALL
1/2" A307 BOLT
(TYPICAL) — , —
_ 4
_ y
` IT _ -
'Ir -
4
SIDE VIEW
"RFC" BEAM CHASSIS
SEE '7' BEAM CHASSIS NOTE #3
SHEET #1 FOR TIE DOWN INFO.
o,
ALTERNATE
CONNECTION
CONTRACTORS CERTIFICATION
I CERTIFY THAT I HAVE INSTALLED THE SAC IND., INC.' ANCHORING SYSTEM AS
PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE
ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE.
COMPANY NAME:
CONTRACTORS LIC.#
M
11
n
SIDE VIEW
END VIEW
END TIE
DOWN '
CONTRACTORS CERTIFICATION
I CERTIFY THAT I HAVE INSTALLED THE SAC IND., INC.' ANCHORING SYSTEM AS
PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE
ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE.
COMPANY NAME:
CONTRACTORS LIC.#
M
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
., 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754�j,� �P�RMIT
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 31-252-21 '
ZONING
BUILDING PERMIT
OWNER
OBA DOWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
921 TEHAMA AVE OROVILLE
CONTRACTOR'S NAME
JACK'S MOBILE HOME
I TELEPHONE '
342-6656
CONTRACTOR'S MAILING ADDRESS
13 FREIGHT LN CHICO 95926
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
921 T H IIA AIZE
Energy Plan Checking Fee
$
OROVILLE
$
PERMIT FEE
$ 43.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome CK Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
2 3. 00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IR Other ❑
Describe Work: RERK'KEEXEXISGINB
REPLACE EXISTING MOBILE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
W/14X52 2 BEDROOM 2 BATH
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service OOooA OOR LEN
zOR LEN
23.00
LICENSED CONTRACTOR'S 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 fu11 r and effect.
License Class Lic. No. �. .)
O NER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLDS.
SO
3.,,s
NEW CONST. MULTI -OUTLET
NON•RESID. CI CUITS
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FURORES
20 1'0°
BAL p .50
Ex. Occup. ouTELEOTSA AE ISIS NS
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
TFE
PERMIT FEE
i
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insur n e arrier and olicyDumber are:_
Carrier G 111f l31� f�Q)���
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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 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.
X Dat
Sign t re of Vicant - ❑ Owne ontractor Aglet�
An OSHA pergKt is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $ 100.00
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
FLOOD
COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No. 224608
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
91
77
OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 P R IT ju
(Rev. 12/96) APPLICRATION AND PERMIT" 3
ASS ESSBR PARCEL NUMBER' - "R
31-22-21 "t
ZONING
BUILDINGPERMIT
OWNER _? '. I
- ,*'OBA DOER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
44. 921 TEHAMA AVE OROVILLE <
CONTRACTOR'S NAME JACK'S MOBILE HOME
TE_34.2N;956
CONTRACTOR'S MAILING ADDRESS
13 FREIGHT LN CHICO 95926
CONSTRUCTION LENDER 1
Fireplace
LENDER'S MAILING ADDRESSI
3
Total Valuation $
'ARCHITECT Oft ENGINEER
UCENSE.NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS -.,
Plan Checking Fee
$ 23.00
BUILDING ADDRESS '/'
921 TEHAMA AEE
Energy Plan Checking Fee
$
OROVILLE
$
PERMIT FEE
$ 43.00
LOT NO.
SUBDNISIONS NAME
-
PARCEL MAP
�
PLUMBING PERMIT
Fling Fee 20.00
!" USEOFSTRUCTURE 111m.Each
!` '�
SF` ❑ Duplex ❑ Mobilehorre�'& Other
+,. SPECIFY
Trap
7.00
Solar or heatpum water heater 23.00 -
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
k
New ❑ Addition ❑ Remodel ❑ Utilities 0 Installation CX Other ❑
Describe Work: ,)($xj$)�jN$
REPLACE EXISTING MOBILE
Gas piping system 1- 5 outlets
15.00
Building sewer
15.00
Mobiie Home I S G w
@20.00
PERMIT FEE
$
W/14X52 2 BROOM 2 BATH
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zooAoa'ss
23.00
LICENSED CONTRACTOR'S 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 i full tor and effect.
o18-376
License Class Lic. No. > ,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0.,.1 am exempt under Sec. Business and Professions Code for this
reason ,
Main Service ( 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLDS.
so
3.50FT;
NEW CONST. MULTI -OUTLET
NON-RESID. .. o,
@7.50
POWER APPARATUS
SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
P•
20 9''•00
BAL Q .50
APPLN.
Ex. Occup.ouTFIXEDLETs RESsID. EORA
,,,- -
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
_ -
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for-workers;Coolin
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as,required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and otic umber are:
Carrier y-" � �rjO&AI �
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation' provisions of section 3700 of the LaboriCode, I shall
forthwith comply with th se rovisions.
X - !__ Dat
onactorAgent
Sign of licant - ❑ Owne tr
ture .-
An OSHA per It is required for excavations over 5'0' deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $ 100.00
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 4
HA2.
D. FEES
IMP
FLOOD
COf
,PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
a
Date
Date
Receipt No. 224608
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I'!)�,. �.J}{�I�A�"nl�`.�M�"a'7o�� )rq�' jr rm` �-Y"'!L� �r.• . 4i �. r a fi„ -_ -
'COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive; : Oroville, California 95965 -Telephone (916) 538-7541;, y P�RMI NO.
(Rev. 12/96) *-' 3rr' APPLICATION AND PERMIT ;1� b..
tom...
ASSESSOR PARCEL NUMBER .'
31-252-21
ZONING -
BUILDING PERMIT
OWNER OBA DOWNER
TELEPHONE
SO, Fr, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
921 TEHAMA AVE OROVILLE
CONTRACTOR'S NAME
JACK'S MOBILE HOME
TELEPHONE
342-6656
CONTRACTOR'S MAILING ADDRESS
13 FRiiGHT LN CHICO 95926 i
CONSTRUCTION LENDER t
i
[Fireplace
LENDER'S MAILING ADDRESS
i,
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
92i TF.HAMA AVE
Energy Plan Checking Fee
$
OROVILLE
$
PERMIT FEE
$ 43.00
LOT NO.
SUBDNIS ION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE w
SF ❑ Duplex ❑ Mobilehome dir Other
SPECIFY
. -Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IJ Other ❑
Describe Work: XXRKX 'gym
REPLACE EXISTING MOBIL$
Gas piping s stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W1
920.00
PERMIT FEE
$
F W/14X52 2 BEDROOM 2 BATH
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoonoaLEss
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am 'icensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is full jor2 and effect. $ 3
License Class Lic. No.
