HomeMy WebLinkAbout040-140-058n • (�.�..99 40-1
James D. Rice' o Oro Durham
W/S Esquon Rd. ,app.500 S.
Hwy, lot 24, Durham
Permit #4289-77P,E(uti1-igMH)
ELEC . 7 ' AO®�4vH�
-- --GAS 72
SUPPO T TRUCTURE REQ. y�
COMPACTION TEST REQ.
'PA
Contr: Shast
r: i e`r Sa esu Chic
Permit #3819-77MHI
Issued --
---- - 40-14-58
Permit #6 I.-47B,P,E,M%(nnew s ingl'e--'
family)
040-140-058,1 PERMIT#9E, 1491
RICE, James
q_g55Esquon Rd . , Durham
MH Util/Ag Worker 1
ELECTRIC k d p
GAS LINE Le(; A ' x 38'
COMPACTION TEST REQ O
SUPPORT STRUCT REQ 6
'040-140-058 PERMIT>am--�
961492
RICE, James
9353 Esquon-,ion-. , Dur MirI-I/Ag Worker I r'I I 1
040-140-058 04-0783
COMCAST CABLE o
VARIOUS DURHAM LOCATIONS
Cont: WESTCOAST COMM
PLACE CATV POWER SUPPLY
_ 1
1/7
73
e
DURHAM POWER SUPPLY LOCATIONS
U01 -
AP 040-214-005
9 9 sdspeed St.
DU01-PO4
APN: 040-230-013
9315 Goodspeed St.
DU02-POI
APN: 040-260-030
1957 Durham Dayton Hwy.
DU02-PO2
APN: 040-550-012
Opposite 9357 Stanford Ln.
DU02-PO4
APN: 040-140-058
9351 Esquon Rd.
DU03-PO 1
APN: 040-080-033
10086 Lott Rd.
DU03-PO2
APN: 040-390-015
263 Oroville-Chico Hwy
DU03-P03
APN: 040-110-044
9715 Esquon Rd.
a
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- NO.
NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
X SEE ATTACHED
ZONING
BUILDING PERMIT
OWNER
COMCAST TIONS
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
NTO CA 95838
CONTRACTOR'S NAME
WESTCOAST CATIONS VCI
TELEPHONE
343-2473
CONTRACTORS MAILING ADDRESS
CA 95928
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—FilingFee
$ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
7 DURHAM TIONS SEE ATTACHED-
Permit Fee
$
Plan Checking Fee
$
BUILDINGADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑
Describe Work: PLACE CATV P01,M SUPPLIES
Gas piping systern 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service '*zoA .A OR LESS
OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full f rce and effect.1'��p
License Class - �iDLic. No. (�a
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00NEW
CONST. DWELLING OCCUP.
OR ADDNS. ( & AGC. BUDS.
so
3.5¢FT.
WOµH6IIDD." MULTI.OUTL IT
97.50
PLE OWER APPARATUS
6 SINGOUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
BAL (9 1.00
Ex. Occup. ..FED Ao .DeA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
1 4-00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' p ation� i-n1sujance carrier and policy number ar
Carrier_ coX pGt , e CA S(,L►/n_y(,^ p
Policy Number _IMk)r 10OSS((I no
(The above sections need not be completed if the permit is for work of a valuatiori
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if should become subject to the
worker ' compensation px9visions of section 3700 of the Labor Code, I shall
fo it c ply w• o provisions.
X Date
— �� ' ��
Signature o li nt - ❑ °Owner `Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in hei
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
. TYPE TAL FEE $ 00
1po
IMP
FLOOD
CDF
PARCEL
PD
I HD
NO
ISS
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
B
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date a
Daf
Receipt No.
WHITE-D.D.S.-B.D. ANAR -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
' Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER /+�1
ZONING
BUILDING PERMIT
OWNER
I `
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
_,43I
OWNERS MAIUNG ADDRESS q3sz e( 1
r_
CONTRACTOR'S NAME
T� r CDM LIA L NA+t O
UCi
TELEPHONE
3o Z-z4,'j
CONTRACTORS MAULING ADDRESS
A-0 ST". QLAILCO CW
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
$20.00
—FlingFee
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
ING REssA K �7 E� ��C�
f V `
�T1(:) AL , J C
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ R//��em��odeel�l ❑��ppUt/ilitties ` L Installation `� Other ❑ / rr
Describe Work: l,!- C EC CA -Ty a � (, PPA_{ G J
Gas piping system 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
600,, OR LESS
Main SEINICe zaoA OR LESS
�T
23.00 ,(3
PERMIT FEE PAID $
SRA $
SHERIFF $
OTHER $
$
$
AMOUNT RECEIVED $
RECEIPT
NUMBER TO BE PUT INTO
COMPUTER
Main Service 200A TO 1000A
[=R-I.T*
46.00
NEW CONST. DWELLING OCCUP. 3.SQ SO.
OR ADDNS. ( I ACC, S.FT.
CONSFOUTLET. 7.50
POWER APPARATUS
I SINOLE OLm.ET CIR.
OUTLET OR FOnURES 20 Q 1.00
EX. OCCLI BAL p .50
Ex. Occup. DLAT .D& 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ jq4,001
MECHANICAL PERMIT Fling reW 20.00
Heating
—Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
mc
CONST. TAPE TOTAL FEE $
HAZ.
D.FEEs IMP
FLOOD
COF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
Of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
Date
Butte County DeparimentofDevelopmentServices
ADMINISTRATION * BUILDING * GIS * PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538.7541 Telephone
(530) 538.2140 Facsimile
Att: Steve Archung
Comcast Communications
4350 Pell Drive
Sacramento, CA 95838
RE: Fees due for Electrical Permits located in the Durham area for CATV
Dear Mr. Archung:
Our office has received a request for seven (7) electrical service permits for CATV located in the
Durham area of Butte County. Before this permit can be issued or any inspections made a check made
out to Butte County for the amount of $184.00 must be received. After this department has received the
payment, the permit can be issued, work can proceed, and inspections can be requested.
If you have any questions, please contact Alice Mefford or Scott Rutherford of this office, at (530)538-
7541 Monday through Friday 8 am to 4 pm. Thank you.
Sincerely,
i
Alice Mefford
Supervisor, Staff Support Services for
Michael C. Vieira
Manager, Building Inspection
\ ®® AW
.. AWAW-AWAW® .
AEr® AMr-AW
\�® ® -�
VCI Telcom, Inc.
A. Subsidiary of Quanta-Services, Inc.
July 29, 2003
Butte County '
Department of Public Works
.7 Court Center Drive
Oroville, CA 95965
Re: -Authorized Signer
To Whom.It May .Concern:
Please accept this letter as a request. to designate project manager, Bill Green of VCI
TELCOM, INC. d/b/a Delaware VCI Telcom, Inc. as an authorized signer for all permits
and forms pertaining to VCI's business in all areas of Butte County.
Should you need further information or clarification,' please feel free to contact my office
at (90.9) 949-1350 extension 117.
Thank you,
IVi
a President
1921 W. 11th Street, Upland, CA 91786
(909) 946-0905 • Fax. (909) 946-0924
California State License 765716
D;
a►h NLNLNJDD/YY1 .
07/29/03
FJOHN
THIS CERTI CATS IS ISSL� AS A MATTER OF NFORMATION
IlORTHAM &SON, L.L.P.
ONLY AND �S NO RIGHTS UPON THE CERTIFICATE
HOLDER. TENS CE RTN ICATE DOES NOT AMEND, EXTEND OR
1388
ALTER THE COVERAGE AFFORD® BY THE POLICIES BELOW.
HOUSTON, TEXAS 77251-1388
COMPANIES AFFORIHNG COVERAGE
CONVANY
071556 -00090 -2004A -0W92 SNN/ECB 1/1
A OLD RMMIC IV=WIM CDWANY
1111511"
CORVANY
VCI TELCON, INC.
B ASSOC. ELECTRIC t CAS INS. SERVICES UNITED
1921 WEST 11TH. STREET
COLNPAPn
tNP m, CA 917M
C
COMPAW
D
THIS S TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A0OVE FOR THE POLICY PERIOD
INDICATED, NOTWIHSTANDNG ANY REQUIRE LENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE SSI OR MAY PE3TTANk THE INSURANCE AFFORDED BY THE POUCIES DESL1ROW IRBSF.N S SUBJECT TO ALL THE TTRINS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICES. LAIRS SHOWN MAY HAVE BEET! REDUCED BY PAD CLAMS.
CO
TYPE OF tltilLIANO!
POLICY NULNNRAI
O�
FOUCT�
IIaGTS
A
GENERAL LMillm
NKV%734
03/01/200
08/01/2085
GENERLLAGGREIMTE 0 1 750 OWD
PRODILCIS-COMPIOPAGO s 1 750 000'
X commocALN ssmALWiGLLTY
SELF-INSURED RETENTIM
CLAIM MADE ril OCCUR
f250,000
PERSONAL a ADV KPAY • 750 000'
EACH OCCURRENCE a 750 000*
oWFMrs a coNTRAcTows PRDT
FTE DAMAGE ter orr Sd t 750 0000
•E1(CE39 OF SELF- I1SUM
MM EKP ow to t EXCW LAED
RETENTION
A
AOTOMONEuou.v
ANY Aura
IiITB18597
03/01/2003
03/01/2006
COMIIINED soN�E user 1 000 000
BO mo •
X ALL OWNED AUTOS
SCHEDULED AUTOS
BO ,
X HOW AUTOS
X NONWVNEDAUTOS
PRO146ITY DAMAGE •
GARAGE UAMM
AVTO ONLY - EA ACCIDENT •
OTHER THAN AUTO ONLY
ANY AUTO
EACH ACCIDENT •
AROGREGATE t
EXCESS UARLITY CLAINS MADE
RETRO DATE 08/01/2002
EA04 OCCURRENCE • 5,000.0m
AawmATE $ 5.000.000
B
UM aa"FOPm
X�iNA03
OUM/2003
08/01/2001
I •
1BiA FORM
x DTHBR TMMN Il6
A
woRfm CDMFa¢AImam
NHe108554 00
03/01/2003
08/01/2005
X I STATUTORY LIMITS =`?��Y" w_ NINE
:
EACH ACCIDENT !#„
1 o00 000
UAaanY
TIEPROPF9ETOR/ x Nm
DIfiEASE-POLICY LAW • 1,000,000
OMA IiE -EACH EMPLOYff t 1000 000
ORS ARE: FXCL
OTHER
ORACRiTION OF OFEnR IT EMIL SEE ATTACHED
SHORED ANY OF TLE ADM DESCIIIIIIED POUDM N CANCELLED IIEFOGE THE
RE7W�T1p11 DATE TIEMW TIE ISZiLLNo CON/ANY waL Bw"voL TO MNL
BUTTE COLMTY
_ DAYS UIIa17m NDNCE TO THE Cl$Irmm NDIDEI NAM® To TIE NST.
