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HomeMy WebLinkAbout058-170-07658-17-76 O5( .. 1�D OLEVIA NNSEY 1, 4011 Dead ,,Rd, Otoville Contr: FranksMU\�,er .f Permit#1987-88P,E(b il, MH) SLEC . d/9 JAS tj SUPPORT STRUCTURE REQ. gal u��' COMPACTION TEST R k h� 58-17-76 �. {. Perm' 2927-88 I sued / — t i I A _ j jl f • t I 1 F i 1� 1 ' p J� • 1 a 997-89llV1- PERMIT NO. PERMIT EXPIRES OWNER Olevia iAsey CONTR. Franks MH ASSESSOR PARCEL 58-17-76 LOCATION 4011 Deadwood Rd, Oroville Temp. Power P-'- Called PGA Temp. Elec. Sei Called PGA Temp. Gas Sen Called PGA ' JOB FINALED Signature I .k = OK• . O=Not OK Not ' = Not Ready MOBILE MOBILE HOMES MISCELLANEOUS Date lVl0I3jjerH0ME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s tfso,,!:' g Requirements-Setbacks-Easements 1. Zoning Requirements-Setbacks-Easements of -Special MH Support-Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel e r; Location-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails r; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing Iectricity; Location-Clearances-Grnd.-/ / Amp-Concrete as; Location-Test-Wrap: / P' ft. /__-Y''Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures 6. Carports; Windows-Doors Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh Card-B Dat;;F— and-131 Date 10. Roof; Shthg-Roofing Card-131 Date Card-B1 Date 11. Ext.; Steps-Doors-Landings Date MOB OME INSTALLATION (Plans) OK except #'s o g Requirements-Setbacks-Easements Card-131 Date Card-B1 Date C.21Footings Size-Spacing-Marriage Line Card-B1 Date Card-131 Date - - or e city; M.H Test-Crossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s rain Test-Fall-Flex Connector 1. Setbacks-Easements er; MH Test-Regulator-Connector 2. Soils; Compaction-Structure Stability W r and Sewer Connected-C/O to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining s and Electricity Tagged E In p.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Ce . of Occupancy 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-Panel boards- Ins. to Main in Conduit Card-B1 at Card-81 Date Card-61 Date Card-B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test Card-61 Date Card-131 Date Card-61 Date Card-B1 Date f = OK 0 =Not OK --j: Not applicable RESIDENTIAL (Single' and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth _ 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'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. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Liqht-Shower Liqht-Spa Liqht Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 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. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -61 Date Card -B1 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing &Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 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 -Wal Is-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -81 Date Card -B1 Date Card -61 Date 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 -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 Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. 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-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -61 Date Card -B1 Date Card -B1 Date Card -131 Date Card -81 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) r , MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 r PERMIT N0. 4 r Address or location of mobilehome qt%/1 Owner's name r Owner's addre * Insignia or hu( Manufacturer's Serial numberof V.I.N. Year of manufacture�� 7 ��` ' (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 r : MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville— Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 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. Inspector Date 1,2-- e7 v I JCOUNTY OF BUTTE - QEPARTMENT OF PUBLIC WORKS MI NO. 7 County Center Drive - Oroville,.:California 95965 - Telephone: 916/538-7541 /PE �� APPLICA MIT ASSESSOR PAR EL NL,RB ` , BUILDING PERMIT O WNE P a TE PHONE V/ f D -09 SQ. FT. OCC. BUILDING VA ATION ADDRESS 9,112 CONTRALTO 'S/NAME TELE ONE '` YI V CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ ID;t- 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 A R SS .s' i2ad Rd Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIV ION NAME .J Q. PARCEL MAP Water piping 5.00 Each pas 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 G W 0.00 ea A9. 