HomeMy WebLinkAbout039-270-142- - - -- R. 39-2 _
7
CANFIELD � �
3959 right St. Dayton lot 20
Contr: Irrl tion Pump & Ele F3959
270 -092r
Permit#3689-86 01-1 ] lAG
util, MH) IZIQUEZ, ANDY A. ,
ELEC aC0.4" I "'1'Z
CARTWRIGHT ST., CHICO
GAS (�. B l EX PERMIT - FARM EQUIPMENT
-SUPPORT STR RE
COMPACTION TEST RE
.4w,ovO—erz qv /il/T/ P
39 -27 -IJP !4�
Per B- =•- ? �
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1
BUILDING DIVISION
COUNtY OF BUTTE e DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
60/_/l 1
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. 1, �d`
ZONING
OWNER^ � -tZ
/ n 7
PHONE NO.
OWNER'S ADDREiS-'tS
qs C n cw G 7` C/� C IQ
LOCATION OF BUILDING
USE OF BUILDING
q lolnC r
SIZE OF STRUCTURE .� y +
a
X' = SQ. FT.
TYPE OF CONSTRUCTION:
WOOD
FRAME —L_ STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
FLOOR TYPE
ESTIMATED COST OF CONSTRUCTION
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:
FRONT / `�''�� / �itiiyl+
SIDES REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date o LPA' 0 Signature of Owner
Permit Fee - $60.00 The above described AG Building is exempt from a building per
—j
Receipt No. �� PARC P.D ROOF I E
� `� 7 b
Manager Building Division
p i
By Date
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant
�� �� �.:.xti1�^i-��:wh/i'/�+lTd"iY'+�:^ttr�'x'FN'► ` `_"4aCrrn:t r �f � ,,.a �„�,� ;,K,�v'°r'S::r+l,_r -.. '�.t.a`,.wy�
COUNTY 0F'WL*E - DEPARTMENTi�OFDEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET "
LQ Jli . .. ' q yl htt.MS Od.Wd
Proposed Building Use: A6 y Building Inspector:, Date: - �
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All items have been submitted --------------------------------------------------------------------------------------
E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
06. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
El 8. Hazardous Material Form.-----------------------------------------------------------------------------------�---
❑9. Manufactured Home data and installation instructions including Tie Down Specifications.---------- -------
❑ 10. Fees of $
s ,
1111. Anpact fees as shown on the attached schedule. -------
❑ 12. California Department of Forestry plan approval/fees.
❑ 13. Flood elevation certificate. -------------------------------
❑ 14. Sanitation and plot plan approval Health Department.
❑ 15. City of Chico plumbing permit. ---------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking: --------------- ___.
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------
1119.
----------------
❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------
1:120. Pre -inspection for required. Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------e- �
C1 22. Workers' Compensation carrier adil"policy number. ---------------------------------------------------------
❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - ---------------------------------------
E124.
------------------------------------
❑24. Letter of signature authorization.--------------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
026. Letter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑28. Existing violations and/or expired permits. ----------------------------------------------------------------------
029. 0433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ - ---------------
030.
______________❑30. Other:
(Date)
Wele
you issue the permit, process as follows ❑ Mail to owner, Dail to contractor.
phone ��- b �J and hold for pickup at C ' 1760 office. ❑ Deliver with inspector.
Applicant: Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required: a
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by' Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by, t? 'phone;-❑ mail, ❑ Building Division counter, by ! Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: `
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
PERMIT NO. 3689-86P E NH
t
PERMIT EXPIRES
OWNER NINA CANFIELD
CONTR. Irrigation Pump & Ele
ASSESSOR PARCEL 39-27-2 lot 20
LOCATION 3959 Cartwright St, Dat ..
