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(AUNT MINNIE GRANTED 4/21/81) 039-120-003 AGOI-176
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39-12-3 GRECO, JIM
IL GERMAN 2925 CHICO RIVER RD, CHICO
S/S Chic iver Rd, app 700'E Crouch,Ave AG EXEMPT PERMIT
Chico
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ON ACTION-TEST,RE
UPPORT STRUCTURE R.E."
39-12-3
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2925 Chico River Rd, Ch'
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BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
AL -2 -6I -
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. �
_ oo�
ZONING
-to
OWNER�? ,� o
vJ kc
PHONE N
�345-336-71
OWNER'S Ad ,c7j,�S Q �y
ni, nhcoS
a
LOCATION OF BUILDING
clime
USE OF BUILDING
SIZE OF STRUCTURE
SO.
FT.
TYPE OF CONSTRUCTION:
WOOD FRAME --.X- STEEL
CONCRETE OTHER (Specify)
TYPE OF SIDING.
ROOF C VE ING
FLOOR TYPE
ESTIMATED covr OF CONSTRUCTION
o, ov
AG Buildings shall comply with the minimum
front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:
D ,
�® 1/
FRONTP
SIDES •��REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requireme is in ff ct at that time and before
occupancy.
YiDate 31 0I /��'�c✓ �%
/ ! Signature of Owner l✓'
Permit Fee - $60.00
Receipt No. 7
`M
The above described AG Bu
Manager Buildinb Division
By
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
is exempt from a bu
Date
I
PLAN REVISION
Please complete the following information in order to process your submittal. If this form is not complete
and legible. it may cause a delay, in processing.
Owner's Name: --Received By: Date:�C�
A.P. #: 0 31 - 1010 - (fib?) Permit #: Time:
ContactPhoneNumber: 15 `-t'�)
Purpose of submittal:
0 Permit Application Data Item
I0 Engineering
❑v
Plan Revision
U
0 Requested by Building Inspector or Correction Notice - Inspector's Name:
0 Requested By Plan's Examiner - Examiner's Name:
V L1610 11111
11- 'O.er I
If you are revising a pldn whi" has already 65ein issued, s4$mit two(2`f drawings reWecting the revisions for
-eview. If engineering is involved in this revision, the engineer must put his requirements on these drawings
;tamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised dst'clearly s
When Approved, Process as Follows:
0 Mail to Owner at this address:
O Mail to Contractor at this address:
❑ Call and hold for pickup at the ❑ Chico Office
0 Deliver with next inspection.
0 Oroville Office
Revised Plan Check Fee: 0 546.00 Receipt #: M—Xd—d—itional Fees Not Requir
Additional fees may be due based upon complexity and time involved to process this submits
Additional Fees: Receipt 0:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION
7 County Center Drive, Oroville CA 95965
Phone: 916-538-7541
RE: 2925 Chico River Road
A.P. # 039-120-003
With reference to the above subject:
Attached is:
Application for permit
Building Plans
Engineered Calculations
Owner -Builder Verification Fm
DATE: 9//4/01
Mobilehome Utilities Installation Sheet
Mobilehome Installation Information Sheet
Typical Plan Sheet
List of Codes Enforced
We need the following information prior to permit processing and/or issuance:
Permit application signed and completed where indicated. with all copies returned.
Plot plan8, 3/4 sets, signed by preparer of plans.
Complete plans, 3/4 sets, signed by preparer of plans.
Engineered plans and calcs, 3/4 sets, with wet signature on plans.
Hazardous Material Form
Energy Design Compliance and supporting documentation.
Statement of Intent for Non -Heated and A/C Buildings.
Engineered truss details and layout in duplicate.
Mobilehome data and manufacturer's installation instructions, 2 sets.
Fees of $ , payable to Butte County Treasurer.
Impact fees paid.
California Department of Forestry plan approval/fees.
F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed
land surveyor, architect or engineer.
Sanitation and plot plan approval Health Department.
City of Chico plumbing permit.
Plot plan and business license approval from City of Biggs/Gridley.
Planning approval for
Land Development (a) Improvements (b) Drainage.
Driveway permit (approval of construction required prior to. occupancy).
Contractor's license information (No. Name Style, Class) or exemption statement.
Owner -Builder Verification Form.
Recorded copy of Agricultural Acknowledgement Statement.
Letter of signature authorization.
Copy of recorded deed of parcel creation and 60' right of way to a public road.
Letter of intent on building use.
Mobilehome utility clearance.
Documentation of legal access.
Documentation of 50% subdivision developed or (a) Road improvements completed and
(b) Parcel meets zoning area and frontage requirements.
Existing violations/expired permits resolved.
Plan check list data and revisions.
sets of plans in accordance with changes marked in red.
Copy of recorded 60' right of way to a public road
Other: SEE ATrACM
Should you have any questions concerning the above, please contact
of this office.
4Manger,
e t ,
C. Vieira, C.B.O.
MCV:ahb uilding Inspection
A portion of your property is within F.E.M.A. flood hazard zone AO. Please have a licensed
civil engineer establish the limits of the flood hazard zone on your property, and provide a
detailed, dimensioned, plot plan drawn to scale showing the location of your proposed ag.
exempt building out of the flood hazard zone. If the structure is to be constructed in the flood
hazard zone, an ag. exempt permit is not allowed, and complete plans and permits are required.
MMM smsm �,
2779-88B,P,E,M
PERMIT NO.