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1.1 am exempt under Sec. Business and Professions Code for this
reason
Main Service ( 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( a ACC. BLDS.
SO
3.5¢FT;
NpN-gEglpT MULTI-OUTCE
97,50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occu OUTLET OR FIXTURESEFiling
Ex. Occup. ouTLEEDTs(RESID.OEA
Temporary Service
Mobile Home Facilities
Misc. Wirin
PERMIT FEE
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier - and olic umber are:
Carrier --•------- " - a�j l ) EAUE
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ (,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 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.
X / _ D�at�-- —7L�
Signaf icant - ❑ Owne ontractor 8' Agent
An OSHA per t is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee
$ 100.00
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 43 W,
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL PO
HO
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No. 224608
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r
• y*•COUNTY OF BUTTE- DEPART ME NT OFDEVELOPMENT SERVICES - BUILDING DIVISION
s - 1.,,;, 7 County Center Grive_ -. Oroville, California 95965 - Telephone (916) 538-7541 1, PERMIT NO.
(Rev. 12/96) n APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 31 -252 -21z -al
ZONING -
BUILDING PERMIT
OWNER OBA DOWNERTELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
921 TERAMA AVE OROVILLE A
CONTRACTOR'S NAME I TELEPHONE
JACK'S MOBILE HGJE _342-665%
CONTRACTOR'S MAILING ADDRESS
13 FM= IN CHICO 95926 1
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT O ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDINGADDRESS
921 HAMA A
Energy Plan Checking Fee
$
OROVY1LE
PERMIT FEE
$ 43.00
LOT NO.
SUBDNIS ION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUC7URE - -77—
SF ❑ Duplex ❑ Mobilehome ❑� Other SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WOPK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IN Other ❑
Describe Work:
REFUiCE EXISTING WBILE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
S
W/14X52 2 ,BPROMI 2 BATH
ELECTRICAL PERMIT
Fling Fee 20.00
Main Servicenoon eooA oR oR LEsLEsss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am icensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code,
)
and my license I full Przi and effect. / �r --7
License Class Li.. No. 6'9 � Gs � /
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am axempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not imended or offered for sale.
❑ I, as owner of the property, am exclusively :ontracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Busness and Professions Code for this
reason
Main Service ( TO
46. 00
CCU000A
NEW CONST. DWELLING OCCUP.
DWE200ALLING
OR ADDNS. ( a ACC. BLDS.
so
SO
3.50Fr;
NEW CONS MULTI.OUTLET
NON-RESID. AN 1
@7.50
POWER APPARATUS
a SWGLE OUTLET CIR.
EX. OCCU OUTLET OR FDR)JRES
BAL @':5°°Q
Ex. OCCU OFIUTLETSPRES D.OEA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of --onsent to self -insure for workers'
compensation, as provided for by sectior 3700 of the Labor Code, for the
performance of the work for which this pernit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier an otic %unber are-
Carrier
Carrier - - �dJ�LL
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEI:
$
Policy Number
` (The above sections need not be completed f the permit is for work of a valuaticn
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work fir which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree teat if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those rovisions.
'19
X —/'),t .-A"/ rI _Dat `% �, �� _
Signature of licant - ❑ Own ontractcr Agent
An OSHA per `It is required for excavations over 5'0" -Jeep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $ 100.00
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 143,00
HAz
D FEES Imp
FLOOD
COF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under
of
the Butte County Code and/or
in
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -IN. PECTOR GOLDENROD -APPLICANT
rNb'Adwr.:ll`T�#lN�i►Z`s�,;F�'1rakr'R.+'.i:++X�+ts�:r..iFi'K4�,4%ni�'..3 ,^'c ..: ca y�.�, �.M' ,,.'r'r7''n.'n"�'7�i"�. +Yet +�, i1FR"t�.'��f5''YJ�..-.a�:�'t�` ;`P"G`7J��++r.,v�d= u�
t
R
COUNTY
OF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION
f t
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER 06 4L
P. No.
Proposed Building Use
?VL # re %ac%�
/Z -f:
a i$ii•� Building Inspector /Z -f: 5,
Date " •►� Z' �1 %
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED By
1, All items have been submitted.
...............
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ................. .
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ . ........... .
.............
11. Impact fees as shown on attached schedule. 5�. Rc?.. GN V . .
12. California Department of Forestry plan approval/fees. ....................... .
7Z'13. Flood elevation letter (100 year flood) by Ca i ornia Engineer . .................. .
14. Sanitation and plot plan approval O( -v 0i �`e Health Department. ........ .
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .........
20. osss �ctorPre-inspection for required. �ispe
(Date)
x'21. Contractor's license information. (No., Name Style, Classification) ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _�. .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization. .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :............
..... .
30. documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan �e ck list. . .
33 !i e �ON �n.�%�
34.
Whe ou issue th permi , r cess as follows: Mgjtto owner. Mail to contractor.
Telephone and hold for pickup at UI -00 11)-A- office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date �(
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance* (Circle new item not
1. Index permit for above items No.�/�
2. Additional items required:
above).
Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
rrc w�esf�N,Rar��1•'`�,�. Rgwrrt^--tr n.--.v=..�.......-..� c��araV.orf*.-„arsrw�i3"X�'"et''�cw'�h7`7*v'+'..�'a"•°isRS"tiri'tl rr". Fi"'..- ..—..�, -,...,
COUNTY OF BUTTE '
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
SCHEDULE ' OF FEES DUE,. f'
OWNER �.a1 �!" A.P. #
PROPOSED BUILDING USE 0 DATE
REC # DATE REC
1. BUILDING PERMIT FEES
-- Balance Due ................ $ .
-- Additional Fees Due .......... $
-- Additional Fees Due .......... $
-- Revised Plan Checking Fee ....... $
2. SCHOOL DISTRICT FEES
(paid at District Office)
3. SHERIFF FEES (pa -d at Building Division)
Residential ........ x $360.00 = $
Units
Commercial (sq.ft.)... x $0.03 = $
Sq.Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x = $
#Units Amt.
Commercial (sq.ft.) .. x _$
Sq. Ft. Amt:
5. RECREATION DISTRICT FEES
(paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$425.00 (paid at Building Division)
7. SRA FRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER EEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
building permit. These fees may :)e changed during the plan checking process.
