HomeMy WebLinkAbout058-330-043.
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58-33-43
13-39 eadow Springs Rd,Oroville
Permi &05 88P,E(util, MH)
ELEC
GASSUPPORT STRUCTURE/ -REQ. ZZ F�j.
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COMPACTION TEST EQ.
58-33-43
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58-33-43 3079�89E
.OLSSON, Patricia
13390 Me�adow Springs,4,90rov�ille
PERMIT NO.
PERMIT EXPIRES
OWNER PATRICIA'OLSSON
CONTR. Owner
' ASSESSOR PARCEL 58-33-43
LOCAT ON 13390 Meadow Springs Rd, ORo
r
1,
Temp. Power R-'-
Called PG!
i Temp. Elec. Se
Called PG!
Temp. Gas Ser
Called PG!
JOB FINALED
Signature
= OK
0 = Not OK
- = Not Applicable
= Not Ready
Date MO
MOBILE HOMES
QtCE HOME UTILITIES (Plans) OK except #'s
Ring Requirements -Setbacks -Easements
ils; pecial MH Support -Sketch
Ker; Location -Test -Fall -C/O -Concrete
iter; Location -Test -Easement Needed (Sketch
ictricity; Location-Clearances-Grnd.-/ / Am
Acation -Test -Wrap: / /"L"ft.
. or/ /"L"ft./ /"LPG
lity Clearance
Card -B Dat -Card-B1 Date
Card-B&2Date/,6-EG Card -131 Date
Date MQJRLEHOME I STALLATION (Plans) OK except #'s
Zojlmg Requirements -Setbacks -Easements
op"gs; Size -Spacing -Marriage Line.
G ,&- MH Test -Demand -Valve -Connector
Aetl_getricity; MH Test -Crossovers -Breakers -Clearances
r 'n; MH Test -Fall -Flex Connector
MH Test -Regulator -Connector
4—Wer and Sewer Connected -C/O to Grade -HD Apprc
Gas nd Electricity Tagged
Age-6xi�p.-Sketch
h ert. of Occupancy .
Card-B15-4tTate/'Tf Card -131 Date
Card -61 Date - "/Card -B1 Date
crete
d
, MISCELLANEOUS -i, _;
Date DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -131 Date Card -131 Date
Card -B1 Date Card -B1 Date
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 -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131 Date Card -131 Date
Card -B1 Date Card -131 Date
= OK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. De
3. Ftg., Garage; Soils -Steel-/ /" Fig. Depth
4. Fig., Porches & Decks; Soils -Steel-/ /"Ftg. Dei
5. Stemwalls, Main; Steel-Blockouts-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 -81 Date Card -B1 Date
Card -B1 Date Card -131 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 -131 Date Card -81 Date
Card -131 Date Card -61 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/Mech. 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 Light -Shower Light -Spa Light
33. Smoke Detector
Card -131 Date Card -61 Date
Card -131 Date Card -61 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 -131 Date Card -131 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-Walls-Clg.
60. Infiltration -Wal Is-Wndws
Card -131 Date Card -131 Date
Card -131 Date Card -131 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-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
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 -131 Date Card -61 Date
Card -81 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)
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
hsEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
Address or location of mobi lehome
Owner's name
Owner's address
Insignia or hud number
Manufacturer's name
Serial number of V.I.N.
(Official Approving Installation
PERMIT NO.
Year of manufacture
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.
i
.r+,a.ain.f+++�iY..^-,w�.!+.a.r.."�.`A--moi,,y„u,,•G��"�v..+.+s►.,..�"'""'l.,*s""".�.,�.`.r"--Rr-tom^.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
* 196 Memorial Way, Chico — Phone: 891-2751, ,
7 County Center Drive, OroviIle— Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
r
CORRECTION NOTICE
ZA
R
A routine inspection indicates that the following violations of County Ordinance w
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.
,a
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7.
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Inspector 61Z Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS /kE RrIT NO
7 County Center Drive - Orovilte, California 95965 - Telephone: 916/538-7541. D/J
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONJNG
BUILDING PER
O WNE
LS-sD
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAtAE
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDE
UNKNOWN
Total Valuation $
Filing Fee
$ —}0-.m�
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR EEN`G IEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ /
PLUMBING PERMIT
FiIingFee 10.00
�`>"3 d
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[] Mobilehome,>?) Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home G W
TYPE OF WORK
New❑ Addition❑ Remodel[] Utilities Installation❑ Other❑
Describe work:Ie/;7 ••,
__O-OOea
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10 00 D
Main service EA. AOD'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
oR ADDNST DWELLI G OCCUP.a) /22sgft
NEw CO _TR.
NON.R ESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES 200501
eALvso
FIXED S. OR
EX. DCCUp. OUTLETS TS (RE(RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. bYirin 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 become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I 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 Iia 'udgments, costs, and expenses which may in any way accrue
ag st said C my in consequenc94 the granting of this permit.