PERMIT EXPIRES
OWNER JIM & CI CY GRECO
CONTR. Owner
1 �NASSESSOR PARCEL 39-12-3
LOCATION 2925 Chico River Rd,Chico
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Temp. Power Pole
Called PG&E
Elec. Service, //, /
Called PG&E4zG �N ik eAzzaA
T mp. Gas Service
Called PG&E
JOB FINALED (Date) -
Signature
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RUN OATEi 1•-14-31 It•:O6V : BOHEMIA INC. LAMINATE* MOOD PRODUCTS SY3TElE` SORTED 0/l MAAli PAG[ f
DISTRIBUTE TO: SHIPPING 0*0 MEMBER SCHEDULE •sem
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CER IFICATE OF.' C:oNOR�� �t.•,M�
HE UNDERS/GNED MANUFACTUR6R
that the products identified below and on attached sheets Nos. •N�ltferked ;r; ::
with the Collective Mark of the AMERICAN INSTITUTE OF TIMBERdCQNSTFIIQM�jA1TC1;.r
and were manufactured in conformance with applicable provision; of erlcwn- Nxdonil.
ANSI/AITC A190.1-1983, Structural 'Clued* Laminated';Timber; MK'aftp"JP~W toMlitt�tl ,hM
been at our plant in Sa4inaw. Oregon which plaint jm a qujlhy,COAtroI i11�t�1t1:y'�•.
approved by the Inspection Bureau of the AMERICAN•INSTITUTE'OF,:a1M E CQ SON
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of productswhinc�omply with applicable provision: of said Standard, that. the•'edegya�cy:•ot«'gig'quillty •,:fir
control system In effect at said plant is periodically inspected and verified by.the Inspection Bureau of i+
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► • •FORM MCA
COUNTY CF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-27-D1
7 County Center Drive, Or�vi Ile — Phone: 533-7541
747 Elliott Road, Parad se — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
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, r' need additional explanation, please contact this office immediately.
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Glc_ &A1Q I U/ow
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6 74/"x• Gyr�Ott/£ /l%DIykX
Inspectork V A -,U\
Date L/ G��/
COUNTY OF BUTTE r
DEPARTMENT OF PUBLIC WORKS �4`
196 Memorial_ Way, Chico — Phone: 891-2751
7 County Center Drive, 0-oviIle _ Phone: 538-7541 }
747 Elliott Road, Paracise— Phone: 872-6307
CORRECTION NOTICE
elz /;?j�7 _
OWNER PERMIT NO.
A routine inspec on indicates that the following violations of County Ordinance
exist at the ove address and shoulc be corrected. Please notify this office
when corr tion of work is completed. If you have any question pertaining to this
matter oLr reed additional explanation, please contact this office immediately.
ID
//l , — n/ — ' . — i/ J__ _ '.
Inspector Date
w s T . ..-• ti.. r• . ;a; . ,r'.- . �„� .�. ., f'r+, 't r+ -x rr• w'9. �-Fw. ,-.A�rr.. 4..
COUNTY OF BUTTE
rti DEPARTMENT OL PUBLIC WORKS
•� ._� 196 Memorial Way, Ch co— Phone: 891-2751
7 County Center Drive, Crovi Ile — Phone: 538-7541 tr
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE _
OWNER PERMIT NO.
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, 'r need additional explanation please contact this office Immediately.
it `f z —
A GiN--c le
Ale 9-
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-
Inspector
---1:+��-..til..,^..i..,.�.s-..�tlt.t ��:.=--•-a...r-,�_�_"�',.::^`-•✓`w-►'�-'`.-.� :-+�--•--�--:"r
COUNTY :)F BUTTE r, !
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, aroviIle — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine in pection Indicates that the following violations of County Ordinance
exist atabove address and shoulc be corrected. Please notify this office
when co r ction of work is completed. 1` you have any question pertaining to this
matter ;or need additional explanation. please contact this office immediately.
X
Inspector Date
�zs� 'x; -..r'- •r-. ,. •r. r .til-
COUNTY OF BUTTE 1 '
i DEPARTMENT O= PUBLIC WORKS
196 Memorial Way, Ch co — Phone: 891-275>1
7 County Center Drive, GroviILe — Phone: 538-7541. "
. v
747 Elliott Road, Pdradise — Phone: 872-6307
CORRECoTION NOTICE
OWNER PERMIT NO.
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.
1
Inspector Date
/
t
J
1
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico - Phone: 891-2751
7 County Center Drive, Orovi Ile - Phone: 538-7541
747 Elliott Road, Paradise- Phone: 872-6307
CORRECTION NOTICE
OWNER A PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and shoulc be corrected. Please notify this office
when correction of work is completed. I` you have any question pertaining to this .
matte or need additional 1explanation. please contact this office immediately.
L4 j
S �Go e
1 1
0 U % C�� i I � �'-Gal raLl'I�C•C fD l�t.��C i T � Uel7 I,-;:
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Inspector �/�^ L/� " 7/y` Date
OK ,
0 = Not OK
= Not Readyable 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-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utilitv Clearance
Card -131 Date Card -61 Date
Card -B1 Date Card -B1 Date
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector _
6. Water; MH Test -Regulator -Connector '
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card -B1 Date Card -131 Date
Card -131 Date Card -B1 Date
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- Beam s-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing `
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings ,
Card -81. Date Card -B1 Date
Card -131 Date Card -61 Date
Date POOLS (Plans) OK except #'s '
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -81 Date Card -131 Date
Card -B1 Date Card -B1 Date
k
= OK
0 =.Not OK
- = Net Apffcable
= Nos Ready
RESIDENTIAL (Single and Duplex)
I
Date UNDERFLOOR (PI OK except #'s
Date F NG (Continued)
1 e cks;- ts-FlE�ci.:�^nP
_� angers -Post Ca s- chors-Connectors
tg., Ftg. Depth
ng. 49 Rst-Rf Res- urlin-Roof Brac.-Truss-Shthng.-Rfng.