APPLICANT DATE
Original -Owner Copy-Buildi Div. (Rev. 12/96)
(Rev. 12/96)
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER — I
ZONING
BUILDINGPERMIT
OWNER
TELEPHONE
S
SO. FT." OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
Vry a/ (( e
CONTRACTOR'S NAME
)foto;
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
LI'
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$ c9�
BUILDING ADDRESS
{
Energy Plan Checking Fee
$
O all
$
PERMIT FEE
$ coo
LAT NO.SUBDNISION'SNAME
ILPLUMBING
PARCEL MAP
PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome . Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
' TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe Wo�rk/:� �,� i ��jA f„ 1,°
7 ; Z a2 4 W
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 8.00v�oaLEss
23.00
LICENSED CONTRACTOR'S 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.
License Class Lic. No.
OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,Mobile
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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.
O I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A
46.00NEW
CONST. DWELUNG Dec P.
OR (
sD
3.5¢FT:
NLW cod Mu�o�
NON-RESID.
@7.50
POWER APPARATUS
6 SINGLE OXmFr cm
EX. Occup. OUTLET OR FIXTURES
Ex. Occu . ox��A°°RESIDOEA
r23.00
Tem orar Service
Home Facilities
Misc. Wiring
23.00
PERMIT FEE
$
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed it the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 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.
X _ Date
Signature of Applicant - O Owner ❑ Contractor O Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ ' 3 , 0-11;1
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
6SUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
ate
Receipt No. AR Y (' 6:2
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION
NOTICE
Post this job card In a safe conspicuous place. Do not
remove until all required inspections are made and
building Is approved for occupancy. Plans must be
available on the job site.
1Zr031-252-021PERMIT#97-2043..)
I ,,.DOWNER, Oba
I 921-Telia a A`ve: , Oroville �I
�ecContc'.Jack-s-Mobile -Home
...._
I6 MHIt Ex Site
PERMITTEE MUST CALL
FOR INSPECTIONS
Footings
Piers
Underground -Conduit
Pre-Gunite
unaerTioor rwmDing
Underfloor Electrical
Underfloor Mechanical
Underfloor Framing
Do Not :In.stali Floor.orSlab<Until:Above Signed
Rough Plumbing
Rough Electrical
Rough Mechanical
Framing
Shower Pan
:.Do Not Insulate.Until Above i Signed
Insulation
Fireplace Footing
FireDlace Throat
Do NotCooUnue;;FireplaceUn11f ;Ali:bye :$rgned
_ ..
Stucco Lath
Scratch and Brown
DoNot. Cover ;Until 'Abov'eSigned
Sewer Service
Water Service
Pool Final
Plumbing Final i
Electrical Final
Mechanical Final
Buildina or M.H. Final
DO NOT OCCUPY UNTIL
ALL THE ABOVE IS SIGNED
AND THE BUILDING OR MOBILE HOME
IS APPROVED FOR OCCUPANCY
Addresses Ititormatlon 24'=Hr Ins
Oroville 7 Coul Center Dr. 538-7541 538-7636
Chico 11pogmamul Ma891-2751 891-2834
I E7L
Revised 7194
I
RESIDENTIAL ..
x031-252-021 _ (PERMIT#97-2043
DOWNER, Oba
PERMIT NI 921 Tehama Ave., Oroville
Cont: Jack's Mobile Home
MHI Ex Site
PERMIT EX.
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
031-252-021 PERMIT#97-2043'
.DOWNER, Oba I
921 Tehama Ave., Oroville
Cont: Jack's Mobile Home
MHI Ex Site
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gee Service
Called PG&E
JOB FINALED (Date)
.Signature
V=OK w
O = Not OK
Not =NotReady
ble MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer Location-Test-FaIICAO-Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Locadon-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / Pt'ft.
/ /Nat or/ /i°ft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-DemandValve-Co nnector
Date
4. Electricity; MH TestCrossovers-BreakersClearances '
Date
5. Drain; MH Test -Fall -Flex Connector
Date
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
7. Elec.; Bonding; Metal w/SCirculating Equip. -Heater
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MI ISCELLANEOUS
Date DECKS, COVERS, CAOPOR'i'S, GARAGES (Plans) OK except #'s
1. Zo�Requirements-Setbacks-Easements . -
Z Footings; ShcsSbs-Dept iSpacing-ConnectorsStael
3. Decks; Girders.and/or Joists-Decking-BracingStAirs-Rails
4. Wood Awn.; Posts-Beams-RItrs.-Connectors
Shthg.-ft.-Bracing
5. Alum. Awn.; ColumnsConnections-Splice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof;-Shthg-Roofing
11. Ext; Steps -Doors -Landings
12. Braced Wall. Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements .
2. Soils; Compaction -Structure Stability
3. Pod Structure;' StedConnections-Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, DistenceGFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/SCirculating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Clrcutating Equip. -Pod Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Cana B-1 Date Card B-1
✓ = OK
O = Not OK RESIDENTIAL (Single & Duplex)
- = Not Applicable
Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
1. ZoningSetbacks-Easments-FloodSlope
2. Ftg., Main; Soils-Elec. Gmd.-/ /• Ftq. Depth
3.
Ftg. Garage; Soils-Steel-Elec. Gmd/ /• Ftg. Depth
4.
Ftg. Porches & Decks; Soils -Steel-/ p Ftg. Depth
5.
Stemwalls, Main;'Steel-BlockoutsANrapped
51.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
52.
6a.
Hold Downs and Special Anchors .
53.
7.
Slab, Steel -Wrapped
54.
8.
Piers -Fireplace Ftg.-Steel
55.
9.
D.W.V.; Fall-Fittlng-Test-2 Way C/0 -Sewer Test
56.
10.
UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
57.
11. Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
Shear Walls; Nailing -Bolts
14.
Girders -Sills -Anchor BoltsJoists Vents-Crippies
15.
Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr; Vent -Access -Combustion Air Baffle
Ext Steps -Door & Sidelight Protection -Landings
18.
Water Pipe; Test & Anchor -Nail Protection
Smoke Detector
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meeh. Protection
20.
Shower Pan; Test, First Floor -Tub Access
Bedroom Exiting
21.
Test Tub & Shower, Second Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
22.
Gas Pipe; Sixe & Anchors
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #s
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
23.
Fixture & Transformer Clearance -Ins. Protection
Elec. Outlets & Recepticales at Kit. Counter
24. Elec. Receptacles Spacing -Lights & Switches at Doors
74.
25.
Size Boxes & No. of Conductors Stapled
75.
26.
Romex Installed Close to Edge of Studs & C.J.
76.
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
77.
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
78.
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
79.
