HomeMy WebLinkAbout056-080-142056-08-0=142 - y92-2744P,E
HUFFMAN; Helga & David ;
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188 Sleepy Valley Rd;'•cohasset - l
travel, trailer utilities y!
ELEC - -
GAS
COMPACTION`TEST REQ 7 -
SUPPORT STRUCT REQ : �a a '9
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TO Buildinq Department
FROM:') Environmental Health
SUBJECT: Sanitation Clearance
- r I /"-�27 1121,1� Al
Owner Lo Vion AP#
Plan Approved for: Sewaqe Disposal
Hold final for:
Final clearance O.R. for:
Clearance for 1 bedroom mobile home. Other
NOTE * * *
Water Supply
Water Supply
Water Supply
RE TIAL
�. 056-08-0-142 92-2744P,E.
HUFFMAN, Helga & David
188 Sleepy Valley Rd, Cohasset
travel trailer utilities
OFFICE COPY ,
Address�� d let oe 4 VC���etA Ipf%�
i
GAS
Meter By �— Dater,
ELECT
IC
Meter By
Date'/ 22 '
JOB FINALE
Signature
V 6
O = Not OK
Not
= Not Readyable MOBILE HOMES -
Date MOBIL4 HOME UTILITIES Plans OK except #'s r
oning equirements-Setbacks-Easements
,
ficial MH Support Sketch
er, Location -Test -Fall -C/O Concrete
Wa ocation-Test -Ease men t Ne ed (S tch)
zk!Iectricity; Location-Clearence - - Amp -Concrete
i
'8',6e3; ion -Test -Wrap: ! /"L" I. ,
/ at. or/ P L" ft./ /"LPG
ell Clearance & Disconnect
8. Utility Clearance
Date -/S -q?_ Card B-1 2 Date Card B-1
Dateg-M-A71Card B-1 oZ,gZ 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
B. 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 DECKS, COVERS,
1. Zoning Requiren,
2. Footings; Soils -Size -
3. Decks; Griders and/or
4. Wood Awn.; Posts -Beams-,
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns-Connectio.
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness.
Dead Men -Lining
4. Elec.; Receptacles and Lighting, 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
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
0 0
0 oe�0 07 40 d�
%c. of APS.
OK
RESIDENTIAL (;
y�. 'jf. 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-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.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except N'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
------------- - -------------------
19. Shower Pan; Test. First Floor -Tub Access
---------------- ----------------------------
20. Test Tub & Shower, Second Floor -Tub Access
------------------------ ---------
21. Gas Pipe: Size & Anchors
Date Card B-1 Date Card -B-1 ---------------------- -------------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except a's
22. Fixture & Transformer Clearance -Ins. Protection
- - ------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
--------------- ------- ---- ------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
- 25. Romex Installed Close to Edge of Studs & C.J.
--- -------------------------------------------------------------
26. Equip. Ground made "up w/Meth. Fastners-Bond Gas & Wa-er
----------------------------- -----------------------------------
27.
-- ----------------------------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
-------------------- --------------------------------------- --
----------------
28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! ! ga.
Cu or Al
-------------------------------------------------
29.
---------------------------29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
- ------------------------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
-------------- --------------------------
------- Equip. -Clearances Panels-Motors_Mech_ Equip_
32. Clothes Closet Light -Shower Light -Spa Light
------------------- -
33. Smoke Detector
---------------------------------------------------------------------------------
-Date Card B-1 Date Card -B- 1
------------------------------------ -----------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ft's
34. -.A. -C.- Ducts Insulation & Support
--------------------------------------------------------
35. Vent Fan: Exhaust above insulation
--------------------------------- - --------------------------------------------
------------- 36.
--------------------------
36. _Condensate Drain & Overflow: Size & Grade
--------
37. Furnance-Vent:---Access-Comb.-Air-Return -Air Vent -_1_1_5t outlet
------------
38. Attic -Access-&- Platform if Furnance in Attic
---------------------------------------- ------- -----------------------------
Date Card -B-1 Date Card -B- I
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils. Proper Material & Anchors
- - - - -- - - ----------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing-P(ates-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
jingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Ong. 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
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 Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
----------
60. Infiltration -Walls -Windows
. -- ----------------------------
Date __Card B-1 _ Date _ Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except k's
61. Ext. Steps -Door & Sidelight Protection -Landings
-----------------
62. Smoke Detector
-------------------
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meeh. 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 -Doo -r: Swing -Land ing-Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meth. Protection
----------------------------------
75. Plb.. Elec. & Mech._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 C1Yes ❑ No;
❑
Planters Yes ❑ No
81. Stucco_Brown_Finish ------
82. A.C. Unit: Disconnect. Electrical, Plumbing
- - - -- - -------- ----------------- ----9--p -
83. Vents Above Roof; PlbApliance--Fire lace.-Cle-a-
rance 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
-----------------------------------
------------------- ----------
9O. -Water --& -Sewer Connected -C/O to Grade -HD Approval
----------------- - ---
91. Energy Compliance Certificate -Other Certificates
---------------------- -------------------- ---
Date Card B-1Date Card B-1
--------------------------------------- -
------------------------------------- --- ---
Date Card _13- t Date 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
.,Wa_-V a7V41- �'Z
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 immedialely.