Temp. Power Pole _
Called PG&E _
Temp. Elea S-- '--
Called P(
Temp. Gas Sei
Called PC
JOB FINALE(
Signature
OFFICE COPY t
. � Address
j
GAS
Meter By
IELECTRIC
Dat i
Meter By
L
Date 4&—
Temp. Power Pole _
Called PG&E _
Temp. Elea S-- '--
Called P(
Temp. Gas Sei
Called PC
JOB FINALE(
Signature
J = OK
O = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBI1,EHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
Zo in Requirements—Setbacks—E sements
1. Zoning Requirements—Setbacks—Easements
s; Special MH Suppor
_
2. Footings; Size—Depth—Spacing—Connectors
ewer; Location—Test /0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
ae-Water; Location—Test—Easement Needed (Sketch)
4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
ec icity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
lf,aS; Looatiort—Test—Wrap:/ /"L"ft./ /"Nat.or "L"ft./ "LPG
6. Carports; Windows—Doors
X_Utffry 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
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
1, Setbacks—Easements
2. F otings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
Gas; W Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. E iricity; M st—Crossovers—Breakers—Clearances
4. Elec.; Receptacles and Lighting; Distances—GFI
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
1
7. Ver and Sewer Connected—C/O to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
Vis; Insp.—Sketch
1 Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card _131
Date Card -BI Date
Card B -I Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
V = OK _ t•
0 f Not OK,,
Not Applicable
Not Ready RESIDENTIAL (Single and Duplex)
� =
Date
UNDERFLOOR Plans OK except N's
Date
FRAMING (Continued)
- -
_-1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., "Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits .
_
-
3.
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.
8.
Piers_ Fireplace Ft .-Steel
D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
54.
55.
_
Glazing Area -Glass Protection -Skylights -Plastic
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
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
PLUMBING (Permit) OK except N's
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except k'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 -BI Date
Date Card -BI Date
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
62.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
65.
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets &Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except Ws
67.
Garage Fire Door; Swing -Landing -Closer
68.
69.
A.C. Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Gard B -I
Card B -I
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
Fixture & Transfor_mer 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 At
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral Yes =No
--_ -
- - - _-
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
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
72.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Insulation -Foam -Looked in Attic [3 Yes
73.
Guard Rails & Deck Construction -Post Caps
74.
Fdn. Vents & Crawl !dole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75.
Following instld.: Drive ❑ Yes E] No: Walks El Yes E] No;
Planters ❑Yes J_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 N's
83.
Corrections from Previous Inspections
84.
_
Gas -est -Meters Tagged; Gas -Electric
Card -BI
Card -Bt
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
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
to Card -BI Date
Card -BI
D.,ie Card -BI Date
Date
FRAMING(Plans) OK except N's
Com; lents 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 Ceilings-Stairs=Chases-Tub
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rflr. Ties-Purlin-Root Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access. Size & Romex Protection -Draft Slop -Ins. Baffles
Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
_
_
_
-
_ -
(NOTE Anentrymust be made each time youvisil jobsite)
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE'�`
OROVILLE, CALIFORNIA — 534-4541
PERMIT NO.
Address or location of mobile
home Ilk
Owner's name
Owner's address
Insignia or hud number
Manufacturer's name
Serial number of V.I.N. Year of manufacture i'f
(official Approving Installation) (Dote)
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.
5138 White - Owner, Yellow - Installer, Pink - D.P.W.
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
10
3 6 61 �'-�-r
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
%U du -JS ��i iS GrG ✓C'��...i
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2759
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
3 -/ �7
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.
W
;p f� 1AZ2--- Cis' 2Z-5-7 E
Inspector 4 /' &eoo2 Q, Date / 7
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT N0.
7 County Center Drive - Oroville, CalifoAia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
_ n }- 02�
ZONIN
c)
BUILDING PERMIT
OWN ,
IeIck
TELEPHONE
; Z- 6 L
,SQA FT. OCC. BUILDING VALUA ION
OWNS MAILING ADDRESS
r�Cl~+�J
CO_NTRACTOR'S NAME
Qu13e4
TELEPHONE
CONT9-A CTOR' AILING 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
$ Vv
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
D,r,Y7�c�� GrJGir ��
Each Trap
2.00 -
.Y9.s"9 C"41e f' S f ,
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome(V Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S
0.00 ea , dV
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities,K Installation❑ Other ❑
Describe work: -.a •
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
Ot W
Main service EA. ADD'L 100 AMP
2.50 SU
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p f y (Check one):
❑NON•RESID
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
Fl 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)
75 I, as the owner, am exclusively contracting with licensed con
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.yi ,
OR AODNS. ACC. BLDGS. /20sgft
NEW CONSTR ULTI-OUTLET
BRANCH CIRC ITS 2.50 ea
POWER APPARATUS a
SINGLE OUTLET CIR. ) �•o
Ex. OCCU eAL00 OUTLETS OR FIXTURES 2L@3i
Ex. OCCUp. OUTLETS P(RESID )RE A.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 ,vr,
otract-
Misc. H g 15.00
Permit Fee $ 3,7. So
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIirig 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 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
agai t ajd Count n con qen of the granting of this permit.