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neutral 0 Yes 0 No
80.
31.
Service -Riser Conductors & Ground -Main Disconect
81.
32.
Equip. Clearances Panels -Motors -Meth. Epuip.
82.
33.
Clothes Closet Light -Shower Light -Spa Light
83.
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except ant's
Ventilation Throught House
35.
A.C. Ducts Insulation & Support
Glass Protection
36.
Vent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38.
Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
FRAMING (Plans) OK except ft
40.
Sits Proper Materials & Anchors
41. Walls Studs -Nailing Spacing & Braces -Plates -Sound
42. Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44. mire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties-Purlin-roll Brac.-TrussShting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdnn. Windows or Exiting Doors -Sill HgL & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except ft
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meeh. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.FI.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following Instld./Drive 0 Yes 0 NoAtValks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86. Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90. Corrections from Previous Inspections
91. Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93. Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
!I
-7
2900-7313'
PERMIT NUMBER B --
P
E
PERMIT EXPIRES _j0- 7�L
11 OWNER Elon Downer
CONTR• owner
LOCATION (A.P. -11 -2S2-2-'
921 Tebema Ave., Oroville
COUNTY OF BUTTE
t Department••,of Public Works
BUILDING INSPECTION RECORD
Zoning
Setback sr
Forms
Foundation
Piers & Girders
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test��%S
�%� Found. Vents
Framing
Plmg. Topout
Rough Elec.
Wtr. Htr. -
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
_
Temporary
Temporary 5 —
- Cert. of 0f c
Final4le
Final
✓ Final d --
DATE
lO 7 3
REMARKS OR CORRECTIONS
fes..
f
t
X-0
G
COUNTY OF BUTTE — PARTMENT OF PUBLIC WOR
7 County Center Driv --Oroville; California 95965 /0 +7
Tel hone: 534-4541
APPLI' AfION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 4�� �fL+�, *� Date - Z✓
Signature of Permitee or Agent
Receipt No. 113:3 3,)--
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date
Building permit expires Dafe /! " - 7 y
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Te�phone No.
_ ����r)
Fireplace
Contractor 4y 1�d „y_el `•
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$
Building Address "
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
l
n
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. ^ —
/4-
Zo n ing
Gas piping system 1 - 5 outlets
1.50
A j v
Each additional outlet .30
F
Sad ion
eDept.
FireZone
Use Permit
Building sewer 5.00
c/115
EQA
arcelg
I ParkingLepciaEalion
Plans
�P rcel Ma
P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
P/ Plans Rec'd
Parcel A oval
Plo' 'xpproval
Permit Fee
$
$ /6
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
e4 A
Main service incl. 1 meter
p
/ OD-
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures bat 10
Receps., switches & fix outlets Z�(a25
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
14 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 Workmen's Compensation Laws of
California.
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
MECHANICAL
No.1
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 4�� �fL+�, *� Date - Z✓
Signature of Permitee or Agent
Receipt No. 113:3 3,)--
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date
Building permit expires Dafe /! " - 7 y
COUNTY OF BUTTE — DEP4RTME}NT OF PUBLIC WORKS
7 County Center Drive — Orovi116, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
-XIX _,�/""�y� z_"��h�r*•% Date ��o
Signature of Pe mitee or Agent
Receipt No. Z �e G .7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIREC OR OF PUBLIC WORKS
00 'By Date
Building permit expires Date
BUILDING
Owner
SQ. FT. OC BUILDING VALUATION
G
Mai I i ng Address '� j - (_ -�
Telephone No.
Fireplace
Contractor a_
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
Building Address( ��
PLUMBING
No.
@ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent - 1.50
A. P. No.
Zoning 8 Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
ees
,JN�C
Sa�
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
fJl
Main service incl. 1 meter
Additional meters, each
1.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 20 d2o
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp.or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
MI 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 Workmen's Compensation Laws of
California.
MECHANICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$ S
�-
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
-XIX _,�/""�y� z_"��h�r*•% Date ��o
Signature of Pe mitee or Agent
Receipt No. Z �e G .7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIREC OR OF PUBLIC WORKS
00 'By Date
Building permit expires Date
- d'
_ � P
All—citility connections shall be
located Vithin 4.ft-outside the rear
third section of the mobile home s;, Z"7///. n_the-defy-{road) side of 'the mdbih • �'A/r
iome.
/7`�
-.3
\71� 0
I his-set-of-plans-and.-specifications:-MUST'be
xept on the job. ht all times and it is -unlawful "to
make any changes or alterations on same without
written -permisson-from -the -pepartment af-prkjj�
Works, ' County of-B,rtte.
bUTT6 COUNJY -�
- -
BUILDING -DF_PARTMEN jp
_� `�
__*P P� _ _
,. _ �.ci �c'{.4it\ � :t,'l.�r"-,,-t �,;(r, r; -:6t_ #�r ;;�r•.irl:
�LtO�^1(�: •i��S.�T 7:• '`1 =�Fi °b s' •?It;�f�':) uf]'A *7`7Sii1Y
�_ �iir7lr`1 .l It.lfi-l..,l�'.t� 1 i i :i'Ti 7;f�='��S'. ••�..wa..�T{`i�+f- -
J
Ad� at
`PERMIT NO. 3091-74B
P
i E
M
,MH UTIL.
PE MIT NO. J433—"P
PERMIT EXPIRES Y
OWNER Elon Downer
CONTR.
LOCATION (A.P. '41-252-2 )
921 Tehema Ave., Oroville
F
t
�4
j
j
Temp. Power Pole
Called PG&E _
}
Temp. Elec. Serv.,
Called PG&E _
Temp. Gas Serv. _
Called PG&E _
JOB
FINALED
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
StemwaII
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heatinq
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
COUNTY OF BUTTE — D'EPAPJMENT OF PUBLIC WORK
7 County Center Drive — Orovi Ile, California 95965
Telephone: 534-4541
APPLICATItIN AND PERMIT ��✓✓ cc✓✓77
authorize representatives of the County of t3utte to enter upon the
above-mentioned property for inspection purposes. -
x G% ; �i e,4, Z>nq-^� Date
Signature of Permitee or Agent
Receipt No. /�
�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OVIUBLIC WORKS
Zuqildlnag��Dpe�rmitexcpires
Date
Date.................P.'.«.. %1
BUILDING
Owner O N
SQ. FT. OCC. ILDING VALUATION
,
Mai I i ng Address
Telephone No.
