HomeMy WebLinkAbout041-400-0181 ``tea .,d' v / r .� Y��M ._.. ._� _ _gra. - _ _ -... . . „ry �: -rY^ -• r -
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41-40-18
41-40-18 GRADY MULLINS +
F.
NIS Dulcinea Dr., 800' W C ark Rd., Para / v O f
BUILD DECK WITHOUT PERMITS - r
1/29/90 y 41-40- 8��"'.T�'
INE KENZs
UI Q�G�i v , 3455 .L ane, Oroville i` }
-'Permit�2
72- , >
�/l ( ELEC.S �iutil,
GAS
. SUPPORT S R RE +x y
OMPACTION TEST _RE
41-40-18
Permit 097-87MH
Issued
41-40-18 2006-91B
MULLINS, Grady' ' ;3
3537 Clark Rd, Oroville
(deck & awning/mh)
JOB FINALED (Date)
Signature
3
006-91B - -
/valga.
J=OK
O=Not OK
Not
= Not Readya5le MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /" L" fL/ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card 6-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date
Date
Date
Date
J
Date
Date
MISCELLAN OUS
DE S, COVERS, CARPORTS, GAAGES, (Plans)OK except #'s
�gning Requirements -Setbacks Easements
ootings; Soils -Size -Depth -Spa ing-Connectors-Steel
3. Decks; Griders and Joists -D king -Bracing -Stairs -Rails
ood Awn.; Posts-Beams-Rftrs. Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns-Connecti ns -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-trusses
9. Siding; Nail ing-Veneer-Stucco-M sh
6 Roof; Shthg-Roofing
t. Ext.; Steps -Doors -Landings
Card B-1 Date I Card B-1
, Card B-1 Date Card B-1
156OLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils: Compaction -Structure Stab ity
3. Pool Structure; Steel-ConnectionE Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, C stances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries- erminals-Listed
7. Elec.; Bonding; Metal w/5'-Circula ng Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circ ilating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -In to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Te
Card B-1 Date Card B-1
Card B-1 Date I Card B-1
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
' =�
Date "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.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wra pped
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.; 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 i
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 #'s
16. Water Htr.: Vent -Access -Combustion Air -Baffle
-------------------------- ----------------------------
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V Test -Fittings & Anchor -Nail Protection
----- ------ --- - ------------------
-- 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 #'s
22. Fixture & Transformer Clearance -ins. -Protection
23. Elec. Recept
-acles Spacing -Lights & Switches at Doors
--------------------------------------------
24.- Size-Boxes-&-N-o.-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 Size!GFI
--------- - -------------------------------
28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Sizer ! ga
Cu or At
---------------------------------------------- ----
29. Range Circ / r 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-Mech. Equip.
---------- ---------------------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
------------ - ----------------------------------------------------
33. Smoke Detector
-------------------- ------------------------- ------------------------------------
Date Card B-1 Date Card B-1
-
-------------------------------I--------------------------------------------------
Date Card B-1 Date Card B-1
Date 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 Card B-1 Date Card B-1
---------------------------------------------------------------------------------
Date Card B-1 Date Card 13-1
Date 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.
----- ---------------------------------------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
------------------------------ ----...--------------------------------------
44. Headers & Beam -Size & Bearing
►ingle & Duplex)
Date
FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
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
Line Firewall & Openings
--------------------
-51.-.Property
-
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
_ _
53. Width -Headroom -Rise -Run -Landing -Fire Protection
_Stairs:
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
------------55.
---------- --
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights- Plastic
58. Shear Walls: -Bolts
-Nailing
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 #'s
61.- Ext. Steps -Door &- Sidelight Protection -Landings
--------------
--------- -- -
62. Smoke Detector
--------------------------
-
63. Furnace: Vents -Clearance -Comb. Air -Connector -
---------
In Garage: Above Floor-Ducts-Mech. 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.-Air Gap -Cooking Clearance
71,.-Elec.-Outlets & -Receptacles at Kit. Counter
--------------------- --
-----------------------------------
72. Garage Fire Door: Swing -Landing -Closer
--- -
-----------------------------------
-A.C.-Duct in --Gara a - Damper
-73.- 9 -----
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
-----------------------------------------
In Garage: Above Floor-Mech. Protection
-
75. Plb.. Elec. & M_ech._Equip. Listed for Location
------------------------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
7-,.-Insulation-Foam-Looked in Attic ❑ Yes
--------------
-----------------------------------------
--------------------------- -
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & 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
83.
Openings
----------------------------- -
84. Water Well: Disconnect, Electrical, Plumbing _
85. Exterior Elec. Trim: G F.I Receptacle -Underground
-
- - - - --
86. Ventilation Throughout House
- - - - - - -- - - -------- -------------------------------
87. _Glass Protection
- --------
86. 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
---
------ -
Date
- ------ ------------------------ -- - -�---
Card B-1 Date Card B-1
----------------------------------
-------------------------CardB-1 Date Card B-1
Card-B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
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,
please contact this office immediately. ,+
cr> cvuc�r��/oc�5 �'afr de
411
5
Date Inspector Ala
REV 11/9 /, c
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County.Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
041-40-0-018
ZONING
ARMH3
BUILDING PERMIT
OWNER
RADY MULLINS
GOWNER'S
TELEPHONE
342-4877
SQ. FT. OCC. BUILDING VALUATION
17 COV
2288
NG ADDRESS
3537 Clark Rd., Oroville CA 95965
67 0 en
469
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation I $
2757
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
None
LICENSE No.
Plan Checking Fee
$ 19-99
Ener Plan Checkin Fee
Energy g
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$ 77.00
BUILDING ADDRESS
3537 Clark Rd. Oroville
Permit fee
$ 144.75
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomeki Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S G W
O.00ea
TYPE OF WORK
New ❑ Addition ® Remodel ❑ Uti lities ❑ Installation[] Other ❑
Describe work: Deck and Awning
(BUILT W/O PERMITS — REPLACES #1209-87)
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑NON-RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. I DWELLING OCCUP.8d
OR ADONS. % ACC. BLDGS.
,/20sgft
NEW CONSTR. ULT' -OUTLET
BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
20050t
SALO 30
FIXED APVI,
Ex. OCCUp. OUTLETS P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. 1 agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again said ounty in consequence of the granting of this permit.
X Dated /8^—`/�
Signature of Xpplicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavation ver 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 144.75
EGDF
HALcuA
PARK
scHL
FLD
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I HD•
ISSU
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicate above for which fees have been paid.
IR.;VTF PUBLIC WORKS
By D tem
PERMIT EXPIRES Date
Receipt No. 94054-29.25//
WHITE-O.P.W.. Y A9 PINK -INSPECTOR. GOLDENROD -APPLICANT
- .,.. h"�-. ;'F -:r;; -xsygKy{z, ,. f••Tt'. ' ', ';, _1"r1?.s�.:-e;:.;fi•-; r- as:-.�. tai .. ..•r..�., '":. ;; .: : •" . +,v
�? %, �2
COUNTY OF BUTTE - DEPARTMENT �F PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CEN ER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 /
� 'PERMIT APPLICATION -DATA SHEET =- { V
/% nn Permit No.
OWNER 64A?AAC,1 ^ A. P. No. 'C11 _L1Or14F
Proposed. Building Use Pec A(Ai/VBuR
ilding Inspector V Date K,
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted. ... . e ........................... t
2. Plot plans in duplicate/triplicate, signed by preparer of plans........ v. "
3. Complete plans in duplicate/triplicate, signed by preparer. of plans
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ........................................ .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation _
instructions.