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑� Uti I.tie Installation ❑ Other ❑ Describe work: I, rJ� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.;0- 0.00 Main service GOOV OR LESS Main100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of 'perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS 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.a` , OR ADDNS. ACC. BLDGS. / �2Ospft NEW CONSTR MULTI -OUTLET NON.RESID .BRA C CIRC TS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. OCCUp(OUTLET3 OR FIXTURES 30 SAL0 eAL030 Ex. DCCUp. OUTLETFIXED S P(RESID ILNS RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. irin g 15.00 Permit Fee $ Contractor 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee Contractor $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, osts, and expenses which may in any way accrue agai s County i 7cpsequence of the granting of this permit. X Date Signature of Applicant 0 er Contractor ElAgent❑ An OSHA permit is re ired 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. CONST.TYPEJ ISPOLIFLOgAPAR1$L Pa ND I SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI ECT � OF PUBLIC BY / PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. TELLOW-ASSrSSOR, PINK -INSPECTOR. GOLDEN ROD-AP►LI CANT .ar++a• i• ...,'r^ ......ai-. ya.y.t{-`^f N�'-'Yv'ry z..ar'�^r't �: s.F ..K'r' � '�>��fi sr ���-i..wns•�i��r���rx"tM.�7s}. �4VYf�rr.ti1`Mt...c,�,., ��1�1�k .rC��..lt •-ti.- . f'• . - ' � COUNTY OF BUTTE - DEPARTMENT"OF«PUBLIC WORKS -BUILDING D144410N 7 COUNTY CENTER DRIVE - OROVILLE, CALaEOPNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET / fPermit No. OWNER �C' V 14r 1�i4,s(a AP. No. d d Proposed Building UseAl/W Budding Inspector . Date �/62L/ Z�e At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED All items.have been submitted_ Plot plans in duplicate.// ip ate, igned by preparer of plans. � 3. Complete plans in duo l}Cate./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. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and'AC Buildings. 8. Fees of $ , , , r , , , Letter of signature authorizaro . . . cJ _. Sanitation approval from r��I /l Health Dept. tD 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. . . . . . . . . Pre-Inspec. request to W. Pre -Inspection for Required. Building Inspector (Date) Recorded copy of Agricultural Acknowledgment Statement. '7- / S - k Q/6 ►, LY419. Driveway Permit. ek U 7 7 3 7- 19 - n 20. Plot plan approval from city of 21. Engineered trusses Jn duplicate (required prior to plan check). 22, k 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__ Applican Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to Dermit I sua (Circle n w Item not, checked bov 1. Index permit for above items No. fes_, ��t j jC�� I o.Ll ���� 2. Additional items required: Contractor, designe owne was advised of above required data by_phone ail_counter by�L date o �a —o Contractor, des l ner, ner was advised of above required data b y g q y_phone_mall_counter b date r Plans checked by Date Plans approved by f ,� 5 _Date _9_�:::/ Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance 0 76 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply 4 Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for 3 bedroom mobil home. Other NOTE ** Sanitaria D to TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance C---(/-47 es A, �1 s e y owner Driveway permit si ature location 7,6 AP # has been issued for the above property. %-/5 -96? date Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT MA FOR RESIDENTIAL DEVELOPMENT Secti.on 26-8.I of the Butte County, Code requ-ires this acknowledgement be recorded prior to issuance of a building permit. r-- - - -- - -- The property described herein is adjacent 6e-02300@ 1 to land or included within an area zoned for agricultural. purposes, and residents Recorded ; of this property may be subject to incon- Official Records 1 veni.ences or discomfort arising from the County of ; use of: agricultural chemicals, including, Butte ; but not limited to herbicides, 'pesticides, Candace J. Grubbs 1 and fertilizers; and from- the pursuit Recorder 1 of agricultural operations including, i 12: 16pm 15 -Jul -88 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which 11 88-23008 Rec Fee 9.00 Cash 9.00 of Evi a. 114 vl !