HomeMy WebLinkAbout039-270-031� �
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1743-'79 r
*, 1199-81 .
PERMIT NO. 3312-86P,E(NH)
PERMIT EXPIRES
OWNER WAL ER HENSLEY
CONTR. owner
ASSESSOR PARCEL 39-27-31
LOCATION 3862 Ord Ferry Rd, Chico
t
Temp. Power Pole
r
' Called PG&E
Temp. Elec. S
Called P(
Temp. Gas Sei
Cal led PC
4
JOB FINALE(
Signature
J ,r OK
0 Not OK
= Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
-Date MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, CO -ERS, CARPORTS, ETC. (Plans) OK except N's
1, Xhing Requirements—Setbacks—Easements
oning Requirements—Setbacks—Easements
Soils; Special MH Support—Sketch
_
otings; Si e—Depth—Spacing—Connectors
Sew Test—Fall-C/0—Concrete
3. Decks ,rders and/or Joists—Decking—Bracing—Stairs—Rails
ater; Location—Test—Easement Ne ded (Sketch)
4 , od Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. E tricity; Location—Clearan a rn del/ Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
Ga • ocationrTest—Wrap:/ /"L /"NaLor/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
X-oloOtility Clearance
7. Elec.
Card -BI Date y Card -BI Date i
Card -BI
Date SS/ Card -BI Date
Card -BI Date /L Card -BI Date
Card -BI
Date Card -BI Date
Date M0BILFFK6M1INS ALLATION (Plans) OK except N's
Date
POOLS (Plans) OK except N's
1 ' o equirements—Setbacks—Easements
1. Setbacks—Easements
in ize—Spacing—Marr iage Line
2. Soils; Compaction—Structure Stability
G H Test—Demand—Valve—Connector
I c ity H T —Crossovers—Breakers—Clearances
3. Pool Structure; Steel—Connections—Thickness—Dead.Men— Lining
4. Elec.; Receptacles and Lighting; Distances—GFI
ra• ;,-MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
a ;-MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
ter and Sewer Connected Oto .ade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment -Heater
8. Gas and Electricity Tagged
B. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10, Plumb; Cir. Test—Water Supply Test
Card B -I Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card -BI
Date Card -BI Date
t
)
M
V -F OK
0 - Not O1Z '
Not Applicable RESIDENTIAL Single and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK except N's
Date
FRAMING (Continued)
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.
Fig., Porches & Decks; Soils -Steel- / /'' Fig. Depth
51.
_
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main: Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_
7.
Piers -Fireplace Ftg.-Steel
54.
_
Glazing Area -Glass Protection -Skylights -Plastic
-
8.
D.W.V. Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
10.
Water Pipe: Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
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
Card -BI
Date
Date _ Card -BI Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
57. Smoke Detector
Card -BI
Card -BI
14.
15.
16.
17.
18.
19.
Water Ht.: Vent -Access -Combustion Air
Water Pipe: Test & Anchors -Nail Protection
D.W.V.: Test-Fttngs & Anchors -Nail Protection
Shower Pan: Test, First Floor -Tub Access
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe: Size & Anchors
Date _ _ ---Card-61- Date
Date Card -BI Date
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
59.
60.
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
Gard B -I
Card B -I
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
-
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights &Switches at Doors
Size Boxes & No. of Conductors -Stapled _
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen &Conductor Size
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral Yes ___No -_ _
Service -Riser Conductors & Ground -Main Disconnect _
Equip. Clearances: Panels-Motors_Mech. Equip.,----
Clothes Closet Light -Shower Light _7
Date Card Bi Date - _
Date Card -BI Date
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
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
.72.
Insulation -Foam -Looked in Attic E) Yes
73.
Guard Rails & Deck Construction -Post Caps
74.
Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75.
Following instld.: Drive ❑ Yes ❑ No; Walks G Yes ❑ No;
Planters ❑Yes ❑No
76.
Stucco; Brown -Finish
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
Date
MECHANICAL (Permit) OK except q's
83.
_
Corrections from Previous Inspections
84.
Gas `est -Meters Tagged; Gas -Electric
Cara -BI
Card -BI
31.
32.
33.
34.
35.
A.C. Ducts. Insulation &Support
Vent Fan: Exhaust above Insulation -
Condensate Drain & Overflow: Size & Grade
Furnace -Vent. Access -Comb. Air -Return Air Vent- 115V_o_utlet _
Attic Access & Platform if Furnace in Attic
Date Card -BI Date _
Date Card -BI Date
_
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86.
Energy Compliance Certificate -Other Certificates
-
-
-
---- -' -
- - - --
Card -BI
Date Card -BI Date
Card -BI
_
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except p's
Com tents at Final:
36.
37.
38.
39.
40.
41
42.
43.
44.
45.
46.
47.
Sills: Proper Material & Anchors
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops: Furred CeilincS-Stairs_ Chases -Tub
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rfir. Ties-Purlin-Root Brac.-Truss-Shthng.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
---
(NOTE Anentry must be made each time you visit jobsite)
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC _WORKS — 7 COUNTY CENTER DRIVE
ALI
OROVILLE, CFORNIA — 534-4541
PERMIT N0. -�
Address or location of mobilehome ^,A
Owner's name 41 % 4 -Cr-
Owner's address 3 S(o a n,d
Insignia or hud number_ i { d ��_ -75 d41
!/_
Manufacturer's name f `k 1-*' rt-.7
Serial number of V.I;N. `�PZ
%1,11%1
(Official Approving
nstallat
Year of manufacture
/s Ar -7
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.
t
r
5138 White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE - DEPARTMENT 'OF PUBLIC WORKS
7 County Center Drive - Oroville,'California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMITIci
-- e
ASSESSOR PARCEL N -UMBER
2 �-
ZON G
BUILDING PERMIT
OWNER
11.1194725-k
TEL PHO E
SO. FT. OCC. BUILDING VALUATION
WNER' MAILIING AD R SS11ZPh
C
ON RAC OR'S NA E`��
W
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 3 0/ 2 O�
(O
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 OFT
[IRUCTURE
SF Duplex❑ Mobilehome Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home n IKI
10.00ea go
TYPE OF WORK��
New ❑ Addition ❑ Remodel El Utilities V,Installation ❑ Other ❑
Describe work:
efA_k 5
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V 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):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
F-1 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.e♦ ,
DR ACDNS. (ACC. BLDGS. h2sgft
NEW CONSTRESID. RANCH TLET
NO N.R ESID BRANCH CIRC ITS 2.50 ea
CIRCUITS)
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20®SOC
eAL030
FIXED APPLNS
Ex. OCCUp. OUTLETS ((RESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
/of Consent to Self -Insure.
L_ I 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
against said County in consequence of the granting of this permit.
.� ��_
%�� _/ Date �- _
Signature of Applicant — O ner 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 $ SJ
OCcu P,CONST.TYPE[,J�L00131
ARCELJ
PD
.
V
1, ND VISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR F PUBLIC
BY
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.�s� �S oZ a
WHIT[ -D. r. W., YELLOW-AS8[3e0R, PINR-INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE �
- DEPARTMENT'OF,.,PPBLIC WORKS - BUILDING DIVISION w
7 COUNTY CENTER DRIVE - OROVIL@E;"C*Lw4FORNIA 95965 - TELEPHONE: 916/534-454;1 /
~ PERMIT APPLICATION DATA SHEET
a Permit No.
OWNER We1V5de%4 A. P. No. 32 - a7 - 3/
Proposed Building Use M H Li, Building Inspector Date k6
i
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
J.
2.
All items have been submitted .,�/�
Plot plans in duplicate. licit , signed by preparer of plans. .
_C/r cap q-4
3.
Complete plans in duplicate. /triplicate, signed by preparer of plans.
4.
Complete engineered plans and calcs, with wet signature on plans,
"5.
6.
Plans with Energy Design Compliance Statement.
CUSD "Fees Paid" Stamp on Floor Plan . Pr)U. . � . . . 1
7
Statement of Intent for Non -Heated and AC Buildings,
8.
Fees of $
Letter of signature authorization, . . . . . . . . . .
5C9.
.
Sanitation approval from Chico Health Dept.
11.
Planning approval for (A) Use: (B) Parking: ,
12.
Certificate of Workmen's Compensation Insurance. . . . . .
3.
14,
Contractor's License Information (no., name style-classif.) ,
Owner Verification
-Builder (Given to owner[k, Mail to owner ❑ ).
15.
Improvements may be required: . ,....�;r.,,. ,
7-
16.
Mobilehome Installation'Data.
A_Pre-lnspec.
request to
1
.
Pre -Inspection for Required. Building Inspector
Recorded copy of Agricultural Acknowledgment Statement.
(Date)
I(1-7
19.
Driveway Permit.
20.
Plot plan approval from city of
21.
22.
Whenn fou issue the.permit, process as follows: Mail to pwner, Mail to contractor.
✓ Telephone 3`13-641Sq and hold for pickup )^too office, Deliver w/inspector.
Other
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted
1. Index permit for above items No. -
2.
o. -2. Additional items required:
to permit issuance: (Circle new item not checked above).
0
Contractor, designer, owner, was advised of above required data by_phone_mall—counter by date
Contractor, designer, owner, was advised of above required data b y
g q by b date
Plans checked b;/L_�te zz_AD/ Plans approved by Date _
Sets of plans on hold in File cabinet AP folder
Copy—DPW
- Flours: 10:00 a.m. - 3:00 p.m.
I7
TO: Building Department
FROM: Environmental Health, Chico
SUBJECT: Sanitation Clearance
3 4?—?7-3j
Owner Location ppq
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&,k- - Z
lx�-•-tee 5 // - &
Sanitarian Date
4
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the ma'or labor and materials for construction of
the proposed property improvement or no)
'2. I ((�havve)/have not) isiignned an application for a building permit
fothe proposed work.
P P
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 �jsU
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
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.