Fireplace
Contractor ® CVAl
Total Valuation s' Q
Mailing Address
Permit Fee (�
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $ D
$
Building Address ,;2 TC" UL's
PLUMBING No.1 @ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. `� --7�2 -�
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F A<W
ire Dept. FireZone
Use Permit
Building sewer 5.00
EQA
Parking pitsall
Plans Declara
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
Parc Approval
ns Approval
Permit Fee $
$
NEW a ADDITION ❑ UTILITIES ❑ OTHER[K']
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
y+
U &1Z C l>EC eS
Main service incl. 1 meter
(2
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home ® Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures a 25
l 10
Receps., switches & fix outlets 7
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. FanorF.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
�( I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$
authorize representatives of the County of t3utte to enter upon the
above-mentioned property for inspection purposes. -
x G% ; �i e,4, Z>nq-^� Date
Signature of Permitee or Agent
Receipt No. /�
�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OVIUBLIC WORKS
Zuqildlnag��Dpe�rmitexcpires
Date
Date.................P.'.«.. %1
z
PERMIT NO. 251-76P
P
E
M
MH UTIL.
PERMIT NO.
PERMIT EXPIRES 1/19/77
OWNER ELON 'DOWNER
CONTR. OWNER
i
LOCATION (A.P. 31 —L7L—Z
921 TEHAMA AVE.9 OROVILLE
t
1
1
5
1
i
Temp. Power Pole
Called/ G&E
Temp. E kc. Serv.
Ca ed PG&E
Te . Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(S gnature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone`. 534-4541
APPLICATION AND PERMIT
above -'mentioned property for inspection purposes.
X "/i ✓`Qi � ,V.- � Date Z -11� 7,1.
Signature of Permitee or Agent
Receipt No. / y 2- / 7/
White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By 1f- J a�� Date �" /� )L
9Bu$Wffftpermit expires Date /—/Y— 77
BUILDING
Owner ,�L o A/ �O W 1J e- Y
SQ. FT. OCC. BUILDING VALUATION
Mailing Address �I / A Ave—
O YO Ur t, -�
Telephone No.
3 - JJ �/
Fireplace
Contractor
Total Valuation
Mailing Address U 2V,
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address a f e �..� p fJv�
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 .e�
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. / — 1 S 1-- 6
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
VIns I
k1C.
I Safti4tian
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00 ,on
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im r
p ovements
Lawn sprinkler system 2.00
'WA9_pt— ^� Rr 'd I
Parcel Approval I
Plans Approval
Permit Fee $ 5. oo
$ 00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE J$3.00
SQuJ a-✓ ,u37AC is Ta JJ
Main service incl. 1 meter
Additional meters, each 1.00
Single Family ❑ Duplex ❑ Mobil Home ® Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures,bcl1d 10
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner_ or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
® I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
12 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 Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
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
TOTAL PERMIT FEE
$ ao
above -'mentioned property for inspection purposes.
X "/i ✓`Qi � ,V.- � Date Z -11� 7,1.
Signature of Permitee or Agent
Receipt No. / y 2- / 7/
White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By 1f- J a�� Date �" /� )L
9Bu$Wffftpermit expires Date /—/Y— 77
COUNTY OF BUTTE — DEPARTMENT"OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING I BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garacie Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS -
THERMALITO IRRIGATION DISTRICT
410 GRAND AVENUE
OROVILLE. CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: q i -T- )w; ,r, _ O /e .
Owner's Name:
Address:
Date: /7(
r
Acct. No: �s 7 s;-,
A. P. No.: 31-
Phone: C U - i .: y0
No. Units:
Applicant/Agent: 1� 1 14
Agents Proof: /44
Address:
Fees:
Phone:
Application $
�/
Preliminary Review By: y' Date: Ilial -71,
Remarks:
Arrearage
CSA 26 l
SC -OR a
1 st mo. S.C.
Other
Total Fees /ugLo ti -
Collected
Collected By:
_
Date:
Field Review By: Date: v-.
Remarks:
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
J❑ Date of TID approval of completed building sewer (early connection).
❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes
first ("existing construction", prior to Mar. 5, 1974).
❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes
first ("new construction", after Mar. 5, 1974).
DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID
PERMIT NO. 252-76P
P
E E
M
,'MH UTIL.
,
`;PERMIT NO.
PERMIT EXPIRES 1z�Q/77
��OWNER,_ ELON DOWNER
'CONTR. OWNER
t;
,LOCATION (A.P. 31 —252-2 )
f 924 GRAND AVE.9 OROVILLE
q
J
'I
5'
t:
J'
4
t+
}
i
ti
,1Y
its
l
Y
Temp. Power Pole
Called PG&E
Temp. E 4'c. Serv.
Cled PG&E
T p. Gas Serv.
Called PG&E
V JOB
FIINALED
(Date)
0
i (Signature)
COUNTY OF BUTTE — DEPARTMENT OF' PUBLIC WORKS
BUILDING INSPECTION• RECORD
BUILDING I BUILDING (Cont'd) PLUMBING
Setback
FirewaI I
Forms
Parapets
Main Bldg.
Restroom Finish
Footings
Windows
Stemwal I
Siding
Slab
Roof Sheathing
Piers
Roofing
Garage
Fdn. Vents
Footings
Gara a Vents
StemwaII
Slab
Prov. for physically
handicapped
Carport
Footings
Conformance of ex.
structure
Slab
Final
Patio
FIREPLACE
Footings
Footing
Masonry Walls
Throat
Reinf. Steel
Final
Bond Beam
FIRE SPRINKLERS
Framing
Test
Stucco
Final
Mesh
MECHANICAL
Scratch
Heating
Brown
Cooling
Finish
Ducts
Interior Lath
Ventilation
Door Closer
Final
DATE REMARKS OR CORRECTIONS
Ass
Soi I Piping
1st Floor
2nd Floor
3rd Floor
Topout
Water Piping
Sewer
Fixtures
Water Htr:
Heaters
Appliances
Gas Piping & Test
Temo. Gas
Final
ELECTRICAL
Rough
Fixtures
Grd. Fault Prot.
Service
Temp. Pole
Underground
Permanent
Final
TNERMALITO IRRIGATION DISTRICT p
410 GRAND AVENUE
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: -44?y .�-� '.-a LJr� Aue
Owner's Name:
Date: A 9 b y
Address:
Acct. No: s 77-1� S
A.P. No.: -3/ - 6;L
Phone: y" / "
No. Units:
Applicant/Agent: l /A
Agents Proof: A -J/-13
Address:
Fees:
Phone:
Application $
Preliminary Review By: W, r Date: �/�7/7L
r
Arrearage
CSA 26
Remarks:
SC -OR i
1 st mo. S.C.
