HomeMy WebLinkAbout040-170-028I
40-17-28
Robai' V. Kidd®�
NIS Du Oro Hwy, 200'W.of Lott Rd., -
Durham
t; Permit #995-77P,E(ut MH)
EIEC. 2717%
GAS
mSUPPORT STRUCTURE Q. N
GMPACTION TES Q. 40._
'40-17-28
- - Permit ��1753-77MHI a
.Issued" .zZ-77
040-170-0281
'
/ 94— O28MHI : 3
KIDD; _.ROBERT ;' �`'�loVy V 3i '
,'1876; DURHAM ,DAYTON HWY;;, DURHAM
MOBILElI0M1".INSTALLON. EXIST -SITE
/;x.94-127.04O—'L70-028�—
' •
KIDD . ROBERT'
1876 DURHAM 'DAYTON . HWY , DURHAM. �.
GAS, LINE>}TO MH EXIST SITE : }:+.q
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,.
0
'1040-170-028
=
040 '170-028
94-1275P _ ;
`:KIDD, ROBERT . , y '` .` A •�'
`�' 1876 DURHAM DAYTON .HWY ;• DURHAM �^r
GAS ,LINE TO M;I EXIST 2SITE
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County.Center Drive - Oroville., Calliornia 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT �� 0 �-
ASSESSOR PARCEL NUMBER
1 44-17-28
ZONING
A10
DING PERMIT
i
OWNER 1
ROBERT KIDD
TELEPHONE
342-7037
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2327 HANIDN RD 810 DURHAM
CONTRACTOR'S NAME
am
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
"
Fireplace
CONSTRUCTION LENDER+
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $'
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 1876 DURHAM DAYTON
�f
PERMIT FEE $
rHIRRAM+
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT No.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
- USE OF STRUCTURE
SFO Duplex ❑ Mobilehome M Other
' SPECIFY I
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S Cis W
@20.00 20.00
TYPE OF WORK {
New ❑ Addition O Remodel O Utilities O Installation ❑ Other,],,;{
Describe Work: GAS LINE TO = MH EXST SITE
PERMIT FEE $
40.00
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 600v OR LESS )
200A Ofl LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLOS. )
3.50 FTSD..
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
( POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BAL. @ 1.50
Ex. Occup.FIXED APPLNS. OR
( OUTLETS IRESID.1 EA. )
5•�0
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County 'in consequenc�e/ of the granting of this permit.
X (� 1, Date m Py y el % y
Signature of Applicant - Owner O Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories inheight.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEES 40,QQ
HAZ.
D. FEES
IMP
I JODI'
cDF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated ab ve for whi fees have been
t
i {/
PERMIT EXPIRES ON 5/4/95
!Date/
provisions
to do work
paid.
Date S 7
Receipt No. X62756
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
MOBILEHOME INSTALLATION ACCEPTANCE ,
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
Address or location of mobileho11me T
Owner's name lir
Owner's address '
Insignia or hud number
Manufacturer's name
Serial number of VJ.N
(Official Approving Installatio
PERMIT N0.
Year of manufacture
+) (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.
HO�G - -O
5138 White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY. OF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95,965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT 0
ASSESSOR PARCEL NUMBER
40-17-28
ZONING
A10 XXZXN
BItICEIIING PERMIT
OWNER
ROBERT KIDD
TELEPHONE
342-7037
SQ, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2327 HANLON RD NXN DURHAM
CONTRACTOR'S NAME
014NER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 1876 DURHAM DAYTON HWY
PERMIT FEE $
DURHAM
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF D Duplex ❑ Mobilehome IX Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S W
@20.00 20, 00
TYPE OF WORK
New D Addition D Remodel D Utilities D Installation ❑ Other
Describework: GAS LINE TO NXX MH EXST SITE
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 2110101 LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR AOONS. ( 8 ACC. BLDS. )
So.
3.50 FT.
CONTRACTORS LICENSE LAW(
I declare under penalty of perjury (check one)
❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and
P P
Professions Code and my license is in full force and effect.
License No. Classification
�I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
D I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON RESID. ( BRANCH CIRCUITS )
�t
@7.50
POWER APPARATUS )
B SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. @ .50
Ex. Occup. ( OUITLEDTS P Es D.OR )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
:d I
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
O I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
elshall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in cons quenc''e// of the granting of this permit.
Xt Date
Signature of Applicant Owner El Contractor ❑Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height. _
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 40.00
HAZ.
1 D. FEES
IMP
I FLOOD
X
I CDF
PARCEL I PD
I HD
ISSUE
This This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated ab a for whi fees have been
t
PERMIT EXP RES ON 5/4/95
(betel
provisions
to do work
paid.
Date
Receipt No. 162756
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
Department of Development Services
BuildingjDivision
Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and
issuing your building permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement
(yes or no) 2 S
2. I (have/have not) hAUe_ 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 Oj-nie L Me -al Plumby'?
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:
Name
Address City
Phone Contractor's License No.