�j
X Date V
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is requi d for exc vations over 5'0" deep and demolition or construct-
ion of structures over 3 s ries in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
occuP.
cONST.TTPE
I F LAOoJ
PARC L
P
HD
1 suE
This permit is hereby issued under
s.ons of the Butte County Code and/or
work indicated above for which
DIREMR OF PUBLIC
P1 Ii EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. �q -3 0BY
�
WHITE-D. P. W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC, WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,,CA•LIFORNIA 95965 - TELEPHONE: 916/534-4541 '
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER Ccs.*, -!� \P I( A. P. No. 39 -a-7- 2
Proposed Building Use (M N Building InspectorDate
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . .
Plot plans in duplicate. i_plic, 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 C%.tcu Health Dept.. . . /� ��� ��
WK
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 El, Mail to owner ❑•).
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Date)
7. Pre-Inspection`for Required. Building Inspector
Recorded copy of Agricultural Acknowledgment Statement. /
9. Driveway Permit.
20. Plot plan approval from city of
21. �.
22.
ti
When you issue the permit, process as follows: Mail to owner, Mail to contractor.
---&--lfeIephone 399 --S63Ly and hold for pickup atC—�office, Deliver w/inspector.
Other
Copy of plans sent
Health Dept.,
The following data must be submitted pr
1. Index permit for above items No.
2. Additional items required:
Fire Dept.,
Other
Date
it issuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone---inall—counter by ' date
Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by—
date
Plans checked by Date Plans approved by /� Knate
Sets of plans on hold in File cabinet AP folder
Copy—DPW
— Hours: 10:00 a.m. - 3:00 p.m.
TO: Building Department
FROM: Environmental Health, Chico
SUBJECT: Sanitation Clearance L.� 2 O
Tec
6.
��-7-z
Owner Location AP#
Plan approved for:
Hold final for:
sewage disposal 41� water supply Vr
Final clearance O.K. for:
Clearance for Z bedroom mobile home. Other
Note***
water supply
water supply _
Sanitarian Date
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT F'U T E C 0 U N TY, CA.
FOR RESIDENTIA,DEVELOPMENT
RECORDER'S tJPIG'.HE
�y
Section 26-8.1 of the Butte County Code requires this acknowledgement'.,.!.._A,,,_R
be recorded prior to issuance of a building permit. 86-44205
iQ86 DEC 12 PIS 12: 09
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of thiRECORDCD AT R QUE$T OF
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbPaIrr I�S';
and fertilizers; and from the pursuit of agricultural operations inclu , ed
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:
NOT COAAPARED M4M
ORIGINAL DCCUMENT._ ... .
Lots 19 and 20 of Block 6 of the Town of Dayton, as the same appears of
record on the Official Map of said Town, filed as of record in the Office
of the County Recorder of the County of Butte, State of California.
Date:
State of )
SS.
County of )
On this
me, the
PROPERTY OWNERS.
the /o _ day of :,�-, J 191;/_, before
undersigned Notary Public+, personally appeared
Personally known to me. Proved to me on the basis
' DONALD DRf%4'0Nrr of satisfactory evidence.