PUKIC WORKS
86-39540
RECORDED 1N OF 1CrAV84(;0P,Os
OF BUTTE COUNTY CAL1P6'A 1A
AT YHE REQUEST OF "
PARre* SHOWN
.1986 NR -5 • AM 11 07
ELEANOR M. BECKER
CLERK --RECORDER FEE
—7—
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 86"'39540
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of theButte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides, Wages
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
SEE ATTACHED DESCRIPTION ..............
Date: Nov. 5, 1986
State of California ) On this
SS. me, the
County of . Butte )
PROPERTY OWNERS: �J i
-Waiter E. Hensley
C.
(/ _ e ens ey
the. 5th day of November 19 86 before
undersigned Notary Public, personally appeared
Walter E. Hensley and JacVeline.G
Hensley ---------------------------
Personal ly
--------------------------Personally known to me. �/ Proved to me on the basis
®■■■o■■■■■i■�■■■ao■®®a� — of satisfactory evidence.
oMARY R.CASEBEER ® to be the person(s) whose names) are; subscribed to
NOTARY�BUC-CALIFORNIA te County ® the within instrument and acknowledged that they
MYCommWonE)#msNov. 30,199 SO executed the same for the purposes therein contained.
■■■■■■■■■■■■■■■a■a■a■a0 IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Present A. P. No.
Notary Public
Mary R. Casebeer
r
DESCRIPTION: 6-39 5 4 0
All that certain real property jituxte•in the County of Butte, State
of.Cal,ifornia, described as follows:
PARCRL T'
Lots 53 and."54, in Block 2, according the that certain Map entitled,
"DAYTON",, which, -.Map was filed in the Office of the Recorder of the
County of Butte,. State of California, June 25, 1868, in Book 1 of
Maps, at Pages 3 and 4.
EXCEPTING THEREFROM any portion that lies within the boundaries of
that certain parcel of land conveyed to John Reinemer, by that certain
Deed from R. J. Cartwright, dated December 10, 1908, and recorded
December 12, 1908, in Book 109 of Deeds, at Page 115, records of Butte
County, California.
PARCEL II:
Beginning at the most Easterly corner of Lot 54, in Block 2, according
to that certain Map entitled, "DAYTON", which Map was filed in the
Office of the Recorder of the County of Butte, State of California,
June 25, 1868, in Book 1 of Maps, at Pages 3 and 4; thence Northwest-
erly along the Northeasterly line of said Lot 54 to a point on the
Southeasterly line of that certain parcel of land described in the
Deed to John Reinemer, dated'December 10, 1908, and recorded December
12, 1908, in Book 109 of Deeds,.at Page 115, records of Butte County,
California; thence Northeasterly along the Southeasterly line of said
Reinemer property to the Westerly line of Chico -Dayton Highway, as
the same existed in 1906; thence Southerly along the Westerly line of
said Highway to the point of beginning.
END OF DOCUMENT
AP # a•7 f
OWNER I,�In� lFef.� N��►a�eM
PERMIT �3 1
MH UT IL. CLEARANCE DATE -.2- — <f.,
INSPECTOR✓
ELECTRIC
GAS
Support
Struc.
Compaction
Test Re .
iervice
iize
Other
Load
Type
Pipe
Size
Len th
YESI NO
YES NO
/ov
�o
P
31/y
7 s
COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS PERMIT NO..
7 County Center Drive - Orovi)le, California 95965 - Telephone 916/534-4541 az
—�
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
a .
ZONING
A�b
BUILDING PERMIT
OWNER
Lo t er
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS E+ R
CONTR CTOR'S NAME TELEPHONE
M.i
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
,$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ /S 0J
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
d►
2L ®r ( �'-1Gt^
Permit fee
$ R.T. Uv
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
��tcJ
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
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filin Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
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.SINGLE
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ i am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.tr ,/z¢sgft
OR ACDNS. ACC. BLDGS.
NEW CONSTRESID, RANCH TLET
NON.RESID BRANCH CIRC ITS 2.50 ea
CIRCUIT
POWER APPARATUS tr
OUTLET CIR. I
Ex. Occup( 20 0 50C
p OUTLETS OR FIXTURES 9AL030
EX. Occup. FIXED APPLNS. OUTLETS (RESID )REA.I 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
t_I I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County, in consequence of the granting of this permit.
,py-//
���**'Our? Date /� r%CGS
Signature of Applicant — O ner- Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 33 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 70, VO
occUP.
CONST.TYPEJ
I
FLOOD
PARCEL
I PD
NO
139UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTORN PUBLIC
BY
PER EXPIRES Date.
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 7--
a—A�22_
Receipt No. 66( 03
WNITC-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
`.COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILtE; G�'A-1F'd%NIA 95965 - TELEPHONE: 916%534-4541 PERMIT
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER (AU n I fcr N -,,c, ,j S 1e A. P. No. a % 3/
Proposed Building Use H Building Inspector Date S 8�
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted . . . . . . . . . . . . .
2. Plot plans in duplicate./triplicate, signed by preparer of plans. .
3. Complete plans in duplicate./triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5.Plans with Energy Design Compliance Statement.
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings. . . .
8. Fees of $ , . , , , , , ,
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑.).
Improvements may be required. . . . .
6. Mobilehome Installation Data. . . . . . . . . •.
17. Pre -Inspection for RequiredPre-Inspec. reqest t . Building Inspectuor (Date)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Drivew I Permit.
20 plan approval from city of
When you issue the permit, process as follows: Mail to owner, Mail to contractor.
Telephone 3'i3- GI/SS' and hold for pickup a �(ooffice, Deliver w/inspector.
Other
Appl ica
Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required: r,
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone_-naiI—counter by
Contractor, designer, o"r, was advised of above required data by—phone _mail—counter by
Plans checked
Copy—DPW
Ae lans approved b,
Sets of plans on hold in File cabinet AP folder
date
date
Date
.r
— Hours: 10:00 a.m. - 3:00 p.m. '
t
J
tl
MR1
A setback oft. from the
16 4
47'15 .47WO72 4;L 42= property lines and a se
'7t
of Wit. from the road
centerline shall be clear of
pment excepl
Utility connections shall be w1th"iMrLictures or equi
4 ft. of the mobilehorne, either
2 ft.
in the rear
directly behind or with 7
half of the roadside (left) of the
mobilehome. Y
e—
t770 YC' C-- /add 11 to �: -
k
rO4;1(J
A permit will be required for the 00
imfoHation of the mobi1ehomO--
This set of plans and specifications MUST be
:-7.-- on the job at all times and it is unlawful to k�p—t wi+houtAO
T'---
rnale any ccordon,
iy changes or alterations on same
imission from the Department of Public
written pe of a qual
Works. Coutof Butte.
Uniform
the Natic
A
7
anship Shair 03 T
Materials & Workm
Octices and
with Recognized Good Pr
use in the,
Y Prescribed for the Specified u
,x- MachrAnir-al Codm and
ilding, Plumbing
,11 Electrical Code.
30 cdh-7 (h".
`VD.,
MOBILEHOME 'SUPPORT DATA
L If other than single wide
Mobilehome Mfr. Vary � " furnish Setup Model No. Year
F idth ,3Zy (ft.) Box Length %/ (ft.) Tagalong or Expando Size ft. x fti.
(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
1'. Wood either
pressure treated or
foundation grade.
�2.
(in.) (in.)
Other: (specify)
Center support
locations*
Center support.
footing sizes
Supvorts (check one)
a
(in.) '
1: Concrete block.
-2: Other. (specify)
(ft.)t.)(in.)
(in.) (in.)
<--tagalong or Expando,'
show suppott details.
O
(in.) (in.')
/a2 x --
Typical Support
(in. (in.)
Footing Size
(ft.)(in.)
in. in.
�'�'� --
Max. Pier Spacing
M
k�
Max. Overhang
(ft.) t (in.)
(in.) (in.)
(ft.)(in..)
a•z
*If center piers are
other than drawn.above,
draw in -locations,
spacing, and dimensions.
BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1.. Owner's name:
2. Installer's name:G�
30' Is the site currently under permit? Yes No
(If yes, furnish permit number�� ) OR ,
Is the site an existing site? Yes / P71 No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of.all setbacks.and easements? Yes / W----_ No
(If no, clarify )
( )
5. What is the mobilehome electrical rating? ----------------------- MG 9 Amps
4
Y
6. What is the mobilehome site service rating? --------------------- Amps
7.. What is the mobilehome site circuit breaker rating? -------------
8. Is there any other electric load to be' -served by the mobilehome
siteservice? -------------------------------------------- -------
(If yes, identify the load and size:
(Load)
Yes
Amps
I
No�
_(Amps)
9.
What
is
the
mobilehome site gas pipe size? ----------------------
&/4/ (in•)
10.
What
is
the
type of gas service?
Natural T- LPG
11.
What
is
the
gas pipe length from meter or tank to
the mobilehome?
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.)
SUITE COUNTY
BUILDING DEPARTN45N
AP.
.pl l -*7?
PERMIT NO. 4Z 7-77P,E
PERMIT EXPIRES
OWNER Jaqueline Hensley .
,CONTR. owner
LOCATION (A.P. 39-27-31 )
NW/S Hwy,app.450'NE of Brown St.
lot 53 & 54, Dayton
r'
• � r
r
- Y
�•f
J ' ,
' E
l
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. ��'� Z�-7 7,,
Called PG&E M—Z--1 27-
a Temp. Gas Serv.
t I Called PG&E
1
JOB
FINALED
(Date)
j (Signature)
!i!
i
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD'
UILDING
BUILDING (Cont'd)
PLUMBING`
be%pack
Pirewall
Sok Piping
For s
Palapets
1 Floor
MAO Bldg.