10. Fees of � ............... ................... /
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. S I District fees paid ..............
14. Sanitation approval from 6�ti;l Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW i
19. Driveway permit (construction approval required prior to occupancy) l
20. Pre -Inspection for required Pre-Inspec. request to ` �-
Building Inspector (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 Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the perrflits proc,�ss as follows: Mail to owner. Mail to contractor.
tri
TeIephone and hold for pickup at OW4� office. Deliver w/inspector.
Other
Applicant Y-- -�� �i Datee
U 4
t
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 pricK tp permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required: ,T
Contractor, designer, owner, was advised of above required data by_phone___rnaiI—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone _maII counter by date
Plans checked by Date Plans approved by Date Z� 7
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
353re V1
7
wher Location AP#
r�
Plan Approved for: Sewage Disposal Water Supply
�.
Hold final for: Water Supply
Final clearance O.K. for: Water Supply
Clearance for bedroom mobile home. Other
NOTE * * *
A
Sanitarian Date
COUNTY OF BUTTE - D-EPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
^�bVH WARChL. NUMBER /// //�-ZON?
7 !/U
OWNER
ul�
fi�G/>3
TELEPH N
—
BUILDING PERMIT
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME,� /��
UU ELEPHONE
Q. 60V az
oPe/t/ro
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENp�qq
/Vd/1�e
UNKNOWN
Total Valuation $
-.2 I
LENDER'S MAILING ADDRESS
R
ARCHITECT OENGINE�RLICENSE No.
Filing Fee
$ 10.00
Permit Fee
Plan Checking Fee
$ 9. 50,
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$'
Penalty
$
BUILDING ADDRESSS53 ��� _��
permit fee
$ /
GIq
PLUMBING PERMIT
Filing Fee 10.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Each Trap
2,00
Solar or heat pump water heater
Water piping -
20.00
5;00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New[] Addition Remodel El Util��❑ Installation❑ Other ❑
Describe work: (�:,1/�/ t'/t1AJ /''/V C,-
U/!/ft Ol/� �e�/t�j/7t
Permit Fee
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service ;00V OR 0 AMP OR 0LESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work, and the structure is not intended or offered
for sale. (Sec. 7044)
Ej I, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADO'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.E
OR AODNS. ( ACC. BLOGS.
'h¢sgft
NEW CONSTR ULT' -OUT LET
arolvcRESID BRANCH 1:1 ITs
2.50 ea
APPARATUS 81
( SINGLE
GLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
NL0;NOe
D ALO 30
O
EX. Occup. FIXED APPLNS. OR
P• OUTLETS (RESID.) EA.�
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
300
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyof
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE—
TOTAL FEE $ !•��
HAZ'
CUA PARK scHL
FLD
GDF
PAR
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ISSUE
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT FXPlAl=Q n.tn I
Receipt No. IW54/ —;?9 P,,<-- o
WHITE-O.P.W.. YELLOW-ASSE»OR• PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY.OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) ��� —= signed an a lication for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed:
Property Owner
Social Securityber
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
DATE
RE:
GRADY MULLINS B P #2006-91
3537 CLARK ROAD A.P. #
OROVILLE CA 95965zX 41-40-18
With reference to the above subject:
/ / Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
/ X/ We need the following information:
Permit application signed and completed where indicated with all copies returned.
_X3E Fees of $ us_sn payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
Should you have.any questions concerning the above, please contact TOM MAY
of this office. between 3:00 & 5:00 pm
Yours very truly,
William Cheff
Director of Public Works
J.F. Glander
JFG/aj Chief Building Inspector
0�5. / /
This set of plans nd specifications MUST be
r kept on the job at al times and it is unlawful tL
make any changes or alterations on samewith►
out written permission from the Department of
Public Works, County of Butte.
TE;'AII Materials- & Wor�anshiP Shall Be and
c No
A��or�ance with Recognized Goppod � �
of a
quality prescribed fort Mechanical Codes tks
U�ifae ► ild'�l'k� `code.
Joe - �6
A setback of)(ft. from the
property lines and a setback c
50 ft. from the road
centerline shall be clear of
O structures or equipment exce,O
for a 2 ft. eave overhang -'A/O.
tJa I C.4'z� Of -AU- C-45—,���
CoJ#�ft
tea'
/Y 13UILDJNG DEPARTMENT
APPROVEU
fYF
I V -a TL rs nn CVT
GIRDERS
IY8" TiG PLYWOOD CC EXT
V
z f— .cxUARPRAIL
MAX.
11. /— DECKIWG
PRECAST
<�.K
x 141 MIN. F'00T I NC7
Cid _ . r • _
X Ir
�Q I -r-
zo
CLIP— _71
m
STAIR 'STRINGER. 48c.o. MAX.
Ks TDP VIEW '
H RUDRAIL. NOT SHOW N FOR CLARITY.
A\ r 34' BOLT
�. 2"x4"
MOBILE HOME
0R PECK
W,
fMTL. FRM�I L-�-
48" '
'i MAX.
CLIP (EA. DE
I ' 4"x 4' POST
4 2°X I2"
e"MIN. DOLTS
GIRDER
4'x4r, POST
—ApFQUATE DIALONAL
M a
:Q
9"MIN. \��4
X
c0 z 2'k4" PRESSURE'
fiREATED o R
-,@ DWDOD PLATE
,pFkTMEK7T
BRACING. T YPICAL RESI DF)Vr,4 CK
bOUNN Y OF BUTTE — D R Mr -NT OF PUBLIC 161bgKs
7 County Center Drive — Oroville, California 95965
Telephone: 538-7541
I.%,Xw
;q w�v //�► G./
so PPoRT(-
. 13U COU,
Z4
n
.e .
�i This set of plans and specifications MUST be
kept on the job at all times and it is unlawful to
ii ma4e .any cr alterations on same withoui
I
jl writdfen permission from the Department of Pul.'
9'c Works, County of Butfe.
Io
NOTE..--:AH * Materials & Workmanship Shag ! o h
Accordance wish Recognized Good Practices arx
of a quality prescriber for the Specified use in th
ii Uniform Building, Plumbing & Mechanicdl Codes an
I the National Electrical Code.
d G�
—V
Q
i
t`r
I
A se`!:ack. of §Lft, froze @. c '
j properi j .lines and a 30%Kk �1
\ G of 50ft_ from the road �j
centerline shall be clear of
CN structures or equipment except
X for a 2 ft. eave overhang. 1 "
L'Z-9A-/2 OF-
CS
F-® r ..
d
e
I I
u
j
.. . . . . It - 4j. ..
t.�-A'd
,
I
f3 w�v/l�► :oe
SOP PORT(.3
rf
�`��✓��C%%i�� � r�... •...,*• 272-87n ,EMH
PERMIT NO.