/90JrO f/ L w GY v / ✓ ! 4/
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Date 2 9Z .Inspector
REV 11/91
' t
IU+'• I.X.-.• ier •w•--4a.rw--t��'`-,..+:s- -..r �..-�v ,.-.'.... .-•.J,� ,---: r „, . t:. �- ti. ..._ - � i
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
97
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 contacythis office immediately.
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Date I //6 1 � 2 Inspector Qu
REV 11/91
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916,538-7541
APRUCATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER .
056-080 jLbZ
ZONING
TM -S s
BUILDING PERMIT
OWNERT T T
HELGA HUFFMAN/DAVID HUFFMAN
TELEPHONE
345-9306
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
8471 COHASSET ROAD CHICO 95926
CONTRACTOR'S NAME
UNKNOWN
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee
$ „LG.6g•
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 20.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
188 SLEEPY VALLEY ROAD
Permit fee
$ 20.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomej] Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home G
@ 15.00 30.00
TYPE OF WORK
New Lj Addition ❑ Remodel ❑ Utilities[id Installation ❑ Other ❑
Describe work: TRAVEL TRAILER
Permit Fee
$ 45.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50 ,
Main service 200A TO 1000A)
37.50
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)
❑ 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 OCCUPM
OR ADDNS. ACC. BLDGS.
3.64 sq.ft.
NEW CONSTR ULT' -OUTLET
NON-11ESI BRANCH CIRCUITS)
^ 5.00
l:
POWER APPARATUS Q
(SINGLE OUTLET CIR.
Ex.Occup(OUTLETSORFIXTURES
20 76
Ex. DCCUp. OUTLETS (RESID )FIXED APPLNS.REAJ
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ r
—
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
�l 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 15.00
Heating
Cooling
g
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 County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
a I t said Co ty in ns uence of the granting of this p rmit.
X - -
Date
Signature of Applicant - caner
9 pp ❑ Contractor ❑ Agent
An OSHA permit is require for excavation cr 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 0
HAz
OFEES
IMP
FLOOD
---
COF ARC D HD ISSU
This permit is hereby issued under t
sions of the Butte County Code and/or
work indicated above for which fees
I E TOR OF PUBLIC
BY ' PE IT EXPIRES Date
licabie provi-
resolutions to do
have been paid.
WORKS
� q
�]
.a/
�y 2Date�
Receipt No. 117678 20.00 Z&Y�— l7
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK - IN PECTOR. GOLDENROD -APPLICANT
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUM ER
ZON G
BUILDING PERMIT
OWNE '/�
V
TE PFN 0 /
S0. FT. OCC. BUILDING VALUATION
O ER' MAILING ADDRESS,//��- / c�7�{���'J' �j(�O
C aO
TELEPHONE
CO R CTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 0
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 0 r O 0
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING AD RESS �4
Permit fee
-
$ a or
G�
PLUMBING PERMIT
Filing Fee 15.00
Each Trap5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
STRUCTURE
SF ❑ DuplexMobilehome Other
Duplex[]
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G
615.00 3CI,
TYPE OF WORK
New Addition❑ Remodel❑ Utilitieslnstallation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
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 .Jo. 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
Main service 200A TO 1000AI
37.50
NEW CONST. ( DWELLING OCCUP.&)
OR ADONS. ACC. BLDGS. //
3.6Q sq.ft.
NEW CONSTR ULT' -OUTLET
NON-RESID BRANCH CIRC ITS
S.00
POWER APPARATUS .&)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 7RA
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
I 3.00
Temporary service
15.00
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.