Res oom Finish
2nd loor
F tins
Windo s
3rd k0or
Ste all
Siding
To out
Slab
Roof She hin
Water PIN,
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures -
Footin s
Stemwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
y
handicor d sic y
Conformance of ex
. structure
A Iiances
Gas PI In &Test
Temp. Gas
Slab
Final X
Sanitation
Patio
LACE _
Final -
Footin s
Footing
:. . r -. ,' LECTRI L '
Masonry Wall
Throat
Rou h ! '
Reinf. Stei
Final
Fixtures
Bond BelbIRE
SPRINKL&S
Motors t
Framing
Test
Water Htr
Stucco
Final
Sub an
Mesh(
MECHANICAL
Grd. F ult Prot. `
Scr ch
Heati
Sery e
Blifwn
Coo ng
mp. Pole . • * ,
nish
D is
nder round '
IlerlLath ntilation ' Permanent
or
or Closer INA anal Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal =
Water Piping Sewer r .� Gas Piping — a ��
MOBILEHOME INSTALLATION - - - - - - - - - ----- Support Elec. Continuity /0-20- 77
Water Piping �pj ., zd,77 Drainage e-zo - 77 Gas Piping 1p,Ld•_7 7
DATE REMARKS OR CORRECTIONS
!T
O s
(NOT : An entry st be ma a on this form each timeou visit the job site.) i1
1,4
77
a • a ���� �.?0 70 3y
1.4�,�E
IV��ol X/ J,
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 e<'_/V X77 for the following location•:1"A//�
t/ ,/ r / ei/ _/j 4 Let ' 1,-/-
y /- 4— 4 v
Cr /, � [/ i
�flOwner lit AA/ sya.
.Owner's Address ®� % �% �'7� ��_ �'1 /t-0
Mobilehome Mfg. h'),akhy /�n�,_� e Model_
Insignia N11,!dd e� SS�� tF- Serial No.
Yea
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of -Public Works
Date _�� /_Srr —7 7 By
v —
z THIS CERTIFICATE IS VOID WHEN.MOBILEHOME IS RELOCATED
- _ TO Building De. =_r tme_
- - -
• alCYi ii1V12'OTL^i,'=�1�a_. h3�� ..^_ - - - - -_ --
RE Sewaoa and/or :-.a ler Cj earar.ca
(517
T %? �..
Vis•+ .Has been apprdved cr
DISE
IL
�i�i✓i77 -
117
9. Electrical
A. Is service large enoiigl. to provide- ;-_tdeqUat_C' amperage. to inobilciiome (must equal rating of
mobilehome with a :Anivum of 10 np) and other faciIitj_�ii,-on.lot5,i.e water pumps
,errata, cabana, etc.,. Yes— o
1; Is them proper. 'c1carances around panels? YeSL-- No_
C.
C. Is power supply cord or feeder assembly properly fused? Yes
I
D. Is continuity test satisfactory as per the following procedure? Yes
1. De -energize electrical wiring, system of the mobilehome at the pedestal.
2. _Wtr�,:esure' that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Llx-i_i�rch all breakers and switches in the mobilehome to the "on" position.
nett one 1c.,.. -id of a test instrument to the mobilehome grounding conductor and
S-Lipply Cor,'LicLor includiag neoLral.
file -.ie oLhef lead to each wol L.L
5.L� nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such; L -and the grounding conductor.
q, L, �i,2
6. 1u-eg6wco7qpletic-_ri of the above procedure, the power supply cord or feeder assembly
onductors shall be connected to the site service equipment. A further continuity
te: L shall then be made between '-he grounding electrode and the chassis of the
1110bilehome.. UDO11 satisfactory completion of the electrical tests, the lot or site
ser -vice equipment may be approved for energizing.
1,; job card signed by Health Dep,artmeat f or water and sanitation?'..
N
vei�ything olay, sign off card and ta-
If'c 0 services.
MOBTLEMME DATA
Manufacturer and/or Namestyle
W idth
Length
Vehicle Serial No.
"CAt, L 11 '571
State ldci,�ntif icatJon No.
A.
r.d(litio Inf or-na V -i
on orr Comments:
/0, VZ 7 7 04;11,,41111
3.15
,1? A ^
_r, 'p4c,' <*
35-4
INS`CALLA1i'l0N INSPECTION CHECKLIST o
1. Is the mobilehome located wii:11 uired separation from lot lines and buildings and generally
conform to plot plan? Yes No
2.
DOCS the mr�bi7.ehome"liave~reyuir< d clearances above ground? (Sec.5085) Yes
3. Are foot.in,s and supports properly sized, spaced, and braced as per pproved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ _ No_
4. Is the mobilehome level.? (Sec. 5088) Yes L/No�
5. If morean a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
S. Water
A. Is Plexi e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes L—Nt--�
C. Backflow -I o c of State of California approved, does station have backflow device
and pressur of valve? Yes No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes
B. Does it have minimum 4" per foot slope and is it properly supported? Yes
C. Are any leaks detected in drainage system after running 3-ga ns of water through each
fixture including washing machine standpipe? Yes_ No
D. If coach is noCalifornia approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector -'Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: 'All piping is to be at least as
large as the mobileho gas line inlet without reductions other than the mobilehome
connector. Yes o
B. Test OK as per following procedure? Yes 11 �40
1. Open all appliance connector valves.
Shut off ppliarice burner and pilot valves.
3. r test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. -,without
drop.
4, op._nect. gas meter to mobilehome with connector, turn. on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes ✓ No
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS /
7 County Center Drive - Uroville, California 95965
Telephone: 534-4541 /
APPLICATION AND PERMIT
�ri�" _Q G t"G wunry UI ouuc w enrer upon me
above-mentioned property for inspection purposes.
- Date /o -.?7" 77
A7ign.,.r. of Permiteewo�r Agent
1�7Receipt No. :7 % / T
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.
IRE TOR OF PUBLIC WORKS
BY Date�Q�'��
£y'W17-77
permi�es Date
BUILDING
Owner `��£ S/f
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Tele honeflo.
Fireplace
_
Contractor
Total Valuation
Mailing Address
Permit Fee
PI an Checki ng Fee &/or Penalty
Telephone No.
Permit Fee
Building Address - �e /I
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
.sd '
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.
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
s
Se"4a .&M
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
ParkPlaing
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
RIdg.- PI— o- •o
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ I FEE
PERMIT FILING FEE $3.00 .,q
/G
Main service 100 AMP ORSLESS 5.00 p C)
Main service EA. ADD•L 100 AMP 2.50
n
Single Family 1s Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER
OEAMP OR LESS 25•��
Main service EA. ADD•L loo AMP 1.00
NEW CONST.
ODWELING R ADDNS. ( ACCLBLDGS.CCUP. &) 22Sq ft
NEW CONSTR MULTI -OUTLET
NON-RESID, BRANCH CIRCUITS)2.50ea
NEW-CONSTR.POWER APPARATUS &
NON-RESID, (SINGLE OUTLET CIR,
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:Ex.
Ex. Occup(OUTLETS OR FIXTURES)B@251
L@109
Occup. (OUTLET S P(RESID )REA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25 , S
r I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ la, s'
g
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.
11 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
Cal i forni a.
MECHANICAL No. @ FEEPERMIT
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
.h
TOTAL PERMIT FEE
�ri�" _Q G t"G wunry UI ouuc w enrer upon me
above-mentioned property for inspection purposes.
- Date /o -.?7" 77
A7ign.,.r. of Permiteewo�r Agent
1�7Receipt No. :7 % / T
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.
IRE TOR OF PUBLIC WORKS
BY Date�Q�'��
£y'W17-77
permi�es Date
COUNTY Ob BUTTE — DEPA•RTMENT OF PUBLIC WORKS
7 bounty Center Drive - Oroville, California 95965 L 'D77-77 77_'%
.� ,Telepoone: 534-4541 l�/1 / /
APPLICATION AND PERMIT
X Date
Signceure of Permitee or Agent
Receipt No. 1 7 b
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the autte county uoae anaior resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OR -PUBLIC WORKS
By Date /0-/ 3 -
Puiliifina permit expires Date f J 3'-7 P
BUILDING
Owner (.(�� y r
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor �' ,,,y f,`. L
Total Valuation
Mailing Address L LK ��
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
ii Z
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
S
/✓ m�� ��-�r^J � /��F�o� 00 �:� o�
Each Trap 1.50
Repair drainage or vent piping 1.50
Brow,) 5+7 A To ✓
Water piping 1.50
Each gas water heater or vent 1.50
A. P. N 9 Z 7 3
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
es
A5J
r,cani=UW
Fire Dept.
I
FireZone
Use Permit
Building sewer 5.00
EQA
I PlainPark
sg
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Ap oval
Plans provaI
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00
/✓,—* LL i o 7 - 7 -7
Main service 7000o AMP OLES
RsLESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER OOOV
00 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING OCCUP. &
OR ADDNS. ( ACC. BLDGS. ) 20sgft
NEW CONSTR. MULTI.OUTLET
NON.RESI D. BRANCH CIRCUITS) 2.50ea
NEW CONSTPOWER APPARATUS &
R. RESID. (SINGLE OUTLET CIR.
NON.
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:
�� r'1" �� ✓� K
Ex. Occup(OUTLETS OR FIXTURES) BAL@1 09
Ex. Occu FIXED APPLNS. OR
p•(0UTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. �/ 4 ti Z� Classification G— 6�
Misc. Wiring 6.25
❑ 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.
�f 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.
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
nhrwa- antinncrii fn. ;n -+;-
nrnncrt.,
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
30. 00
TOTAL PERMIT FEE
$ �O a✓
This permit is hereby issued under the applicable provisions
of
X Date
Signceure of Permitee or Agent
Receipt No. 1 7 b
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the autte county uoae anaior resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OR -PUBLIC WORKS
By Date /0-/ 3 -
Puiliifina permit expires Date f J 3'-7 P
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1. Owner's name:
2. Installer's na
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
3. Is the site currently under permit? Yes No
( If yes, furnish permit number AZ 2- % — 7 7 ) OR
Is the site an existing site? Yes / / No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes / . No
(If no, clarify
5. What is the mobilehome electrical rati '?----------------------- / C7 U Amp
6. What is the mobilehome site service ra ing?44,4f ---- Amp
7. What is the mobilehome site circuit brea r rating? ------------- s
8. Is there any other electric load to be served byth mobilehome
site service? --------------------------------------------------- Yes / / No
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? -------------- ------ J�y 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? _ 2 (ft.)