PERMIT EXPIRES
OWNER MADELINE KENT
t
CONTR. owner
c
0
�$ 1
41-40-18
ASSESSOR PARCEL
t�
3455
Lehi Lane Oroville
LOCATION
4
OFFICE COPY
Address
GAS
ti
Meter By
a e
ELECTRIC
'•
Meter By
Date
OFFICE COPY
Address
'
GAS
Meter By*
Date
ELECTRIC
Meter By
Date
4
-
s
Temp. Power Pole
'
Called PG&E
`
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG&E
a
�$ 1
UP
L
Z
J = OK
O = Not OK
– = Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
M0_BI6FH0ME UTILITIES (4W_& -except k's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
ri
1 Zoning Requirements—Se cks—E
1, Zoning Requirements—Setbacks—Easements
oils; Special MH Support—Sk tch
2. Footings; Size—Depth—Spacing—Connectors
—/7
VSf—ff1CC—/0—_CC/0—C rete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
a own—T — h)
4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing
✓
Ele city; Lo oCI ances— .—/r79_Amp re
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
a Location t— :/ /"L"ft./ /"Nat. oryr'/"L"(t. "LPG
6. Carports; Windows—Doors
tility Clearance
7. Elec.
Card -BI
Date .7 Card -BI Date r �z
Card -BI
Date Card -BI Date
Card -BI
Dat&f/J�7 Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
Date
POOLS (Plans) OK except q's
1. Zoning Requirements—Setbacks—Easements
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
Gas; MH es D nd—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Elec.; Receptacles and Lighting; Distances—GFI
4. Electricity; MH Test—Crossovers—Breakers—Clearances
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
7. Water and Sewer Connected—C/O to Grade—HD Approval
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
9.. Exits; Insp.—Sketch
B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card B -I Date Card -BI Date
Card B-1 Date Card -BI Date I
—/� 7 — . ��CGi�/�c✓ C� //,i iia •�C
i
Ar4 * I
[ivvvc / .f/G di.2C� i 7 /iA�%G/LG
-75
!'ill a C4
J = OK
0 = Not OK
- = Not Applicable
1k = Not Readq RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except k's
Date
FRAMING (Continued)
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
_
3.
Ftg., Garage; Soils -Steel- / /" Fig. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
-
4.
Ftg., Porches & Decks; Soils -Steel- / /•' Ftg. Depth
51.
_
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
_
Siding -Nailing -Veneer.
6.Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7_
Piers-Fireplace Ftg.-Steel
54.
_
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
10.
Water Pipe: Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
-rd
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Ea -91-
Date _ Card -BI Date
Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI ' Date
PLUMBING (Permit) OK except q's
57.
Smoke Detector
Card -BI
Card -BI
14.
15.
16.
17.
18.
19.
Water Ht.: Vent -Access -Combustion Air
Water Pipe; Test & Anchors -Nail Protection
D.W.V. Test-Fttngs & Anchors -Nail Protection
Shower Pan: Test, First Floor -Tub Access
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe: Size & Anchors
Date Card -BI Date
Date Card -BI Date
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except p's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
Card B -I
Card B -I
_
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen &Conductor Size
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral _.Yes ]No
Service -Riser Conductors & Ground -Main Disconnect - _
Equip. Clearances: Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light _
Date Card -BI Date
_._.
Date Card -BI Date
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
Insulation -Foam -Looked in Attic F] Yes
73.
Guard Rails & Deck Construction -Post Caps
74.
Fdn. Vents & Crawl ole Door -Drainage &Wood -Earth Clearance
Looked under Floor ❑Yes
75.
Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
76.
Stucco; Brown -Finish
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
Date
MECHANICAL (Permit) OK except q's
83.
_
Corrections from Previous Inspections
84.
_
Gas Test -Meters Tagged; Gas -Electric
Card - BI
Card -BI
31.
32.
33.
34.
35.
A.C. Ducts. Insulation &Support
Vent Fan: Exhaust above Insulation
Condensate Drain & Overflow: Size _& Grade
Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
_
Date Card -BI Date _ _-
Date Card -BI Date
85.
Water & Sewer Connected -C/O to Grade -HD Approval
gg,
Energy Compliance Certificate -Other Certificates
Card -BI
Date Card -BI Date
Card -BI
Card -BI
_
Date Card -BI Date
Date Card -BI Date
Date
FRAMING(Plans) OK except p's
Com tents at Final:
36.
37.
38.
39.
40.
41
42.
43.
44.
45.
46.
47.
Sills; Proper Material & Anchors
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop to Walls (rat proof)
Fire Stops: Furred Ceilings_Stairs_-C_ha_se_s-Tub_
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Ringh
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. 'Baffles
Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions
Garage Fire Protection Framing
_
(NOTE- An entry must be made each time you visit job site)
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
'^ OROVILLE, CALIFORNIA — 534-4541
PERMIT N0.
Address or location of mobilehome
Owner's name
Owner's address
' Insignia or hud number
. Manufacturer's name
C. I
Serial number of V.I.N. t Year of manufacture
(Official Approving Installation) (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 - D.P.W.
COUNTY OF BUTTE
' DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 8.91-2751 .
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
27 L- k9-.
OWN
PERMIT
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
ma ;leer, or need additional (explanation, please contact this office immediately.
�%
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
R
2�2
T NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
m#tter, or need additional explanation, please contact this office Immediately.
7
Inspector_ 15' U" WA6�'� Date 4/�'S -- � ?%
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
ty 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
n
272-- ? 7
PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
%.1/4 /
-Az /) "/,//
Inspector l/ V� �/ Date ` zy z yi �7
C.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise = Phone: 872-6307
CORRECTION NOTICE
t
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correc!W of work is completed. If you have any question pertaining to this
matter need additional explanation, please contact this office immediately.
,rte_/.._.,
/ ! 7 i �2-. 7 J(
/. r I t .Y
w
f 1 'J
Inspector �" ��� Date
r
� ' Q,"IMPORTANT MESSAGE
FOR7��Yf�`y
DATE .^,� TIME • �i� ,
M
OF
PHONE t�=
AREA CODE - NUM ER
TELEPHONED
PLEASE CALL
CAME TO SEE YOU
WILL CALL AGAIN
WANTS TO SEE YOU
RUSH
RETURNED YOUR CALL
SPECIAL ATTENTION
MESSAGE /'� y % � p� i2f�(// Vhr
SIGNED
LITHO IN U.S.A.
3002-PIsH. S. CROCKER CO.. 1N
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS ay�
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
7-2
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need add'''ttional explanation please contact this office immediately.
F
A
Inspector Date—l-/--
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS x"
196 Memorial Way, Chico — Phone: 891-2751 f
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matteL,.or—n-e--e-d additional explanation, please contact this office immediately.
C4
Inspector Date �4-,7
• • COUNTY OF BUTTE f yy
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891.-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
/�S.cJ� z7z
OWNER PERMIT I
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or additional explanation, please contact this office immediately.
A-- • - . , i - i „ - _.-y i
!e
1
COUNTY OF BUTTE,- DEPeARTPAENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION*AND PERMIT
ASSESSOR P RCEL N BER ZONING
—� / /92,41
BUILDING PERMI
OWNER TELEPHONE ��
,U�✓F lu To?
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
r eec oxP y;iie,
CONTRACTOR'S NAME „ 'TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ (�
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
G AD SS
BUILD] N4��
�.5�
Permit fee
73r O�5
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
/v s ��i•E�/ Ga! �4 T' puze�N �Pp, /300 JVor6L"
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE F STRUCTURE
SF ❑ Duplex Mobilehom Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home W
10-00ea cao.aa
TYPE OF WORK
New❑ Addition j❑ Rerfr e10 Utilities Installation❑ Other ❑
Describe work:_ /4/C�Dl7�'l'�, _
.5'QQ 54s �j- /y�/yt)
Permit Fee
$ d�
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 V OR LEAMP ORSLESS
10.00 Q,
Main service EA. ADD'L 100 AMP
2.50 4�
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$
and Professions Code and my license is in full force and effect.SINGLE
License No. Classification
XY 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)G�
❑ i, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.tr ,
OR ADDNS. ACC. BLDGS. ) 2/4sgft
NEW
ECONST R. ULTI.OUTLET
NON.RESID BRANCH CIRCUITS2.50 ea
POWER APPARATUS tr
OUTLET CIR. I
Ex, Occup( OR FIXTURES 20®50Q
DAL@ 30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESI D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ 077
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
XI shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
penult Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai said Cou i consequ nce of the granting of this permit.
r
Signature of Applicant — Owner ❑ Contractor ❑ Age4t ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
occu P.D
CONST,TYPIJ
F4oyo
�/
PARCE
P
No
1390E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date ��s
Receipt No. / 77 Z(=2.-
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
jA
COUNTY OF BUTTE - DEPARTMENT�14-PUBLIC WORKS.- BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVI LLE, CAL
JF:ORNIA 95965 - TELEPHONE: 916/534541
a
PERMIT APPLICATION DATA SHEET 1!