Other f
-
r
Total Fees /v:=N
Collected By:
Date:
Field Review By: Date: --51'717210
Remarks: O
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
Date of TID approval of completed building sewer (early connection).
❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes
first ("existing construction", prior to Mar. 5, 1974).
❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes
first ("new construction", after Mar. 5, 1974).
DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965�� `7
Tel epttone:'534-4541 /
APPLICATION AND PERMIT
.. .a.r .a..aa.��aua� v c a V a�— VVu., ly UI UU— lU C111.. UpUII LIM
above-mentionedS-pprr✓operty for inspection purposes.
X e?�/ L� pate
Signature of Permitee or Agent
Receipt No. / "T 2 1 7 -J_
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By �-G \1i�'�' Date
Burg permit expires Date /_ / 9 -- 7 7
BUILDING
Owner �Je.r—
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
770 2 Ad A
Telephone No.
53.3 17 S o
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address � 9 N a' V e
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 3. 0a
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. ) — Z 7.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
es I
4.T_awrto
on
Fire Dept.
Fire Zone
Use Permit
Building sewer ✓ 5.00 5,oea
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma 60' R/W
P
Im provements
Lawn sprinkler system 2.00
Parcel Approval
Plans Approval
Permit Fee $ 276
$OC
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER �
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Vv
Main service incl. 1 meter
Additional meters, each 1.00
-
Single Family ®• Duplex ❑ Mobil Home ❑ Others ®
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Y
Water Heater or Space Heater 1.00
Light fixtures b �2
10
Receps., switches & fix outlets bM 10
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar, disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
R9 I am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
Elhave placed on file with the County of Butte a certificate of
'workmen's Compensation Insurance.
1 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 Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ 1 FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$ CO
.. .a.r .a..aa.��aua� v c a V a�— VVu., ly UI UU— lU C111.. UpUII LIM
above-mentionedS-pprr✓operty for inspection purposes.
X e?�/ L� pate
Signature of Permitee or Agent
Receipt No. / "T 2 1 7 -J_
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By �-G \1i�'�' Date
Burg permit expires Date /_ / 9 -- 7 7
�f
'PERMIT NO.
PERMIT EXPIRES
OWNER ELON DOWNER
CONTR. owner
ASSESSOR PARCEL 921 Tehama Avenue, Oro
LOCATION 31-252-21
Temp. Power Pole
Called PG&E
Temp. Elec. Service �� :i-
Called PG&E d411-19
Temp. Gas Service 1-2,14,1, rr
4
Called PG&E
JOB FINALED (Date) �Z
Signature
J ' _ 'OK
O = Not OK
= Not Applicable
- Not Ready
MOBILEHOMES
MISCELLANEOUS
r,,
Date MOBILEHOME UTILITIES (Plans) OK except #'s
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
oning Requirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—Easements
A-11oils; Special MH Support—S f-, v
B. S oc , n= e — all l O—
2. Footings; Size—Depth—Spacing—Connectors
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
Location—Test sement Needed ( )
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_
le ' 'ly; ocation—Clear nces— rnd.— Amp—Concrete
_
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
/"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
g Clearan a
7. Elec.
Card -B Date ., A3?— BI Date
Card -BI
Date Card -BI Date
C BI Date and -BI Date
Card -BI
_
Date Card -BI Date
Date MOBILE ME INSTALLATION ( s) OK except #'s
oning Requirements—Setbacks—Easements
Date
POOLS (Plans) OK except #'s
1. Setbacks—Easements
tings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
as; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4A,Erl'ectricity; MH Test—Crossovers—Breakers—Clearances
4, Elec.; Receptacles and Lighting; Distances—GFI
g/Orain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
J-Iffater; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. mer and Sewer Connected—C/O to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
Gas and Electricity Tagged
6. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghig.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9 xits; Insp.—Sketch
1 Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
C B -I ate a `' and -BI Date
Card -BI
Date Card -BI Date
Card B-1 Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
= Not Applicable
='fJot 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.
Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
4.
Ftg., Garage; Soils -Steel- / /'' Ftg. Depth
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
50.
51.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
_
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
_
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except k's
57.
Smoke Detector
_
14.
15.
Water Ht.; Vent -Access -Combustion Air
Water Pipe; Test & Anchors -Nail Protection
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Pipe; Size & Anchors
62.
Stairs & Rails
_Gas
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
65.
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except tl's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
_
20.
21.
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
69.
70.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Plb., Elec. &Mech. Equip. Listed for Location
22. Size Boxes & No. of Conductors -Stapled
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E] Yes
-
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
--25.
_26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
---
-
27.
28.
Range Circ. / / ga. Cu or -Oven Circ. / / ga. Cu or A1,
Insulated Neutral -7-'Yes No
Service -Riser Conductors & Ground -Main Disconnect
75.
Following instld.: Drive Yes No; Walks
9 ❑ ❑ ❑ Yes ❑ No;
Planters ❑Yes [J -No
76.
Stucco; Brown -Finish
_
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_
30.
Clothes Closet Light -Shower Light _
78,
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
- -
Card B -I
Card B -I
------------------------- -----
_ Date _ Card -BI - Date -- -_
Date Card -BI Date
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptac le-Underc round
81.
Ventilation throughout House
82.
Glass Protection
Date
MECHANICAL (Permit) OK except q's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
_
31.
32.
33.
A.C. Ducts_Insulation &Support --
Vent Fan_ Exhaust above Insulation
_Condensate Drain _& Overilow; Size & Grade
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86,
Energy Compliance Certificate -Other Certificates
Card -BI-
Card -BI
34.
35.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Date Card -BI Date
Ca
Date rd -BI Date
_
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
_37.
38.
39.
40.
Sills; Proper Material & Anchors_
_Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor _Nailing_
Draft Stop in Walls (rat proof)
_Fire Stops; Furred Ceilings -Stairs -Chases - Tub
41.
42.
43.
44.
45.
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protect ion-Draft_Stop-Ins. Baffles
Bdrm. Windows or_Exion_g Doors-_Sill_H_gt. & D_imensions _
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541 ;
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number for the following location:
Owner
J
Owner's Address
Mobilehome Mfg. sib r Model y ° I Year
Insignia No. -4 � 3 I Serial No. % al ' ? _ r
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date By �-
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
�- COUNTY OF BUTTE
0
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
01
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.