5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner . R
Social Security Number
Date M ?+l `f ( g CL
NOTE: This -Owner -Builder Verification is sent to you as required by Sections 19831 and. 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
/ At/l/I
PERMIT NO. 995-77P,E
PERMIT EXPIRES c
"OWNER
�- Robert Kidd
O ��
Ownr
/4t
C.ONTR.
LOCATION (A.P. 40-11-2$
N/S Durham Oro Hwy, 200'W.of Lott
Rd., Durham
Temp. Power Pole
Called PG&E
ice. Elec. Serv:
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Da::f;;),�
�.
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Sehack
ewall
S \,I Piping
For
ParNpets
1\'t Floor
Mai Bldg.
Rest om Finish
2n \Floor
Fo ins
Windo
3rd Noor
Stemall
SidingTo
out
Slab
Roof Shea)bina
Water Pi i
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footin s
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Car rt
Po
Footin s
Prov. for ph sical
handica ed
Conformance of ex.
structure V
Appliances
Gas Piping &Test
Temp. Gas
` Slab
Final
Sanitation
Patio
F REP ACE
Final
Footin s
Footing
E ECTRIC L
Masonry Walls
Throat
Rough
Relnf. Steel
Final
Fixtures
Bond Bea
FIRE SPRINKLEA
Motors
Framing
Test
Water Htr.
Stucco
Final
Sub anel
Mesh
MECHANICAL
Grd. Fa4it Prot.
Servi
Pole
nish D is Jinderground
I erior Lath X I Ventilation Permanent
oor Closer Inal Final
MOBILEHOME UTILITIES ---------------- Jr. Elec. Service Elec. Pedestal
Water Piping Sewer 2 4p -7 G r- <1 •-77
BI E =INSTALLATION --------------Support —2—_7— Elec. Continuity 71;>
Water Piping jF_ — 2 — 77 Drainage �L 2 ?� % % Gas Piping
DATE REMARKS OR OR IONS
(NOTE: An entry must be made on this form each time you visit the job site.)
Pi0}3T ,t li02tG INSTALLATION 1,NSPECTION CHECK LIST
1. Is the mobilehome located wi.l:h required separation from lot lines and buildings and generall;,
con -form to plot plan? Yes k"'No
2, Does the mr)bil.ehome have require -d clearances above ground? (Sec.5085) Yes j;,�No_
3. Are.footin,;s and supports properly sized, spiced, and braced as per approved plans? (Note
possible varication at spring shackles.) (Sec. 5082 & 5083) Yes a�o_
4.. Is the mobilehome leve" I.? (Sec. 5088) Yes 140
5. If nnjq're than a single unit, are crossover connections properly. installed? (Sec. 5088)
YesNo
5, Water
A. Is fle 3'ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes No
l
B. Test - Does water. piping withstand working pressure or 50 lbs, air test? Yes Pf"No
C. Backflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes ✓No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? YesZ No_
B. Does it have minimum z;" per foot slope and is it properly supported? Yes ,,/No
,C. Are any leaks detected in drainage system after run irig 3 -gallons of water through each
fixture including washing machine standpipe? Yes 7No
D. Ifcoafh i_s not State of •California approved, does station have required trap and vent?
Yes ,D� No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas siipply with an approved 3/4" minimum
mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as
la. ge as the mobilehome gas. line` inlet without re"duct,ions other than the mobilehome
connector. Yes_ No
B. Test OK as per following procedure? Yes_ZNo_ `
1... Open all appliance connector valves. N�,, �-
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? Yes4ZNo
9. Electrical
A Is service large enongl. to provide .adequate amperage to mobilehome (must equal rating of
mobilehome caitti a. ::;inv::um of t�0 amp) and other faciliti.E!s on lot, i.e., water pumps,
,,ai age, ca .1na, etc.? Yes �/ No
B Is them proper clearances around panels? Yes_t!!:�N0
C. Is power supply cord or feeder assembly properly fused? Yes�Na_
D. Is continuity test satisfactory as per the following procedure? Yes t -*N0 -
I .
_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 lead of a test instrument to the mobilehome grounding conductor and
_.. n ,. ,
apply tl��e GLii.ei: lead to each rIIGIJL.LCtlUlllt: s1ipp,�y CGuLiCtGi, ini:liiutrlg r1etli.ra1.
5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line,
pater line), inclltding 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
clobilehome. UDOI1 satisfactory completion of the electrical tests, the lot or site
service equipment- may be approved for energizing.
Ts job card si-ned by health Department for water and sanitation?
ll.. If everything okay, sign off card and to services.
MU}3ILi::?U:^.L•' DATA � � ,{� / ,��
Manufacturer and/or Namest:yle ✓L//d50- 111)-Pfl/t°/'Y6✓!?e5-
Length_ Width
Vehicle Serial No. ,5,eA0 lr
State Identification No, —VT
^.ddi.tional Informat..ion or Cormnents:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number for the following location: G2
Owner
Owner
Mobilehome Mfg. AkIlkiSB I- Model Year,,
Insignia No. 33 9:9-5V Serial No. .6'6 /(V TZ
It is hereby certified for occupancy at the above described location and
may be occupied.