DEPT. OF PUKIC HORIcs
Rn FARM TO MALL MCK NOTICE SHALL SW9W No OaUVAyIGN On LL*MM
7 COURT CENTER DR.
OF ANY LLD WON COMPANY, rts37 DR
lxtOVILIE, CA 9-- - -
%Tiff /WMENTATIM.
ot. VVO V .. & JO xs .p.
A77ACHl"T TO CERTIFICATE OF INSURANCE NO. 071555-00090-2004A-000492 SHN/ECB 1/1
CERTIFICATE HOLDER: INSURED.,
BUTTE COUNTY VCI TELCON, INC.
GENERAL LIABILITY POLICY INCLUDES CERTIFICATE HOLDER AS AN
ADDITIONAL INSURED WHEN REQUIRED BY WRITTEN CONTRACT BUT ONLY AS
RESPECTS LIABILITY ARISING OUT OF MANED INSURED'S WORK FOR
ADDITIONAL INSURED.
AUTO LIABILITY POLICY INCLUDES CERTIFICATE HOLDER AS AN
ADDITIONAL INSURED WHEN REQUIRED BY WRITTEN CONTRACT.
FIELD
FIELD
M -R:03
gg•
250
140, 137'
DURHAM-DAYTO7HWY
/ FIELD FIELD "
n '-
r.�
e
E
tt0
N LOCATION:
1637 9377-� D U 0 2- P 0 4
APN : 040-140-058
-000 9351 ESQUON RD
a
9327
9351—
b
z
0
D
O
V)
w
RII I BUBUTTE COUNTY
ILDING
APPROVED DIVISION
9293`
PROJECT: SCALE.,
NONE
PROPOSED CATV- - DATE:
Comcast communications 5-15-03
RF1010l41 OFFlCE: 4350 Pk11 OR. 5'ACRwflfp. G 95838
POLE MOUNTED POWER SUPPLY APPROVE0EIY:
REVISION:
DU02-PO4 1 0
I
RESIDENTIAL
040-140-058 PERMIT#96-1491
RICE, James
g,3$squon Rd., Durham
MH Util/Ag Worker
OFFICE COPY
Address 5363 &oLc!t, (
1 GAS
Meter By
"' Date
ELECTRIC
Meter By
Date ,—,
OFFICE COPY
Address !q'? -U
64>VcyY 0 P
I
GAS
Meter BY—�U
Date '(7'
ELECTRIC
Meter By
a j
JOB FINALED (Date)—
Signature
V=OK
O = Not OK
`=NottReadYble, MOBILE HOMES
Date MOBIL_EJ4dME UTILITIES (Plans) OK except #'s
nuirements - Setbacks - Easements
oils' pecial MH Support Sketch
O. -Sewer; Location -Test Fall -C/O -Concrete
r, Location -Test -Easement Needed (Sketch)
T -Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / PL'ft.
/ /Nat. or�/ L-ftALPG
7. Well Clearance & Dinnect
i Clearance
Date — Z Card B-1 Date Card B-1
Date Card B-1 Date Card 13-1
Date MOBILfhIOME INSTALLATION Plans OK except #'s
oning Requirements- Setbacks Easements
2. Foo' s; Size -Spacing -Marriage Line
. as; MH Test -Demand Valve -Connector
Vic' • MH Test -Crossovers -Breakers -Clearances
rain; MH Test -Fall -Flex Connector
er; MH Test -Regulator -Connector
ater Sewer Connected -C/O to Grade -HD Approval
j.s,aed Electricity Tagged
ie -Type-Installation Cert.
fo-Exits, l5X,.4Ketch
q0 1 ert of Occupancy A
Dat ,4&_l.6 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
�QU
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card 8-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/6 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
'J OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single & Duplex)
' =
Date UNDERFLOOR (Plans) OK except N s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Brockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except a's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
------- -------------------- --- -----------------------------------
17.
---------------------------------
17. Water Pipe: Test & Anchor -Nail Protection
-------------------------
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
-----------------------------------------------------
19. Shower Pan: Test. First Floor -Tub Access
------ 20. -Test -Tub & Shower, Second Floor -Tub Access
21. Gas Pipe: Size & Anchors
--------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
------------------------------------------------ ---------------- ----
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except u's
22. Fixture & Transformer Clearance -Ins. Protection
---------------------------------------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
----------- ------ - ------ -- ------ ------------------- ----------
24. Size Boxes & No. of Conductors -Stapled
-------------------------------------------------- .._ -----.
-------------- 25. Romex Installed Close to Edge of Studs & C.J.
-- --- --------------------------------------------- ......
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
---------------------------------------------------------------- - ------ -
27. 2 Appliance Circuts in Kitchen & Conductor S1ze,GFI
----------------------------------- - -----... _ .. --- ..
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
- -- ---------
29.
------ 29. Range Circ r I ga. Cu or AI -Oven Circ. ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
------------------ --------------------------------------------- ------ - _----- ..
30. Service -Riser Conductors & Ground -Main Disconnect
-
--------------------------------------------- ........ - .... _.._... .1 ...... ..
31. Equip Clearances Panels-Motors-Mech. Equip.
------------ - - - - - - ... ........ ....... ..
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
--------------- ............... ... ------... -----.... ... ... ....... ....... ..
Date Card B-1 Date Card B-1
---............... _.................. .....------------ ... ... ... ... ... ..
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except a's
34. A.C. Ducts Insulation & Support
-------------- ----.. --- I—— ---- -. _. - - -......---....-.......... ... ....
35. Vent Fan: Exhaust above insulation
------ ------ ------ ... .......I ....... ... ... .......
36. Condensate Drain & Overflow. Size & Grade
--------- - --.. .. .... ... _ ..
37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
-
--------- ....... ....... ... .--....... ...
38 Attic Access & Platform if Furnance in Attic
------------- --- --- -- - -
Date Card B -t Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except a's
39 S Is. Proper Material & Anchors
_. ... ... - _.. ... ... ..
40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
.. ................. .......
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops. Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors _
46. Cing. Joist-Rftr. ties -Purl in -roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
------------------- -- -
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
----------------------------------
51. Property Line Firewall & Openings
-------------- 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
--------- ---------------------
53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
--------------------------- ----- -
_ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailin Bolts
-------------
59.- Insulation -Walls -Ceilings
------------
60. Infiltration -Walls -Windows
--------------------
-- ------------------ ------------------------------
Date Card B-1 Date- Card B-1
- - - -- ----- --- ---- ----------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except a's
61. Ext. Steps -Door & Sidelight Protection -Landings
-------------------- - --
62. Smoke Detector
- ---- ------ I - ----------------------------
63.
------------ --------------63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
---------------------------------------------
64. Bedroom Exiting
----------------------------------
65.
..---- -- ----------65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
------ ---------------------------
67. Stairs & Rails
- - - - ---- -------------------------------
68
------------------------------68 Fireplace or Stove: Clearances -Hearth
. --- ------------------------------- -----
69 Elec. Outlets at Wood Panel: Int. & Ext.
..... - --------------------------------------
70. Kit.Flxl. & Appliance: Grnd.-Air Gap -Cooking Clearance
...... _...----------------------------------- --
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
....... ... ............................. ------ ----
73. A.C. Duct in Garage -Damper
...... ....._.--.-------------------------------
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
.....------------------------------------- ----
75. Plb.. Elec. & Mech. Equip.
uiListed for Location
...... . - ---------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
--- ------------------------ ------------------------------
7; Insulation-Fom-Looked in Attic ❑ Yes
.... ---------------------------------------
78. Guard Rails & Deck Construction -Post Caps
-------------------------------------------------- --
79. Fdn. Ven4s & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
.. ... ... ... ....... - g -------------------------- --
80. Follow n instld. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
. . ... -- -- .. ------ -- ----------------------------
81. Stucco: Brown -Finish
.....-- . ...... ------------------------------ ---------
82 A C Unit: Disconnect. Electrical. Plumbing
. ... ... ... ...---------------------------------- -- -----
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
.--------- ------------------------------------------
64 Water Well: Disconnect. Electrical. Plumbing
. --.----------------------- ---------------
85 Exterior Elec Trim. G.F.I. Receptacle -Underground
. . . ..... .. - - - --- - -- -- - ---- ------
86 Ventilation Throughout House
. .....-. ..-- ---------------------------------
- ----------------------------------
87 Glass Protection
. ....... ----------- --------------------
88. Corrections from Previous Inspections
. --- .-- ----------- ------ -------------------
89 Gas Test -Meters Tagged: Gas -Electric
. . . . .... . ...