Pq s 8.Jaoeks` s-Stee4-VA1"Ftg. Depth
�io Access; Size & Romex Protection -Draft Stop -Ins. Baffles
emwalls, ; 6teal-BloQ)tedfs-V4La4aped
4"drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
-
50-fMage Fire Protection Framing
7. lab; Steel -Wrapped
r perty Line Firewall & Openings
j�IS�FirPnRar "++eel
xt. Doors-Oge._3,'-Check Garage -3rd story, 2 exits
)pT1� ki9Q.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
airs; Widih-Headroom-Rise- Run- Land ing- Fire Protection
10.nas Pipe; Size -Anchors
. Plyw on Roof Overhang -Attic Vents -Rafter Outriggers
11,,Water Pipe; Test -Anchors -Regulator -Service Test
ding- Rng V"aw-
12/Zlectric; Underground
. tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13.70enums & Ducts; Clearance-Material-Supprt-Ins.
lazing Area -Glass Protection -Skylights -Plastic
611`5 14kGirders-Sills-Anchor Bolts -Joists -Vents -Cripples
tru alls; Nailing -Bolts
T� 15)tlnsulationi
sulation-Walls-Clg.
nfiltration-Walls-Wndws
Card -Bl Dat i and -B1 Date
Card -B1 , . Date16j/�rJ' Card -B1 Date
Card -B " Datq2-341-4Card-B1 Date
Card -131 Date i(Card-B1 Date
U9
Date PLUM"G (Permit) OK except #'s
�—
1 Ht. Vent -Access -Combustion Air -Baffle
Date FIN (Plans) OK exce #'s
a Pipe; Test & Anchors -Nail Protection
Z E teps-Do :Sidelight Protection -Landings
Test-Fttngs & Anchors -Nail Protection
moke ector '
' hower Pan; Test, First Floor -Tub Access
i
nace; Vents -Clearance -Comb. Air -Connector -
In_QeyTge; Above Floor-Ducts-Mech. Protection
'Tub & Shower, 2nd Floor -Tub Access
<2915ras Pipe; Size & Anchors
edEparn Exiting
.I ath Fixtures ub Access -Spa
rim & S nel; Breaker Sizes -Labels
Card -B1 ,, DatelL-30-&Hard-B1 Date/ --/
. 8 tairs &
Card -B1 r Card -B1 Date
--,6g-Fireplace or Stove; Clearances -Hearth
�
�. Iec is at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
V—it. F' Appliance; Grnd. -Air Gap -Cooking Clearance
lec. Receptacles Spacing -Lights & Switches at Doors
ec. Outlets & Receptacles at Kit. Counter
24!$ize Boxes & No. of Conductors -Stapled
-J2—Garage Fire Door; Swing -Landing -Closer
2t, ex Installed Close to Edge of Studs & C.J.
----?T.-A.C._Duct in Garage -Damper
�2i§ Equip. Ground made up w/Mech. Fasteners -Bonds Mater
l� 7 r. Htr Vents -Clearance -Comb. Air-Connector-P.R.V.-
In age; Above Floor-Mech. Protection
1-'7-2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
b., Elec. & Mech. Equip. Listed for Location
28-Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
,7R FRPc. tacles in Garage; (G.F.I.)-Romex Protec.
2 nge Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
I ated Neutral Yes No
7 s ion -Foam -Looked in Attic 9Ye
ar Rails & Deck Constr tion -Post Caps
n. Vents & Crawl eDoor-Drainage & Wood -Earth
Cleqxaode Looked under Floor ❑ Yes
ervice-Riser Conductors Gra6nWain Disconnect
3 quip. Clearances Panels-Motors-Mech. Equip.
3 lothes Closet Light -Shower Light -Spa Light
.a0efZllowing instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
39.moke Detector
-.A1--3tuc o; Brown -Finish
Card -B1 ,-- Date/ Z-34- Card -131 Date
nit; Disconnect, Electrical, Plumbing
Card -81 Date Card -131 Date
ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date MECHANICAL (Permit) OK except #'s
.-8d W r Well; Disconnect, Electrical, Plumbing
3 . A.C. Ducts Insulation & Support
r Elec. Trim; G.F.I. Receptacle -Underground
tila ' n throughout House
3 e an; Exhaust above insulation
ndensate Drain & Overflow; Size & Grade
8 GI Protection
a,41qrnace-Vent; Access -Comb. Air -Return Air Vent -115 outlet
0 rrect'ons from Previous Inpections
ttic Access & Platform if Furnace in Attic
89. a est -Meters Tagged; Gas -Electric r,41 7 >lJI.L j-sf�
i 7 ( Water & Sewer Connected -C/O to Grade -HD Approval
t Energy Compliance Certificate-Oth,*,elMficates
Card -131 Date t-30-5j'Card-B1 Date
92• Roofing Certificate
Card -B1 i Date �� hard -B1 Date
Card -B1 VZ'aW p �JCard-131 Date
Card -B1 Date . Card -B1 Date
Date FRAMING (Plans) OK except #'s
SillsfProper Material & Anchors
Card -B1 .'.l DatgQ,76Card-131 Date
4a -Walls Studs -Nailing, Spacing & Bracing—Plates-Sound
Comments at Final:
4 • B ing Walls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
' 4�r ops; Furred Ceilings -Stairs -Chases -Tub
d / Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC
7 County Center Drive - Oroville, California 95965 - Telephone:
APPLICATION AND PERMIT
WORKS P RMIT N.
916/538-7541.