12. What is the mobilehome gas demand? ------------------------------ - (BTU)
'(This information not required if pipe length less than 6 ft. on natural gas
+;, r or less than,50 ft. on LPG.)
MOBILEHOME SUPPORT DATA
M t` �1 X g 3
Mobilehome Mfr. ly),e-rer/ Ao✓w — Setup Model No. Year 7 2
Width Zy (ft.) Length .. y 3 (ft.) Ekpando Size ft.x ft.
(Draw support details below)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not o .file with .the County of Butte).
Single - ® Footings (check. one)
Center Support
Footing Sizes
(in.)
�. x30
in. in.
(in.) (in. )
L 6601
X3
(in.- (in.)
I
�et.w)()
(in.) (in.)
I
H
-17
1. Wood -either .
pressure treated or
fdn, grade.
Concrete pad.
-F-11 3. Other,: specify
Supports (check one)
Concrete block
2. Concrete piers
3. Steel piers
4. Other, specify
TypicalSupport
Footing Size
n
i
i
w
Max. Pier
0
Max. Overhang
*If center piers are other than drawn above, BUTTE COUNTY
draw in locations, spacing, and dimens'�s���, e
- �° BUILDING DEPARTMENT
a; ju
SNgM o►19nd do 'dd9a
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APPROVED
e�
4
COUNTY OF BU:�TE. — DEPARTMENT OF PUBLIC WORKS
7 County,Uent; r,Drive — orroille, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
,�Q17-77
autnorize representatives or the county or butte to enter upon the
above-mentioned property for inspection purposes.
V Y4nature 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 lUr1PUBLIC WORKS
By a yF%
4/ilding permit expires Date o �'�� —7
BUILDING
Owner `
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
elephon Noses
��
Fireplace
Contractor
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address �G/ s'�e/ t
'cxv
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 U
a Q � C ��/,(�
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping
¢ + � � / v 'n9 Ar�ce A%
Each gas water heater or vent 1.50
A. P. No. 9 7
` L ✓
ZO" 9 '
Gas piping system 1 - 5 outlets 4.511 /0,0(—)
Each additional outlet 30
F s
t' Dept.
Fire Zone
Use Permit
Building sewer
EQA Parking
Plans
Parcel Parcel Ma
Declarati p
60' R/W
Im rovem s
p
Lawn sprinkler system 2.00
/o ('
1qg."Plans�d
Parcel Approval `
PI pproval
Permit Fee C)
$
$
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 (J
Main service 600V OR 100 AMP ORLESS5.00 .O
Main service EA. ADD -L 100 AMP 2.50
Main service OVER 600V100 AMP OR LESS 25.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 1.00
NEW CONS. DWELING
OR ADDNST ( ACCLBLDGSCCUP, &) 20sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
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
le of:
Ex. Occup(OUTLETS OR FIXTURES) 50 BAL21
Ex. Occup. FIXED APPLNS, OR
p• ( OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ OC
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.
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
P rmit Fee $
$
1 certify that I have read this application and state that the aboveAr-
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL FEE
$
autnorize representatives or the county or butte to enter upon the
above-mentioned property for inspection purposes.
V Y4nature 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 lUr1PUBLIC WORKS
By a yF%
4/ilding permit expires Date o �'�� —7
s ^. C_-• �.*C i � l LiJ�rl tis ! `��j ` �L C-'f
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BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
695 OLEANDER AVENUE 7 COUNTY CENTER DRIVE 747 ELLIOTT ROAD
CHICO, CALIFORNIA OROVILLE, CALIFORNIA ' PARADISE, CALIFORNIA
343-4211, Ext. 62 534-4281 877-0852
APPLICATION FOR PERMIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM}-
.
Owner's N
Applicant's Name
Mailing Address
1. Construction site
. t
2. Lot size
feet x
Assessor's Parcel No.
Phone
r
(Street and number or direction and distance to nearest crossroad)
t,
feet.
acres
3. Application for new system for new building❑ Auxiliary or secondary system 1:1
Repair of or addition to old system❑ New system to replace existing sewage disposal facilities❑...
".V
4. Type of building to be served by proposed system:
�.f
Mobile Home[] L ingth Width
Home ❑ Number bedrooms Number baths Garbage grinder Yes ❑ No ❑
Other❑ (Specify) I
5. Water supply for premise: (Must bd safe, potable water) Community El
Water supply for adjoining properties: Community[] Private well ❑
Private well ❑ Other
Other
6. SCALE PLOT PLAN TO BE FURNISHED
Sketch,to.scale on reverse side hereof, or attach scale sketch of plot plan of the premises showing:
a. Property lines. e. Show direction and approximate amount of slope.
b. Location of all proposed and existing buildings, f. Source of water.
structures, driveways and parking areas. g. Water lines.
c. Location of large trees, rocks, or other obstacles. h. Set back lines and easements.
d. Location of any well, spring, creek or other body of i. Proposed sewage disposal system and area
water on the parcel and within 100 feet of property line. for replacement.
I hereby state that the information above and on the reverse side hereof or attached hereto is
correct and true to the best of my knowledge. I understand that the permit must be obtained before
any construction is begun either on the building or on the sewage disposal system, and that a
satisfactory inspection of the system is required before the new building or dwelling may be
occupied or the system backfilled, or put into use. I also understand that a safe potable water
must be supplied to the new building or dwelling before occupancy can take place. . ,
Date
PLANNING REVIEW
Legal Parcel Yes ❑ No ❑
Zoning
Use Permitted
Comment
By
S4 -475R
Yes ❑ No ❑
Date _
Signed
FOR OFFICE USE ONLY
Water Plans Cleared
Potable Water
Permit Issued
Permit Denied
Comment
Date
By
Y ,
PERMIT NO. 1199—BIP',E
. PERMIT EXPIRES °
OWNER WALTER HENSLEY
CONTR. own er
ASSESSOR PARCEL 39-27-31
LOCATION 3862 Ord Ferry Rd D ton
1
i
d
'y I
� J
r
Temp. Power Pole
i
Called PG&E
Temp. Elec. Service
• -^ Called PG&E
Temp. Gas Service 1
Called PG&E '
JOB FINALED (Date)
naf 7 -
Signature
i
V OK
0 Net OK •
Not Applicable
= Not Ready
RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR (Plans): OK except N's
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
48.
49.
Property Line Firewall & Openings
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 Fig. -Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
55.
Shear Walls; Nailing -Bolts
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
i
Card -BI
Date Card -BI Date
/
Card -BI
Date Card -BI Date
i
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except k's
14. Water Ht.; Vent -Access -Combustion Air
i
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
i
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.
Gas Pipe; Size & Anchors
62.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL (Permit) OK except #'s
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture &Transformer Clearance -Ins. Protection
j
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
i
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
23.
24.
25.
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size
71.
Elec1nsul Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
Insulation -Foam -Looked in Attic E] Yes
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 AI,
Insulated Neutral ❑Yes ❑No
75.
Followinginstld.: Drive Yes No; Walks
❑ ❑ ❑Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
30.
Equip. Clearances; Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light
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 -I
Date
Date Card -BI Date
MECHANICAL (Permit) OK except N's
82.
Glass Protection
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 & Overflow; Size & Grade
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86.
Energy Compliance Certificate -Other Certificates
34.
35.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
card -BI -
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FRAMING(Plans) OK except q's
Card -BI
Date Card -BI Date
Comments at Final:
36.
Sills; Proper Material & Anchors
_
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
_
39.
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-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring.
Fireplace Ties or Type A Flue -Fireplace Throat
_
45.
46.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
-'
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
J = OK'
0 = .Not OK
= Not App'licpble
= Not Ready
MOBILEHOMES MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except H's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
COUNTY OF BUTTE
1 DEPARTMENT OF PUBLIC WORKS ,
196'Memorill Way, Chico — Phone: 891-2751
7 County �"'enter Drive, Oroville — Phone: 534-4541
Skyway and Elliott 1 d, Paradise —Phone: 872-2961 Ext. 57
CORRECTION N TICE
3 (z 0,,-4
BUILDING OR PROPLfiTY 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.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
: 196 Memorial Way, Chico — Phone: 891-2751
R
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
67 BUILDING OR PROPERTY ADDRE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
./ i . e R /.
t�
Inspector Date v /7,
/L ✓
"A
9e I
67
/�
t�
Inspector Date v /7,
J
Ar
COUNTY OF, BUTTE -DEPARTMENT OF PUBLIC WORKS P T N
7 County `CenteAMrive - Oroville, California 95965 - Telephone 916/534-4
APPLICATION AND PERMIT All" �--�
ASSES RA C L NU B R
-' %
ZONA
ZONIy�G�/�
/
BUILDING PERM
O N R
1U Tae C �p SSL
LMCA
TELEPH NE
34-3_ L} r'6,/
(�7 1'`'
SO. FT. OCC. BUILDING VAL ATION
01fy N EpR.'SL I•LCI.NOG ApDREA%Z �.11 �l� �
RD
CONTRAC TOR'5 NA)
_
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LEN R
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENG% E,�
LICENSE No.