Director 4'Vublic Nonce
Date ' ('7_7— 7% By
If
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
T.. •mo=w % j chi a I —,
COUNTY OF BUTTE w ,
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
,,CERTIFICATE Of OCCUPANC-t---
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 51 under permit
number 7<7 -77 for the following location: . n
W /` r f PT -r/7) ([-7�L7N/, ��I //T/'/C-!f/� .LL 4/ K/ FR. fr'y I / Amt ►
Owner I _
Owner's Address
Mobilehome Mfg. l�J/���x� %- Model Ye'ar/—Eft
Insignia No. Serial No. <e;5 �6
It is hereby certified for occupancy at the above de"scribed location and
may be occupied.
Director of'Public Works
Date -41— Z 7— 7 % By-�—
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
N
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 -County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT?00) .,/
Signature of Pe�rrmitee or Agent
/ / c��, BY Date L - 2 -
Receipt No. �j ?
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B 1Iding permit expires Date C��ZZ —7//
BUILDING
Owner _ /�'
SQ. FT. OCC. BUILDING VALUATION
Mailing Address � � 0 - D
U /T
Telephone o.
-V -1.�c
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address Af S DuR«f�� I��C !{ w
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
c' LJ . 01 T
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. :t/® -�! 7- 1
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
C.
SanAlti-on
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
m
Improvements—
provements
Lawn sprinkler system 2.00
Bldgvl<ons Recd I Parce pproval
Plans proval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER �
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
ITYSTRr.L IMI 6 � by J_ d-
Main service i°o°o AMP ORSLESS 5.00
Main service EA, ADD'L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
OVER Main service 1100 AMP OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS. OCCUP. &) 20sq ft
NEW CONSTR. MULTI -OUTLET
NON-RESID, BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &)
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)@25¢
BAL�1
Ex. QCCU (/ FIXED APPLNS, OR
P• l OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
1 1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
IDI 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.
7-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.
X � Date 1 '7
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
( S 710"'
$-
C7 GC3
TOTAL PERMIT FEE
$ 3e✓' t�C
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 6FUBLIC WORKS
Signature of Pe�rrmitee or Agent
/ / c��, BY Date L - 2 -
Receipt No. �j ?
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B 1Iding permit expires Date C��ZZ —7//
BUTTE.COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
s
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
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from .septic tank and leach fields and
♦
clear of all setbacks and easements? Yes / / No
( If no, clarify
)
5.
What
is the mobilehome electrical rating? -----------------------
0
Amps
6.
What
is the mobilehome site service rating? ---------------------
!p o
Amps
7.
What
is the mobilehome site circuit breaker rating? -------------
{
3 O
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? -------
10.
What
is the type of gas service? ----------------------------- Natural / /
LPG
11.
What
is the gas pipe length from meter or tank to the mobilehome?
(ft.)
12.
What
is the mobilehome gas demand? --------------------=---------
(BTU)
(This information not required if pipe length less than.6 ft
ori natural
gas
or less than 50 ft. on LPG.)
♦
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. Setup Model No. Year
Width (ft.) Length C— (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).
-- . S
Center Suprt
Footing Si es
(in.)
�in. )( ri:j
*If center piers are 6l,her than drawn above,
draw in locations, SpAcing, and dimensions.
Footings (check one)
1. Wood either
tt pressure treated or
fdn. grade.
2. Concrete pad.
3. Other, specify
Supports (check one)
/ 1. Concrete block
2. Concrete piers
3. Steel piers -
4. Other, specify
- Typical Support
x Footing Size
I
I Max. Pier
Spacing
Max.
j 3 - Overhang
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
J
Owner C () lst-- W
Mailing Address 0 -
Contractor (2) �
Mai I i ng Address
Building Address
o1, C)O " 1
• " COUNTY OF BUTTE — DEPA:FMMENT OF PUBLIC WORKSY
7 County Center Drive — Oroville, California 95965Telephone: 534-4541 / o/
APPLICATION AND PERMIT
f^ 1 KJJJ
A. P. No. VO -- 7 —
F S§0Fire Dept. Fire Zone
Parking Parcel
EQA Plans I Declaration 0
BIdg�� ltec'd Parcel Approval
NEW ❑ ADDITION ❑ UTILITIES
i01
Telephone
Zoning
ne No.
_ BUILDING —
SQ. FT. I OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee _
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
'Jq( Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Use Permit Building sewer
Lawn sprinkler system
Improvements
Plans proval
OTHER ❑
Single Family ❑ Duplex ❑ Mobil Home 5� Others ❑
FOR, MOBILES
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:
License No. Classification
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service
600V OR LESS
100 AMP OR LESS
Main service
EA. ADD•L 100 AMP
Main service
OVER 600V
100 AMP OR LESS
Main service
EA. ADO'L 100 AMP
NEW CONST. (
OR ADDNS. %
DWELLING OCCUP. &
ACC. BLDGS.
NEW CONSTR.
NON.RESID.