ASSESSO PARCEL NUMBER
ZONIN Q
BUILDING PERMIT
OWNER ,
TELEP ONE
.SO. FT. OCC. BUILDING
VALUATION
U
OWNER'S MAILING ADD ESS
;C.tee!-
rc a-3
a S, ,N; , d
CONTRACTOR'S NAME
TELEPHONE
-37 ti
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 6,
loe
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ .50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ , 00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS � �. I�
dl Cl�• t.. b I l ►lie 1 j\ C, 6-U
Permit fee
$ - �
1
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
) 2.00 /t ,t% U
CC_ 0
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 n J
Each qas water heater or vent
5.00
�-,! USE OF STRUCTURE
SF Imo• Duplex❑ Mobilehome❑ Other
' ` SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 o�
Mobile Home S G W
O.00ea
TYPE OF WORK
New ❑ Addition, Remodel ❑ Utilities Installation❑ Other ❑
Describe work: 13'X a) r A d/ 4 7� q S tI
C.6uerA 1C)o
Permit Fee
$ , 0o
Contractor
ELECTRICAL PERMIT
Filin Fee 10.00
Main service e00V OR LESS
100 AMP OR LESS
10.00 �y
,/� Wr
Main service EA. ADD'L 100 AMP
2.50 y p
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
F1 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
ontract-
�1, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
ors.
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING gc¢31p m) yaQsgft/4./,95`
OR ADDNS. ACC. BLDG3a
NEW CONSTR. I -OUTLET 2,50 ea
NON-RESID BRANCH CIRC S
/POWER APPARATUS e
1 SINGLE OUTLET CIR. )
EX. Occup OUTLETS OR FIXTURES SAL030
FIXED PK
Ex. Occup. OUTLETS (RESID IEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. 15.00 %�U
g
Permit Fee $ q
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 subjectp
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating GTs- r_^,J r.Zf
SSU
Cooling
Hood
3.00
Ventilation
Permit Fee
Contractor
$ ,��„ 0
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgmen s, c s, and expenses which may in any way accrue
against s id County in on encs of th ranting of this permit.
X Date gn
Signor re of Applicant — Owner [�' Contractor ❑ Agent ❑
An OSHA permit is required for ex ovations over 5'0" deep and demolition or construct -CTO
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ io ,AO
TOTAL PE IT FEE $ 3Sv ad
oc u�
<� J
co?,GT.TYP
�/
SCHaO woo
ADL PD
M
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
F PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Da
Receipt No. y
WHITE-D.P.W.. YELLOW-A3er3SOR, OINK -INSPECTOR, GOLDENROD -APPLICANT
f , .. .. .y.r.,.. ..- ...1 r~k'J�r7•+...'jiii`f�'i/K+f'^'�'r9'ti.4�`1}�'�jT:rv' .•!r)'^y�'"1"'`� �Y�C�"cv.�F.7�+"S_`F UY'"f�"'"i'4�"-�'r-.r- -.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
A ��A
7 COUNTY CENTER DRIVE - OROVILL�, CALI•FORNIA 95965 - TELEPHONE: 916/538-7541 I
"1
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER --T i VN -1 �; �d G r e co A. P. No. 3 9 ' 1 a.' 3
i
Proposed Building Use AA1+.0& t*o S f= 0 Building Inspector �). �. Date Fr' 30
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1.
All items.have been submitted. . . . . . . . . . . .
2.
Plot plans in duplicate. /triplicate, sigIned 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.
37�5.
6.
Plans with Energy Design Compliance Statement. . . . . .
C�: LC% School District "Fees Paid" Stamp on Floor Plan.
7
Statement of Intent for Non -Heated and AC Buildings. . . . .
8.
Fees of $ . . . . . . . .
9.
Letter of signature authorization. . . . . . . . . . .
W0.
Sanitation approval from L® Health Dept.
11.
Planning approval for (A) Use: (B) Parking:
12.
Certificate of Workmen's Compensation Insurance. . . . . .
13.
Contractor's License Information (no., name style, classif.)
14:
Owner -Builder Verification (Given to -owner❑, Mail to owner ❑.)
_15.
Improvements may be required. . . . . . . . . . . .
16.
Mobi lehome Installation Data. . . . . . . . . .
17
Prspec.
e -In. Pre -Inspection for Required. Building Inspector
request to (Date)
18.
Recorded copy of Agricultural Acknowledgment Statement.
a 19.
Driveway Permit.
20.
Plot plan approval from city of
21.
Engineered trusses'in duplicate (required prior to plan check).
22.
issue thepermit, process as fo lows: Mail to/�own�er,
Mail to contractor.
!iZephone.� y7 9 and (hold for pickup aC-91c ooffice,
Deliver w/inspector.
Other
Applicant Date
Copy of plans sent IHealth Dept., Fire Dept., Other Date
The following data must be submitted intior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, design r,wn r, was advised of aboje required data by phone--naiI—counter bye date g
Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date
Plans checked
Copy—DPW
Date %Plans approved
Sets of plans on hold in File ca:)inet AP folder
Date
w
TO Buildine Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
q nn
Owner. Location,�� AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for:
Water Supply
Final clearance O.K. for: Water Supply
Clearance for bedroom mobile home. Other A�li 4
�el—
NOTE ***
Sanitar an
d�ZS��G
Date
iit y.iMrt9 �.r.J�?
BUTTE COUNTY SCHOOLS DEVELQPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number 3 9— la- 3 FEuilding Department No.
School District (f �'Lt� City Q County T
Property Owner 3; �,.� -t c; c. ` r o, r C)
Project Location/Address a 9 ,2 M . c.0 I? : vp . 1? 1e
Jurisdiction '
Subdivision Lot Number
Residential Development:
Sq. Footage a 7 3
# of Living MHI Addition (Group R) ,
Units
a Commercial/Industrial: Sq. Footage
New Addition (Including Exterior
Roofed Areas)
30—
Building Departme Representative Date
District Id No. Al /
,ecSchool District certifies that
(Applicant Name) (Phone Number)
_
\
�--,1 �\ . � l " �/l i Gtr _A_.—
(Street
Q...---(Street Ad.3ress )-
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
xby the payment of $ Q representing ��square feet.
/S'hoo Dis ct pre entative 'Date
PAID BY CHECK NO. ZJ 14
BANK NO 1A.