�J�
Plan Checking Fee /"/R KAY. /o -CO
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILD g ADDRESS
302
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
T /
Water piping
.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex[J MobilehomeL_#rA00ther
SPECIFY
Building sewer
0-oa
Lawn sprinkler system
5.00
TYPE OF WORK ��'
New ❑ Addition L� Remodel E] Utilities 100„,nstal lation ❑ Other ❑
Describe work: X4,051LU �'% � �GUMl�,�,/jl
G
Permit Fee
$ O
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service sOOV OR LESS
100 AMP OR LESS
5.00 IJ
d 1 �� 1`�
Main service EA. ADD'L 100 AMP
2.50
NEW CONST'( DWELLING OCCUP.aJ)
OR ADDNS. ACC. BLDGS. _
24; sq
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
dI, 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
NEWi.CONRESR BRA cH C?IRCT Ts 2.50 ea
NEW CONSTR. /POWER APPARATUS &I
NON.RESID. %SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES a ��
00
]XED APPLNS. OR
Ex. DCCUp.�OUTLETS (RES] D.) EA. 2.00
Temporary service
10.00
Mobile Home Facilities 15.00 �s
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
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
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 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
all liabilities, judgments, costs, and expenses which may jn any way accrue
against said Co y in co7nequence of the granting of th' rmi .
Signature of Applicant —wner Contractor ❑ A ent
An OSHA permit is require 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 $ 00
OCCUP. GROUP
I TYPE OF CONST.
PAEy
a/
P11
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC R OF PUBLIC
I----
By
P IT XPIRES Date
the'applicable provi-
resolutions to do
fees have been paid.
WORKS
J
DateHITE-D.P.W., y—/.S ���
/ Q
[RelptecNo. 15016 /
YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
i 7,60UNTY CENTEFj�RDRIVg"- 0 OVILLE, CALIFORNIA 95965 - TELEPHONE: 91,0534-4541
PERMIT APPLICATION:DATA SHEET ti
Permit No. G�
OWNER W,41- 7E4 /r�=N-SL / A. P. No. 3/`Z7 3
Proposed Building Use
Permit Fee Based/Upon Complete Contract Price DPW Valuation
i Other (Explain)
Building Inspector. Date 9/&�
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . +..
5. Plans with Energy Design Compliance Statement.
6. State Energy Forms.No. j
7 Statement of Intent for•Non-Heated and AC Buildings.
8. Fees of $ . . .
9 Letter of signature authorizatiom/. . . . . . . .
�- Sanitation approval from �J.Yi�r) Health Dept.'`, b /
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. . . . . . . . .
. .
Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector (Date)
18. Other
When ,ou issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone R3-6t1SV and j old or pickup at office. Deliver w/inspector.
r Other
Applicant Date 0
Copy of plans sent Health Dept., Fire Dept., Other - Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
;'Plans checked by
Plans approved bt
Other
Copy—DPW
29
Date
Date
To: BulAding Depart7ment L
From: En-Viranr,icnt:al Health
glib j e c : Sana t;at Lon Clfl a mnui.'
Zee,;,
.0s
Plan ypprovel for : Sewagt d1sposal water st:
PP'Y
Hold f.: nal. ..for ; water sv.ppi,r ..._...�,._..�,..
Final cleartn;so h.u. foxy vrat':rsu�p�:• �..�..�.._
cl esranr;e for bedroom mobile ho:ra. Ott �r
Glearanca for idd.it;-on. of
ewe z�/S„�/l�.a� )e-
Note's
w, l
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1.. I personally plan to provide the major labor and materials for construction
-of the proposed property improvement (yes or no)
2. I (have/have noa� signed an application for a building
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name :2- yr
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
�7Z
Signed:
Property Owne.�
Social Security nu ber -
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
permitted to issue the permit.
This set of plans and specifications MUST be
kept on the job at all times and it is unlawful to
make any changes or alterations on some without
-VR"!- ission from the Department of Public
Works, CouNtY
//��u cup
MOTE:—All Materials & Workmanship Shaft Ere to
Accordance with Recognized Good p"�ry'cti
of a quality prescribed for the Sces and
oecifi�r! rise in the
Uniform Building, Plumbing & Mlachanical Codes and
the National Electrical Code.
12 _
. y` �•, f` _ .... .:Fr37 � ... . �crb^�-.= tet., �_�Ty�, � -
.) =f
j
_ ... .� .. 1.:.... .. !� / ^�• �:.. _ ^1 - ,tom
�`\� is !��• ..., ,.... ... ..._ ..._; //:`� � tl,!
I/9� /
A permit will be required for the. s-. / �'Uv LiWY
installation of the mobilehome. \ Jj A �tback of 5 ft. from the I CO
property p and a setback..., ENT
sst Fri«. 01F ro lines BUIRD
oof 5�� ®Ea�A
,,� : from.the road
of
;Orc1 • /Sam/ / ' �'centerl ne shall be clear' `' E
or'e ent excerpt P f�po �0
t
structures qu iprxi
for a 2 ft. eave,•overhang.
This set of plans and specifications MUST be
kept on the job at all times and it is unlawful to
m hv changes or alterations on some without
written perms • ' om the Department of Public
Works, County of Bu ee
! / i
/�� � Lte� �vs
e
,rvc &,v -a d
ADDIJ1OKI t�
f
NOTE:—All Materials & Workmanship Shall Be in
Accordance with Recoqnized Good Practices and
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Machanical Codes and
the National Electrical Code.
I
n�
tr �Li ��vJIJ
Y
s � • 4
A setback of 5 ft. from the ;\
j
iproperty lines and a setback
~�i~` of Oft. from the road
d • ' l
fpr ecenterline shall be clear.of,•
structures or equipment -except
( fare 2 ft. eave overfaang.
i 6 ,
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OUR
-- - ''- LAND OF NATURAL WEALTH AND 8 E A U T Y
DEPARTMENTOF PUBLIC HEALTH
196 Memorial Way DIVISION OF ENVIRONMENTAL HEALTH
Address ❑ 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.
December 17, 1980
Walter Hensley
3862 Ord Ferry Road
Chico,CA 95926
Dear Mr. Hensley;
This is to advise you that pursuant to Section 19-1.9 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 on your property located at 3862 Ord Ferry -Rd.,
Chico, CA and identified as Assessor's Parcel Number 39_27_31.
This variance renewal was granted on November .18, 1980 and includes the
X.
ollowing conditions:
1. The variance renewal is granted only for a term of one year. At
the end of one --year you must apply fora 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 Vanhart, Director
Division of Environmental Health
LEV/lld
cc: Clerk of the Board
Pla,nning Department
ilding Department
r�
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
Address ❑ 695 Oleander Avenue, P.O. Box 1100 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 5a
November 5, 1979
Walter E. Hensley
Box 3 Ord Ferry Stage
Durham, CA 95938
Dear Hr. Hensley:
This is to advise you that pursuant to.Section 19-19 of the Butte
County Code, .the Board of Supervisors has apprgved a variance to
Sections 19-10 and 19-12 of the But a.,e County Code for the placement of
a mobile home on your propert`r located at Box 3, Dayton Road
Durham Area and identified as AP'# 39-27-31
This variance was granted on October 30, 1979 and includes
the 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 con-
tinue.
2. if the applicant residing in the mobile home or conventional
residence roves to another location or is deceased, the variance auto-
matically ex-)Lres 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 ho,:�e and store it at the owner's expense. -
3. The robile home shall be placed on the property without violatin-Z
ariy of .the setback require _sents of the zone in which the property is
-Located.
4. The an�Dlicant shall secure all necessary se:•rage disposal,
electrical, plumibing and building permits necessary to install the mobile
no - e.
0
1J. I r
Very truly your
iii
Vanhart, Director
ionof Envi ron.T er_tal Health
c Clerk o'`' the Board
Plane i r_:r Denar'I' er_t
, uildi r_ , _ oa';'trr2P
rftviron_mental Health
I
August 31, 1978
Mr. 4 Mrs. Walter Htimley
Rt. 3, Box 178-3
Chico, California -
Dear Mr. & Mrs. Hensley
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 Rt. 3, Box 178-B, Chico 39-27-31
Street Address AP#
This variance was granted on August 29, 1978 and includes the following
conditions: Date
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 removed 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,
LY\N VANRA,RT,. Director:'
Division of Environmental Health
✓�,,anhino Department
Ch Co Department
r�___�__-_ _�_. .. .•
August 15, 1977
Mr. an.6 Mrs,. IV -alter Hensley
Route 3, Box 1'78B
Chico, California 95926
Dear Njr. z mrr, . Hens%ry
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
os the Butte County Code for the placement of a mobile -home on your property
located at Route ., I37x: 1.78B, Chun. 39-27-31
Street Address APr
This variance was granted on august 9,. 1977 and includes the. following
conditions: date
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 vari-
ance automatically expires and the mobile home shall be renoved
within 30 days. If the mobile home is not removed within 30
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,
,plu,-nbirg and building pe a�.its necessary to install the.mobile home.
Very truly yours,
Howard J. Toussaint, Director
Division of Environmental Health
cc: Clerk of the Board
Plannir.? Department /
Building Department
Chi c�., Environmental Health
COUN, Y Gr BU -,,E
DEPT. OP PUBLIC WORKS
J: AU 17 7977
Pfd
7181900illiIU1213i415t6
li"' .m. A
r?. " W, e - 7 �; *, 0 A/x � .
lrl,ea c,,z,
HOW MANY?
All of our 25 4-H clubs but one have turned
in their enrollment forms which will give
us about 1000 members. We are still accept-
ing enrollment forms so send any late ones
to the 4-H Office as soon as possible.
4-H COUNTY COUNCIL
The next meeting is Thursday, January 27,
7:30 p.m. at the Durham High School Library.
All 4-H leaders and older members are
invited. Each club must be represented.
The agenda features special information
on coming 4-H events including Fun Night
and Demonstration Day. We'll also review
the new livestock auction requirements that
were outlined.in the November issue of
Cloverleaves.