Permit No.
OWNER �� A. P. No.
Proposed Building Use�Building Inspector ��i Date —c;.d �E%
A`t time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items have been submitt 2.'
2. Plot plans in duplica ri lic ,signed by preparer of plans. . �0�`�7 —1
3. Complete plans in duplicate./triplicate, sl ned by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. .Letter of signature authorizaMe��alth
. . .
�. Sanitation approval from Dept.
11. Planning approval for (A) Use: (B) Parking:
1.2. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
.14. -Owner-Builder Verification (Given to owner❑, Mail to owner ❑ ),
_15. .Improvements may be required. . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
'
17. Pre -Inspection for dPre-Inspec. request to
Require . Building Inspector (Date)
18. Recorded copy of Agricultural Acknowledgment Statement. '�� �S !'
A%e 19. Driveway Permit.
20.. Plot plan approval from city of
21.
22.
When you issue the permit, process as follows: � Mail to owner, Mail to contractor.
Telephone and hold for pickup at—off ice, Deliver w/inspector.
Other
(j1.c Appl icant�_ ate
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted pr i to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
+i
�\ Contractor, designer, owner, was advised of above required data by—phone----Mai [—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by- date
Plans checked by Date Plans approved by ` Date ZNp
Sets of plans on hold in File cabinet AP folder
— Flours: 10:00 a.m. - 3:00 p.m.
Copy—DPW
To: .juiiding Departs ient:. T
From: ?nvirorunental flc::lth
Subject: Sanitation Clearance
24Mme r Location AP#
Plan Approved for: Sewage disposal al._ uater supply
Hold final for:
Final clearance O.K. for:
Clearance for bedrooir. m.obil.e home. Other
NOTE
r;::ter supply
mater supply
SanitariLMDate
P
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is receive;d�.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not)=Z,1C signed an application for a building permit
for the proposed w c.
3. I have contracted with the following person (firm) to provide the proposed
construction*
Name
Address City
Phone Contractors License No.
4.
I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone _ 2L1 7 7 Contractors T.irpnsa Mn _
5. I will provide some of the work but I have contracted (hired) the following
persons. to provide the work indicated: ---- Name Address Address Phone Type of Work
Signed:
Property Ownerl%?is�`'_�1'
Social Security uN mber
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
RECORDING REQUESTED BY
OFFICIAL RECORDS
y BUTTE COUNTY-C_!tLIF •
AND WHEN RECORDED MAIL TO 3 RECO')tD REQUESTED BY
IVIDVALLEY TITLE AND ESCROW pMpAfjy
F — DEC 23 12 oi PN 196
Nam. Mr. and Mrs. George Haendle CLARK A. N,ELS011
street % Arthur Nieport COUNTY RECORDER .,Z
Address 7013 Taxhoma
State Van Nuys, California J 6 1369 FEE
TO 496 C
SPACE ABOVE THIS LINE FOR RECORDER'S USE
SHORT FORM DEED OF TRUST AND ASSIGNMENT OF RENTS
.This Deed of Trust, made this 2nd day of October.
CARL E. FOLEY AND K. PATTIE FOLEY, HUSBAND_k6iliIF
, herein called TRUSTOR,
whose address is 153 South Hudson Pasadena, California ,
(n
umber and street) (city) (zone)
�(state)
.11belt jtr.A a California corporation, herein called TRUSTEE, and
GEORGE J. HAENDLE AND OLABELLE L. HAENDLE, HUSBAND AND WIFE
, herein called BENEFICIARY,
Witnesseth: That Trustor IRREVOCABLY GRANTS, TRANSFERS AND ASSIGNS to TRUSTEE IN TRUST, WITH POWER OF SALE,
that property in BUTTE County, California, described as:
TOGETHER WITH the rents, issues and profits thereof, SUBJECT, HOWEVER, to the right, power and authority given to and conferred
upon Beneficiary by paragraph (10) of the provisions incorporated herein by reference to collect and apply such rents, issues and profits.
For the Purpose of Securing: 1. Performance of each agreement of Trustor incorporated by reference or contained herein. 2. Pay-
ment of the indebtedness evidenced by one promissory note of even date herewith, and any extension or renewal thereof, in the principal
sum of 5_52 9 500 o 00 executed by Trustor in favor of Beneficiary or order.
To Protect the Security of This Deed of Trust, Trustor Agrees: By the execution and delivery of this Deed of Trust and the
note secured hereby, that provisions (1) to (14), inclusive, of the fictitious deed of trust recorded in Santa Barbara County and Sonoma County
October 18, 1961, and in all other counties October 23, 1961, in the book and at thepage of Official Records in the office of the county recorder
of the county where said property is located, noted below opposite the name of such county, viz.:
COUNTY BOOK
PAGE
COUNTY
BOOK
PAGE
COUNTY
BOOK PAGE COUNTY._.
BOOK PAGE
Alameda 435
684
Kings
792
833
Placer
895 301 Sierra.
29 335
Alpine 1
250
Lake
362
39
Plumas
151 5 Siskiyou
468 181
Amodor 104
348
Lassen
171
471
Riverside
3005 523 Solana
1105 182
Burse 1145
1
Los Angeles
T2055
899
Sacramento
4331 62 Sonoma
1851 689--
Calaveras 145
152
Madera
810
170
San Benito
271 383 Stanislaus
1715 4S6
Colusa 296
617
Marin
1508
339
Son Bernardino
5567 61 Sutter
572 297
Contra Costa 3978
47
Mariposo
77
292
San Francisco
A332 905 Tehama
401 289
Del Norte 78
414
Mendocino
579
530
San Joaquin
2470 311 Trinity
93 366
EI Dorado S68
456
Merced
1547
538
San Luis Obispo
1151 12 Tulare
2294 275
Fresno 4626
S72
Modoc
184
851
Son Mateo
4078 420 Tuolumne
13S 47
Glenn 422
184
Mono
52
429
Santa Barbara
1878 860 Ventura
2062 386
Humboldt 657
527
Monterey
2194
538
Santa Clara
5336 341 Yolo
653 245
Imperial 1091
501
Napa
639
86
Santa Cruz
1431 494 Yuba
334 486
Inyo 147
598
Nevada
305
320
Shasta
684 528
Kern 3427
60
Orange
5889
611
Son Diego
Series 2 Book 1961, Page 183887
(which provisions, identical in all counties, are printed
on the
reverse
hereof) hereby are
adopted and incorporated herein
and made a part
hereof as fully as though
set forth
herein at length; that he
will observe
and perform said provisions; and that the references
to property,
obligations, and parties
in said provisions shall be
construed to refer
to the property, obligations, and parties set forth in this
Deed of Trust.