(MULTI -OUTLET
BRANCH CIRCUITS
Ex. Occup(OUTLETS OR FIXTURE
Ex. Occup ( FIXED APPLNS. OR
OUTLETS (RESID.) EA
Temporary service
Mobile Home Facilities
Misc. Wiring
I am exempt from the Contractors License Laws of the State of California. Permit Fee
WORKMEN'S COMPENSATION INSURANCE MECHANICAL
PERMIT FILING FEE
I am aware of the provisions of Section3700 of the California Labor Heating
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 Cooling
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this Ventilation
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of Hood
California.
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.
a
X Ru�-�k D . Date 3
Signature of Perrmiteeeee or Agent
Receipt No. /v tO " y— Sl
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
@ FEE
$3.00
1.50
1.50
@ FEE
$3.00
5.00 17
2.50
25.00
1.00
2.50ea
i0 @ 25C
)AL@104
2.00
10.00
15.00
6.25
23
@ FEE
$3.00
2.00
114-r)t)W �' e- 1 `2
S —TOTAL PERMIT 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.
DIRECTO UBLIC WOR^JK7S
By Date —/ C., — 77
uilding permit expires Date�
AVP_7C'U 1.L Ud R4',d WORKER A Y' I Y IT
Adda�az (PreLi�;il��
Talaphons
TSA of 0�Qr - - - _ _ IGcdal
o zzessor's Pti cel No. on c-,-thA?-,h anbile home is to be located:
040 ,17 e^) r?�
"I' 11hen purchaser
gat® oed Number
o Plaaae read the following carefully before signing:
s'A-3' (Agricultural) Regulations, Section 2.1-d &flows:
"do Housing faci3itios (including mobile homes) to accommodate only
agricultural crsaplayeas and their faro- igies employed by the owner or
operator of the 'promises; and provided further that such housing
facility shall be considered accessory to the main building and shall
conform to the prO isi®n Pertaining to required yard sand 'open space
for dwellings.'
Ordinance No. 1439 states:
"I. e ACRICUMMMA-14' EMPLO ' % An individual who _ verifies , by 2mrsonal
a6fid ayit And by raf16idavi.t of ENE a5mla rar that ht. is, Aill be,
aTu-p oyed at leastours par weak for at least 16 weeks per year, or
�L-aat his primary stet® of annual incomm is, or :.s anticipated to be,
derived from, any of the following described Occupations:
(1) T'ne preparation, care, and treatment of farm land, Oiyeline' '
ear, ditchvj>G, including I-eveling for agricultural purposes, plowing,
discing, and fertilizing the soil;
(a) The sewing and planting of any agricultural or* horticultural
commodity;
$3) The cgro of -any agricultural or horticultural commodity. 'As
used in this subdivision, care' includes, but is not limited to,
cultivation, irrigation, wa- ed. control, thinning, heating, pruning,
or tieing, fumigating, zpr -yinf o and dusting;
(4) The harvesting of any agricultural or horticultural commodity,,
including but not limited tea, picking, cutting, threshing, mowing,
mocking off, °field chopping, bunching, baling, balling, field
packing, and placing in field containers or in the vehicle in
which the co==dity.will be hauled on the farm or to the plat* of
first practsoi.ng;
( 5) The assfimbly a znd forage of any agricultural or horticul-
tural commadity, including but not limited :to, loading, roadsidinq,
-banking, stacking, binning, &%d piling;
6i The raising, feed., ng and managameni of. livestock, fur bear-
ing anim l o, fish, frogs and other aquatic animals, and basic,
including but not limn ted to, he-vding, housing, hatching, Milking,
3heari.ng, handling eggs, and extracting honey.
(7) The operrj jon, cionservati.on, improvement or wAintananca of
ouch farm and its tools. and equipme-ato"
7 os'':)'=iac.s,ar!I;, :3cb"ce"'mod �aj3�t' �3 uSrSi.�.i. 'y'��.
9 Tr
dVd3a HI-IV3R
AlNtnoO 3nna
C�
- RESIDENTIAL -�`--
-(7
j 040-170-028 94-1028MHI
KIDD, ROBERT
1876 DURHAM DAYTON HWY, DURHAM
MOBILEHOME INSTALL ON EXIST SITE
JOB FINALED (Date)