All
.,, ��i�l�1 T: 211. R l 1 �1..� �"'�,p. �•
COUNTY OF BUTTE — DEPARTMENT OF PL)BLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541 / _; 9
APPLICATION AND PERMIT
authorize representatives of the County oT t3utte to enter upon the
above-mentioned property for inspection purposes.
l"
L Date
Signature of Per mitee Agent
Receipt No. ` ' 0
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-T-OR,9F PUBLIC WORKS
ByZ7 rz Date _It --`f
wilding permit expires Date G(- 4—,90 8a
BUILDING
Owner &L..TCe, &JS LEY
SQ. FT OCC. BUILDING VA UATION
IT '51 r00
Mailing Address ;5c?X `Z f�>J �C--2,(fXSTA(,
2�0 Qtr 00
G �SaZ% j*�on&N S
Contractor A3 e
Mailing Address
Fireplace
Total Valuation .Op
Telephone No.
Permit Fee Oa
Building Address �j' dot) (&L( �D. APPi
Plan Checking Fee&/or Penalty
Permit Fee r pZ)
6�c
A) E. F B GuN J / r
PLUMBING No.1 @ I FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
�/4-�'f7VN
Repair drainage or vent piping 1.50
3 27—�
A. P: No. L
on�� Planning
Water piping 1.50
Each gas water heater or vent 1.50
FVes
WW.J SVLd Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
ParcelEach
I De laration
I Parcel Map
60'
Improve s
additional outlet .30
Building sewer 5.00
Bldg. Plansc'd
Parcel Ap rov'
Plar4reAepproval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
IA)ST*(,(• 14Ot//J14) )'7! /L�, /�, /AJSML .,
ELECTRICAL No. @ FEE
� G/L %V D&T 4" .
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home Others
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service/ EA. ADD'L 100 AMP 1.00
NEW OR ADDNST ( ACC. BLDGS.DWELLING CCUP. B� 20sgft
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:
NEW CONSTR. MULTI.OUTL T
NON -REBID ( BRANCH CIRCUITS) 12.50ea
NEW CONSTR. POWER APPARATUS 6 ,
NON.RESID. (SINGLE OUTLET CIR.
Ex. OCCUD(ouTLETS OR FIXTIIRES g L�1
Ex. Occup. ( OUTLETS P(RESID )PEA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ 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.
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
Land Development Fee
$
TOTAL PERMIT FEE
$OO
authorize representatives of the County oT t3utte to enter upon the
above-mentioned property for inspection purposes.
l"
L Date
Signature of Per mitee Agent
Receipt No. ` ' 0
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-T-OR,9F PUBLIC WORKS
ByZ7 rz Date _It --`f
wilding permit expires Date G(- 4—,90 8a
° F,•'��" COUNTY OF BUTTE — DEPARTMENT OF PUBLIC -.WORKS —BUILDING DIVISION
7 County Center Drive — Oro viIle, California 95965 — Telephone: 534-4541
PERMIT:APPLICATION DATA SHEET
OWNER wigL%Z2
Proposed Building Use
Permit fee based upon"-' •.
Buildin4 inspector
/`i — S&•L y J) r)
—Complete Contract Price
ain)
Permit No.
A. P. No.
r_L' 4�
Date 31? g
DPW Valuation
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or
issuance:
DATE RECEIVED APPROVED
1.
All items have been submitted...................................................................
2.
Plot plans in duplicate/triplicate...............................................................
3.
Complete plans in duplicate/triplicate...................................................
4.
Complete engineered plans and calcs..................................................... i
5.
Plans with Energy Design Compliance Statement ............................
6.
State Energy Forms No.
7.
Statement of Intent for.Non-Heated & AC Buildings ................... E
8.
Fees of $
_ 9!
Letter of signature authorization. ...........................................................
Gl� LU
10.
Sanitation approval from Health Dept....
11.
Planning approval for .............
12.
Certificate of Workmen's Compensation Insurance ........................ �.
13.
Contractors License Information (no., name style, ,,
classification) ............................... t
14.
Improvements may be required. Contact Land !
It
Development Section of Dept. Public Works (see '
addressbelow).................................................................................................
15.
Pre -inspection for required. Pre•inspec. request to
bldg. inspector (date)
16.
Other
When you issue the permit, process as follows: Mail to owner Mail to contractor..
Telephone and hold for pickup at office. _ Deliver w/inspection.
Other
AppIicaryi:�55 Dates/�/�/%
Copy of plans sent Health Dept., Fire Dept., Other Date—
During
ateDuring the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by
Plans approved by
OTHER:
1:.
Conv/DPW
Telephone
Mail
Other
Date
r ORO
NOTE: 11 Materials & Workmanship Shall Be in
Accordance with Recognized Good Practices and
oIf a quality prescribed for 'the'Specified use in the
niform building, Pluml:�in et Mechanical Codes and �oCoc�'Y. iee_The'f3!*�g. Se+hack shall be 5 ft. ro
fie National Electric c� e. t ,mac side property line and 50 ft. from the
1C 14 center line of the road, permitting a max'
mum of a 2 ft. eav�ovbut entire'y
—7 y out of all easern ts.
7a r�.l
This <a. glans rind er)nr :r•...vt� .res �,!° 'ST ''2 i �.
�X-Al is unlawful to w
fr. r'•, "nv chnnctcs or alterations on same
written
Works, County of Butte.
Septic system and location of I
ing drain stub -out to be as
Butte County Health Dept.
quirements.
r
y X�
J
BUTTE COUNTY
BUILDING DEPARTMEN7
APPDovEr%
a
ly
r;in
See
BE ,A � t3y iti'c;oc/ifl cwt cif' (Io" IAP
6;1jL'VAAI1-2E D METAL• y I
&XT• PLY. 57/D/R7Lj.
4 y
f
z
R T w
I - I
•'\ \ t � � \ t t�C � � �l �t t�a J]�-..n �n 0.,.i i� 1� ii
I l _ !NG Dr- PARTME(
PPROVED
A
• /l. LCL 7 � r/ �N�% Lf 5 V�� t. _
SEE=td�f�i
/ cev
Li
,x Acv
of
mop &-M6•. I int 1/11/y 111V side ielf �rE Cof,n eere-d Tiu 5s es
SCJ '".1y x ✓�y �,�de .Sfe// 9�/v, �yi��rwf /� uloO��u1�, of FQv�✓i/�
— � X % G'3'�i' iiccJ dC!?/'s r __..... ���_..-... _ ✓y � a - P,.da - /� 6! �I r, �� `'�
✓ - 31- '�cd(l�3ide it/�Y C�Cesf' ...f_ - �� ;i f� (��Ntof-5
— BUTTE COUNTY
P 10 1 k r -',!N0 DF-PARTMENI
.�r
PROVED
.2
u7bX
14
q+��d�
Zu 1*4 , v'1
t
. } .,fit,` ' t '° a i '. •. S� � sJ'.: :nY , ri^.
I E '
r
ly
J.
x fllCC ��
a i IX y
x
sl a� } fir y� �f%•Cii(;i'j'� F
k 'r. ' T^ I + rR A ,�;, P I I, ?`7� r�.:! � 1 i.'!�'�''�}� d'n.. , � ✓i rct.; x Y «Y ,." � T ' P
r '.o -- 'i s+ f d €. t a.r; Vis. N3r;i• Sir Lr'Y F i?.:I
0 04
BUTTE COUNTY
BUiL.nINC T,
e r
�.
7 " LF
y •"' f r F . ' �,� ,A _ i ^n F '2 t .;
� v P 1,�+ � .. yap 75 q'• � a C.. to �. C'+ a
t, s F' a• rr � a I 'inti '1:
� ♦ fd�' '��• I i �,�In �����'� 1 'F ��g� r t •»�S Y`'°.S'> :�5. .• ^t
Y:. ..$' iS ... t ._ �'i-.. '�. �'ir: i_.i`I .c � i�.. 1$..u��i.,tx _. 4i_• ETR' :':D'... .. .. .... �:. _ ... `� ,.Y..i "r.. ., , .1? .I ,.J - .., r.t � b•„
j
5X5 36 7 - 1
5X4 34 0"
4X4 30' 0'
2X4 36' 7"
1.5X3 34' B"'
1X3 3B' B"
t
x� {�n-`o
4.00
3X4 E9'
;' C
2.5X4 " 2X8 36' 7
2X1 36' 8"
$X6 30' 9"
2X5 25 7"
5X7 36' 7" 0
5X6 34' B" V
5X5 38' B"'
4X6 36: 3X4 1301 83X6 3d 8 "1
m
-36' 7"f;X-- -.--- --
PIrRTE TYPE--RLPIMr-
GENERAL NOTES ---UNLESS THE SPECIFICATIDNS ON THIS UESIGN rUk
LUMBER AND ALPINE CONNECTORS ARE FOLLOVEO,RNO UM_EGS THE TRIISSFS RRL
BUILT IN CONFORMANCE WITH -QUALITY CONTROL MRNURL- BY TRUSS PIRTE
INSTITLITEITPII, THERE SHALL BE NO WARRANTIES OF THIS DESIGN, EXPRESS
OR IMPLIED. ALPINE CONNECTORS ARE MANUFACTURED FROM GALVANIZED STEEL.
MEETING THE REOUIREMENTS OF ASTM R446 GRROE R. THEY RRC 20 GAUGE
UNLESS OTHERWISE SHOWN nNO SHALL BE APPLIED TO BOTH FACES OF TRUSS
AT EACH JOINT, LOCATED R9 SHOWN ON THIS DESIGN. OVERALL LENGTHS
RS81M 4' BEARING EACH END. BEARING VION5 UP TO B MAY Be, USED
PERMITTING AN INCREASE IN OVERALL LENGTH UP.TO 8%
n��yyv o 0 0
o t�
TmG = o cs
0
r 0 0
ALP Ik=
U
" it' *-A
V#PI* ENGIWERED PRDDUCTS,IRC.