The undersigned Trustor requests
that a copy of any Notice of Default
and of any Notice
of Sale hereunder be mailed
him at his address
hereinbefore set forth.
D„ December 16, lybB before me, the under-
signed, a Notary Public in and for said State, personally appeared
Carl Be Foley
K. Patti Foley
to be the person -a whose name B aTft subscribed to the within
instrument and acknowledged that +ham -executed the same.
WITNESS my hand and official seal.
Signatur
Name (Typed or P;rfntedY ;.-is
Title Order N
Escrow or Loan N
K. PATTI FOLEY
CC":1TY
w�ti.+wwwwv. � � _u....v: •..,v,..,,vvvwww
(This area for official notarial
END OF DOCUMENTBOOKr '547 PAcF�9�
> t' Y t e bYt.6QT''.^�' 33}„Yj^•Sr L r} d. ib 4 ! .j. vY 'Si. i . �wQ23 Qat
- F r�, ui..! rt F, Tt -. r < x t t'S a t•j^.' $ch t ~ ' f a � 4 i"-� t a •T'}.L
�.fir o 2•1•r ., a' anti c ti f C.{i��+ �a�! t y„'E.�,t ,,,N� 4' r ri �x "i.,+C>•ri �� '�Y�S�?
.! .F� .-:.. y, r.,� ;�. , 5+, a� r�'F�,jr to .`' d. &,,� d Q'7?c'`j'8•,•-t. ' v'
P.
,> ll
DiSCRIPTION:
_All that certain real property situate in the County of Butte, State of
�- California, described as follows:
Being a portion of the North half of the North half. of Section 15, 'iownship
21 North,. Range 3 East.M.D.B. $ �%4., and more particularly described as folic
COINz.MENCING at the Northwest corner of said Section 15; thence along_the� ,W_
1i-ne-of- said- Section- South - 0°- 31'. 00" Vest 645.10' feet --to the true
point of beginning for the parcel herein described; thence from said true
point of beginning • North 88*.. 47'•.35" East, 2017•.30 feet -;-thence South -0°---31'
c.
00" West 658.42 feet to the South line of the North half of the North'half.•.,-
of said Section; thence along said line South 89° 10' 15" West'
'2016:93
feet to the West line of said Section 15; thence along said line North 00
31' 00" East, 645.10 feet to the point of beginning.
_.TOGETHER WITH a non-exclusive easement for -road -purposes and public util =
ties purposes 60.00 feet in width lying North of the following described lii
COM'%.1ENCING at the Southeast corner of the above described parcel; thence
North 89° 10' 15" East along the South line of the`North half of the North
half of Section 15 to the intersection with Clark Road.
ALSO TOGETHER WITH an easement for road purposes.and public utilities pur-
poses 60.00 feet in width lying 30.00 feet on either side of the following
described centerline.
BEGINNING at the Northwest corner of the Southwest quarter'of the Northeast
quarter of the Northwest quarter of said Section 15; thence North 000 36'
��11 Fa,st,a o,_t-he->-No-rth--4ine-�of•�-sa.id�-Section• 15; -thence along
said North lire, North 880 241.56" East, 1604.14 feet to the West line-of---
ClarkRoad. B00K1547 PAGE67�
..,c%OH'DiNG RE;= )JESTED ay
M
AND WHEN' RECORDED MAIL TO
F- Grady Mullins and
NAME Madeline K. Kent
DRESS P. 0. Box 176-C
]ITT&OroviMe, California 95965
STATE L J
itle Order No. Escrow No. Y-ulUJ
1r MAIL TAA STATEMENTS TO
I
NAME
S AME ADDRESS AS ABOVE
DRESS
3>QiATi 1
3inbibibuai Jloint tenancy lweeb.'.
WESTERN TITLE FORM NO. 105
r
FOR VALUE RECEIVED, C:':tL c� i� [ and K. ?-.TTI . CSLEY' his Wife
GRANT to �»�' I�;ULLI : �, art uni„a.rried Tian anti ;.'.AD LLiE K. K -E-1, 311 unmarried
as JOINT TENANTS all that real property situate in the unincorr•orated area
County of Butte , State of California, described as follows:
A portion of the North half of tate North Half of Section 15, Township 21 North,
Range 3 East, N.D.B. & 1•'., more particularly described as follows:
Commencing at the Northwest corner of said Section 15; thence along the West line
of said Section, South 0°31'00" !Jest, 645.1.0 feet to the true point of beginning
foc the parcel of land herein described; thence from said true. -point of beginning;`
North 88°47'35" East, 2017.30 feet; thence South 0°131'00" Nest, 658.42.feet •,to the
South line of the..North half of the North half of said Section; thence•nlong said
line, South 89DiO'15" West, 2016.93 feet to the llest line -of. said Section 15;
thence along said line,_ -North 0°31'00" East, 645.10 feet to the true point of be
pinning.
EXCEPTING THEREFROM the [lest 100.0 feet for power line easement.
TOGETHER WITH a non-exclusive easement for road purposes and public utilities pur-
poses 60.0 feet in width, lying, North of the following described line:
Commencing at the Southeast corner of the above described Parcel; thence north 89'
10'15" East along the South line of the North half of the North half of said Sec-
tion 15 to the intersection with Clark load.
ALSO TOGETHER, WITH an easement for road purposes and public utilities purposes 60.0 -
4ECORDS
feet on each side of the following
described centerline:
Beginning at the Northwest
corner of the Southwest quarter of
the Northeast quarter I,
BUT7E COUMY TITIN CO.
East, 653.92
Jm 18 12 17 PH '71..'.
said Sect Lon 15; thence along said
c•
Gl
Ci11:h1 ' ttGi.l.R.IGn
24'56" East, 1604.14 feet
to tho !!est line of Clark Road.
YErTHlS:1JNL-'FOR.REGGRDER-S.USE
i•
. /jIF.'i:'•.:�;:::.; is . � :..:_� ///� �/��(.��/�(,
�•— �r :CQRY- _ _
$ignatura of declarant or aytert. d�torminin.3 tax -firm nscae •• ., .
.
iRANSf;R •
IAX PAID
3inbibibuai Jloint tenancy lweeb.'.
WESTERN TITLE FORM NO. 105
r
FOR VALUE RECEIVED, C:':tL c� i� [ and K. ?-.TTI . CSLEY' his Wife
GRANT to �»�' I�;ULLI : �, art uni„a.rried Tian anti ;.'.AD LLiE K. K -E-1, 311 unmarried
as JOINT TENANTS all that real property situate in the unincorr•orated area
County of Butte , State of California, described as follows:
A portion of the North half of tate North Half of Section 15, Township 21 North,
Range 3 East, N.D.B. & 1•'., more particularly described as follows:
Commencing at the Northwest corner of said Section 15; thence along the West line
of said Section, South 0°31'00" !Jest, 645.1.0 feet to the true point of beginning
foc the parcel of land herein described; thence from said true. -point of beginning;`
North 88°47'35" East, 2017.30 feet; thence South 0°131'00" Nest, 658.42.feet •,to the
South line of the..North half of the North half of said Section; thence•nlong said
line, South 89DiO'15" West, 2016.93 feet to the llest line -of. said Section 15;
thence along said line,_ -North 0°31'00" East, 645.10 feet to the true point of be
pinning.
EXCEPTING THEREFROM the [lest 100.0 feet for power line easement.
TOGETHER WITH a non-exclusive easement for road purposes and public utilities pur-
poses 60.0 feet in width, lying, North of the following described line:
Commencing at the Southeast corner of the above described Parcel; thence north 89'
10'15" East along the South line of the North half of the North half of said Sec-
tion 15 to the intersection with Clark load.