-� NOTARY PUEDC-CAUFOR,MA Uo be the person(s) whose names ) subs ribed to
E01r; county
btyCommission-7ra,resScD!.16.1989 % the within instrument and acknowledged that
-.executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
r
Notary Public
Present A.P. No.:T��-f
_ –•' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
�3 7 County Center Drive - Oroville, California 95$65 - Telephone 916/534-4541 :23 —
APPLICATION AND PERMIT ,
ASSESSOR PARCEL NUMBERZO
P ? —
NG
BUILDI PERMIT
OWNS
TELEPHONE
'5.
SO. FT. OCC. BUILDING VALUATION
OW ER'S MAILING ADD ES
is
ONTRAC ORSNAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ d
ARCHITECT R ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
((� %
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDI
SIO NAME
PA EL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome10— Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW
0.00ea
TYPE OF WORK J
New ❑ Addition ❑ Remodel ❑ U t i Iities ❑ Installation Other ❑
Describe work: v
_
Permit! Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
-
Main service 600V OR LESS4L
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):
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
cense No. Classification
el, 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.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.a ,h¢sgft
NEW DCONSTR.� A )
ULTB.OUTLET
NO N.R ESID BRANCH CIRC ITS 2.50 ea
(POWER APPARATUS &)
i SINGLE OUTLET CIR.
Ex. OCUp(OUTLETS OR FIXTURES 20050¢
CBAL930
EX. OCCUp. FIXED APPLNS. OUTLETS (RESID.)REAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F1 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.
22/f shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood 1
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, a expenses which may in any way accrue
against said Count iiIse en of the granting of this permit. p�
X I Date �-O
��
Signature of Applicant — Owner ❑ Contractor❑- `Agent ❑—
An OSHA1
permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in h ight.
Mobile Home Installation Fee $ L4 S
Energy Inspection Fee $
TOTAL PERMIT FEE $ t7D .
occup.CCINST.TYPEJ
FLOOD
PAR PD
\ i
HD
I 9UE
This permit is hereby issued under
sions of the Butte County Code and/or
'work -indicated above for which
E TOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 'T�7/�
h
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
a
i
OWNER
., ...... ,: ...- .. -... �. ... .. -.. .. ... ... -mss .3 :�. .,. - ,.
w
COUNTY OF BUTTE - DEPARTMENT.OF,PUBLJC WORKS - BUILDING IJIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CAI''ll ,6AkVIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET��...
�j Permit No.
Proposed Building Use
Building Inspector
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.
2.
3.
4.
5.
6.
7
8.
9.
10.
11.
12.
13.
14.
X15.
'i 17.
T:, 18.
19.
l!t� 21,
22.
All items have been submitted. . . . . . . . . . . .
Plot plans in duplicate./triplicate, signed by preparer of plans. •
Complete plans in duplicate. /triplicate, signed by preparer of plans.
Complete engineered plans and calcs, with wet signature on plans.
Plans with Energy Design Compliance Statement. . . . . .
CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . .
Statement of Intent for Non -Heated and AC Buildings.
Fees of $ . . . . . . . .
Letter of signature authorization. . . . . . . . . .
Sanitation approval from Health Dept.
Planning approval for (A) Use: (B) Parking:
Certificate of Workmen's Compensation Insurance. . . . . .
Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ),
Improvements may be required. . . . . . . . . . . .
Mobilehome Installation Data. . . . . . . . . .
Pre -Inspection for Pre-Inspec. request to
Required. Building Inspector
Recorded copy of Agricultural Acknowledgment Statement.
Driveway Permit.
Plot plan approval from city,of
Prow' off. G?,1�Gv1Z�-P�/ nf/p1 cQ
i
,When you issue the permit, process as follows: Mail to owner, Mail to,contractor.
Telephone and hold for pickup at—office,—Deliver w/inspector.
Other
Applicant
(Date)
Date W
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1• Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone--jnaiI—counter by date
Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date
Plans checked by
Copy—DPW
Date Plans approved
Sets of plans on hold in File cabinet AP folder
Date
— Flours: 10:00 a.m. - 3:00 p.m.
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)signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
• , - . ` .. X07
n;
`.�. 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 Ey No T-1
(If yes, furnish permit number �� �`Cy /�) OR
Is the site an existing site? Yes No F
(If yes, furnish two 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 H_ No F1
(If no, clarify
5.