. .- - -
-------------------------------------
90 Water & Sewer Connected-CrO to Grade -HD Approval
.. . _ .----._.._._..-------------------------------
91 Energy Compliance ante Cert ficate-Other Certificates
----------------------------------------
-----------
-----------------------------------
Date Card B-1 Date Card B-1
----------------------------------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments. at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN IVISION
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 8-754�26PERMIT NO.
APPLICATION AND PERMIT ` �41�l
ASSESSOR PARCEL NUMBER
040-140-058
ZONING
A-10
goe BUILDING PERMIT
OWNER
JAMES D. RICE
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS TUNG ADDRESS
9351 ES UON RD., DURHAM CA 95938
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Fling Fee $
X)?RM4
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
23.00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 2
JJG
PERMITFEE $
23.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome MX Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ublities R Installation ❑ Other ❑
Describe Work: T (a GJORXE?,
Mobile Home IR18 W1
@20.00 60.00
PERMITFEE $
80.00
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main Service ( 200AORLLEESS )
23.00 23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting withdicensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ( a ACC. )
SO.
3.52 FT.
CNSS.
LTI-OUTLETLE U
NEW CONST. / MUT
NON-RESID. \ BRANCH CIRCUITS )
97.50
( POWER APPARATUSa SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL 0 .50
Ex. Occup. I OUTLETS E APPLN D.0EA )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 20.00
Misc. Wiring
23.00
PERMITFEE $
63.00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
�Q f
X /\ //✓ Date _� L�_--
Signature of Applicant - O Owner bJContractor VJ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAZ
I D. FEES
—
IMP
FLOOD
_
CDF PARCEL PD H
ISSU
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.
I 0 9
BY to
PERMITEXPIRESON
(fie)
ReceiptNo. 201836/66.00//`oZ �
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSFfECTOR GOLDENROD -APPLICANT
COUNTYOF BUTTE - DEPARTM M F DEVELOPMENT SERVICE - B t DING DIVISION
7 COUNTY CENTER DRIVE - OR{OVILLe,WbMlFORNIA95965 - TELEPHO (916) 538-7541'
PERMIT APPLICATION DATASHEET
-fes I �
OWNER `f'`v"� � 4 C --k'" A. P. No, d `70 lqo orf -
Proposed Building Use At l�� �� Building Inspector Date — 2
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1.• All items have been submitted . ........................................
...............
2. Plot plans, 3/4 sets, signed by preparerof plans . ......................... .
3. Complete plans, 3/4 sets, signed by preparer of plans ....................... '
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ..................... .
6. Energy -Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8—EEngineered truss details and layout in duplicate (required prior to plan check). ... .
Mobil Of $ a and manufacturer's installation instructions, 2 sets. ......... .
-Fees of $ � � ......................... ..
- . ..........
11. Impact fees as shown on attached schedule . :.:........................ .
12. California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood))California Engineer . ............... .
Sanitation -and plot plan approv�/7`�<<% Health Department . ............ - -yr, i5l uwjs
5. City of Chico plumbing permit. "
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. ... .
20. Pre -inspection for required. . to Build g Inspector. (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance:. ......................... .
91 Owner -Builder Verification (Given to owner Mail to owner _). .......... ..........
Recorded copy of Agricultural Acknowledgement Statement . ..................
Letter of signature authorization .........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use . ......................................... -�
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access . .............. - �-
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check lis ....................................................
�L--W33. 7-IG-`iG G
34. UU
When issue the�permit,_process as follows: Mail to owner. Mail to contractor.
Telephone ?S _ FSr3 Z and hold for pickup at C (-� I C o office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant `V Date
Copy; of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy. of plans sent Health Dept. Fire Dept/ Other Date By ;
The following data must be submitted prior to peirphit i nce: ( rcle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by G t 6 0.arr5 Date - I!, - Plans approved byr /3 13 0,15 Date . I
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
n�
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. U E ONLY
Plot Plan Attached
Poor Phm Attached
Scotto B.D. /
&ALA
�b
Owner
Loca6dn AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroo m bile ome. Other
Hold final for:
Final clearance O.K. for:
NOTE:
4virojnmental Health Specialist Date
8/92
�c
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. U E ONLY
Plot Plan Attached
Poor Phm Attached
Scotto B.D. /
&ALA
�b
Owner
Loca6dn AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroo m bile ome. Other
Hold final for:
Final clearance O.K. for:
NOTE:
4virojnmental Health Specialist Date
8/92
�c
It C
WE JAMES D. RICE AND CAROLYN. R. RICE AUTHORIZE. DONALD WILEY TO BE,
OUR SIGNING AGENT TO OBTAIN PERMITS FOR 9351 ESQUON ROAD DURHAM,
CALIFORNIA . PLOT PLAN
#040-140-058
JULY 1,1996
Da �
�
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: YESKI NO[ I
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: CONTRACTOR'S 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:
ADDRESS: Com'
PHONE: CONTRACTOR'S LICENSE NO.
S. 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:_ Z
NOTE: This owner -Builder Verification is required by Section 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.
OVER
Dear Property Owner.
An application for' a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection. you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself; you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you pian to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is 5300 or more for the entire project. and such persons are not licensed as
contractors or subcontractors. then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation in_arrancr, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and. if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees. without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors _ is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 9581 .
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is rcturned.
Sincerer
Michael C. Vieira C.B.O.
Manager. Building Inspection
NOTE: This Owner -Builder Informatian is required by Section 19830 of the California Health and Safety Code.
O VE R
SHALL
OF N
MECHANICAL, AND PLUMBING
III,
WITH -CURRENT
AND UPC.
This set of plans..and speciftoations MOT be
-kept on thepat all times and tt Is unlawfulto
'Ps War �ignp o same without
ly, ;�; VF 'a P=
wrlttw�l or psionpomt4q
ant Of
PA
Works,'(: I tjY,,of]Sutte.
j
licn: All hit
i9l,tlrWs &Workmanship S3wX
Accordande *,it
4 '�ecogAized Good Pr ac Act
of a Quality 1presiciribed fOr the jSpectfted us
ldlng, Plumbing & IM act
In the Unif6�m:.
Wes and tl�d N4tjons l: glectrical Code.
ALL STRUCTURES AND EQUIPMENT: INCLOD!
OVERHANGS SHALL St CLEAR OF ALL "SE
'r ! ! ASET BACK OF
10 F7. F.ROM, Ti ,t S6 jl�
01
0 FT. FROM THE REAR PROPERTY LINES';A
FT FROM THE, ROAD CENTERLINE SiiALI I I i UN
;0MM OF STRUCTURES AND EOUIPMENTkNT
aFOR:A 2 FT. EAVE 0
1 --;ed =�C:
_X
j
Be
i and
.11 t
314 : so
,'so a,
o� , �C�P
H, ti
17
q0 - OS8 3�
"I, , " �. i ., -')
tip
A3
OM1. NO. 3067-00"
ELEVATION CERTIFICATE E'Oft 99e
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTE"ON: Use cf tli!s does not provide a we",, of the flood Insurance purchase requirement, This form is used only to
provide olevatlon;vft-,mat on r*cesstuy to ensure eompllance with aolceble community floodplain management ordinances, to
d6termine the pnk+sr Insurance premium rete, and/or to nupwrt ra request for a tetter of Map Amendmerit or Revision (LOMA or LOMR),
Instructions for completing this form onn be found an the following "a.
SECT ION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE
oUl(DIMQ 04V ERS VAIrE PoIIoy NUMBRA
J CICS �f 21CC�
STAEEr A;i0Rt3e (trvAi :4rV Apt., Ur -A Sul* arWor 64g. Nurtt>e) OR P.O. ROUTE AND ROK NUMBER OpMPAKY NA1C NQM0RA
_
9:5 S /
OTNE? uviol:k'Pi NJN ('.got !V�j 90xh Nw-Owfi, tic.)---
/ d6 - /,5(- 0.58
OITY STATE bP 000E
PoRg4m _ _ ___.- _��.. 9S 938
SECTIONS FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the !c!WmiV tram the proper FiRM (See Instructions):
1, 0oMWV-.!T1' NUMO!A.Q, PANEL NVMBEA 3, WFM 4. DAW OP RAM IMM 6. FtR1r ZONE 8. 1 I 81186 FUM MIVAT"
0600/7 Oz zS 3 $'�-p 29 89 (��S6,00
7. lndi :, a the elevation datum system. used on the FIRM for Baoe Flood Elevations (BFE): DZNOVQ '29 00ther (describe on back)
8. For 7,ones A or V,r►;>6rR no�S�FEE Is provided on the FIRM, and tho community has established a BFE for this building site, indicate
the oommuniye BFE: I l if lQ,LIOJ feet NGVD (or other FiRM datum -tee Section b, Item 7),
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Cortfsicate Instructions, Indicate tfledla tarn number -from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level Gbit' ZS
2(a). FIRM Zones Al -,W, AE, AH, and A (with OFE), The top of the reference level floor from the selected diagram Is at an elevation
of I I 1115, 71A feet NGVD (or other FIRM datum» -see Section S. item 7).
(b). FIRM Zones Vi -V30, VE, and V (with 9FE:). The bottom of the lowest hoditontal structure! member of the reterenoe level from
the 8010016d dtebram, Is at an elevation of ;_1. ;,._1 U ,U l"t NGVD (or other FIRM datum-seo Section 13, Item 7).
(o). FIRM Zone A (without SFE). The floor used as the ref&rortce Isvol from the selected diagram Is L:. -.J.0 feet above D or
below ❑ (check one) the hlghest grade adjacent to the bulkfing.