Signature
V=OK
O = Not OK
-=Not Applicable MOBILE HOMES
=Not Ready ,
Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a
1. Zoning Requirements-Setbacks-Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location-Test-Fall-C/O Concrete
4. Water; Location-Test-Easement Needed (Sketch)
5. Electricity; Locatlon-Clearences-Grnd-/ /Amp-Concrete
6. Gas; Location-Teat-Wrap: / /"L"ft.
/ /"Nat. or/ /%"ft./ P'LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBI HOME INSTALLATION Plane OK except #'s
,opKg Requirements-Setbacks Easements
,I'Footi gs; Size-Spacing-Marriage Line
far MH Test-Demand-Valve—Connector
EleqjlJety; MH Teat-Crossovers-Breakers-Clearances
5� MH Test-Fall-Flex Connector
_ er; MH Test-Regulator-Connector
. Wgler and Sewer Connected-C/O to Grade-HD Approval
6—GAs-1 nd Electricity Tagged
9.', zits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posta-Beams-Rftrs: Connectors
'Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frma: Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater
6. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test-Water'Supply Test
V=OK
O = Not OK
- = Not Applicable RESIDENTIAL (Single & Duplex)
= Not Ready
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fell -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. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16.. Insulation
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Neil 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/initials ELECTRICAL (Permit) OK except #'a
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/Meth. Fastners-Bond G;;-& Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Meth. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
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/Initials FRAMING (Plans) OK except #'s
39. Sils, 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/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Bmc-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 3' -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 Mash -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. I nsu lation-Walls-Ceilings
60. Infiltration -Walls -Windows
Date/Initials FINAL(Plans) t #'a
( ) OK except
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd -Alr 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 -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth
Clearance Looked under Floor Yes
80. Following 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
84. 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 -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
_ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Galifornia 05965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
g�-����
ASSESSOR PARCEL NUMBER 040-170-028
ZONING A10
BUILDING PERMITAZ
OWNER
ROBERT KIDD
TELEPHONE
342-7037
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2327 HANLON RD DURHAM 95938
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
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
1876 DURHAM DAYTON HWY
PERMIT FEE $
43.00
DURHAM, 95938
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex O Mobilehome ElOther
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New O Addition O Remodel O Utilities O Installation ElOther ClContractor
Describe Work: MHI EXST 2 BDRM
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 600V OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
3.50 g0, FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O 1 am a licensed underp provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
C4�1, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON -REBID. ( BRANCH CIRS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR,
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. 50
Ex. Occup. FIXED APPWS. OR
( OUTLETS IRESID.1 EA. )
5.0 0
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County incponse�u-ence of the granting of this permit.
X t , Date � 13 � �
1I O'er'
Signature of Applicant Owner O Contractor O Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 143.00
Es IMP
FLO
C
PARCEL
/
HD
ISS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for whi h fees have been paid.
By Datate d" ?[(
ZA
PERMIT EXPIRES ON
[Date)
Receipt No. 162360
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i�.-•-�:-_���;�Kw.iti'... ^4. }�r.. .�y'(!�i`�''��;'�;�if+fl►''�..rroyi'*P.N�'�`�r"ri�il.'�'�'rr"n.^G`�.'rye��"�'t��..T'-r^'�..t'-�"^+v+�r^Y-+-""-..... ,.,y�.'rv,�_.r- n•�w-� ..
COU NTYOF BUTTE - DEPARTMENT OF DEVELOPMENTSERVICES - BUILDING DIVISION
7COUNTY CENTER DRIVE -OROVILLE,CTLIFORNIA95965-TELEPHONE(916)538-7541 /
V
PERMIT APPLICATION DATA SHEET
OWNER L)Z)/ A. P.
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing an /or issuance:
t
DATE RECEIVED BY
11 items have been submitted . ........................... .
2. Plot plansj3/4 sets, signed by preparer of plans . ......................... .
Complete plans, X3/4 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 . ......................
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. .
Joe -Fees of $ . ................. .
............ . . .
mpact fees as shown on attached schedule. ...........
California Department of Forestry plan approval/fees......................... 1
Flood 4levation letter (100 year flood by California Engineer.. .
1 Sanitation and plot plan approval C�rO Health Department.
Ci 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). ...P��A�e�on r6y�s-
20. Pre -inspection for required. .. to Building Inspectar (Data)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . .........................
- Owner -Builder Verification (Given tp 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 . ...............
�1. Exysting violations/expired permits . ......................................
34.
When u issue the er it pr c ss as follows: Ma I t owner. Mail to contractor.
Telephon nd hold for pickup at �� office. Deliver with inspector.
t Other
Parcel�Crea .
Acreage Applicant TZ49 "q 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 it issua ce:(C' t checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised ofbabove required data byone _mail Coun r by,4L Date
Contractor, designer, owner, was advised of above required data by _ phone _mail Co ter by/J ate
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet - AP folder
Copy - Department of Public Works
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner
Location
F.H. USE ONLY
Plot Han Allachcd l -
oma
AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other u lt cd )b IA uw mi)
Hold final for:
Final clearance O.K. for:
NOTE: AI�,`�
k dff
Ei ironmental Health Specialist
8/92
Date
COUNTY OF BUTTE
Department of Development Services
Building Division
Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and
issuing your building permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement
(yes or' no) ' eS
2. Ive ave 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:
Name
Address. City
Phone Contractor's License No.
5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated:
Name Address Phone Type of"Work
Signed: � �. �
Property Owner R_� �,�A
Social Security Number
Date (+9fk; , l S 41 `[
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California
Health and Safety Code.
This verification must 'be completed and returned to our office before we are permitted to issue the
permit.
U
.._........` .:t�.
.r ..mss �
_
Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
Buildrng Division FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of .the Butte County. Code requires this.
I
acknowledgement be recorded prior to issuance of a building
permit.