�t
A l4T cJr PAPYL /Z
Inspectorlr i' t +'� ��i �- s ` Date
t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIIT NO
ASSESSOR PARCEL NUMBER
J/ZONI"
BUILDING PERMIT
OMPR
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
40
CONT,ROAC TOR'S NA
�O iJ O
TELEPHONE
CONTRACTOR' MAILING ADDRESS
D 0?11/ ®�� ,
Fireplace
C NSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADD R
Permit Fee
$
ARCHITECT OR GINEER
LICENSE NO.
Plan Checking Fee
,$' .—
Penalty
$
ARCHIT T OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDINYDDRESS
PLUMBING PERMIT
FIIIngFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
'0
Water piping
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF [IDuplex❑ Mobilehome�Other
SPECIFY I
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ UtilitiesInst II�a)!*on Other ❑
Describe work:__ �e? Vn% PC—C" .' `�T—� 2--
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 00V OR ORSLESS
5.00
/� J�Z
Jo
Main service EA. ADD'L 100 AMP
2;5'50
NEW CONST. DWELLING OCCUP.N
OR ADDNS. ACC. BLDGS.
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
CE I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professiioor�fs Code and license is in full f ce nd effect.
License No. �Z 10Classification
❑ 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)
El 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
NEW CONSTR. OUTLET
NON•RESID BRANCH CIRC ITS 2.50 ea
NEW CONSTR. (POWER APPARATUS 6�
NON.RESID. \SINGLE OUTLET CIR.
EX. OCCUp OUTLETS OR FIXTURES BAL21
FIXED APP LHS. OROkt
Ex. Occup.(OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith Comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
S
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, Inde nd keep harmless the County of Butte against
and expenses whi ay in any way accrue
all 'es, judgment ,coFe�nce
a ainst sal Co ty i onse of the of this permit.
`� /n , � 6=
Date /g
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 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE 70,0b
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
ND
IS
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for whi
DIREC OR OF LIC
y ,o
By—
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
r
Date 11—A
// L__92�� .
f3
Receipt No. `i'� p�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
BUTTE COUNTY. DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Orovill'e', CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
Ang
1. Owner's name: Mme 5 A 9 f -Aa—
2. Installer's name: A7 /F �,,,,� _ C�rF.P _Zr
3. Is the site currently under permit? Yes./ --r—�No
(If yes, furnish permit number ) OR'
Is the site an existing site? Yes / / No /7— --T
(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
r \
(If no, clarify )
�00
5. What is the mobilehome-electrical rating? ----------------------- Amps
6. What is the mobilehome-site service rating? --------------------- o e Amps
7.. What is the mobilehome site circuit breaker rating? ------------- 160 Amps
8. Is there any other electric load-to,_be served by the mobilehome
siteservice? --------------------------------------------------- Yes No
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobil Aome site'gas pipe size? ---------------------- (in.)
10. What is the type of gas service? ----------------------------- Natural / LPG
11. What is the gas pipe length from meter or tank to the mobilehome? (ft.)
12. What is the mobilehome gas demand? ------------------------------ (BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft.�on LPG.)
MOBILEHOME SUPPORT DATA
JIf otI!er than single wide,
Mobil home Mfr. furnish Setup Model No. 5290� Year
Width_c;,', (.ft..) Box Length(ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7,1973j furnish manufacturer'.s installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified. ,
Footings (check one)
Single 1. Wood either
pressure treated or
foundation grade.
d U .119x 30
(ft.)(in:) (in.) (in.) El 2. Other: (specify)
Center support Center support
locations* footing sizes Supports (check one)
(in.) ( Concrete block.
�6 S 0 .2: Other.. (specify)
(ft.)(in.) "n.) in.)
C\x Tagalong or Expando,'
show suppott details.
(ft.)(in.) in.) (in.)
-- Typical Support
(in.) (in.) Footing Size
1A 11
Max. Pier Spacing
(ft.)(in.)
i
.ou
(ft.)( (in.)
(in.)I (in.)
*If center piers are other than drawn above,
draw in-locatigns,.spacing,, and dimensions.
1 ,
(ft.)(in.)
3--I g �-v
BUTTE COUNTY
BUILDING DEPARTMENT
-- Max. Overhang
APPROVED �/v
JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
-,. 7 County Center Drive - Orovllle, California 9595 - Telephone 916/534-4541
- APPLICATION AND IdERMIT
/PERMIT NO.
ASSESSOR PARCEpL�JNUMBE ZO ING^)
BUILDING PERMIT
OWNER\\\ TELEPHONE
BUILDING VALUA 10
OWNER'S MAILING ADD
ES _ q'�S a
alffla
FSQ.FT.00C.1
CON RACT
rELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 44.90 --
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ r'
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING DRE IS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT O.
SUBDIVISION NAME
PARCEL MAP
�.
Each Clas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USEOF-RUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
5.00
Mobile Home
10.00e � P0o
TYPE OF WORK _�
New [_1 Addition [:]Remodel [:]Utilities lief installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
10,00
Main service EA. ADD'L 100 AMP
2.50 SQ
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
,
2/20sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044) 1
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ i am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR MULT'-OUTLET 2.50 ea
NON•RES,. BRANCH CIRC ITS
NEW CONSTFL//POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES SA 0309
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 S
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County, of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 onse ce of the granting of this permit.
X— „_�/ _ ��
-fir 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 $
TOTAL PERMIT FEE $
occUP. GROUP
I TYPE OF CONST.
PARC L
✓
1113_
HD SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
- IRECTOR - UBLIC
By
PERMIT (PIKES Date
_
the applicable provi-
resolutions to do
fees have been paid.
WORKS
ate
-
^-�
Receipt No. / S I
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
T
DIRECTORS THERMALITOIRRIGATION
Lloyd A. Wilcox
A Pub1f6 Agencq
Division 1
Charles G. Allen
Division 2
Vurden L. Tolman
Division 3 410 Grand Avenue
Elden J. Brown Orovllle, California 95965
Division 4 (916) 533-0740
Ernest L. Reynolds November 15, 1982
Division 5
Mrs. Elon Downer
921 Tehama Avenue
Oroville CA 95965
DISTRICT
James O. Schmidt
Manager/ Secretary
William H. Spruance
Legal Counsel
Subject: Availability of Domestic Water and Sewer Service
This letter is to confirm that Thermalito Irrigation District
is approved by the Department of Health, State of California
to supply domestic water and sewer service to users within the
District and that ample water for normal use and fire protection
is available. Service will be furnished to AF.#.31-252=2.1 for
a second unit upon completion of financial arrangement.