(d). FIRM Zone AO. The floor used as the Weramooe level from the selected diagram is !_ U , J feet above ❑ or below ❑ (check
one) the hlgnest orade adjaoem to the bulldin0. I1 no flood depth number 18 available, Is the building's loweet floor (reference
level) elevated in accordance with the community's floodplain management ordinance? [j Yes 0 No ❑ Unknown
3. Indeate the elevation datum system used In determining the above reference leve, elevations:019OV0'29 ❑ Other (describe
under Comments on page 2). (NOTE; II the elevation datum u9od In measuring the e/evalions Is diNo(ent thsn that VW on
the FIRM ;seg Seotton a iter» 71, then oonverT the &{ovations to the datum system used on the PIf f and show die oonmmion
equation under Comments on Page 2,)
ON'
4. EElevation reterenoe rnw-k used appears on 11M. ❑ Ye,Xt , (See instructions on Page 4)
no refer0n00 loyal elevation Is ba&W t+ctual construction ❑ ConBtructlon drawings
(OPE: US& of conMiction drawings Is 'd if the bullckw dons not yet have the rolerence /oval Moor in place, In whkah
C,W tha CerN 4W# w/M Only be valid for the bullding duNng the course of construction. A post•constwolon Elevation Cerdflcate
will be /wqulrod or&* dr3tt8trlrt,`fitirr ib wmph►te.)
S. The elevation of the lowest grade immediately adjaoent to the budding Is: t 1 j/IS4.At"- NGVD (or otner FIRM datum see
section q, tiern 7).
SECTION b COMMUNITY INFORMATION _
t. If the oommunity officlai responsible for verifying building elevations specifies that the reference level Indicated in Section C, Item t
Is not fhelowest floor' as defined In the community's foodplain managaft*m ordinance, the etevaton of the bulking's lowest
.poor" as defined by the ordnance in: :_I I I-L-j,L} feet NOVO (or other FIRM datum -see Secilon
2, Date of ft start of oonstrucllon or substantial Improvement ._._ _- , Aum COUNr
FEMA Fwm 81.31, MAY 93 REMACES ALL PREVIOUS EDMOMB
CERT 5
��r A P P R 0 � ED
April 30, 1996
SECTION E CERTIFICATION
This certification Is to be signed by a land surveyor, engineer, or architect who Is authorized by state ,or lizpoal law to certify elevation
Informailon when the A;evation Information for Zones At—A30, AE, AH, A (with 8FE),V1—V30,VE, and V (with BFE) Is required.
Community officials who are authorized by local law or ordinance to provide floodplain manage,m•snt irrfurmetion, may also sign the
ce.ttficailon. In the caeo of tones A.0 and A (without a FEMA of community issued SPE), a building official, a property owner, or an
owner's; :Fray also sign the oenik-alion,
ReferohtYJ le,,h; oi.49:an;a 8. 7 and 8 • D;&Gngulshing Fgatuioswif the certlfior le unable to cartify to rreai way/non•breakaway wall,
ertaosure stm looatfzn of serv':^.inp equipment, urea use, wall openings, or unfinished area Feaiure;u), then list the Feature(s) not
included In"callidicetkw^ i;rtder Comments below. The dlogram numW, 8e00on C, Item 1, must still be ente(ed.
I coldly Mt V)s intormatkn. In 14clions 8 and C vn this cerUllcate represents my bolt o ifs to inteyrel the data avallaWe,
i Understand rhat any W9,9 sratament may Im punishable by Hne or lmprlsonment under 18 U. S. Coatis, Section fool.
-.
OERT�FtERS tUM£ !.!CENSE NUMBER (a Affix SW
WEST _ S U R V of Jr
rete COMPANY E
GL/✓''
AodSaE4 � �
STArlt zip
SIONAtURt o e PHONE 5 33 -SG
Coples should bo nude of this Carttticato for 1) community official, 2) Insuranw rfpent/company, and 3) building owner.
COMMENTS:
CoA ,vim oA! AA ti' n v — 6o letl�4 M tjwV
12,o.4�D, C /Sit.ED�..�.�.,ti�l�li._._1rcl�UGrIE�T LLE✓ATid�c/ �' �i�V/slF� ,�
Rc- %57.00'
A V'
20\Eu 5
0-2/647/
"// r?")-
A
\C1! vi k \` 1jk ZON88
neft F OF Ck6%*
.titin
e
►1,000 AAMC P47
CLIEVATnN A&CAtA elf AD444NT -•2?M
L �fti%
ON r�c0.
vr,�sr_. , OA ca...OLLA .,.
The diagrams &peva 16ust�ate the points at which the elevations should be !measured in A zones and V Zones.
Elevations for all A Zones should be measured at the top of the referanoe level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Pogo 2
CGRY 6 April 30, 1996
AP `#y('— c�5v
OWNER AIMk., 1G 1 Gf5,
PERMTT 4 476 fI r
M UTIL.CLEARANCE TE y��04(0
INSPECTOR
ELECTRIC
GAS`
Support Compaction
Struc. Test -Reg.
Service
Size
Other
Load
Type
Pipe
Size
Length
YES NO YESI, NO
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
:) 1469 Humboldt Road, Ch o, CA - (916) 891-2751
r" 7 Count Center Drive, Oroville, CA - (916) 538-7541
Y
„ . 747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
,,..
r.* c6-C4�Z G%
OWNER PERMIT NO.
E�.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
Iease contact this office immediately.
Date e -16 _9 & Inspector
REV 10192
6.
r
!
Date e -16 _9 & Inspector
REV 10192
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION --7 COUNTY CENTER DRIVE
OROVILLE, CA 95965 -PHONE (916) 538-7541
APN:
PERMIT NO.:
Owners: JN ^� j R l�(�
Name:
Owners: C K 5 DCIV/v (e 0
Address: _ «f , r tI r -
Mobilehome ����� f/(/(jU0 t
Year of
Manufacturer
Manufacture:
^^
Serial number CA F LJ ' 7 A/ U 1 g 2 J
nsignia or P /A
or V.I.N. 2 �( " 7ZK
HUD number:
Official approving installation: } i
Date:
If the mobilehome is moved or relocated, the mobilehome Installation acceptance shall become invalid.. This form shall
not be used when the'mobilehome is installed on a foundation system..
513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor
+L. ..5 h..i
0
COUNTY OF BUTTE- DEPARTMENT OF ;QEVEL;7PMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541_PERMIT N
APPLICATION AND PERMIT `�01
'SY3PfP9.RJN-
ZONING A-10
BUILDINGPERMIT
OWNER
JAMES D. RICE
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
9351 ES UON RD—DURHAM
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIwOWN
Total Valuation is
Filing Fee
$ 20.00
LENDER'S MAIUNG ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 23.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMITFEE
$ 43.00
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome EX Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 9k Other ❑
Describe Work:,
Mobile Home I S I GI W 1
920.00
L± I
PERMITFEE
S
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service OOOV OR LESS
( zooA oR LESS )
23.00
Main Service ( 200A To I000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ( 8 ACC. BIDS. )
SD.
3.5¢ FT.
CNS.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FIXTURES)
BAL Q I:w
Ex. Occup. (OFIXED ETS(RESD.OR 5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$ Il
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 30.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X ��J
�i Date _?6 ---
Signature of Applicant - 0170wner ❑Contractor IdAgent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Is 100-00
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 143.00
HA
D, FEESIMP
r
FLOOD
i
CDF PARCEL
✓1,7
HD
ISS
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
/!%7Ef'.�i�� e"
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date _
(Date)
rReceipt No. 201836 60.00 (.00 P•
HTED.D.S.-B.D. CANARY -ASSESSOR PINK -INS CTOR GOLDENROD -APPLICANT
�,t? �}:r»''t*vyrr'wv.+..-�'.."�..'.irV:�L:��iL'Lt..i•.....y1'l..-�r.�+4�,,w:rre--�.i"'r.,.r^r.....c�i*�J,'`"+.. .-.�..f,•..i�,-.� .-r-....iH-. _...iry r'}.r-*',.•�,,, f. -• i„"*.+-._ .. ::;�'.� -
�CO�JNTYOF BUTTE - DEPARTMENT OF D.E'1Z! ' OPMENTSERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER � x> A. P. No.
"Proposed Building Use /7/j /�-� 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 . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans. ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehom a aufacturer's installation instructions, 2 sets. .........
Fees of $ lyUU............................. >
1. Impact fees as shown on attachedd schedule
. ........................... .
California Department of Forestry plan approval/fees. .. .................. .
J
,•' 13. Flood elevation letter (100..year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing;permit.................:........................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
- 17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. ' .......... .
19. Driveway permit (construction approval required prior to occupancy). .....
sT
20. Pre -inspection for required. .. o s�ild 9 �sp�or (Date
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner- __). ...........
24. Recorded copy of Agricultural Acknowledgement Statement:; :...................
25. Letter of signature authorization . ......................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
Mobilehome utility clearance . ..........................................
29. Documentation` of legal access . ..................... :..................
30., Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
T.
When pu issue the2;mit,,,il to ocess as follows: Maner. Mail to contractor.
Telephone �7 S ids _ and hold for pickup at office. Deliver with inspector.
Other -
Parcel Creation
Acreage Applicant' Date ? 2 96
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prio t r 't is ce: Circle new item not checked above).
1. Index permit for above items No,
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date
Plans checked by Date Plans approved by X133 a,j's Date _l2
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
OWNER e,5 12 .! Gc" A.P. # D 4(6 -1 �/O -OSI—
PROPOSED BUILDING USE DATE
REC. #
�[ 1. SCHOOL DISTRICT FEES_VWr Z-l�
(paid at District Office)
SHERIFF FEES (paid at Building Division)
Residential.. Tx ? (p _ $ b
unit amt.
DATE REC
8. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
—4e9. OTHER L
V
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
permit.
APPLICANT. -Ov�/1`%`( C/(/v,P,c�f DATE sZ 2 r
Commercial (sq.ft.). x =$
3.