ALSO TOGETHER, WITH an easement for road purposes and public utilities purposes 60.0 -
feet in width, lying 30.0
feet on each side of the following
described centerline:
Beginning at the Northwest
corner of the Southwest quarter of
the Northeast quarter I,
of the Northwest quarter of said Section 15; thence l\ortih 00°36'23"
East, 653.92
feet to the North line of
said Sect Lon 15; thence along said
:forth line, North 88°
24'56" East, 1604.14 feet
to tho !!est line of Clark Road.
STATE OF CALIFORNIA
ss.
County of TOS Ange _ a
0, January 1?I9-Z, before me, the undersigned,
a Notary Public in and for said State, personally appeared—
Carl E Foley & K.Patti Foley
known to me to be the person—S whose name S
subscribed to the within instrument, and acknowledged to me that
t heY_ executed the same.
Nota4Public
FOR NOTARY SEAL OR STAMP
OFFICIAL SEAL
OTTO H. KIENITZ
m NOTARY PUBLIC -CALIFORNIA
• LOS ANGELES COUNTY
blycommissionExpires,1*21,1978
925 West Covina Pkwy W., West Covina, CA. 91790
MAILTAX STATEMENTS AS DIRECTED ABOVE
rm.sa+.m.a.wn
.
*.return to DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT =�
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement PART( Si -OWN
be recorded prior to issuance of a building permit. 8rf�, 43�� I -.� `1 FCu -2 r'i O 23
The property described herein is adjacent to land or included (;E;�;I),;� C0U33S
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from CLERK -RECO°UERFEEa
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,t
stroke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
DESCRIPTION: ?i»J'=_'CgSII
t;• r
that certain real property
California, described as follows: the County of Butte
Being a • State of
Portion of the North half of the North
21 North,. Range 3
8 Bast,M•D.B• g K•� and more half. of Section 15
COMMENCING at Particularly dascribedjasfolp
West line the Northwest corner of Said Section 1S• as folio,
Of said Section South 0. 311 00" West 645 10 thence aloe
Point of beginning for the g the
Point of beginning North 88 aq;!1 he..j.0011
fO°t t� the true
Ofid 658.42 feet to the South,linBait 2017.30;feetRCO.from.
of said Sect}on• said true 7
fast to the West thence along said line South 89Th hall of NOstthh 00 311.,
31' 00�� East 64S1ine ee said Section IS. thence aloe 15 West 2016.93 ,
TOGETHER WITH a •10 feat to the Point o1'bsginnial g said lino North 0•
ties non-exclusive easement for -road
Purposes 60.00 feet in
aidth•lying North ofptheofoll&A public utili-
NorthNggo NG at the Southeast the ng described
10 15 Bast a10 of.;the above described. line
half of Section 15 to the ng the South line Parcel•
intersection with Clarke North half of thence
ALSO TGGETHER;WITH an eaS Road the Nortb..:,
Poses 60.00 foot in w em°nt for.road
described conte width lYing-30 00. Purposes and. public utilities
r11ne, ., feet°on Dither side.,of the followir
BEGINNING at a nC
quarter of the he N°rthwess corner of
231, East Northwest the Southwest quarter,
653.92 quarter quarter of sai¢ ¢ection 15• of'ths North
said North lino, Northt88:he North: ling of said SeciioneiCe North._
00. 36 at
Clark Road. 24 ,S6 04,
4 F Bast, 16 5 14 feat to'th tlesce along
�������':�.r:��S�f�=v:�_.��::•�:�;�.� :�°�.-... _ - .. ,_t�.°.� .t Etna of
t -
,t
Date: Y 7 PROPERTY OWNERS :
a
State of California i`) On this the, 2ndday of February 1987
before
County of Butte
SS. me, the undersigned Notary Public, personally appeared
.) ,
GRADY KJLLINS AND MADELINE KENT
Ll Personally known to me. ..Proved to me on the basis
of satisfactory evidence.
to be the personr
s) whose name(s) are subscribed to
the within Gsp rument and acknowledged that MeY
executed the sAme for the purposes therein contained.
l^
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
R. DILLENBECK
Nt
�Rtll NO'(ARY PUBLIC -CALIFORNIA
13u:to County 0
My Commission Ezpims Aug. 20, 1990 53
!3 In f
R9 R IN 0 0 M M 0 0 M 0 0 0 M 01300313M8213N
Notary Public
Present A.P. No.
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 0
SPECIAL INSPECTION REPORT •
Abw/
..Owner: A.P.
Address: ,�5�3�( /�`�j��C z<a Date of Insp do
Tenant: Inspec
Building Location: Is'/Zr y/U �GIesu £' 4 J/l,
Type of Inspection requested:
1. Housing / /.2. Financing
/ / 3. Change of Occupancy to
Other (specify)_
Present use of building:
A. Sanitation (Housing).
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation: '
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects,.vermin, or rodents:
11. Connection to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Comments: -
B.
Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing:
4. Comments:
D. Plumbing
1. Fixtures connected and vented:
2. Gas'water heater:
3. Gas heating vents
4. Comments:
E. Other,
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped: _
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Pr
Abl,em or violation (give
2. W�rat action taken (give
3. What action_.fecommended
mplete description):
"iA . , i •'
lete description):
7 AL/r"f /%/
. Information only - file.
B. Hold for ten days, then write letter.
C.Write letter.
=t.l — Other:
IFY
i ',C/UJ/c/ 14J. -S "IVAo 4'l?---
COUNTY OF BUTTE - DEPAR'T'MENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califorfiia 9596,5 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESS R PARCE NUMBER
—/
ZONING
BUILDING PERMIT
OWNER
G/AV)
TE�L PHON 7
/
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
�5S / ilc 9S
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
LE /
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
ar or heat pump water heater
20.00
OT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF❑ Duplex[]Mobilehom) Other
1/ �� SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation% Other ❑
Describe work:
5j7Q
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000V OR 0 AMP ORLESS10.00
Main service EA. ADD'L 100 AMP
2,50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$
and Professions Code and my license is in full force and effect.
License No. Classification
�] I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.DWELLING OCCUP.ai ,
OR ADDNS. ( ACC. SLOGS. iosgft
NEW CONSTR. U TI.OUTLET 1.2.50 ea
NON -RE BRANCH CIRC ITS
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 9A O30
FIXED APPLNS. R
Ex. Occup. OUTLETS (RESID )EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. 1Yirin 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
® I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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, Jud me s, costs, and expenses which may in any way accrue
against a d Coun i consequence he of this permit.
X �= ���
Date
Signature of Applicant — Owne Contractor ❑ Agent ❑
An OSHA permit is required for cavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occUP.
CONST.?
I NrOD
PARCEL
`
D
\D
9uE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO F PUBLIC
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date
Cl 25>
Receipt No. C �rr 9
WHITE-D.H.W., YELLLLOW-ASB SSOR, PINY -INSPECTOR, GOLDENROD -APPLICANT
•.•-w �y�.rF-b;rc �+,w'R ,.Q t�"^�".� J: �'c .. ... ;.�'.il'Yrt* ft: s.rt.•: 7av s�:�iSi'-r-
COUNTY OF BUTTE - DEPARTMENT OF' PUBLIC WORKS - BUILDING DIVISION!