Very truly yours,
THE LITO IRRIGATION TRICT
Ja e O. Schmidt, Superintendent
JOg: ss
Your future economy depends on your most valuable resource — WATER.
Organized 1922
-HERMALITO IRRIGATION DISTRICT
410 GRAND AVENUE
OROVILLE. CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: 921 Tcl=rn,
Owner's Name: C')ry..
Date: 11-18"82
Address: 921 Tolhcr:o
Acct. No:
02ovillc , CL'. 35955
A.P. No.: 31-252-21
Phone: 534`1540
No. Units: 1 ,e"N 4
Applicant/Agent:
Agents Proof:
Address:
Fees:
Phone:
Application $ 20 Ca
Arrearage
Preliminary Review By: Date:
CSA 26
Remarks:
SC -0 R
St;C..TruZ:tcaa1 Vr.cility C� 1rac cnd CSP,i26 Ccl c ;ion
1st mo. S.C.
CLt,rno, '.-o ve ci= m1, prior to co=cction
Other
to tiC
..=nt in -9foct for cow:wc =ioa f:!Q Lit tic=o of
Total Fees 20 'G`
tn, -�t,cctioa to etc ::;ct—,:-..
Collected By: ?1:
Date: lulu•-�2
Field Review By: /,,/:� Date:
Remarks: r
MONTHLY SERVICE CHARGES WIL_ COMMENCE AUTOMATICALLY UPON:
Date of TID approval of con-pleted 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. E., 1974).
❑ 180 days after date above, or on date of D.P.W. approval of completed building
sewer, which ever comes
first ("new construction", af_er Mar. 5, 19744.
DISTRIBUTION: WHITE - TID, YELLOW -APPLICANT, PINK -DPW, GOLCENROD - DPW to TID
This set of plans and specifications MUST be '
kept on the job at all times and it is unlawful tc
�. ._ ..____...... ._. ._._M..��._.__, _.........._._.._... ...�.•.. ;mak'e-'Snv•-chai)ges*^ur-aite�rations--on same with-
out written permission from the Department of
NOTE:—All Materials & Workmanship Shall Be in --Public Works, County of Butte.
Accordance with Recognized Good Practices an(' '� !
-cif-a qua Iity-prese�d for the•S•pec•ified•use in the ...... ?.
Uniform Building, Plumbing & Mechanical Codes
and the National Electrical Code. f
.�__ _ :�...__..,__.�.............,.._._..._..W:__....__....__......................_........AsetbaGk.of 5 ft. from the
property. lines and a _setback
�._ _._•....__ . ,_,....__.^ ...`....., : , .._._ _ .......�56f 50ft'.•. frog, -the road
a ..,_. .....W �.._.....�wEli � a �.�..,...,.,......:����,Elear�
! centerY�M—S
structures or equipment except
:� ' �� / ► 1 for a 2 fteave overhang.
• �. � _._ '; 0, y/ Ate, � j
I w PM '
0,%3
` Utility connections call be within
4 ft. of the mobilehcjme either }
directly behind or
v��lthin the rear �•
j half of the roadside left) of the
f oi(o' mobilehome. ql
1
• N T I
1 I 1
g _ /0,
Gaoff a• . _ _ i
� ,
>
j !
_A pmmiy will be required for the
insfialll�t'on of the mobilehome.
If
1
010 j
.... .__.__._._...___. _.
{
48 Vs9
.34
�
err r
,.-.._0UfiT€ COU N (11 ��•� / T@ �f /' ,
RUILDING�DEPARTMEN �`�`�"
Owner:
,?Qy BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL, INSPECTION REPORT
Address:
Tenant:
Building Location
Type of Inspection requested:
1. Housing. 2. Financing
Other (specify)
A. P. #
Date of Inspect
Inspectory ..
3. Change of Occupancy to
Present use of building• -- A. Sanitation (Housing)_
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Connection to sewage disposal:
12. Connection to water -.supply:
13. Rubbish and garbage facilities:---
14.
acilities:14. C omznent s
B. Structural
1.
Piers and footings:
2.
Floor construction:
3.
Wall construction:
4.
Ceiling and roof construction:
5.
Fireplaces:
6.
Cormnents•
C. Electrical
1.
Service <: ground:
2.
Recepir.c. -s:--'-
s:'3.
3.
Fusing: -
4.
Comments:
D. Plumbic
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4.. Comments
E. Other +
1. Maintenance and. repair.:
2. Fire liazards :
• 3. Safety hazards:�._--
4. Weatt,er protection:
5. Tinde.rfloor and attic ventilation:
6. Corm:aents:
F. CoTwercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically h.andicapped:
4. Rest-oom floors and :galls:
5. Exits: _
6. Improvements
8. Comment
G. Field Probl.ezis or Viclal ions
1. Problem or vo1on (givompletc rip�ion)r�ye�
'0
2. What actio_ taken (give complete description
3. What an -'Zion recommended:--
%-% A. only - f l-2.
/ Hold for tc:i (10) dans, then writ -c- Y.e.tter.
r• WrI.-te letter.
77D. Other:
82-34-189
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTT,.L DEVELOPMENT �
o. FIC.
BBJ?TE COUt .
T - ,
Section 26-8:1 of the Butte County Code requires this acknowledgement -,'OROS RFQt:: -T^'
be recorded prior to issuance of a building peimit. 'cam.
oV 16 lU 22;15;;?
The property described herein is adjacent to land or included „,:
within an area zoned for agricultural purposes, and residents of ELOMRM.8i:C%FR
this property may be subject to inconveniences or discomfort arising i CLERK -RECORDER
FP E
from the use of agricultural chemicals, including, but not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise; and odor. Butte County has established.agricul-
tural zones which have as -a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
Parcel 4 of'that certain parcel map recorded in the office
of the Butte County Recorder on December 5, 1980 in Book
81 of Parcel Maps at Page 4.
Date:
PROPERTY OWNERS:
4A . I
-9. Lysz & if
State of California ) On this the 16th day of November , 19 82.
SS. before me, the undersigned Notary Public, personally
County of Butte ) appeared
0
Oba L. Downer and Elon R. Downer x
known to me to be the person(s) whose name(s) are
subscribed to the within instrument and acknowledged n
OFFICIAL SEALD
that they executed the same for the purposes M..
DONNA M. EARtherein contained.
[Q:N(OTARY PUBLICn-C.A�.�O��
ncipalotticein"IN WITNESS WHEREOF, I hereunto set my hand and official
Commission Expires Aug.
seal.
Notary Public
Present A.P. NO.
END OF DOCUMENT
r- i
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