PAID BY CASH nJ /A
r
T
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88)
FORM 7
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "A" '(Additions)
Owner Climate Zone
Permit # p�77 �'" Floor Area cP73
The following data showing mandatory and required features of Package "A" shall
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios to living areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
ZONE 11 ZONE 16
APPLIES TO NEW AREA
CEILING R-30 -3
WALL R-11 R 9
FLOOR R-11 R
SLAB R-7 -7
GLAZING U-.65 (Dual) U-.65 Dual)
SHADING
SOUTH - OPTIMUM OVERHANG
or .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
0
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING
NEW -HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET..
OTHER
-.>
*1 HEATING. VENTILATING, tiIR COXiITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace %
` t (brand and model number) SE
Btu/hr
(heating capacity)
❑ Heat Pump
(brapc 'and model number) !ACOP "
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ftZ
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
❑ Other
(describe)
*1 (B) Cooling
❑ Electric Air Conditioner '
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
EER
Stu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ • (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ *2 Active Solar
(collector brand and model number)
(rated y -intercept] (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following: _
c
Heating: Winter design temperature elevation ', heating load BTU
elevation factor x heating load maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature ", cooling load BTU
*2 Submit T.I.P,S.E. chart or other approved system (form 4)5) to document sizing of
solar panels.
.
® DESIGN COMPLIANCE STATEtMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the Cali ornia Administra ion o e.
U OF UILDING DESIGNER OR APPLICANT
0
PERMIT NO. — ,E,M
PERMIT EXPIRES
OWNER jim & GiND GREGG
CONTR. Neal Collins
ASSESSOR PARCEL 39-12-3
LOCATION 2925 Chico River Rd,Chico
h
Temp. Power Pole
Called PG&E -
.Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&F
JOB FINALED
Signature
= OK
0 = Not OK
- = Not Applicable
= Not Ready
MOBILE -.HOMES MISCELLANEOUS
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-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P1 ft.
/ /"Nat. or/ PV ft./ /"LPG
7. Utility Clearance
Card -B1
Date Card -81 Date
Card -B1
Date Card -131 Date
V
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
L
3. Gas; MH Test -Demand -Valve -Connector
-
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
rl
i Card -61
Date Card -131 Date'
V Card -131
Date Card -B1 Date
i. coning mequirements-aeioacKs-r-asemenis
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood - Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -131 Date Card -B1 Date
Card -81 Date Card -131 Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes- Enc losures-Panel boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -61 Date Card -131 Date
Card -91 Date Card -131 Date
= OK
o = NotOK
- =Not Applicable RESIDENTIAL (Single and 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-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance- Material -Su pprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
►►►����`
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -131
Date Card -131 Date
Card -B1
Date Card -81 Date
Card -131
Date Card -131 Date
Card -B1
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
'
Card -B1
Date Card -131 Date
67. Stairs &Rails
Card -B1
Date Card -131 Date
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
1\"�
K
Date ELECTRICAL (Permit) OK except #'s
22. Fixture &Transformer Clearance -Ins. Protection
70. Kit. Fixt. &Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
71. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
Gara
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
73. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
p��p
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; n
Planters ❑Yes ❑ No 1
33. Smoke Detector
$i. Stucco; Brown -Finish
Card -131
Date Card -61 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -Bt
Date Card -131 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
V
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
` \
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
W
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
9i. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -131 Date
92. Roofing Certificate
Card -B1
Date Card -81 Date
Card -81
Date Card -Bi Date
Card -131
Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
Card -61
Date Card -131 Date
Comments at Final:
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville, California 95965 - Telephone: 915/538-7541
APPLICATI-ON AICD -PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
-r;n �e
TELEPHO �
3y'-3 S 7
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDR AL
C_ 0
CONTRACTOR'S NAME
♦?
r ✓x 41
TELEPHONE
CONTRACTOR'S MAILIN ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 1000
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets A?e 5.00 cy�
Building sewer 5.00
Mobile HomeFS-FG-TWT-0.00
ea
TY OF WORK
New ❑ Addition ❑ Remodel %ties[] Installation❑ Other ❑
Describe work: 0.G N W Q QS
l i'A Y i -! A; r 1a er .1` %/--eZ
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
-❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
ElI, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP,BI , �(OS
OR ACDNS. ACC. BLDGS. h2sgft
NEW CONSTR U T1.OUTLET,
N ON.RESID BRANCH CIRC TS 2.50 ea
POWER APPARATUS
SINGLE OUTLET CIR.e )
Ex. Occu OUTLETS OR FIXTURES 209506
P eAL990
FIXED
Ex. OCCup. OUTLETS PRESID )APLNS.REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9
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.
p( 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
-0
Filing Fee 10.00
Heating Qd L>
CaCa
s
Cooling
g
_
Hood
3.00
Ventilation
per mit Fee
$ -2
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
sc sts, and expenses which may in any way accrue
all Liabilities, judgmTno�7(
against said County uenceof th ranting of this permit.
X / ��.r/�_6�
Date
Signa re of Applicant — wner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
'\
TOTAL PERMIT FEE $ , V
OCCU P,
CON 9T.TYP
scNooL
PLOoo
PARCEL P ISSUE
-
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 1Zr���^�
-
/7--r J--
Receipt No. 2 .7 C33
WNITE-D.P.W., YELLOW-ASe ESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
E'.:11� th" . '�Ir.�� �:' . f �_. ..'ll 'L ".1?'� �4 - T ,/Y. s.- :r' i..�','�f1 '% Y ��'�r'7I• .T����`.�_,.. 1,.•a �"
COUNTY OF BUTTE - DEPARTMENT 0 ,PUBLIC WORKS - BUILDING/DIVISION
7 COUNTY CENTER DRIVE - 0R0VILLE,,6, QRNlIA 95965 -TELEPHONE: 916/536-7541��
PERMIT APPLICATION DATA SHEET
// Permit No.
OWNER i vN C / k)la, �� ie C'G A. P. No.