1 1 I
Rec Fee
The property described herein is adjacent to land or included—
6. 00
within an area zoned for agricultural purposes, and residents
I
Check 6.00
of this property may be subject to inconveniences or
Recorded I
O f f i c i a l Records I
discomfort arising from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and
County of. I
fertilizers; and from the pursuit of agricultural operations
Butte I
including; but not limited to cultivation, plowing, spraying,
Candace J. Grubbs I
pruning, and harvesting which occasionally generate
Recorder I
2: 51 p m 4 -May -94 I
P U B L XX 1
dust,smoke, noise, and odor. Butte County has established
agricultural zones which have as a priority use for productive
agricultural purposes and residents within said zones and on adjacent property should be prepared to
accept such inconvenience or
discomfort from normal, necessary fum operations.
All that real property situate in the County of Butte, State of California, described as follows:
Ho 1-2/ € o. f -tom. S�-,�9. 1Ccvy,4-1. Pa's
a � c •�'1 ►�% V l 'z ,. (.�f 111.x,1. l.0 �• IVA. t"'
�l1.0. a• Wcr� to til W QAi '1 o4, 8 raei to cU. 01 L"i , 6
o a�t Fa,,,.�_ i , 'V1
Oou'A &LJ A .t�' -F-Akrr� -j two C&WVM a
3-1 ° 'i (� E 4(6, S F,,A - 3�c � b C) ail, j
-j °1 ® 1 Q, r <.r.._� ta%� g 1, es ° (r 1 ' >�, � 1 l 3 s. z F&A
Date: PROPERTY OWNERS:
Q- 1
State of California )
County of Butte )
On May 4, 1994before me, D. Koenig, Notary Public
personally appeared Robert Kidd --
(or proved to me on the basis of satisfactory evidence) to be the personPO whose name(O is1W
subscribed to the within instrument and acknowledged to me that he%sbeEllM executed the same in his/herAheis authorized
capacity(WO, and that by hisAWw4their signature(sy. on the instruments the n(4, or the entity upon behalf of which the
person(gy acted, executed the instrument.
,:
WITNESSLhandan seal• 0. KOENIG
Comm. ti 967802 S
NOTARY PUBLIC CALIFORNIA
aButte CountySignature Seal:
* Comm. Expires Jun. 21, 1996 -+
A.P. It �/ �''- f 70— 6 2
. wr�.,< „ y .: I„ ;.�..• +i r .5.," r't �.: lit�{Ar'
` t;�Re41,s t •JY, k CA"y }�.:i:<Y� V-i�.X'T�.T :.r,� y.K4 ,.�.;kq• !r ••,•
f. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building) .
School District �J, V -r% A tm lel n i IF'( to ( 61 S w 1CABuilding Department No.
A.P. Number_*__17'0_ 0, X Jurisdiction City 0 County
Property Owner
In
Property Location/Address
`_ t\,C
o n ht w
Subdivison < Lot No.
Residential Development 0
No. of Living MHI Addition
Units
Commercial/Industrial s'
Sq. Footage 10712
(Group R)
Sq. Footage
New Addition (Including Exterior
Roofed Areas)
1�� f
uildi g Departm Re' presen ative D to
(Floor Plans reviewed by School District Personnel) ;
District Identification No.
.L�U �Hr9 »7 Un-� iFiE i� School District certifies that ,Sill 6bef Ai-C�C_,
(Appl
1 ? 76 _2>&,e bw-n, bti ,/, ,a.,) tu y 895- a 1/ L
(Street Address) (Phone Number)
�urzr � C'A 9S5F3g
(City) (State) .
has complied with the:requirements of Resolution No. q3- 3
representing %D square feet.
School District Representative
.y -
Paid by Check Number 7r1 Remarks:
Bank Number _
Paid by Cash
(Zip Code)"k
by paa'ment.of $
l -
!t
Date � ;�,•��
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)
feeformmkl (4/92)
s �
AGRICULTURAL AFFIDAVIT
EMPLOYER/EMPLOYEE
Please read the following carefully before signing:
Section 24-21.020 Agriculture Employer/Employee
(Applicable only in zones A-5, A-10, A-15, A-20, A-40 and A-160)
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 of 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 records may be requested as proof of employment status.
Signed: Dated: M 1 Lq c(4
AGRICULTURAL AFFIDAVIT
EMPLOYEE
4 3J � �Employee Phone .
Employee's Address (Present)
Name of Property Owner4j
Property Owner's Address 2,3 °z --t
Owner's Assessor's Parcel Number 0 -- a 2 S Parcel Size z Ac.
t ,
I, � , do declare, subject to the penalty of
perjury, that I am the employee of 2u 6 16AA
address (present) 1 -T (p E) c j, kyyvv, 1� F -6 j -tom, y and that I will be
employee under Section 24-21.020 ot for at least thirty-two (32) hours per
a) to (g
week for at least sixteen (16) weeks per year on AP# *0 - 1-70— O 'Z 8'
v
Signed: /�Z�Ci �s�ic, Dated: An
*ssssssssssssss**sssssssssssxsssssssss*sssss�ssssss*ssssssstssssssssssss*ssrsss*x
Environmental Health Approval:
Permit Description and Number ( r-tQ ic_J .