�T BG 3 occasiona y generate dust, smoke, noise, and odor. Butte County has esLabl:ished ;igric iil Lural zones which have as a priority use for productive agricultural purposes, ;.Incl 1-vti i deIII within said zones and on adjacent property should be prepared to accept such i nc onvell i enr e or disconfor.m from normal, necessary farm operations. A1]. that real` property situate in the County of Butte, State of. Cal.iforn-J a, desc r i hc•rl is f 01.1ows : Date: PROPERTY OWNERS: State of. ) SS. County or ) OFFICIAL SEAL DEBRA I RAYOME NOTARY PUBLIC — CALIFORNIA BUTTE COUNTY Q My commission expires May 27, 1989 Personally known to me. Proved to me on the basis ' Present A.P. No. - Not r. ylPubl D On this the ` day of 19�, before me, undersigned Notary Public, ers ally appeared IV S, of satisfactory evidence.to be the person whose name} - subscribed to th within instrument and acknowledged tl��il. _ executed the same for the purposes therein contained. LN WI'I'NI?tiS WHEREOF, I hereunto set my hand and official. seal.. 87 -33102 All that certain real property situate in the County of Butte of Californiat , described as follows: State Parcel 9, 'as shown on -that certain Ma which Map was filed in the Office Of theRecorderof theOCount " SUBDIVISION State of California, on April 24, 1987 Y of Butte, thru 3. in Book 1Q8 of Maps, at Pages 1 TOGETHER WITH: A '20 foot right of way for road and public utilities purposes, lying 10 feet on each side of the following described centerline: Commencing at the Southwest corner of Parcel 8 as shown on that certain Subdivision Map entitled "Deadwood Subdivision" as recorded in.the.Butte County Recorders Office, April 24, 1987, in Book 108 of Maps at Pages 1, 2'b 3. Thence South 76° 29' 49" East, 186.41 feet to the True Point of Beginning for the herein described right of way; thence from said true.point of beginning, along the centerline of said right of way the,£ollowing courses and distances; 1.) North 190 28' 07" East, 146.89 feet; 2.) North 320 18' 11" East, 73.12 feet; 3.) North 130 58' 26" East, 87.30 feet; 4.) North 66° 22' 29" East, 94.14 feet; 5.) South 650 54' 27" East, 58.67 feet to the.East line of Parcel 8 as shown on said.Subdivision Map 108 M 1,2,3, and the end of this description. The s4delines of said right of way shall be lengthened or shortened as necessary to intersect the South line of said Parcel 8 and the East line of said Parcel 8. This right of way is appurtenant to and shall inure to the benefit of Parcel 9 as shown on said Subdivision Map 108 M 1,2,3, any successors, heirs, or assignees and applys to any parts or Portions thereof. - The Basis of Bearings for this description is the same as that as shown on said Subdivision Map 108 M 1,2,3. �SEp 0ND SU LG9��o * 0 No. 4085 Expires r 6.30-�0 �Of CAU�� CNO OF 00CUMENr �, 81-2300.8 87-3649- A 11 7-38493 A11 that certain real property situate. in the County of Butte,: State Of California, described as follows: Parcel 8, as shown on that certain Map entitled, "DEADWOOD SUBDIVISION" which Map was filed in the Office Of 'the Recorder of the Count State of California, on April 24, 1987, in Book 108 of maps, y °f Butte, thru 3. D 0 L'::•;U'� `IT at Pages 1 END OF DOCUMfiNT AP # OWNER PERMIT ik MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Size- Other Load Type Pipe Size L`en th YES NO YES NO - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californiii 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT O. ASSESSOR PAR yNUB R zo 10 BUILDING PERMIT OW E \ . i !1 & via T L O E S0. FT. OCC. BUILDING VALUATION O ER' MAI ING ADDRESS R,ACT AME CO ' a W C TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace VIL 6— CO S RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER -S MAILING ADDRESS Permit Fee $ ARC , TECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS C r Permit fee 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[] Mobilehome9 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 Rem del ❑ Utilities in a ti K Other ❑ Describe work: # '� _ 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) ❑ 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.& New �oNsrR(A , �z2sgft UL'TBI OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS h (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t eALa30 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.1 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. may—/ 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 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 liabi ities, judgments, costs, and expenses which may in any way accrue agains laid ounty in co sequence of the granting of this permit. �® X Date �y1� 9 Signature of A licont — �er g pP r ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heig t. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �. OCCuP.J CONST.TYPE 1;0. FLOoo ARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC BYpp PE j T EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date d% 9-8P Receipt No.1) 11203 WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT ., i r+. -. � i�4 ,'1 'r -,. �' -,. '"4i. ? 7 `i='; �''`i°iX 'T'v�:i ... ..-:T•:.'S`:>ti..'��.c.:,-.i.":..fyi'` .'