Proposed Building Usentocc� 4(e -f-4 Ai +' Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or SSUance: `DATE RECEIVED APPROVED
1. All items.have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate, signed by preparer of plans. .
3. Complete plans in dup°icate./triplicate, signed by preparer of plans.
4. Complete engineered pians and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ , . , , , , , ,
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval frem Health Dept. . .
11. Planning approval for 'A) Use: (B) Parking:
12. Certificate of Workmer's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.)
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec.request to
17. Pre -Inspection for Required. Building Inspector (Date)
18. Recorded copy of Agri:ultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses "in duplicate (required prior to plan check).
22, CUA FEES RE;EIPT #
When yo Issue the permit process as fol lows: Mail t��o�� owner, Mail to contractor.
Telephone YS'55� and hold for pickup ��'c-Uoffice, Deliver w/inspector.
Other e,S-S �
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_mail—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal I—counter by date
Plans checked by Date Plans approved bQ:A�r Date
Sets of plans on hold in File cabinet AP folder
Copy -DPW
6
0
its. counh
L DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH'
Address ❑ 196 Memorial Way 7 County Center Drive ❑ 747 Elliott Road
Reply to Chico, California 95926 Oroville, California 95965 Paradise, California 95969
Telephone: 916/891-2727 Telephone: 916/534-4281 Telephone: 916/872-2961, Ext, 58
August 9, 1983
Mr. Stanley Boggs
Route 2, Box 850
Chico, CA 95926
Dear -Hr. Boggs
This is to advise you that pursuant -to Section 19-19 of the
Butte County Code, the Board of Supervisors has approved a.
variance renewal to Sections 19-10 and 19-12 of the Butte County
Code for the continued use of a mobile home onyour property
located at River Road Chico area
and identified as Assessor I s Parcel Number --
-This variance renewal was granted on July 26, 198 3 and
includes the following conditions:
1. The variance renewal is granted only for a term of one year.
At the end of.one year you must apply for a new variance if
the use is to continue. -
2. If the applicant residing in the mobile home or conventional
residence moves to another location or is deceased, the
variance automatically expires. and the mobile home shall be
moved within 120'days. 'If the mobile home'is not removed
within 120 days, the county may remove said mobile home and
store it at the owner's expense.
Very truly yours.,
Lynn E. Vanhart, Director
Division of Environmental Health
LEV/lda
cc: Cler'�- of the Board
P' ing Department
ilding Department
._ �'..
L-A IV v 'J I,i Y L:. I H N D rs _ A ': 1
DEPARTMENT OF PUBLIC HEA TH
1% Memorial ,jay -- DIVISION OF ENVIRONMENTAL JEALTH
Address ❑ 7 County Center Drive O 747 Elliott Road
Chico. California 95927 oroville. California 95965 Parafiiso, California 95969
Telephone: 916/691-
Reply to 727 Telephone: 916/534-4281 Tele hone: 916/ 872-2961, Ext. 5
April 22, 1981
Stanley M. Boggs
Route 2, Box 850
Chico, CA 95926
Dear Mr. Boggs:
This is to advise you that pursuant to Section 19-19 of/he Butte
County Code, the Board of Supervisors has approved a vce to
Sections 19-10 and 19-12 of the Butte County Code for 'the place of
a mobile home;on your property located at River Road
Chico, CA and identified as Assessor's Parcel - - 3
This variance was granted on April 21 , . 1981 and inclu es e
following conditions:
1. The variance is granted only for a term of one year. At the end
of one year you must apply for a neer variance if the use is to continue.
2. If the applicant residing in the mobile home or conventional
residence moves to another location or is deceased, the variance
automatically expires and the mobile home shall be moved within 120 days.
If the mobile home is not removed within 120 days; the County may remove
said mobile home and store it at the owner's expense.
3. The mobile home.shall be placed on the property without violating
any of the setback requirements of the zone in which the property is
located.
4. The applicant shall secure all necessary sewage disposal, electrical,
plumbing and building permits necessary to install the mobile home.
Very truly yours,
Lynn E. Vanhart, Director
Division.of Environmental Health
LEV/lld
cc*: Clerk of the Board
Planning Department
Building Department
Goun�1q
~ —
DEPARTMENT OF PUBLIC HEALTH
196 Memorial Way DIVISION OF ENVIRONMENTAL HEALTH
Address ❑ YK�X] 7 County Center Drive ❑ 747 Elliott Road
Reply to Chico, California 95927 Oroville, California 95965 Paradise, California 95969
Telephone: 916/891.2727 Telephone: 916/534-4281'.Telephone: 916/ 872-2961, Ext. 58
April 22, 1981
Stanley M. Boggs
Route 2, Box 850
Chico, CA 95926
Dear Mr. Boggs:
This is to advise you that pursuant to Section 19-19 of the Butte
County Code, the Board of Supervisors has approved.a variance to
Sections 19 -10 -and 19-12 of the Butte County Code for the placement of
a mobile home on your property located at River Road
Chico, CA and identified as Assessor's Parcel Number 39-12-03.
This variance was granted on April 21, 1981 and includes the
xl
following conditions:
1. The variance is granted only for a term of one year. At the end
of one year you must apply for .a new variance if the .use is to continue.
2. If the applicant residing in the mobile home or conventional
residence moves to another location or is deceased, the variance.
automatically expires and the mobile home shall be moved within 120 days.
If the mobile home is not removed within 120 days, the County may remove
said mobile home and store it at the owner's expense.
3: The mobile home shall be placed on the property without violating
any of the setback requirements of the zone in which the property is
located.
4. The applicant shall secure all necessary sewage disposal, electrical,
plumbing and building permits necessary to install the mobile .home.