URBAN AREA FEES .
(paid at Building Division) '
Residential (per unit). x =$
#units amt.
Commercial (sq.ft.).. x =$
sq. ft. amt.
_4�24.
RECREATION DISTRICT FEES 1'L �--
(paid at District Office)
5.
THERMALITO DRAINAGE DISTRICT FEES
$400.00 (paid at Building Division)
6.
SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
7.
WATER TENDER FEES
(BATTALION # )
$200.00 (paid at Building Division)
8. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
—4e9. OTHER L
V
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
permit.
APPLICANT. -Ov�/1`%`( C/(/v,P,c�f DATE sZ 2 r
Mobilehome Manufacturer: -FIeeji..>oo j — Manufacture Year:
If other than single wide, furnish SetupModel Number:
Width: 1 (ft.) Length: 5-6' (ft.) Tagalong or Expando Size (ft.) x (ft.)
On all mobilehomes manufactured after October 7, ,1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation grade Other:
SUPPORTS: Concrete block Other:
Provide Tie Down Specifications for all Mobilehomes: a f -s C a
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line 1 _ Line 1
Line 2 Line 2
................................................................................................
Main Beams
Line2................................................................................................ ine 2
Line 1 Line 3
-� Line 2'
................................................................................................
r Main Beams
.-�
................................................................................................ Line 2
Line 1
................................................. ine S
Tag or Triple ine 4
!ine 1
i
Line 1 Piers:
Size minimum:
Spacing maximum:
[
From ends -maximum:
Line 2 Piers:
Size minimum:
x
Spacing maximum:
[ y ] x
From ends -maximum:
[ ] x
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
,
Line 1 Openings
Size minimum: [ 1 z ] x
Each side of openings
with width over: [ y J x [ p J.
k
Line 4 Piers:
Size minimum: [ ] x [ ]
Spacing maximum: [ ] x [ ]
From ends -maximum: [ ] x [ ]
9v.ivvr -
OVER FILE COPY
M.H.I.-Z
1. Owner's Name:,, /✓� '�
2. Assessor's Parcel Number: ®A/O -- / Ll a – a S$
3. Installer's Name: J C-% evi c S h . /� t C-0
4. Is the site currently under permit? Yes[ ] No[ ] Permit No.
5. Is the site an existing site? Yes[ ] No[ ] (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehome? d 7 Amperes.
7. What is the electric service rating of the mobilehome site? A00 Amperes.
8. What is the mobilehome site circuit breaker rating? /D o Amperes.
9. What is the main service breaker rating at this location? /00—Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[ ] No[><] If yes, please identify the load and size:
(Load) (Amperes)
11. Type of gas service at mobilehome site: Natural[ ] Propane(] None[ ]
12. Size of gas pipe at the mobilehome site from the meter or tank: yinches.
13. What is the gas pipe length from the meter or tank to the mobilehome?��(ft.). .
14. What is the mbbilehome gas demand? B.T.U.*
*(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
♦ U !N
OVER
sk
J
A
Tr IN A
vnsvio®� j! t:€jfjj HEAM
MODEL 2562K
2 BEDROOMS, 1 BATH
APPROX. 746 SO. FT.
Bette County
Environmental Health
Da E
-71AUSX—j2, - �-- ��
Sig nature
.l U ? 1996
Chi O, C MOmia
on OPT.
BOX WALK -IN -BAY
Wesiffii4eldTM
BY FLEET WOOD®
WF/17/OCT93
F1EEM/ • • D®
STANDARD
30 gallon electric water heater
Removable hitch
P.O.S. vent system
Shutters on hitch end
20 Ib. shingle roof
Front overhang
1/2" wood siding
Patio outlet
Porch lights on all exterior doors
R-14, 11, 7 insulation
4/12 roof pitch
Painted brocade ceiling
Vinyl sheetrock interior walls
Tr HN 1A I
4y
Cathedral ceilings throughout
Standard carpet in living room and all
bedrooms with pad
White interior doors
15 cu. ft. double door frost -free refrigerator
Power vented range hood with light
30" free standing gas range
Drawers with side rollers in kitchen
Mirrors with clips in baths
Slab doors with brass pulls (new shine oak)
Single lever kitchen faucet
"U" channel light in bath
60" tub/shower in master bath
Our Customer Commitment:
We will provide defect -free products and services.
54" tub/shower in guest bath
Shut off valves on toilets
Mini blinds with valance treatment .
Outswing solid doors — front and rear:
White lined overhead cabinets — no back panel
OPTIONS
Dishwasher/disposal
Ceiling fans
Upgrade carpets and pad
Skylights (shingle roof only)
OTHER OPTIONS AND FEATURES MAY BE
AVAILABLE. BE SURE TO ASK YOUR RETAILER.
_ TM
es �e
BY FLEETWOOD®
Westfield Homes are built by:
FLEETWOOD HOMES OF CALIFORNIA; INC.
a subsidiary of Fleetwood Enterprises, Inc. '
18 North County Road 101, P.O. Box 1368
Woodland, California 95776
(916) 662-3223 WF/17/AUG93
MAI
Note that square footage is measured from exterior wall to exterior wall, and is an approximate
91A
figure. Length indicated in floor plans is floor length only. Renderings and diagrams are meant to
be representative and, inkeeping with Fleetwood's policy of constant updating and improvement,
may vary from the actual home. All dimensions are nominal. Ask your retailer for specifics.(Add
*100
four feet to arrive at transportable length.)
M
PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION.
Our Customer Commitment:
We will provide defect -free products and services.
54" tub/shower in guest bath
Shut off valves on toilets
Mini blinds with valance treatment .
Outswing solid doors — front and rear:
White lined overhead cabinets — no back panel
OPTIONS
Dishwasher/disposal
Ceiling fans
Upgrade carpets and pad
Skylights (shingle roof only)
OTHER OPTIONS AND FEATURES MAY BE
AVAILABLE. BE SURE TO ASK YOUR RETAILER.
_ TM
es �e
BY FLEETWOOD®
Westfield Homes are built by:
FLEETWOOD HOMES OF CALIFORNIA; INC.
a subsidiary of Fleetwood Enterprises, Inc. '
18 North County Road 101, P.O. Box 1368
Woodland, California 95776
(916) 662-3223 WF/17/AUG93
040-lye—D58
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District -m., kM,, AWD Td; L Building Department No.
A.P. Number ,, (� cep 1 YD -�� Jurisdiction: 0 City County
Property Owner R t L k-7
Property Location/Address
4D CJ- it -
Subdivison Lot No. .
Residential Development
No. of Living MHI Addition
Units
Commercial/Industrial 0
New Addition
ui Iding,DepaKbilf Repr ntative a,
(Floor Plans'reviewed by School District Personnel)
f
District Identification No.
J) UP_ WJ-7)I ON r( --i t,>
s(�voNJ
(Street- Address)
Sq. Footage
(Group R)
Sq. Footage
(Including Exterior
Roofed Areas)
Date
7113 w, ie y
School District certifies that -.b• e/6C
(Applicant)
RLD 0 - f832
CA
(Phone Number)
95938'
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. c% � _ 3 by payment of $ �-
4
r.presenting square feet. As 2926 $
FULL MITIGATION $
School District Representative Date
Paid by Check # Remarks: 4 ,
Bank Number
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.wk, (, 1/94)dmm
i^^R� X11 Y}rrwr2 �4�^+:✓�y y ngri�r.x'dCJd':m+i�:isrryvvk'`'=v.E;,} hc':if-.•r� a .,;-f}r. �y �^ ytrco��^ft+ry::���� �,.i�^ t�.if: 7
.' BUTTE COUNTY PARK FACILITY FEE -PAYMENT CERTIFICATION FORM
DURHAM RECREATION AND PARK DISTRICT
Assessor Parcel Number_(s): b 46 6 Ste'
Property Owner (s): AIH CS
Project Location/Address:
Subdivison Name:
Assessable Square Footage: '1
Type of Residential Development (check one):
New Development ❑ Afteration/Addition obile Home (s)
Comments:
K
Building Division Representative ,(
U Non -Residential to Residential
ft
"Durham Recreation and Park District (DRPD) certifies that
Applicant.Name
Street Address .
Applicant Phone Number
City �:,` State Zip Code
has complied with the requirements of the Butte County Board of Supervisors Resolution No.
93 - 114 by.payment for square feet at $ 1.04 per square foot for a total payment
DRPD Representative ' Date
PAID BY CHECK No.: Remarks:
BANK No.: 0- 35n�
PAID BY CASH:
RECEIPT No.: /7'���'
DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION
s
And when recorded mail to:
Building Division
#7 County Center Drive
Oroville, Ca. 95965
9.6-0337691�,Rec Fee 9.00_
11 COP 2.50
Recorded I Check 11.50
Official Records I
County of I
Butte I
Candace J. Grubbs I
Recorder I
10:07am 11 -Sep -96 I PUBL. XX 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT.
Section 26-8 of the Butte County Code requires this acknowledgment to 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 from the use of agricultural chemicals, including.. but not limited to
herbicides. pesticides, and fertilizers:. and from the pursuit of agricultural operations including, but not limited to cultivation.
plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise. and odor. Butte County has established
agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or
discomfort from normal. necessary farm operations.