• 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534f5�41 f
PERMIT APPLICATION DATA'.SHEET
Permit No. ��/�
OWNER �/ l��G�/! E A. P. No. 1,-//— '7 y
Proposed Building Use /�j%,2-1- Building Inspectors Date
I
At time of permit application, I was advised the following data must be submitted prior to permit processing
s andJor issuance: DATE RECEIVED APPROVED r
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate, signed by preparer of plans. -
3. Complete plans in duplicate./triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD ''Fees Paid" Stamp on Floor Plan.. . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $.
9. Letter of signature authorization. ,-�%
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
�13. Contractor's License Information (no., name style, classif.) .p
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑.), AL2
_15. Improvements may be required. . . . . - - - - - -
16. Mobilehome Installation Data. . . . . . . . . .
17'. Pre -Inspection for
Pre-Inspec. request to (Date)
Required- Building Inspector
18-. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the permit, process as follows: Mail to owner, Mail to contractor.
Telephone and hold for pickup at office, Deliver w/inspector..
Other
Applicanl/,&&& 24��Ie
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No. 17
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_—mall counter by date
Contractor, designer, owner, was advised of above required data by—phone—mall counter by date
Plans checked by Date Plans approved b ate 67,0
Sets of plans on hold in File cabinet AP folder
— Flours: 10:00 a.m. - 3:00 p.m.
Copy—DPW
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
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 mat rials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction: y�
Name
Address City
Phone Contractors License No,
4. I plan to provide portions of this work, but I have hired the following person
.to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work. but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner ,
Social Security Mrger
Date 97
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: 7 `,k2r
2. Installer's Name: (T-/P,D� J✓/1lJ��i.e/S
3. Is the site currently under permit? Yes No F]
(If yes,
furnish permit number 2
ZZ - ,? 7
) OR
Is the site an
existing site?
Yes
No
Va—
(If yes, furnish two plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic. tank and leach
fields and clear of all setbacks and easements? Yes la� No
* 12. What is the mobilehome gas demand? ---- �------------------
*(This information not required if pipe length less than 6 ft. on
_natural gas or less than 50 ft. on LPG.)
(BTU)
/O y747
aurrE couNrr
6UILDING DEPARTMENT
APPROVED�
(If no,
clarify
5.
What is the
mobilehome electrical
rating? ---------------
Amps
6.
Whattis the
mobilehome site
service rating?--------.--�
Amps
7.
What is the
mobilehome site
circuit breaker rating?-----
/D !�
Amps
8.
Is there any other electric
load to be served by the
Yes 21'No
mobilehome site
service? ------------------------------=-
(If yes, identify the
load and size:
(Load) 2<
(Amps)
9.
What is the
mobilehome site
gas pipe size? --- �f--------
(in.)
10.
What is the
type of --gas service?
--=-------------=--
Natural El LPG
11.
What is the
gas pipe length
from meter or tank to the
mobilehome?
---------------------------------------------
��
(ft:)
* 12. What is the mobilehome gas demand? ---- �------------------
*(This information not required if pipe length less than 6 ft. on
_natural gas or less than 50 ft. on LPG.)
(BTU)
/O y747
aurrE couNrr
6UILDING DEPARTMENT
APPROVED�
MOBILEROME SUPPORT DATA
+-1f ether than single wide,
Mobilehome Mfr._/7'/4 P furnish Setup Model No.- Year
Widthft.) Box Length_.:rc,(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)U 1. Wood -pressure treated or foundation grade 2. Other (specify)
SUPPORTS (check one)1. Concrete block.[E2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE
Y`i
1 '
i ._j
Z ! / Y Y
MULTI -WIDE
LSE-L�
Line 1
-•�-i
—Line
Main
2
2
Beams
—
—
Line 2
Line 3 ,.
—•--
r
,w Line 2
—
Main
— — — — — —
Beams
— —.— —
—, Line 2
Line 1
---
— — -- — —
-- — -►-Line
Tag or Triple
Line 1 Piers:
Size-Min.------------
Spacing-Max -
-----------
Spacing-Max. ---------
From Ends -Max. -------
Line2 Piers:
Size -Min -------------
Spacing-Max -
------------Spacing-Max.---------
From Ends -Max .-------
Line 3 Roof Loads:
Size -Min. ----------
Location (From Front)
bine 1 Openings:
Size -Min- ------------------ „x n
Each Side of Openings
With Width Over---------
Line-2
--------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min ------------------- y� „
Spacing -Max._______________
From Ends -Max --------------
Line 4 Piers:
Size -Min .------------
'k
Spacing -Max.--------- ,- n
From Ends -Max .-------
Line S Roof loads:
Size -Min.------------
Location (From Front) _
Y`i
1 '
i ._j
Z ! / Y Y
,�
Size -Min .------------------
„z „
Spacing -Max.--------------- �_ u
From Ends -Max --------------
WILDING
-------------
D- DEPARTMENI
A
,i
Utility connections shall be within
4 ft. of the mobilehome, either
directly behind or within the pear
half ' 1 of the
rnobilehome. .
This set ofans and specifications MUST bs
kept on the job at all times and it is unlawful tc,
make any chan s or alterations on same without
written permisso from the Department of Public
Works, County f Butte.
BUTTE COUNTY
3UILDING DEPARTMENT
APPROVED
27z-!87
l MNr �
/D Ft.
�—
A setback of IFC. from the
lines
property and a setback
of 50at. from the road
m
cf
centerline shall be clear of
o
t
structures or equipment except
.o 0
4 •
for a 2 ft. eave overhang.
V
c�
o
`n
0 a
�'�
4
2
ga
NOTE:=/.SII
Workmanship
.4ccorda;Ice with
�s&
R kon i1
Steal! Be
ed G �n
of a rsac,J;rg� i,,1. ,.._-,
Uniforrn I'tIV-dir.
1 .r.�
p,;L,
God. Pracfices and
filo .r':acifiecl use in the
I ;bin
the National Vii. crrical Co
I
�
� Mechanical Codes and
a.
BUTTE COUNTY
3UILDING DEPARTMENT
APPROVED
27z-!87
l MNr �
Grady Mullins, Etal
3537 Clark Road
Oroville, CA 95965
RE: Building Code Violations
345.5 Lehi Lane, Oroville
Dear Mr. Mullins: .
May 20, 1991
A.P. #41-40-18
lie sent you a warning letter dated January 29, 1990 notifying you
that you are in violation of the Butte County Code .at the above referenced
location. As of this date, the following violations still exist.
Failure to obtain permits, inspections and approvals to construct an
approximate 176 sq. ft. covered deck and 67 sq. ft open deck in vio-
lation- of the Mobilehome Parks Act of Title 25, California Code of
Regulations, adopted by Section 28A-1, Butte County Code as follows:
(a) 1018 --Permits Required for any accessory structure.
(b) 1048 --Construction inspections and final inspections required.
The above violation(s) shall be corrected or abated by you by submitting
two complete sets of plans, applying for the required permits, and paying
the appropriate fees within 30 days of the date of this letter. After permit
issuance and field authorization to proceed, the work must be completed
and approved by this office within the permit specified time.
Unless the violation(s) is(are) so corrected or abated, a citation shall
be issued to you to appear in court for said violation(s) and for failing
to comply with this notice. Upon conviction of said violation(s) or for
failing to comply with this notice, penalties shall be imposed and a Notice
of Violation recorded in accordance with Section 41-7 of the Butte County
Code.
Should you have any questions concerning this matter, please contact Rod
Taylor or Jim Glander of this office at (916)538-7541.
Yours very truly,
JFG:ds
cc: Building Inspector
William Cheff
Director of Public works
46IL
J. F. Glander
Manager, Building Inspection
File No.