Ishall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Oce
NApplicant: 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 15.00
Heating
Coolin g
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 County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butt against
all liabilities, judgments, costs, and expenses which may in a y w y accrue
against said County in consequence of the granting of this per
X Date
Signature of Applicant — ••Owner❑ Contractor ❑ Agent
An OSHA
ion of structurestover r3gstori.esoinehe excavations ons over 5'0" deep and de o ition or construct-
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $
HAz
1 0FEES I
IMP
FLOOD
CDF
PAACEL
I PD
I HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
Qui r�d0
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APA LICATION DATA SHEET
!
OWNER 1 /V A. % D.S6 ' �72
Proposed Building Usefidlt�Building Inspector Date Z
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . .............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ..................... .
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
. Mobilehom d r nufacturer's installation instructions, 2 sets. .
IDp Fees of $ ....................... -! -Z--
a
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ........................
13 lood elevation letter (100 year flood) by California Engineer. .
01C4. Sanitation and plot plan approv/ CIO Department . ............s- �G
W. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. ............ .
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. ... ....
20. Pre -inspection for Pre -Inspection requestrequired. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification). _ Ly
r.. pp�
. Certificate of Workmans Compensation Insurance . ...............:� ... .. b. ^ ^
Owner -Builder Verification (Given to owner , Mail to owner. Sl�Ou? awl? c w
ecorded copy of Agricultural Acknowledgement Statement . ..................���5-��
5. Letter of signature authorization . ..................................... .
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you -issue the erm' roc s as follows: Ma' o wner. Mail to contractor.
�elephone 0 and hold for pickup at ft office. Deliver with inspect
Oth 14 a - 11 1 , Z
Parcel Creation K ,: , -'"' 3 ��
Acreage IS- --% _ 2 Applicant '`'"' Date v
r� ra
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 submitteb nAor it ' ance: (Circle new item not checked above).
1. Index permit for above items No. Q
2. Additional items required:
Contractor, designer, owner was advised of above required data by_ phon _ II Counter by _ ate
Contractor, designer, ner, as advised of above required data by phone _ mail Counter by�/ Date W01 -.
Plans checked by Date 4-34q2 q2 Plans approved by 1� Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
DATE 8-20-92
RE:
HELGA & DAVID HUFFMAN 92-2744
P.O. BOX 1628 A.P. #
BLAIRE WA 98230 056-080-142
With reference to the above subject:
/L 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 owner builder form
/X / We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ 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.Departmen_t at:
1469 Humboldt Road, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
.Oroville, for
C mpleted Owner -Builder Verification form.
Recorded copy of deed showing parcel creation by'gift deed and 60' right of way
Recorded copy of agricultural acknowledgement statement.to public road (deed refer
91 R 30747)
OTHER Owner -builder form submitted did not agree with state on permit.
Person listed on owner -builder, David Huffman not a licensed contractor.
Letter of signature authorization for David Hoffman.
Should you have any questions concerning the above, please contact
of this office.
Dave Purvis
Yours very truly,
cc: David Huffman William Cheff
8471 Cohasset Road Director of Public Works
Chico CA 95926
J.F. Glander
JFG/aj
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive; Oroville, CA 95965 PHONE: 916-538-7541
' DATE 8-20-92
RE:
HELGA & DAVID HUFFMAN 92-2744;T.
..
P.O. BOX 1628A.P. �k 'w'_;'
BLAIRE WA 98230.1 1 056-080-142
With reference to the above subject*,,''
•(_L 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 owner builder form
IL.L We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ 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.Departmen_t at:
1469 Humboldt Road, 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.
X Recorded copy of deed showing parcel creation by gift deed and 60' right of way
Recorded copy of agricultural acknowledgement statement.to public road (deed refer
91 R 30747)
/x / OTHER Owner -builder form submitted did not agree with state on permit.
Person listed on owner -builder, David Huffman not a licensed contractor.
Letter of signature authorization for David Hoffman.
Should you have any questions concerning the above, please contact
of this office.
cc: David Huffman
8471 Cohasset Road
Chico CA 95926
JFG/aj
Yours very truly,
Dave Purvis
William Cheff
Director of Public Works
Z.F. Glander
- W� •. ,
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i
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no oyne
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 aterials for construction of
the proposed property improvement (yes or no) 'e 5
2. I (have/have not) signed an application for a building permit
for the proposed work. /
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address / City
Phone Contractors License No.
4. •I plan to provide portions of this work, but I have hired -the fol lowinb 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 �rovide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Number
Date r I Q�
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 o issue. the per it.
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ENVIRONMENTAL HEALTH APPRCn, ED /93
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J U N 2 4 1992
CHICO, CALIFORNIA
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