All that real property situate in the Count} of Butte. State of California. described as follows:
5a e 0, � kactie,(4
Date: - �6 PROPERTY OWNERS:
State of California )
County of )
On %,- - S'
before me, ix�4V -D ,-1 Py-) • F4 u, ER,
personally appeared_%`hl 2c �cJ /&Z r personalh
known to me (or proved to me on the basis of satisfactory eviden ) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacitv(ies), and
that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted.
executed the instrument.
ainmrartauuueeuouutueun+uuuretreruuunuouinuurt�
WITNESS my hand and official seal. ° Fa
Signature
v
A.P.#
01 O rCIAL SEAL
MW__
10 6978
�► WENDY All. AUER >
NOTARY PUBLIC - CALIFORNIACOUNTY OF BUTTS
My COMMISSIOR ■xpiroe FOpreury 13. 1908=
t) ll) l l)11111l11111Illlllllllllll 11 11 ltl 11 IIII I I III II IUUIUIUIp1Uer
AMD N'IIF:\ RECORDED MAIL TO
lir• d Mrs. James D. Rice
Sord
clrn
Acker Routs 1 q
Ads . BOX 82 Ea uoes Road
City Durham, CA 95938
State L J
Z111 X" 48274
BANK of AM ERICA
TITLE ORDER NO.
ESCROW NO.
M UVA"hC1Il
1L4 ii P(U MYART
LOUISE P..U0'E4 0
COUNTY RECOhct
EF
.1.
SPACE ABOVE TIIIS LINE FOR RECORDER'S USE
DOCUMENTARY TRANSFER TAX 133_00
)0( Computed on full value of property conveyed
Or computed on full value less lions and encum-
brances remaining at time of sale
swftwo at oec4rui a Apse d"On"n" 4a. Fos"
S. Harold Svenaon EU( p.4ag
Joint •Tenancy Grant peed
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged.
I�...Iianold..Sreaaoa. aad..Gszaldina.. Stat?tuoA...buabrad.Aud-wits........... _..... _.......................................... _....
_........................................................................................................................................................................ .._...... .
do..........hereby CRAM..... ' ..to..
...... .lamaa.v...]L AO..aasl..Carol,Bra.L..1ticaa.husband.sad-wifa...._..........._._.._............................... _.......
..__......
........................................................
AS )OINTTE\ACTS. all that real property situated In the...................................•.:.......o ..y o
.Alutte......................................................................... State of California, described as follows:
A portion of Allotment Number 24, according to *the Subdirisional Plan of Durham State
Land Settlement fled in the office of the Recorder of the County of. Butte, State of
California. Septamber 17. 1918, in Book 8 of Maps, at pages 16, 27 and 18, and more
particularly described as follow t -
Parcel One, as shoves -in that certain Parcel Map recce -dad in the office of the
Recorder of the County of Butte, State of California, on gertember 26, 1974, in
Book SO of Parcel Maps, at page 64.
SUBJECT TOt
1. All General and Spacial taws for the
not yet due or payable.
2. Covenants, conditions, restrictions,
ess-mate of record, if any.
fiscal year 1978-79, now a lion, but
reservations, rights, rights of way and
DATFD:......... 6.t.p.00.0s•• 20,, ............. 19.7.8.....�rclisve
a
�-11 L
Geraldine8wetuoi'_`,.........................
...... ...... ....................................... _................. ............. ............ ..
STATE OF CALIFORNIA } SS
.... ......... Cneanty Of ................ Autta.. .................
Un ................ Saptembar..28....... , 19.. 7.8.., before nee, the undersigned. a Notary Public In and few sold .............................
(innety semi State, personally appeared .........................A...Emold..Swosoa.Jad..Caraldind.AwansoA..................
................................. ..................................................................................................................................... __...................................
hums, to nx to be the Iwr%ona..whose naine.A ............ Sze ......subs • bel to the within Instrument meal acknowledged
to enc I a ...t he.y... exmittetd the %nine. ;1
11'1'1'\ ;S. euuif�
LSEAL ..... ,f! ........................................ I........
: A DIAr�CNARD
f NQt4ar o 8LIC . CALIFORNIA Notary I ►ehllr. In aril for saki......Delta.................<irueety anti titrate.
•:::eery My Commission expires ............ ............... Sepzt..2S.................. 19...79...
StAll My (ar♦ soh„ Sp 1V71
STATE..
�---
inU 763 e5441 /•4�
M OF DOCUME fI
an
1T
F-+
N
utte Count
D C T
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
Building Division Fax Cover Sheet
Date 6-//s
Time 9
To C
,n v; r
Individual P., ed et
Phone
Fax g gS —.. G S`% a-
From
Phone �� �gv
Fax S 3 8 — , l t�
/# of pages being sent (including this cover sheet)
a.y _3-96 11:50A P.05
ENViA01%1M %1t 1' TH
AGRICULTURAL AFFIDAVIT MAY 9.1996
� `co � CaC�toct��a
cr EMPLOYEE
C California
Employee �► br, I cJ >� J , 1 e = Phone '3z/,3 - g..ca
Employee's Address (Present)
Name of Property Owner JJ
vr) e S 1 -C P
Property Owner's Address_/_ t1 V;; C;�.,,r
Owner's Assessor's Parcel Number j2) �q_Q. -J a 05 S Parcel Size f Ac.
~� =` , do declare, subject to the penalty of
perjury, that I am the employee of G,,,,�
addressresent
(p ) S 1: Vis. _ J� �. 1�-�. rr� 5Sl3band that I will be
employee under Section 24-305.0200 e .� . for at least thirty-two (32) hours per
( ) - )
week for at least sixteen (16) weeks per year on AP# ��-j
,
signed :t Dated. ? i6
.- _
xxxx,r*x**,t*#t,t#,t,txxf:t***,t*,►*x*,R,►*xxxxx*•rf,t*,►t•r*tax,rxwx,r#**x�x,►x**x+r***i*x**,�,�,�xx,r,txx*x
Environmental Health Approval:
Permit Description and Number
Date By
{SEAT\►JG/0�l2 Gof11�JT1GN/avrj- N� 01J 1 1VI ru
Planning Approval: OWNS EY V A)6s5 01�
-r�� �
l
Date _ 'Z � S— {,, Zone - I d Dwelling on AP# b 4a' - 14,0 -
By 4,o -By _1
Crop/Commodity Produced
/-23-96 11:50A' P.04
• ENRON1AM, AL LTH
AGRICULTURAL AFFIDAVIT JUN 4 1996
EMPLOYER ico, Califomla
Employer Phone gal-- W 31,
Employer's Address
Name of Property Owner dto _
Property Owner's Address
Owner's Assessor's Parcel Number 6) y I W O - io_ Parcel Size �_�:-:,.4.
=�, ` • �� , do declare, subject to the penalty of
perjury, that I am the employer of b R
address (present) j'I (0 did ,T ��� �,, '('/� y 5-�. and that I will be
employer under Section 24-305.020 .e _ for at least thirty-two (32) hours per
(a) to (
Week for at least sixteen (16) weeks per year on AP# 0q. 0 - /y 0 - 6)S_��
Signed:',. _ CJ.,-�-��-' Dated:
�►,►• ,r*tr�c:*�►��*,r*war*�►:,►**�+t,r+t,e*sr*��e,t,►w**::��e�ow,r**�t*��,►***�,�,�,�**,r*,��r*t*+►+r,r*�*,►,axrrx�����,t*
Environmental Health Approval:
Permit Description and Number(;
DateAfted
Planning Approval:
Date - S, Zone h-tb Dwelling on AP# p" - l q0 _ oSk
By
Crop/Commodity Produced ►-,., rC
g
y-2.3-96 11:49A
AGRICULTURAL_ AFFIDAVIT
EMPLOYER/EMPLOYEE
Please read the following carefully before signing:
Section 24-305.020 Agriculture Employer/ Employee
(Applicable only in zones A-5, A-10, A-15, A-20, A-40 and A-160)
P.03
An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will
be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or
that his primary source of annual income is, or is anticipated to be, derived from any of the
following described occupations:
(a) The preparation, care and treatment of farm land, pipelines or ditches, including
leveling for agriculture purposes, plowing, discing and fertilizing the soil;
(b) The sowing and planting of any agricultural or horticultural commodity;
(c) The care of any agricultural or horticultural commodity. As used in this subdivision,
care includes, but is not limited to, cultivation, irrigation, weed control, thinning,
heating, pruning or tieing, fumigating, spraying and dusting;
(d) The harvesting of any agricultural or horticultural commodity including, but not
limited to, picking, cutting, threshing, field packing "and placing in field containers
or in the vehicle in which the commodity will be hauled on the farm or to the place
of first processing;
(e) The assembly and storage of any agricultural or horticultural commodity including
but not limited to, loading, roadsiding, banking, stacking, binning and piling;
(f) The raising, feeding and management of livestock, fur -bearing animals, bees, fish,
frogs and other aquatic animals, including but not limited to, herding, housing,
hatching, milking, shearing, handling eggs and extracting honey;
(g) The operation, conservation, improvement or maintenance of such farm and its
tools and equipment,
This affidavit is valid only for the named employee. Any change of employee requires a new
affidavit to be filed.
Employer tax r cords may be requested as proof of employment status.
Signed:y
Dated:
Planning Division
J U L 0 8 1996
Oroville, California
i PERMIT NO. 6321-77B,P,E,M
PERMIT EXPIRES
OWNER James Rice
,." CONTR. owner
LOCATION (A.P. 40-14-58
W/S Esquon Rd.,app.500'S.of Oro Durham Hwy,
lot 24, Durham
ce '
h'
y
t
'i
k
r
Temp. Pow,, r Pole
CalleIPG&E
Temp. ec. Serv.
Oalled PG&E
/Tep. Gas Serv.
alled PG&E
c�
FINALED 7 /
(Date) 00,
(Signature
I
s
CERTIFICATIONS
As required by the State regulations, -both the builder and the insulation
applicator must sign a card certifying that the proper ','R" values,for all
insulation locations have been installed. An example, of a certification
card', which is furnished by the builder or insulation applicatoi is'shown
in Fig. 13.
THIS IS TO CERTIFY THAT IRSWT104 HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS.
CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Lot Number Tract No.