P.O. SDX 2225
OFF -PANEL SPLICES IN THE TOP CHORD P(ifffM SEMH URIDR 33061
MUST BE LOCATED WITHIN 6 INCHES -7®j -
OF 1/4 -POINTS OF PANEL LENGTH
DASHES SHOW {
DIRECTION OF
ELUNI;ATED `
HOLES IN
PLATES ON TYPICAL CONTINUOUS JOINTS
4 EQ. TC PANELS
3 EO. BC PANELS
MEASURED FROM
INSIDE SCARFS
MIN BF; SPAN
3.58" 36' 7
BOTTOM CHORD
CHECKED FOR
1B PSP
LIVE: LOAD
WARNING -- TRUSSES HLVAYS REQUIRE EXTREME lypFESSlp�
CRHF IN HRNOLING, ERECTION'AND BRACING. FOR oy0 Me 4f
GU!OANCE, SEE "8RHCING WOOD TRUSSES:COMr1ENTRRY
AtO RECOMMENOR I IONS "(TPI). SEE THIS DESIGN FOR
ANY ADDITIONAL SPECIAL BRACING REQUIREMENTS. ° Na 13873,
VIIERE TOP AND BOTTOM CHORDS ARE NOT FULLY
BRRCED LATERALLY BY PROPERLY APPLIED SHEATHING
OR RIGID CEILING, THEY SHALL BE BRACED AT R
MAXIMUMISPACING OF 3 FEET AND 10 FEET O.C. 4
FURNISH A COPY OF THIS DESIGN TO -ERECTION CONTRACTOR
DESIGN CRITERIA UBC
TC LIVE LOAD - 16.8 PST
TC DEAD LOAD - 12.8 PST
"+ BC DEAD LOAD - 5.8 PST
TOTAL - 33.8 Pal
DUR. FACTOR 1.25
SPACING 24,8" OC
FIR OVERALL SPAM
LARCH 2X4 rc 2x4 CC
SSD MC -15 3f;' 7"- 36: 7"
SSD 36' 7" 36' 7 -
SS MC -15 36' 4" 36' 7'
SS 35' 5" 36' '1 -
YID MC -15 36' 6" 36' 7'
Y1 D 35' 7" 36' 7'
Y1 MC -15 34' 11" 35' 11"
Y1 1 34' 0" 34' 3"
Y21) MC -15 .34' 5" 35' 3'
Y2 D 33' 5" 33' 7'
Y2 MC -15 32' 11" 31' 11"
Y21y 31' 9" 1 38' 8"
LORDING
SPACING,
33.0/1.25
24.0 "
2X4/2X4
PITCH
43NTS FI
4.0/12
SPANS TO
- 3A R
APC -33/1.25-1612- 26[6=443i
85/17/78 COPYRIGHT 19.7
DRWG# A309,463.•
-
Suite couft!y
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
y�q��wa7
CLAY CASTLEBERRY, Director
Y 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
44'
4' tea. ' .'••'.i•a
• Telephone: (916) 534-4541
H. W. McDONALD
Deputy Director
cf, RE: Building Permit
A. P. # rI — a-7
With reference to the above subject, we have been advised by one of our building
inspectors that you have not obtained the required permits and inspections from
this office for the work you are doing as follows: _ 2
s�--j-` .v� ...� C_.o .� O v d 1� 6� „ � i? � / .L IZ e i ..� c ,,,.•-�
o J KtiQ �iCg - J4 -111,R � (r . ! / o
4 y w ,�.P �( S� -1aILc s �iJ �►^ - -�.
Since permits and inspections are required by both State and County laws, please
contact this office within ten (10) days of the date of this letter, submit two (2)
complete sets of plans, apply for the required permits, and pay the appropriate
fees.
All work must stop until you obtain these permits and are authorized by our field
inspector to proceed. This field authorization cannot be made until the existing
work is inspected and approved.
Your cooperation in resolving this matter would certainly be appreciated. Should
you have any questions concerning this matter, please contact this office.
JFG:dd
cc: Building Inspector
Yours very truly,
Clay Castleberry
Director of Public Works
J.F. Glander
Chief Building Inspector
CIU Ar,l-�-.�
Owner:
Address: J'S!�.r- 7 0
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
MA
A. P. # • Y9 -W 7- jZ
Date of Inspection�-Z9 7j
Tenant: W A) 9- Inspector.
Building Location: N%G✓ All,Al-/,vs/mzw120
Type of -Inspection requested:
1. Housing L 2. Financing. l 3: Change of Occupancy to
4. Other (specify)
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. Comments•
B. Structural V
1. Piers and footings:"
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing:
4. Comments:
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments•
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
f
F. Commercial Buildings
1. Roof covering: ,
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments•
G. Field Problems or Violations
1. Problem or violatiop (give complete description):
/, Y UX .li5;1,-,V'— P -I e 7)s.d . / ✓.i„ �; _ ...
2.
3.
..•.viva+ acv vaaaauc uucu.
�Anforniation only - file.
/ B. Hold for ten (10) days, then write letter.
C. Write letter.
% D. Other:
iy.
&Utd* 41103W&
OROVILLE,'CALIF'ORNIA
GENERAL CLAIM
CLAIMANT: Oakmont Enterprises Inc.
ADDRESS: 2795 Esplanade
CITY & STATE: Chico, CA. 95926 IMPORTANT:
September 27, 1977 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
J
Not going to -install mobilehome.
(Owner. Walter Hensley - ei—ft Appin. #451347 � Receipt #168082
AP 39-27-31)
Mobilehome installation permit fee -------------------------------
$30.00
TOTAL
$30
00
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated.
Datedthis .................................. day of ............................. 19....... at................................, Calif.....................................................................................
Signature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there'is a Budget AppropristionO or Specific Board Approval❑ (Checkone) for the same.
27th Sept.. 77 Oroville
Dated this .................................... day of ............................. 19....... at .............................. , Calif.....................................................................................
.,, Department Head or Authorized Deputy
Dept. Exp.
Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND
DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY
VENDOR
CODE
DEPT.
& SUB.
PROD•
SUB.
OBJ.
CLAIM
NO.
INVOICE
NO.
INVOICE
DATE
DISC.
GROSS
AMOUNT
ENCUMB.
SUB -DIST.
- INSTRUCTIONS to CLAIMANTS i
All claims against the county must be itemized, giving dates and
character of service rendered or work performed, quantities, de-
scription and unit prices of articles furnished or delivered.
Claims must be certified by the claimant and submitted to the De-
partment head for approval. Upon approval the Department head
will forward claim to County Auditor for payment procedure.. Do
not file with the County Auditor first.
Claims should be presented to officials for approval immediately
upon completion of services requested or material ordered.
Claims are paid every Tuesday; however, same must be approved by
officials and in Auditor's office before preceeding Wednesday noon.
Compliance with above will expedite payment of claim, failure to do
so may delay payment considerably.
i
1
COUNTY OF'BUT'T°E — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive 4Uroville, California 95965 �16
j ��7%%%Telephone: 534-4541
APPLICATION AND PERMIT
— IUI — 1VF1V0cntau Vca UI LIC I�UUnty UI OU UC N UIRUI UNUII LFIU
above-mentioned property for inspection purposes.
T
Signature
ofPermitpee or Agent
Q
Receipt No � a oo
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
1`.
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
Building permit expires Date
Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor G' ��/ �f C
Total Valuation
Mailing Address✓c'— �j
Permit Fee
Plan Checking Fee &/or Penalty
r
eihonee No.
_7"51
Permit Fee
Building Address �w `d - ' 0 ^
PLUMBING No. @ FEE
PERMIT FILING FEE J$3.00
Each Trap 1.50
l
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P, o. e,2 _Zoning
8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
ees
Serritet+en
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bit. Plans Recd
Parcel val
Plans vol
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
V OR L
Main service 8000 AMP ORSLESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V100 AMP OR LESS 25.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD•L 100 AMP 1.00
NEW
OR ADDNST ( ADWECCLBLDGS.CCUP. &) 20sgft
NEW CONSTR. MULTI.OUTLET
NON.RESID, ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON•RESID. (SINGLE OUTLET CIR.
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
le of:
style �
Ex. Occup(OUTLETs OR FIXTURES) BAL@100
Ex. Occu FIXED APPLNS. OR
P• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.�I��59 Classification _ x-61— /S�
Misc. Wiring 6.25
❑ 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.
2have 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 $
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
$ 0 7%
— IUI — 1VF1V0cntau Vca UI LIC I�UUnty UI OU UC N UIRUI UNUII LFIU
above-mentioned property for inspection purposes.
T
Signature
ofPermitpee or Agent
Q
Receipt No � a oo
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
1`.
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
Building permit expires Date
Date
7
f �M ,~
OB LEHOME SUPPORT DATA
Mobilehome Mfr. S Setup Model No. 7�,3 Year
Width 2 .(f t.) Length (ft.) , "Expando" Size ft.x ft.
(Draw 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).
/7'�%�/l?�P�-.�.clr•� �iP.7� C��".� �o.y-s Tro.'c.Y d'� .
A .
- Sinkle -� �+®�, Footk&a"(check."one)
777--11. Wood either
pressure treated or
fdn-. "grade. ""
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
2. Concrete pad.
3. Other,: specify
Supports (check one)
Concrete block
2. Concrete piers
3. Steel piers
4. Other, specify
Typical Support
Footing Size
Max.. Pier
Spacing
Max.
Overhang
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA,
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. owner's name:
2. Installer's name:
3. Is the site currently under permit? Yes /7t7X No
( If yes, furnish permit number h/;7_/ OR
Is the site an existing site? Yes / / No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes /!// No
( If no,
clarify
is the mobilehome site gas pipe size? ----------------------
)
10.
What
is the type of gas service? -----------------------------
Natural / / LPG /
11.
What
is the gas pipe length from meter or tank to
the mobilehome?
12.
5. What is the
mobilehome electrical rating? -----------------------
-Amps
6. What is the
mobilehome site service rating? ---------------------
/ D p
Amps
7. What is the
`mobilehome site circuit breaker rating? -------------
/ Q /]
Amps
8. Is there any other electric load to be served by the mobilehome
site service? --------------------------------------------------- Yes
(If yes, identify the load and size: (Load)
No 777/1
_(Amps)
9.