Very truly yours,
Lynn E. Vanhart,.Director
Division of Environmental Health
LEV/lld
cc: Clerk of the Board
Planning Department
�Bu'ilding Department
�s-
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILL.E, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Coie, Title 25, Chapter 5, under permit
numberfor the follow ng location:
Owner—;,
wner',
Owner's Address
Mobilehome Mfg. �,-` {Model Year
Insignia No. Serial No.
It is hereby certified for occupancy at the above described location and
ow 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.
PERMIT NO. 448-82P,E (MH)
" PERMIT EXPIRES
OWNER WILLIAM GERMAN
CONTR. owner
ASSESSOR PARCEL 39-12-3
LOCATION _— S/S Chico River Rd, 700'E Crouch Ave
Chico
u
Temp- Power Pnle
1
1
JOB
x
b
e
i
J = OK
0 = Not OK
Not Applicable
* = Not Ready
MOBILEHOMES ' MISCELLANEOUS
Date
MOBILPMOME UTILITIES (Plans) OK except #'s
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's
o g Requirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—Easements
oils; al MH Support—Sketch
2" Footings; Size—Depth—Spacing—Connectors
ewer,Location—Test—Fall-C/0—Con rete
3" Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
er, ocation—Test—Easement Ne d (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
v(
E c ricity; Location—Clearances rnd / / Amp—Concrete
5, Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures "
s; Location—Test—Wrap:/ 'L"ft./ ""/"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
Utility Clearance
7. Elec. J
Card -BI
Dat Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
D t and -BI Date
Card -BI
_
Date Card -BI Date
Date
MOBI HOM NSTALLATION (Plans) OK except N's
Date
POOLS (Plans) OK except N's
Zo g'Requirements—Setbacks—Easements
1. Setbacks—Easements
tin ,, Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
G -MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
I tcity; MH Test—Crossovers—Breakers—Clearances
4. Elec.; Receptacles and Lighting; Distances—GFI
rai Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
at , MH Test—Regulator—Connector
6" Elec.; Enclosures; Conduit Entries—Terminals- Listed
/
A_Iktigrand Sewer Connected—C/0 to Grade—HD Approval
G an lectricity Tagged
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panelboards—Ins. to Main in Conduit
Insp.n9A2tC11✓
ert. of Occupancy
9" Health Department Approval
i
10. Plumb; Cir. Test—Water Supply Test
Card -BI
Date Card -BI Date
Card B -I Date t4j and -BI Date
Card B-1
Dat 92__C.ard-BI Date
Card -BI
Date Card -BI Date
3"6 9-r.
J = OK
0 = Not OK
- = Not Applicable
* Not Ready RESIDENTIAL (Singlp and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel -Bloc kouts-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
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
PLUMBING (Permit) OK except N's
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
57. Smoke Detector
_
14.
Water Ht.; Vent -Access -Combustion Air
58.
59.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 1
_
17.
Shower Pan; Test, First Floor -Tub Access
60.
61.
62.
G.F.I. & Bath Fixtures & Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
18. Test Tub & Shower, 2nd Floor -Tub Access
19. Gas Pipe; Size & Anchors
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 Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. &Mech. Equip. Listed for Location
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 ❑Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails &Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes [I No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks C] Yes E) No;
Planters ❑Yes ❑No
_
28.
29.
30.
Service -Riser Conductors & Ground -Main Disconnect
Equip. Clearances; Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light
76.
Stucco; Brown -Finish
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B-1
Date Card -BI Date
82.
Glass Protection
Date
S
MECHANICAL (Perrr.it) OK except N's
83.
84.
Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
86.
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
_
32._
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
- ------
Card -BI
Card -BI
-
Date - _ _ Card -BI Date
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.
_Sills; Proper Material & Anchors
_
37.
38.
39.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing _
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-RRo
ftr. Ties-Purlin-ot Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Q-'oville — Phone: 534-4541
Skyway and'Elliott F#oad, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
B ILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the abov -address and should be corrected. Please notify this office
when correcti of work is completed. 11 you have any question pertaining to this
matter, or ed additional explanation, please contact this office immediately.
/ Fd
n
77,
Inspector Date
COUNTY OF BUTTE
DtPARTMENT•CF PUBLIC WORKS
196 Memorial Way, CI-ico — Phone: 891-2751
7 County Center Drive, Crovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BALDING OR PAPOPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and shoulc be corrected. Please notify this office
when correction of work is,completed. Hyou have any question pertaining to this
matter, or need addi conal explanation, please contact this office immediately.
k Aw 7 A i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIZ NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/53 541 43 C -A
APPLICATIOAI40 PERMIT "
ASSE SOR PARCEL NUMBER
�� Z "
Z41
_/ U
BUILDING PERMI
O Vff4 E
/
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWN E 'S MAILING ADD SS
C NTR CTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRU'C/TIION LENDER
M
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
.a/
LICENSE NO.
Plan Checking Fee /
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ a
BUILDING �,D REs
J O0 J
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF ST�4ICTURE
SF ❑ Duplex❑ Mobilehomey Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities Installation Other ❑
Describe work�,7//G%/,/Ja. /'s/�1rt�i�•� �i5/� �✓
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 001 OR ORSLESS
5.00
ZZMain
0-)
service EA. ADD'L 100 AMP
2.50
NEW OR ADDNST ACCLBLDGS.LING CCUP.EI)
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW NON•RESID R. BRANCH CIRCTITS 2.50 ea
NEw CONSTR. / POWER APPARATUS S\
NON.RESID. \SINGLE OUTLET CIR. /
EX. OCCUp OUTLETS OR FIXTURES 21
BAL
IXED APPLNS. OR \
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.
R11 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith Comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
FiIingFee 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 County of
Butte to'enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County.in consequence of the granting of this permit.