,;,...EXTERIOR WALLS
Manufacturei� Thickness/Type R Value
CEILINGS
Batts: Manufacturer Thickness R Value' . .......
Blown. Manufacturer Thickness— No. Bags wt./gag
Sq. Ft. Covered R Value
FLOORS
Manufacturer wry Thickness/Type
R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation Inches
FOUNDATION WALLS,
Manufacturer Thlikness/Type R Value
GENERAL CONTRACTOR P A LICENSE HUMBER (—!�j A—TIN gx,
BY TITLE - — /Y
DATE
INSULATION CONTRACTDl LICENSE NUMBER
BY TITLE Cn,_MZ,._ DATE
U
Fig. 13
8-14
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING (Cont'd)
Firewall
Restroom Finish I
Indo.- 7 % — 7 —7
Roof Sheathing
Roofina ",> _ i d, 7-t%
Fdn. Vents /%.
laarage Vents------—
for
Icao
ex.
Soil Piping
1st Floor
2nd Floor
3rd Floor
PLUMBING
f
10 out -
Water PI in
BUILDING
Setback 'X—J
--7
Forms j J •-)
Main Bldg.
Fater H—tr-'N
Footings
J
Stemwal I
Slab
/
3
Piers
—7
Garage
ELECT
Footings
Throat
Stemwa 11
Rou h --Z -
Slab
Final
BUILDING (Cont'd)
Firewall
Restroom Finish I
Indo.- 7 % — 7 —7
Roof Sheathing
Roofina ",> _ i d, 7-t%
Fdn. Vents /%.
laarage Vents------—
for
Icao
ex.
Soil Piping
1st Floor
2nd Floor
3rd Floor
PLUMBING
f
10 out -
Water PI in
-- ,- 1-1 ---/
Sewer
Slab v '
Fixtures
Fater H—tr-'N
Patio
Heaters
----
Appilances
l —IF -
Gas Ploina & Test
Footin s
structure
as
Slab v '
In)i
SanitationN
Patio
FIREPLACE
fMAAb --
Footings
Footing
—/—
ELECT
isonry Walls
Throat
—9,2
Rou h --Z -
Relnf. Steel
Final
L
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors c
aming %
Test
Water Htr. "
Ecco
Final
-$ub anels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
a tin
—� %9
Service
Brown
ooiin
�7 y
Temp. Pole
Finish
Ducts
-i — 27--7 f" 4 5W
I Underaround
JIOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOSILEHOME INSTALLATIONSupport
DATE -Water Piping Drainage Gas Piping
OR •ECTIONS
♦A - i
/
t
� r
(NOTE: An entry must be made on this form each time you visit the job site.)
DLV.11 RT1. .7
KEALTH
St -wage and/or iia`er and/or Addaition CIearar.ce(s)
r.Iaz= are approved for:
!zoid up final for:
Final Clearance ok for.:
wis ffsgjt0,4A,5t' NO - lig-ALn ,, 4ut•,i, //0-/y`5e
LOCATIO.i n�=
Sewaoo Disposal Water S��pply
Water Supply
kater Supp? y x
Clcar�—!7ce is for a bedroom (home or r:obile hor--). Otber
will be
w.eo a
- i
M - COUNTY �gF PUTTEt — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone:r534-4541 ,
APPLICATION AND PERMIT
BUILDING
Owner —f£ /Jc
SQ. FT. OCC. BUILDING VALUATION
l
Mailing Address 7� zd X
vOD Q O
Tele hone N
y Q
Fireplace J 2 !7 lV
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building %ddress p
4
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 d
//
O— !/iPl�G
Each Trap 1.50
/ ��
Repair drainage or vent piping 1.50
Water piping 1.50 L
/ / /
GO —' /1 G�t� S (��cp E�� C
Each gas water heater or vent 1.50
A. P. Z g ng
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30 -
es
S I Ion Fire Dept.
Fire Zone Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel P
60' R/W
Im r
p ovemennts-
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parce Approval
Plan proval
Permit Fee $ 2Z,00
La7i
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 (�
Main service 100 AMP OR0V OR L SLESS 5.00
Main service EA. AOD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP1.00
NEW CONST. DWEL-ING
OR ADONS. ( ACCLBLD L 3 ) 20sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
�
Ex. Occup(OUTLETS OR FIXTURES)@ZSC
BAL@1
Ex. Occu FIXED APPLNS. OR
P.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
Of I am exempt from the Contractors License Laws of the State of California.
Permit Fee 4,10$
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.
❑WI have placed on file with the County of Butte a certificate of
orkmen's Compensation Insurance.
I certify that in the performance of the work for which this
WWII 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. @ FEE
PERMIT FILING FEE $3.00 00
Heating O o
Cooling O —
Ventilation
Hood 2.00 r D
Permit Fee QW17e,
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
h '
�$
TOTAL PER IT FEE
au t orize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
XLeipt
Date �y
'gnature of Perm
go. or Agen
No. % Z✓
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.
DIRE R OF UBLIC WORKS
BY Date
Building permit expires Date%c'� �L�� 7
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
Bldg. Permit # _
OWNER 1�,��.�1��-� �� _ A. P. #
A. GENERAL
Zoning requirements (sideyards and parking).
Valuation.
Signature by R.C.E. or Architect (if required).
B. PLOT PLAN
Complete parcel size and dimensions:
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
C. FLO R PLAN
Complete to scale plan with dimensions.
Xa.-.-
Required windows for light and ventilation (Sec. 1405).
Required windows for second exit (Sec.•1404).
Allowable glazing for energy requirements (20% max. per State law).••
Human impact glass (Sec. 5406).-
Required
406).Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment!
Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
.0. Garage firewall, door size, and closer (Sec. 503(d)(4)).
1 - 3'0" exterior exit -door (Sec. 3303d). /
/ Fireplace location..
�18. Smoke detectors (Sec. 1413).
0
D. STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
1.2,;.'Oe- F=oor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
Fireplace construction details and calcs if over one-story in height.
Sufficient data and details to satisfy energy insulation requirements (State law).
E.. MISCELLANEOUS ITEMS TO LOOK OUT FOR
(x,11. CCX plywood on exposed locations and overhangs.
Stairway details (Sec. 3305).
Guardrail details (Sec. 1716).
Brick or stone veneer (Chapter 30).
5, Exterior plaster --weep screeds (Sec. 4706 & 4708).
Proper roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
Adequate bracing.
to). Living area -over garage - complete 1 -hour separation required including supporting
0walls and posts, etc.
11. Two (2) exits on three-story dwellings q(Sec. 3302).
u
C �
-D/.
J�i/,Gtf.-S i'�/G�' f
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
num, ber 3412-7J for the following location:
. I/_ c� _!q n - -- / , __/ i m r,
Owner—
Owner's
wner
Owner's Address7,%-Pe / gOC=i3-
Mobilehome Mfg. Model Year
Insignia No. Serial No. 0—g
- It is hereby certified for occupancy at the above described location and
may be occupied.
Director of-uQlic Works
Date Z—_/ / 2/ By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
V CERTIFICATE OF OCCUPANCY
of,iThis mobilehome has been installed in accordance with the
the California Administrative Code, Title 25, Chapter 5,
n,�mber 3'9/`f —77 for the following location:
W -; X -5 -Z- iSou �, oS ' C 2c i_ crrriL -•fn, f /—,
requirements
under permit
Owner. �rszera .�• /r L�" p
Owner's Address,.' -P d`� L 35.2
Mobilehome Mfg. Model Yearz
Insignia No. Serial No. ("fz z, 6 ��
It is hereby certified for occupancy at the above described location and
may be occupied.
q Director�of/Public Works
Date � � �/ By A4/.-, —
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
11 lb.r
-�9 77
PERMIT NO. 4289-77P,E
PERMIT EXPIRES
OWNER James D. Rice
r
CONTR. owner
LOCATION (A.P. 40-14-58
W/S Esquon Rd.,app.500'S.of Oro Durham Hwy,
1 lot.24, Durham
f
i
i
,
;4
b
r `
Temp. Power Pole
Called PG&E
tElec. Serv.
' Called PG&E
Gas Serv.
Called PG&E
JOB
FINALED
(Date)
� (Signal re)
i
A .
J ' , )
P•i01M,1ai0�•tE INSI' LATIM4 INSPECTION CHECK LIST
1. Is the. mobilehome 1oc.�!tcd 1ai.1-h required separation from lot lines and buildings and generally
conform to plot plan? Ycc3 /No—
?. Dees the mob 1lehome have'requircid clearances above ground? (Sec.5085) Yes �No
3. Are footin--,s and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec, 5082 & 5083) Yes No
4. Is the mobilehome level.? (Sec. 5088) Yes P-' No
5. If mo than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
y. Water
A. Is f�N_01
e ;le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes
B.Test•- Does water piping withstand working pressure or 50 lbs, air test? Yes el No
C. Backflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? YesZNo
B. Does it have minimum ," per foot slope and is it properly supported? Yes,,No
C. Are any leaks detected in drainage system after run ing 3 -gallons of water through each
fixture including washing machine standpipe? Yes v7No—
D. If coach is not State of California approved, does station have required trap and vent?
Yes Io
8. Gas Pipi g 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 mobi __home gas line inlet without reductions other than the mobilehome
connector. Yes r No
B. Test OK as per following procedure? Yes11401. Open all appliance connector valves._`�
2. Shut off appliance burner and pilot valves.
3. Air 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. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with
soapy water.
C. Are all appliance vents properly installed?* YesZ—
1W*s � 4F-
9.