What
is the mobilehome site gas pipe size? ----------------------
.3
—(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?
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 : ;Ion LPG.)
C( C, ld
x `,
3312-86
PERMIT NO. 3624-86B
PERMIT EXPIRES /( �-
OWNER WALTER HENSLEY
CONTR. owner
ASSESSOR PARCEL 39-27-31
LOCATION 3862 Ord Ferry Rd, Chico
Temp. Power Pole_
Called PG&E _
Temp. Elec. Service
Called PG&E_
Temp. Gas Service _
Called PG&E _
JOB FINA
Signa
J = OK
0. = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
Not Ready
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.
Fig., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection_
4.
Fig., Porches & Decks; Soils -Steel- / - /'' Fig. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel -Bloc kouts-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.
11.
Water Pipe Test -Anchors -Regulator -Service Test.
Electric; Underground
12.
Plenums &_Ducts; Clearance -Material -Support -Ins.
-
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date Card -BI Date
Card -BI
-_
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
56.
57.
Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
Card -BI
Card -BI
14.
15.
16.
17.
18.
19.
Water Ht.: Vent -Access -Combustion Air
Water Pipe: Test & Anchors -Nail Protection
D.W.V.: Test-Fttngs & Anchors -Nail Protection
Shower Pan: Test, First -Floor -Tub Access
Test Tub _& Shower, 2nd Floor -Tub Access
Gas Pipe: Size & Anchors
Date Card -BI _ Date
Date Card -BI Date
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except #'s
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
Caro B -I
Gard 8-I
20.
21.
22.
24.
25.
26.
27.
28.
29.
30.
-
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.23.
Equip. Ground made up w/Mech._ Fasteners -Bond Gas & Water
2 ,ppliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size i / ga. Cu or Al-A.C.-Wire Size / / ga. Cu or AI
Range Circ. / / ga. Cu or AI -_Oven Circ. / / ga. Cu or AI,
Insulated Neutral YesNo _ _
Service -Riser Conductors & Ground -Main Disconnect _
Equip. Clearances: Panels-Motors-Mech. Equip: _ -
Clothes Closet Light -Shower Light •
Date Card -Bi -,-,- Date _
Date Card -BI Date
69.
Wit. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
70,
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
Insulation -Foam -Looked in Attic E3 Yes
73.
Guard Rails &Deck Construction -Post Caps
74.
Fdn. Vents & Crawl 'dole Door -Drainage & Wood -Earth Clearance
Looked under Floor ElYes
75.
Following instld.: Drive [Yes No; Walks [t Yes El No;
Planters Dyes EJ -No
76.
Stucco; Brown -Finish
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cord. Size -115V Outlet
78,
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82,
Glass Protection
Date
-
MECHANICAL (Permit) OK except #'s
83.
84.
Corrections from Previous Inspections
Gas lest -Meters Tagged: Gas -Electric
Card -BI
Card -RI
31.
32.
33.
34.
35.
A.C. Ducts. Insulation & Support_ - -
Vent Fan: Exhaust above Insulation _ _
Condensate Drain & Overflow. Size _& Grade _
Furnace -Vent. Access -Comb. Air- Return_Air Vent - 115V outlet
Attic Access & Platform if Furnace in Attic
Date Card -BI Date
naia carrl_ai n��,, _
85.
86,
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
--
Card -BI
Date Card -BI Date
Card -fl c
Date Card -BI Date
,Card di Date Card -BI
Date FRAMING(Plans) OK except #'s Com lents at Final:
36. Sills; Proper Material & Anchors
37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
38. Bearing Walls over Girders & Floor Nailing
39. Draft Stop .n Walls ,(rat proof) _
40. Fire Slops. Furred Ceilin s -Stairs -Chases -Tub -
41 Header & Beam -Size & Bearing
42. Hangers -Post Caps -Anchors -Connectors
43. Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq.
44. Fireplace Ties or Type A Flue -Fireplace Throat
45. Atltc Access: Size & Romex Protection- ns._Draft Stop-IBa_ffle_s
46. Bdrm. Windows or Exiting Doors -Sill Hgt. &Dimensions
47. Garage Fire Protection Framing
(NOTE An entry must be made each time you visit job site)
= OK
Not OK
Not Applicable MOBILEHOMES
Not Ready
MISCELLANEOUS --
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec. i
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability V
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
M
COUNTY OF BUTTE
= DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediateiv_
i
Inspector`— Date
Z COUNTY OF BUTTE ,
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIIe — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
/J-Cw SI f:jg 22, ,
OWNER PERMIT
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. It you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
'e'0- c
nu�;,� E6.,Q
c%7�
r
��
Inspector_�frr, Date >-/ Z-
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT N0.
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.
r o L, —�) 'C'06 t- 544 to o f-
r!_,- <'(r, y, � e I � /)'XU !a
Inspector ( CIL-, _ Dated �1
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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.
�./ VEC/ Vtc(C QCCi-Sf Or V" �z sewc.r
Coed" tr-� In/'
-*, C -3C. `1+1
Inspector (�— Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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. It you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
\.e,—
STI Qc.ke�f
e 1� 76 Q �d HUkS c_
n�P �C\ IwG/ � � � � Q � �u rjdCV.•�iyN
Z
Inspector__ Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California'95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT.
67 '"
ASSESSOR PARCEL NUMBER
ZONING
410
BUILDING PERMIT
OWNER
(/L)a 1 �ew i{eIV . j
TELEPHONE
_
S0. FT. OCC. BUILDING VALUATION
y�
O, Oy
OWNER'S MAILING ADDRESS
pie,r-r 43
CONT C OR•S NAM
e) LuNieje�
TELEPHONE
CONTRACTOR'S, MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
rVL..N",._
UNKN OWN
Total Valuation $
Q , p 0
LENDER'S MAILING ADDRESS
Filing Fee
g
$ 10.00
Permit Fee
$ o
ARCHITEC ,R ENGINEER
__R_7
LICENSE NO.
Plan Checking Fee
$ !'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS ^� �q
i (-
V
Permit fee
$ t�
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
GI1 tGJ
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5'5.00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome3�_ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodell o Uti�lities ❑ Installation❑ Other ❑
v
Describe work: C`-oer&d' Ol�tia•410
Ac•c-.r.`4 3 3.1 a rs-0
—��
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
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.
Icense No. Classification
I, as the owner, Or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&`
OR ADDNS. ACC. BLDGS. / , /20sgft
NEW CONSTR ULT' -OUTLET
NON.RESID BRA'NCN CIRC ITS 2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. Occu
Occup(OUTLETS OR FIXTURES 20050eeALO 30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID,) EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
d 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
FiIingFee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 qaw County in con quence of the granting of this permi
Date
Signature of Applicant — Owner Contractor ❑ AgentF1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures/over 3cstt+ories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
occuP.
CONST*TYPEJ
FLO
OAR E Pa
I�o�
✓
I S 9 E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC R OF PUBLIC
BY
P IT EXPIRES Date_
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/
Date/ Z'a/—?TL
Receipt No. G�J� —/ / /
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
-j.. .v,w TJ: jr74-19 p,. .•:?i�lr ai,ri. 7.� -.w ..a ✓:e ili-.7...] , ,� . '. . h _
COUNTY OF BUTTE - DEPARTMENT�OF,P,O,UIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
+ Permit No.
OWNER W c� l -E e� �) c�vs(oy .. _ A. P. No. 3 �� r -7 ' 3�
Proposed Building Use pe, %110 wv_,-s' M Building Inspector Date /,*2
At time of permit application, I was advised theVollowing data must be submitted prior to permit processing
and:/or issuance: f . DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate, signed by preparer of plans. .
3. Complete plans in duplicate./triplicate, signed by preparer of plans.
4. Complete engineered plans and talcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
16. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ , . , , , , ,
9: Letter of signature authorization. . . . . . . . . . .
Sanitation approval from �kl to Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑.),
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .....
17. Pre -Inspection for
Pre-Inspec. request to (Date)
Required, Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the permit, process as follows: _12ail to owner, Mail to contractor. +
Telephone and hold for pickup at—off ice, Deliver w/inspector. Y
Other
Copy of plans sent - Health Dept., Fire Dept„ Other Date
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by_
Contractor, designer, owner, was advised of above required data •by_phone—Mai l—counter
Ay_
Plans checked
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
— date
— date
Date
.'— Flours: 10:00 a.m. - 3:00 p.m.
TO: Building Department t
FROM: Environmental Health, Chico
SUBJECT: Sanit tion Clearance �'„ .� ^Z,%
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
Note***
Sanitarian
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
'1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) lam/ signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address \ City
Phone Contractors License No.
4. I plan to provide portion of this work, but I have hired the following person
to coordinate, supervise, a d provide the major work:
Name
Address
Phone
Con`kractors License No.
5. I will provide some of the work but\
persons to provide the work indicate
Name Address
City
have contracted (hired) the following
Signed:
Property Owner
Social Security N mb r '
Date
Phone
Type of Work
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.
WET.
A setback of 40. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhanct.
tilfiis set of plans and specificaf ions MUST bt
tsWf on the jo at all times and it is. unlawful to "
wmkw any changes or alterations on some -without
wriffivn-permission from the Departrnmf of Pini
County of Butte,
e
B1ME
APPROVED
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X106 .,Ae
WF
' :'ATE. --AD Materials & Workmanship
��—k--x/ -5 �; , r dCAce with Recognized p eflaShaAA {fi
L Good Prd�tfc�� �n�
`a=: r Prescrs ;;,-,; for flee SPOCIfiod us® In t6
�____ / f tiny �i »�j 1 1 4��F��a. E► c; ,i :C; P� Mechanical Codd] ad
-fft R -;- I Code.
1 �
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Gam rNGs o 74 i�Z �Z _ ' BUTTE COUNTY
� T
WILDING DEPARTMENT
APPROVED
2/v