Date Issued By
Planning Approval:
Date J�; -G) - L) L� Zone A -1 O Dwelling on AP# O H O - M - O 2b
By (, ra rte. ,I -j�:> as r w—, L 2-,
Crop/Commodity Produced
C
AGRICULTURAL AFFIDAVIT
EMPLOYER
Employer +lobe t 1<1" Phone
Employer's Address &.3a- btp^6N RA Q-,gR Kvr\ Cly
Name of Property Owner Qb�L � I)L%kA
3 411- _ 16 _.� -7
Property Owner's Address l' o X VA O u- k.m" C -6 -
Owner's
6 -
Owner's Asr'sessoorr's Parcel Number 6 0- j'1,0 02� Parcel Size M, I -Ac.
do declare, subject to the penalty of
perjury, that I am the employer of q� Co,na%aM�-
address (present) $'Z 0 uv aM 138. t trAj :!, r -y and that I will be
employer under Section 24-21.020 for at least thirty-two (32) hours per
(a) to (§)
week for at least sixteen (16) weeks per year on AP# q o - (Z o - c) ` fr
Signed:Dated:
Environmental Health Approval:
Permit Description and
Date Issued �S_- 6-a" j By
Planning Approval:
ill
Date S -PI -g LI Zone Dwelling on AP# I D -- 02B
By.
Crop/Commodity Produced
NorthStar
ENGINEERING
Civil Engineers • Planners • Surveyors
April 20, 1994
County of Butte
Building Department
7 County Center Drive
Oroville, CA. 95965
Re: Mobile Home for Robert Kidd
1924 Durham --Dayton Highway, Durham, CA.
AP No. 40-11-28
Gentlemen:
At the request of Mr. Kidd, I have investigated the flooding
potential of the above referenced building site. The recently
adopted flood insurance rate map indicates that this site may lie
within a special "Zone All flood hazard area inundated by 100 -year
flood from Butte Creek. The base flood elevation has been
approximated for this particular area based on an analysis prepared
by the F.E.M.A. consultant and: -provided to-us-by.,the_.-Butte County
Department of Public Works. The%'consultant's analysis was based
upon "the best available information" which included the U.S.G.S.
quad sheets and is not a final design. Because the analysis
ignored the existing levee system it is very conservative and is
acceptable as a reference until a mo re'complete study is prepared.
A reference benchmark, northeast corner of a concrete slab at a
pump, has been set at the building site. The elevation of the
concrete is 158.10 U.S.G.S. The 100 -year flood elevation is 159.2.
The ground elevation at the mobile home location is elevation
157.3. The finish floor of the mobile home shall be above the 100 -
year flood elevation.
I trust this provides the information necessary to process the
permit, however, please feel free to contact me should you have any
questions.
Very Truly Yours,'
NORTHSTAR ENGINEERING
No. C34257
y....°.Mark' "Adams
RCE" 34257 Exp 9:=30 95
cc z 'Robert Kidd
WP1'2 :KIDD `SOF �AR1��c�
20 DECLARATION DRIVE R. C. E. 34257
CHICO, CALIFORNIA 95926 Reg. ErqpLires 9-30-93
916-893-1600
NorthStar
ENGINEERING
Civil Engineers • Planners • Surveyors
April 20, 1994
County of Butte
Health Department
1469 Humboldt Road
Chico, CA. 95928
Re: Mobile Home for Robert Kidd
1924 Durham -Dayton Highway, Durham, CA.
AP No. 40-17-28
Gentlemen:
At the request of 'Mr. Kidd, I have investigated the flooding
potential of the above referenced building site. Based on field
review and historical knowledge, it is my opinion that the,site is
not subject to flooding due to a ten year event storm, nor is it
located within 100 -feet of a ten-year floodway.
I trust that this provides the information necessary to process the
permit, however, please feel free to contact me should you have any
questions.
cc: Robert Kidd
WP12:KIDD1
Very Truly Yours,
NORTHSTAR ENGINEERING
Mark .Adams
RCE 34257 Exp. 9-30-95
20 DECLARATION DRIVE
CHICO, CALIFORNIA 95926
916-893-1600
�JT;SvESS6�f
S.
Yet �
b� r� OF
R. C. E. 34257
Rea. Exgsises 3-30-3s
7��
This set of plans and specifications MUST bE
kept on the job at all times and it is unlawful tc.
make any changes or alterations on same with.
out written permission from the Department o;
Public Works, County of Butte.
�RO
OTE:—All Materials & WorkmanshSp Shall be in YZ ,.
L/J C-4 Accordance with Recognized Good Practices
Qf o quality prescrifoed for the $pecified use in ft t
S Uniform Building, Plumbing & Mechanical Codes an9 N
khe•.Notional Electrical Code.
Finish floor, electrical, HVAC
fi equipment and services above
flood elevation of /S.. 7— t1808.
BUTTE couNTr
-- J BUILDING DEPARTMENT
�ovED
ti
BUTTE couNTr
-- J BUILDING DEPARTMENT
�ovED
MOBILEHOME SUPPORT DATA
�/� If'other than single wide, {
Mobilehome Mfr. /VIiA�ICR� furnish Setup Model No. Year ,
Width (ft.) Box Length:J%_(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 (if not on file with -the County of Butte).