9. Electrical
A. Is service large'enokrg1t to provide adequar_e amperage to mobilehome (must equal rating of
mob i_lehorle (aitli a. ::;inu:um of_JLOO amp) and other facilities on lot, i.e., water pumps,
Zarat,e, cabana, c.t�.? Yes / No
1;. Is ther.-� proper clearances around panels? Yes I', No
C. Is power supply cord or feeder assembly properly fused? Yes--VNO
D. Is continuity test satisfactory as per the following procedure? Yes p"
1. .De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lo .. -id of a test instrument to the mobilehome grounding conductor and
,_._ , ,. •, ,....._ pp,y ,.
apply the Gtu.�?i .�.ca� i.G taCii iii0ui.Lciwllie Sii t CGnuuCtG'i, 1111 iiulYr� YIeuLYSi,
5. All non. -current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of: the above procedure, the power supply cord or feeder assembly
conductors shall. be connected to the site service equipment. A further continuity
te.:;t shall then be made between the ,grounding electrode and the chassis of the
moi)ilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
( T;; job card si ned by health Departmeat for water and sanitation?
1. l.. If everything okay, sign off card and t.a,; services.
MOBILEi'TOt•'L_t)ATA
Manufacturer and/car Namestyle —7;-"'
Length Width�� qct
Vehicle Serial No.
State Identification No.ee
". rl�t s_ t Tonal Inform r i on or C orninei s :
Mesh
COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
MECHANICAL
BUILDING BUILDING (Cont'd)
PLUMBING
S back
Fir all
So Piping
Fo s
Para is
1 Floor
MaNp Bldg.
Restrok Finish
2nd loor
F tins
Windows
3rd Flkpor
Ste wall
Sidina
To out
Slab
Roof Sheathlqg
Water Pipi
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwal I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physicall
handicapoed
Conformance of ex.
structure V
Appliances
Gas Pining & Test
Temp. Gas
Slab
X Final
Sanitation
Patio
F EP CE
Final
Footin s
Footing
LECTRI L
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Bea
kIRF SPRINKLE
Motors
Framing
Test
Water Htr
Stucco
Final
Subpan s
Mesh
MECHANICAL
Grd. FAult Prot.
Scr h
Heati
Sery e
B n
Cool g
mo. Pole
1sh
Du s
nder round
or Lath
f
V ntilation
Permanent
Closer
final
Final
MOBILEHOME UTILITIES --
Elec_ Service
--
Elec. Pedestal
Water Piping
Sewer
Gas Piping _ 7
MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support y
Elec. Continuity
Water Piping / ���
Drainage
�� -,7, _
Gas Piping go, f ff'
DATE REMARKS OR CORRECTIONS
1
Q C -LA
�-
,
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 /
APPLICATION AND -PERMIT ) L�
CIUMUlIfU ICJJICJellLa LlVCJ UI 1110 t-UMIIY UI CUlle IU UMUI UpUn Ine
above-mentioned property for inspection purposes.
X Date 7> �,9 �- %
Signature of'Permitee oor, Agent
Receipt No. / 0J
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit.is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PU LIC WORKS /
BY !��-� �IrLd Date -`
Building permit expires Date
BUILDING
OwnerA-2, e
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
VV
Telephone No.
Fireplace
Contractor 1,
Total Valuation
Mai I i ng Address ;% 06
Permit Fee
Plan Checking Fee &/or Penalty
� le
Tel hone No.
,4 P 2—Z4t4 6—
Building Address '" S "OfPERMIT
Permit Fee
PLUMBING No. @ FEE
FILING FEE $3.00
�QQ
Each Trap 1.50
G
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. i°` `"
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
es
Se"tWA on
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
p
Lawn sprinkler system 2.00
BI Plans Recd
Parcel Ap val
Plans roval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
.0—
` �g
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
—
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures b a210
Receps„ switches & fix outlets 20P 5
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: o %
AJj!��f '/. �T/ e �'.
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap.cooler, gar. disp.orD.W, 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No.C Classification "'
Misc. wiring
❑ 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 $
$
1 certify that I have read this application and state that the above6�
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERM IT FEE
$
CIUMUlIfU ICJJICJellLa LlVCJ UI 1110 t-UMIIY UI CUlle IU UMUI UpUn Ine
above-mentioned property for inspection purposes.
X Date 7> �,9 �- %
Signature of'Permitee oor, Agent
Receipt No. / 0J
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit.is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PU LIC WORKS /
BY !��-� �IrLd Date -`
Building permit expires Date
EA
COUNTY OF B`fJTTE�"x- DEPARTMENT 0,, PUBLIC WORKS
7 County Center Drive — UroviIle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
,411 /1�-�?N7�7
All
D`y
Receipt No., �///
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date
BUILDING 4F q
Owner f
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
el ph�e�l
��
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address �.S.S l/O �O' v
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 �Q
F "1(�% 4,
Each Trap 1.50
Zo er t e ton
f f
Repair drainage or vent piping 1.50
Water piping y,50-
Each gas water heater or vent 1.50
A. P. No. a — / — J7 /4' Zon t
Gas piping system 1 - 5 outlets 4-&W Q Q O
Each additional outlet .30
17,05Z
S on Fire Dept.
Fire Zone Use Permit
Building sewer
EQA
Parking Parcel
Plans Declaration`
Pasr el a
60' R/W
Im rovements
p
Lawn sprinkler system 2.00
/4, Plans Recd
�TPar Approval
Pla Approval
Permit Fee $ X 00
$ YY
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 D
Main service "IV OR LESS 5.00 Q p
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Main service 100 A s MP OOR LESS 25.00
100 A
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 1.00
2044
NEW OR ADDNST ( ACCLBLDGLING O.CCUP. &
S ) 20sgft
NEW CONSTR. MULTI -OUTLET
NON-RE5ID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &1
NON•RESI D. (SINGLE OUTLET CIR. I
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
st le of:
Y
/ Z"0Z"O& Zoo
Ex. Occup(OUTLETS OR FIXTURES) BAL@�1
Ex. Occu FIXED APP LNS. OR
p•(0UTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 (,
License No. Classification
Misc. Wiring P.25
am exempt from the Contractors License Laws of the State of California.
Permit Fee $MECHANICAL
$ ,Z
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.
1:1 I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
N29". certify that in the performance of the work for which this
rmit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
No• @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Q, . E: Date
Signature Permitee or Agent
`Q
TOTAL PER IT FEE
$��
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 rUBLIC WORKS
D`y
Receipt No., �///
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBII.EHOME INSTALLATION SHEET
1. Owner's name:
2. Installer's name:
3. Is the site currently under permit? Yes / / No
(If yes, furnish permit number ) OR
Is the site an existing site? Yes / / No 7-5
(If yes, furnish two (2) plot plans.)
g
4. Will the mobii�ehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? YesZKNo
( If no, clarify )
5. What is the mobilehome electrical rating? ----------------------- Amps
6. What is the mobilehome site service rating? --------------------- Amps
7. What is the mobilehome site circuit breaker rating? ' Cf 0 Amps
8. Is there any other electric load to be served by the mobilehome
site
service? ---------------------------------------------------
Yes / /
No
(If yes, identify the load and size:
(Load)
(Amps)
9.
What
is the mobilehome site gas pipe size? ----------------------
(in.)
10.
What
is the type of gas service? -----------------------------
Natural //
LPG
11.
What
is the gas pipe length f�om`'fTkter or tank to
the mobilehome? %,�?
r (ft.)
12.
What
is the mobilehome gas demand? ------------------------------
(BTU)
(This information not required if pipe length
less than 6 ft. on natural
gas
or less than 50 ft., on LPG.)
MOBILEHOME'SUPPORT DATA
Mobilehome Mfr. Cl/9 S-etup Model No. , .�t� Year
Width 1-- (ft.) Length Gam_ (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).
4
Center Center Su port
Support Footing izes�
Locations in.
tin.(i n.)
A
X ._ J
(ft) (in)
in. �. - —
in _-) in.
(( ft.T (in )
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
Footings (check one)
IX 1. Wood either
,• +, pressure treated or
fdn. grade.
2. Concrete pad.
3. Other, specify
Supports (check one)
4f 1. Concrete block
2. Concrete piers
3. Steel piers
4. Other, specify
x JTypical Support
Footing Size
kin.) -(Tin. )
- Max. Pier
Spacing
(ft.TC:1ri:)
Overhang
BUTTE COUNM
BUILDING M"PA RTM5W
APPROVED
vf.
16TE.—All Materials &
accordance with Recogi
f a quality prescribed i
)niform Building, Plumbin
he National Electrical C
r This set of plans and s
kept on the fob at all tim
make any changes or alter
$; written permission from tI
lic works, Couty of But,,
L� L
:C I
N �
N ;
Morkmanship Shall Be in
.ed Goo Practices and
the Spepified use in the
& Mechanical Codes and
le.
i
ecificati ns MUST bt
s and it s unlawful tc
itions on same without
e Department of Pub -
iT�tt LfZ ff – 7 71
ukll utility connections s
:vacated within 4 ft. outside I
'„bird section of the mobil
the left (road) side of th
me.
yll be
e rear
home
mobile
Inv S
7 XPi?
P.M. 6-0- 6 y
j -e 7—:0 /
The *IT. Setback shall be 5 ft. from the
side property line and 50 ft. from the
centerline of the road, permitting a maxi-
mum of a 2 ft. eave overhang but entirely
out of all easements.
f it% NI Elie
rercOi4ef6r&fha
installatigrjof Ahe'- mobilehome.
}
ya
Septic system and locations
to be as per
Butte County Hiealth Dept. Re-
quirements.
ASD C -c..5' C
0`+ � �CE9u �'���•
0`/4061 Lee
)dloM-L, Po.s A)j7 i^' Ai
w�,. �,�d,LA�-t �ppnovi►L e
`s
s FuTu.a ldo.H�
BUTTE COUNTY
UILDING DEPARTMgN
APPROVED
t
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