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept.
(For Information t/ )
Director
Dep. Dir,
Sec.
�
Rd. 8 Br. Mtce.
Shop 8, Yards
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
Constr, Engr•
Surveys
Mapping
Transp.
Public Works Dept.
(For Information t/ )
Director
Dep. Dir,
Sec.
�
Rd. 8 Br. Mtce.
Shop 8, Yards
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
Constr, Engr•
Surveys
Mapping
Transp.
Land Dev•
Drng. /S.I.
Sub, 8 Pcl. Maps
Permits
"
Addr.
1
2
3
4
5
6
7
8'
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
PROOF OF SERVICE BY MAIL
I am over the age of 18 and not a party to this cause.
I am a resident of and employed -in the county where the mailing
occurred. My business address is
Butte County Dept. of Public Works
California. #7 County Center Drive
Oroville, CA 95965
I served the foregoing 30 -Day Violation T,Ptter
by enclosing a true copy
in a sealed envelope and depositing said envelope in the United
States mail with postage fully prepaid on ?nth of May
19 .91 and addressed as follows:
Grady Mullins. Etal
3537 Clark Road
Oroville, CA 9596.5
I declare under penalty of perjury under the laws of
the State of California that the foregoinvis true and correct
and that this declaration was executed on
at. Oroville , California.
r�^
January 29, 1990
Grady Mullins
3537 Clark Road
Oroville, CA '95965
RE: Permit Requirements A.P. 4#: 41-40-18
3455. Lehi Lane,•Oroville
Dear mt. Mullins:
This is a warning letter to notify you that you are in violation of .the
Butte County Code at the above referenced location as follows:
Constructed an approximate 176 sq. ft. covered deck and An approximate
67 sq, ft. open deck without the required permits and inspections,
The permit you applied for 4/15/87 was never issued due to lack of
complete plans.
Since permits and,'inspections-are required for the'abave work, please contact
this office within ten days of the date of this letter,. submit two complete
sets of.plans,'apply for the required permits,rand pay the appropriate fees.
All work must stop. until these permits are issued and you are authorized
by our field inspector to'proceed. This field authorization cannot be made
until the existing work is inspected and approved.
Please be aware that Butte County has entered into a Code Enforcement Program.
that seeks voluntary compliance with the Butte County Code but 'provides
an effective means of enforcement if such compliance is not obtained. If
voluntary compliance is not obtained, enforcement. will be.pur.sued.through.
the issuance of citations', `fines, and the recording of a Notice of 'Violation.
Your cooperation in resolving this matter would be appreciated: .Should
you have any questions concerning this matter, please contact Jim Glander
or Bob Keith of this office.
JFG:ds
cc: Assessor
Building Inspector
Yours very truly,
William Cheff
Director of Public Works:
,m
J.F. Glander
Chief Building Inspector
File No.
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept• (For Information �/ )
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
10
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Transp.
Land Dev.
Drng. /S.I.
Sub. & Pc 1. Maps
Permits-
Addr.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N0.
J
ASSESSO ARCEL NUMBERZ
-.
NTNG
H-3
BUILDING PERMIT
O WN Efj^ ♦� ��
l/Rju / /
TELEPHONE
SQ. FT. BUILDING VALUATION
CDP 7-770r---
Ci /
OWN MA1 I G ADDR S
Irl
CONTRACSQij'S NAME
r'
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1 $ 1,2101
S
Filing Fee
$ 10,10
LENDER'S MAILING ADDRESS
Permit Fee
$ f G
ARCHITECT OR ENGINEER
LICENSE ND.
Plan Checking Fee
$ 1 �/—
/
Energy Plan Checking F
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS pe
Permit fee
$ d7-5
PLUMBIN P MIT
F ling Fee 10.00
h // /•
Each Trap f
2.00
Solar or heat Aujwa'teyheater/20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas wVkpik, heater or v nt
5.00
USE STRUCTURE
SF ❑ Duplex[]Mobilehomel Other P -P G
SPECIFY
Gas piping y em 1 - 5 outlets
5.00
Building seVer
5.00
Mobile Hom G JW 1
110-00ea
TYPE OF WORK
New❑ Addition [I Remo el❑ Utilities Installation❑ Other❑
Describe work: ��Y< iJ���'� _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
Eli, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.tk ,/zQsgft
OR ADDNS. ACC. BLDGS.
NEW CONSTR. MULT'.OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCCUR\OUTLETS OR FIXTURES 20®50Q
aALe3o
FIXED APLNS. \
Ex. OCCup. OUT LE
Ex. P(RESID.)REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
permit Fee
;
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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, I dgments, costs, and expenses which may in any way accrue
against aid C �nty in consequent o the granting of this permit.
X Date �—_43 — Z%
Signature of 110licant — Owner � Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
y/
TOTAL PERMIT FEE $ /
occuP.
CONST.TYPEJ
I FLOOD
PARCEL
I Pa
ND 1990E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable to do
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. V�!O !�
W. E-D.P.W., YELLOW-A99E99OR, PINK -INSPECTOR, GOLDENROD -APPLICANT
4 I
COUNTY OF BUTTE - DEPARTMENY.OF' PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
l Permit No.
OWNER-
r7-a"ZIV. / A. P. No. �41 —
Proposed Bui (ding Use 019 ch Building Inspector Date 7 �f � 7
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
4.
5.
6.
7
8.
9.
_A�j0.
11.
12.
13.
14.
—15.
16.
17.
All items have been submitted. . . . . . . . . . . .
Plot plans in duplicate. /triplicate, signed by preparer of plans.
Complete plans in duplicate./triplicate, signed by preparer of plans.
Complete engineered plans and calcs, with wet signature on plans.
Plans with Energy Design Compliance Statement. . . . . .
CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . .
Statement of Intent for Non -Heated and AC Buildings.
Fees of $ . . . . . . .
Letter of signature authorization .ti . . . . . . . .�
SSanitation approval from OA2� �/; Health Dept.
Planning approval for (A) Use: (B) Parking: .
Certificate of Workmen's Compensation Insurance. . . . . .
Contractor's License Information (no. name style classif.)
7
i �y
1 f
Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ),
Improvements may be required. . . . . . . . . . . .
Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec.request to
Pre -Inspection for Required, Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the permit, process as follows: ail to owner, Mail to contractor.
Telephone and hold for pickup at office, Deliver w/inspector.
Other
Date)
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required: &DO,,77,?7'7
�PEGJ �.e i�, ��J /LJi �� /I f�Q�✓/ f�l�s P�iY� JT �-c��-t��
Contractor, design r, wne , was advised of above required data oy—phone___jnaiI—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
— Flours: 10:00 a.m. - 3:00 p.m.
TO Buildina Department s
FROM: Environmental Health
SUBJECT: Sanitation Clearance
-XIS >�
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for: Water Supply
Final clearance O.R. for: -Water Supply
Clearance for bedroom mobile home. Other ��:.�i�, 9Y4z-�
NOTE ***
Sanitari Date
V
COUNTY OF BUTTE -'Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
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 youi.building permit: No building permit
will be 'issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (.yes or no)
2. I (have/have not) K signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work. but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed: �{
Property Owner �l cc�2-ltd
Social Security Number
Date --x
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
AP #
OWNER
PERMIT
MH UTIL.CLEARA CE DATE
INSPECTOR
ELECTRIC
GAS.
Support
Struc_.
Compaction
Test Re .
Service
Other
Pipe
YES NO
YES NO.
iize
Load
.-Ty-pe
Size
Length
Sof
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