FOOTINGS (check.one) Wood -pressure tree L or foundation grade. 2. Other (specify)
SUPPORTS (check one 1 Co�xere a block ��.' • Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
Lin2 I Line 1
Line 2
Main Beams
Line 2
�o
Line 2
Main Beams
—_ _--__—--- — Line 2
n.. Line 1
Ine
— — — — — — — — — —►-Line
Tag or Triple
—. — — — — — — — — ---I . i n p 4 -
,
-.Line —1
Line 1 Piers: Line 1 Openings:
Size -Min- ------------ k Size-Min--------------------
Spacing-Max -
-------------------Spacing-Max- --------- , Each Side of Openings' _
�.
From Ends-Max.With Width Over"--"'---" _
Line 2 Piers:
Size -Min. ------------
Spacing -Max---------- S ,_
From Ends -Max .-------
Line 3 Roof Loads-
Size -Min -------------
Location (From Front)
Line 3 Piers: (Under Bearing Wall Only)
Size -Min -------------------
u
Spacing -Max----------------
From Ends -Max --------------
Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only)
Size -Min.------------ ,k Size-Min-------------------
Spacing-Max ----------
--------Spacing-Max.--------- Spacing -Max--`-------------
From Ends -Max.------- �_ „ From Ends -Max .-------------
Line 5 Roof Loads:
Size -Min -------------
„x„ „x „ ,� „ „Y „ „x. „ „x „ „x „ ,y� „
Location (From Front)
{VENT
SUITE C()U%T
ART
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville,-CA
PHONE: 538-7541•
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: TZ161-1+ K I* ICA
2. Installer's Name: d4)0-9-
3. Is the site currently under permit? Yes a . No F-1
(If yes, furnish permit number
Is the site an existing site? Yes
(If yes, furnish two plot plans.)
_) OR
No F-1
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach
F-1
fields and clear of all setbacks and easements? Yes LV No
(If no, .clarify
5. What is the mobilehome electrical rating? --------------- So Amps
6. What is the mobilehome site service rating? ------------- % Amps )
7. What is the mobilehome'site circuit breaker rating? ----- �$'� Amps
8. Is there any other electric load to be served by the
mobilehome site service? --------------------------------- Yes El No
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? -------------- 1 (in.)
10. What .is the type ofgas service? ------------------- Natural LPG
11. What is the gas pipe length from meter or tank to the
mobilehome?--------------------------------------- -.----- --------------------- (ft.)
-
12. What is the mobilehome gas demand? /70' (BTU)
*(This information not required if pipe length less than 6 ft. on
z natural gas or less than 50 ft. on LPG.)
NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION.
a,
22
Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
•, Buildii►g Division FOR RESIDENTIAL- DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this
acknowledgement be, recorded prior to issuance of a building
permit.
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents
of this property may be subject to inconveniences or
discomfort arising from the use . of agricultural chemicals,
including, but not limited to herbicides, pesticides, 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
c)4-019610
'Recorded I'
Official Records I
County of i
Butte i
Candace J. Grubbs I
Recorder I
2:51pm 4 -May -94 I
94.19610
7�
agricultural zones which have as a pnonty use for productive
agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or
discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
Vnrr� a �.: Q ar ��.e �,u-w�a�v►� .bt�,w� Da.�►,�,
g F..e4 McJ)- g 8 ° 12
�• ��i � o G � , �. 7� � �- � : �,..-tA�,..rc.��-.�R- o-(, UA' 0 c.4.o..,.-- - Dr,�
i of
to o (fir W `1 oto , g i= -AA M cUL On Lt-" Q fo o. o a r� -� t�.a_ /V a e,—
1j 6�nr•�.a^^1 e o au:,d� ��v�.: ' 01kA m , o, No l -L " , 2 �Co-•()L on -3 ur+t 1
b . ,4 Fes- o , � ' �) !11 °-` � � �f �I ` E %3, 9 f
4 a --A (moi, rt'tku- -F"-kkv,. j ` fiQ o' C U VaA, E• -,.i. is 1, 0
sa„ 3"1° (' €off 4(6,5- F-. bow 00-� 0 ;.
�(n r
a` ( PROPERTY OWNERS:
Date:, tv:'
State of California )
County of Butte )
On May 4, 1994before me, D. Koenig, Notate Public
personally appeared Robert Kidd-------- `
-me- (or proved to me on the basis of satisfactory evidence) to be the persons whose naineW is/aW
subscribed to the within instrument and acknowledged to me that he%he{fhey executed the same in his/herAheiv authorized
capacity(*, and that by his/heFo4heir signature(,f on the instrument the person(iO, or the entity upon behalf of which the '
person(sy acted, executed the instrument., e o
WITNESS my handan
seal. EUREk • N D. KOENIG
IN Comm. # 967802
3 vm
(Signature
A.P. # (&.—/70_ Q �'-0
c NOTARY PUBLIC •CALIFORNIA
Q. Butte County .
Ste, y Cgt,F a My Comm, Expires Jun. 21, 1996 a
x. �.
?�1':•k �! '�� �I