•.:i' 1- . :"`. j W '$-. w.t f 'e 7• t�tt * t lti+� w. a. rt N •' �•. r' t COUNTY OF BUTTE - DEPARTMENT �,OF,;'PUBLIC WORKS - BUILDING DI VISION 7 COUNTY CENTER DRIVE - OROVILLEo C4L{,AOR 1FA 95965 - TELEPHONE: 916/538-7541 r i PERMIT APPLICATION DATA SHEET Permit No. OWNER /�' v 1 k h A. . No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or SSUanCe: DATE RECEIVED APPROVED 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. School District "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.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _15. Improvements may be required. . . . . . . . , , 16. Mobilehome Installation Data. . . . . . . } 17. Pre -Inspection for Pre-Inspec. request to (Dote) Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses'in duplicate (required prior to p'han the k). n 22. �d I 1 V(4d U),204 V ► �lc When you issue the permit, process as follows: AMail to owner, Mail to contractor. Telephone and hold for pickup at -off ice, Deliver,w/inspector. Other Applicant to 8� 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.- joa(A� �r• i��"7 � 'Sr 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mai I counter by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by OZ.S Date Sets of plans on hold in File cabinet AP folder 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 materials for construction of -the proposed property improvement (yes or no) 2. I (have/have, not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name I-L—V.- 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 C51 Social Security Number Date 15�— 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. �1nh*d so�ciici is unllo u t° :.R, on same wl� I�iont. l Materl als Workmansh a Shall Be '. �r ,i?tti" A 0- -o"- � rawtiy@S C14 :l,e Department � Aecoe��a}q�' wi:.; R+: •w Spec:: AES use in the. t County of Butt®,' q4 r. �u,,;�,<,.- cc Mechow ®i Comas �(,�,1 �dlrJ�S ' da2uclw� 1 gh e` es' °��;�r they 01 ot &A o� � ga�e�°adept NA e� `�� �t®� Q@'t• r eSog 5`c` t eon ,etc` !4 t 7�-kgoa o I ` 40\ Ise b BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name:, �a V` CS CA uSC� 2. Installer's Name: ' 0 W V, ce Y' 3. Is the site currently under permit? Yes FX No (If yes, furnish permit number �7� / - OR Is the site an existing site? Yes F-1 No rvl (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 4j No F1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- 00 Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- �Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes © No (If yes, identify the load and size (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural F-1 LPG F-] 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 f 0 J�'~rV natural gas or.less than 50 ft. on LPG.) 6�0 ®�Q �y MOBILEHOME SUPPORT DATA 1A , If -other- than single wide y� Mobilehome Mfr. W Inst} iii furnish Setup Model No. CC /PpYear ` Width (ft.) Box Length_L�_(ft. ) Tagalong or Expando Sizeft. 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)1. Wood -pressure treated or foundation grade. 7 2. Other (specify) SUPPORTS (check one)�1. Concrete block. F12. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Main Beams Line 2 — — — — — Main Beams — — — — � t.ine 2 Line 1 Piers: Size-Min.------------ Spacing-Max - --------- From ----------- Spacing-Max---------- From Ends -Max - ------- Line 2 Piers: Size-Min.------------4�11-q Spacing -Max---------- O I. From Ends -Max .------- Line 3 Roof Loads: Size -Mia .------------ x Location (From Front) Line 4 Piers: Size -Min ------------- Spacing-Max ---------- From ------------Spacing-Max.--------- From Ends -Max -------- Line 5 Roof Loads: Size -Min.------------ Location (From Front) Tag or Triple Line 1 Openinits Size -Min. x Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- . x Spacing -Max---------------- From Ends -Max .------------- _ e 5 Piers: (Under Bearing Walls Only) Size -Min ------------------- Spacing-Max ---------------- From ------------------ Spacing-Max.--------------- From Ends -Max .------------- rILISL Ly 'usin", wi de: -cvncfe. te Rild re4woo(j I x lurabor or, L-h6z bcnr�rlg "hirn fu- '�'C'. C11011110-1. atict hrvw;�vn t t: 'block.- width of L' block Load 'caring Support InformatiOrt Pier spaclbg used >fjxfmum pier load column load j..1atcri,11 used Footing divaensions used 51. _-e__ Soil bearing capacity _ Coltuln mipports width a IF crete block x mT 2" nomin al pressure tr(!,atrd 0 R precast or poured J '4� . ..... foot Placa com-rete 12000 psi) X'� y *3 Z in& not less than 3%" thick. 4e OR other approvednov . •material pid. v -n g-:cquivalort 10-1,2 bpa:ip.%; C- fIpa 0 city and resist;nce to 40 iz-wid th +-":o Lint; a 0 v tjjL! load &fid soil bearing cdO.'Icsftyl