What
is
the
mobilehome electrical rating? ---------------
Amps
6.
What
is
the
mobilehome site
service rating? --------- .--,---cep
Amps
7.
What
is
the
mobilehome site
circuit breaker rating? -----
Amps
8.
Is there
any
other electric
load to be served by the
F
mobilehome
site service? --------------------------------
Yes
No
__
�
(If
yes,
identify the
load and size: •(Load)
,�D
(Amps)
9.
What
is
the
mobilehome site
gas pipe size? --------------
-i
(in.)
•��
10.
What
is
the
type of gas service?
------------------- Natural
LPG
11. What is the gas pipe length from meter or tank to the
mobilehome?--------------------------------------------- (ft.)
* 12. What is the mobilehome gas demand? ----------------------
*(This information not required if pipe•length less than 6 ft. on
natural gas or less than.50 ft. on LPG.)
(BTU)
,�l
MOBILEHOME SUPPORT DATA
► IfJothei than single wide,
Mobilehome Mfr.0 furnish Setup Model No.
Width /2-- (ft.) Box Length SO (ft.) Tagalong or Expando Size,
_ Year /q7Y
ft. x ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one) FX
Wood-pressure treated or foundation grade. 0 2. Other (specify)
SUPPORTS (check one) F]1. Concrete block.® 2. Other (specify)
e
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
Line 1 Piers:
Size -Min. ------------
Spacing-Max -
-----------Spacing-Max. ---------
From Ends -Max. -------
,( Line 2 Piers:
Size-Min.------------
Spacing-Max ----------
From Ends -Max .-------
Line 3 Roof Loads:
Size -Min. ---------
Location (From Front)
_ Lin, n,
Line 1
Line 1 Openings:
Size -Min- ------------------ „x n
Each Side of Openings
With Width Over --------- s '�
Line 3 Piers: (Under Bearing Wall Only)
Size -Min .------------------
, u
Spacing -Max.---------------
From Ends -Max .-------------
e v riers:
Size -Min .------------
Spacing -Max---------- ,
From Ends -Max .-------
Size -Min-------------------
Spacing -Max.--------------- ._ u
From Ends -Max .-------------
Line 5 Roof Loads:
Size -Min -------------
x „ nx ,k a nx n nx „ "I nx n ux „
Location (From Front) ,_ „ ,_ ,_ „ _ „ ,_
�7� /�O✓I,R6 �Cd ��O Q�E�SzPh�'t.�,E
1z�� �t.✓c� v��g. �' SOt/�P�. p f'
�.tJ�T"lOrs%
Maim
Phis set of plans and .specifications 1wa�, �� t {-
MUSE b• M 14 LA
t`"keptton the job at all times :and it is unlawful f
1
rriak any changes or alterations on same
without ;
written permisson from the Department of PublicI a a,}-
Works, County of autte. : ; A setback of 5 ft.;fror> the
{ i property limes anda'setba,;k ,
of-50ft4-rom-the road *-�-'
j - t Centerline -s a� be clear; oi 14f
t , i t 7 1 • structures of equipmerate `cepf .
J i ' a 2 ft 6
I t for ;. a �;e' ouerhdng,
j.+ f.,.�
t
1-7 7Z
1 _ _..{_.
J
t
1 ,
4 t I NT__ `: f MM l
NOTE;-. ll' c ialsA & Workmanship S fall, e i 1 { 54*i'
A6cord6r. cta w :�ccognizcd Good Prat iced do �{ �,` •�, f
o . q cjucz rty' p L:cr:lrc:i 'for 6e &pgcifjed se -i th
niform. trildi FlGmbin �a Mechanical odek-an r °, -C , , •
i 7 9 i. ar Ei �.
t Q Nct' nal E trical Code.. S £
C ;EF
1
. � � , � , ••` � 'moi -S-' i
t�
{ i I / 1., �•�•�• �-r.F -I -t 1, ~tom
'.. _.t �1.-rr i a _ _. _ t .,.1- .,:._•./. 1 -+ + •y -.t -i,. I..t.,_i...�..��.: .i.,.-.f��•�
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