I
Dateions
Signature of A lican Owner s�£,�/'
g pp ❑ Contractor ❑ Agent VAS// /
An OSHA permit is required for excavations over 5'0" deep and demolition or con�fruct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ D0
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
I ISSU
This permit is hereby issued under
of the Butte County Code and/or
Wevk indicated above for which
DIRECTO F PUBLIC
By
PE T EXPIRES Date_
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date
J —3D--
Receipt No. �zn%
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
�vl
BUTTE COUNTY bEPARh4ENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: 64)1
2. Instal:ler's name:
3. Is the site currently under permit? Y0i No
(If yes, furnish permit numberf OR
Is the site an existing site? Yes / / No /
(If yes, furnish two (2) plot plans.)
49 Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes /�/' No
(If no, clarify )
5. What is the mobilehome electrical rating? -------------------- /00 Amps
6. What is the mobilehome site service rating?
--------------------- Amps
7.. What is the mobilehome site circuit breaker rating? ------------- /0 0. Amps
8. Is there any other electric load to be served by the mobilehome
siteservice? --------------------------------------------------- Yes No
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? ------------------=--- (in.)
10. What is the type of gas service? ----------------------------- Natural LPG
11. What is the gas pipe length from meter or tank to the mobilehome? 90 (ft.)
12. What is the mobilehome gas demand? ------------------ ------ Q(BTU)
(This information not required if pipe length les than 6 ft. o natural gas
or less than 50 ft. on LPG.) �NS'9 �cri �
MOBILEHOKE SUPRORT DATA
.. If other than single wide,
Mobilehome Mfr. ��� (� ec (2 12 furnish, Setup Model No. ! % Year %q
Width 17— (ft.) Box Length(ft.) Tagalong or Expando Size — ft. x _ ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified. ;
Footings (check one)
Single FZj--j. Wood either
pressure treated or
foundation grade.
(ft.)(in:) (in.) (in.) ❑ 2. Other (specify)
Center support Center support
locations* footing sizes Supports (check one)
(in.) R-14; Concrete block.
r�� ❑ 2. Other (specify)
(ft.)(in.) (in.) (in.)
I
(ft.)(in.) (in.) (in.)
iI `
(ft.)(in.) (in.) (in.)
(ft.)I (in.) (in.) (in.)
*If eenter piers are other than drawn above,
draw in -locations, spacing, and dimensions.
Tagalong Expando,'
show su ort details.
F 2 x�O -- Typical Support
in.) (in.) Footing Size
16,,
-- Max. Pier Spacing
(ft.)(in.)
Max. Overhang
(ft.)(in.)
'5 2z - $ Z
f3UTiE COU N fl
allILDING DEPARTM9-
APP AVE_, ;.
r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534- 1 �.--
e 11
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
9— — 3
ZONING
— q
BUILDING PERMI
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNEFjJJSAILNG AD ESS
LC//.�' >!f C/ 02C/C
CONTRACTOR'SNAME
A/ L
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 08:88
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
410
LICENSE NO.
Plan Checking Fee
$ /0,100
Penalty
$
ARCHITEC OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 10, Q C)
BUILDIN DRE S _ y
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
��..
Water piping
/0,00
LOT NO.
SUB IVISION N EPARCEL
MAP
Each pas water heater or vent
5.00
Gas piping system 1 - 5 outlets
/0.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome Other
SPECIFY
Building sewer
/0100
Lawn sprinkler system
5.00
TYPE OF WORKPermit
New F1 Addition Remodel❑ Utilities Installation❑ Other❑
Describe work:
Fee
$ fj.D d
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 00V OR ORSLESS
§ /000
Main service EA. ADD'L 100 AMP
2.50 -0
NEW CONST. (DWELLING OCCUP.y)
OR ADDNS. ACC. BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
e)Cense No: Classification\OUTLETS
l, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CO ID P- BRANCH CIRCT TS 2.50 ea
NEW CONSTR. ( POWER APPARATUS S)
NON-RESID. SINGLE OUTLET CIR.
50 @ 25¢
Ex. OCCUp OUTLETS OR FIXTURES 100
EX. Occup.(FIXED APPLNS. OR
(RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
,
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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.
FT"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
FT I
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against s Count in consequence of the granting of this permit.
Date o? 25 — 6 p Z
Signature of Applico Owner ❑ Contractor ❑ Agent Q—
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,
IPARc�L
6
PD ND
55oE�
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT F PUBLIC
By
PE XPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
% A
J — d 177T
Receipt No. �/a�6
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Return to DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 82` 4921
, N
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1of the Butte CountyOUTTt COUNT
Coae'requires this acknowledgeme, ROS COU .yEPJgIV
be recorded prior -to issuance of a building permit'.p
The property described herein is adjacent to land or included��
within an area zoned for agricultural purposes, and residents of CLARK A.ilklELSON HT
this property. may be.,subject to inconveniences or discomfort ari�f K -RECORDER
from the use of agricultural chemicals, including, but not limited to herbicidesE, E
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: B
alM.0- L4 C cI
.• � 0 D e
oma. -�
u
Date: Feb. 26, 1982
PROPERTY OWNERS:
.a,Z4
State of California ) On this the 26th day of February 19 82
SS. before me, the undersigned Notary Public, personally
County of Butte ) appeared t
W. A. GERMAN
OFFICIAL SEAL
known to me to be the person(s) whose name(s) is
c
CONNIE J. O'CONNELL=
subscribed to the within
instrument and acknowledged
m� NOTARY PUBLIC •- CAUFORNIA ==
COUNTY OF BURS X
that he executed
the same for the purposes
therein contained.
Comm. Exp. Aug. 9, 1985
IIINIt11111UI11111111/IIIIIU//!/tlgt11p11Ofllt/Il�
IN WITNESS WHEREOF, I he
eunto set my hand a official
seal.
a
W
MPP&
Not#y Public
Present A.P. NO.
END OF DOCUMENT
PPP,/
'i.1 z
._._._._._
_._._._.__._._._._._v._._._._._.._._._._.__._._._._._._._._.
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