- `0 �,
Signature of Applicant — O Contractor E]Agent ❑
ner❑
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 $
OCCUP.
CONST.TYPEJ
SCHOOL
I FLo
ARe
I PD %:4
Is
This permit is hereby issued under
sions of the Butte County Code and/or
work Indic d ab a for which
DIR F PUBLIC
By.
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
n�
Dategl/ a
Receipt No. _ 17--a I — �7Z
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. G NROO-APPLICANT
` COUNTY OF BUTTE - DEPARTIUfT O -BUILDING DIVIS�QF O
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 /
PERMIT APPLICATION DATA SHEET `I//
Permit No.
OWNER A. P. No.
Proposed Building Use Building Inspector 4 Z _ Date
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. i-.! . . . . . . . . . .
2. Plot plans in duplicate/triplicatefsigned 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. . . .
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 ownerF])
_15. Improvements may be required. . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
P spection for Required.
Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
Pre-Inspec.request to (Date)
Building Inspector
21. Engineered trusses in duplicate (required prior to plan check).
22. 1
When you issue the permit, process as follows: " Mail to owner, Mail to contractor.
Telephone and hold for pickup at office, Deliver w/inspector.
L
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted pri
1. Index permit for above items No.
2. Additional items required:
V i
rmit issuance: (Circle new item not checked above).
i"
Contractor, designer, owner, was advised of above required data by_phone_Jnall_counter by date
Contractor, designer, owner, was advised of above required data by—phone _maiI_counter by date
Plans checked by
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
TO Buildinv Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner
Locatifon AP#
Plan Approved for: Sewage Disposal _ Water Supply
Hold final for: Water Supply
Final clearance O.K. for: Water Supply
Clearance for _ bedroo mo it home. Other
NOTE * +�
Sanitarian i
Defte
TO: Building Department
FROM: Encroachment Permit Section
yf .
' RE: 'Dilveway Clearance
,,2T�.���aXq -/ 8'33
owner /jj location AP #
Driveway permit kog 2 ee�'ll has been issued for the above property.
n b
sign re date
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).r d��� signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name 4;l L
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate,su ervise, and provide the major work:
Name ��Q.
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:
Prope
Socia
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.
v:.t . j, .'ii:i�. i ;:'fi �, - ii?rvYa'S�(, �5; � x�roy ry t 001AAA+� I
Return ,to DPW AGRICULTURAL STATI?
Order No. 27761
DESCRIPTION
***********
All that certain real property situate in the County of Butte,
State of California, described as follows:
Being a portion of the Southwest quarter of Section 3, Township
22 North, Range 4 East, M.D.B. & M., more particularly described
as follows:
COMMENCING at the South quarter corner of. said Section 3; thence
along the East line or said Southwest, quarter North 0012' East
2312.78 feet to the true point of betlinning for the parcel herein
described; thence from said true point of beginning, continuing
along said East line North 0012' East 320.0 feet to the Northeast
corner of said Southwest quarter of Section 3; thence along the
North line thereof, North 89044'37" West 660.0 feet; thence South
0012' West 320.0 feet to a point that bears North 89944137" West
from the true point of beginning; thence South 89°44137" East
660.0 feet to the true point of beginning.
TOGETHER WITH AND RESERVING THEREFROM a non-exclusive easement
for road purposes and public utility purposes over a strip of
land 60.0 feet in width lying 30.0 feet on each side of the
following described line:
BEGINNING at the Northwest corner of the above described parcel;
thence along the West line of said parcel, and said line
projected, South 0°12' West, 2553.92 feet; thence'South 36°31130"
East 24.30 feet; thence South 76145130" East 137.0 feet; thence
South 89°54' East 512.0 feet to the East line of said Southwest
quarter of Section 3.
ALSO TOGETHER WITH a non-exclusive easement for road purposes and
public utility purposes over a strip of land 60.0 feet in width,
the South line of said easement being described as follows:
BEGINNING at the quarter corner common to Section 3 and 10, said
Township and Range; thence running Easterly along the South line
of that certain property conveyed to L.A. Schager, et ux, by Deed
dated July 8, 1955 and recorded July 12, 1955 in Book 781 of
Official Records, at page 333, records of Butte County,
California, a distance of 720.0 feet; thence North 11132' East
along the South line of said L.A. Schager property a distance of
147.0 feet; thence continuing along said South line, North 56118'
East 774.0 feet and South 68°28' East 445.54 feet to the
Northwest corner_ of that certain property conveyed to F. S.
Marshall dated October 30, 1942 and recorded December 3, 1942 in
,Book 305 of Official Records, at page 473, records of Butte
County, California; thence along the Northerly line of said F. S.
,Marshall property, Easterly to the East line of said Section 3
�i..d���Aon ;;;be•n:92�k3,81.;50,. feet .,Northerly.. of ,they; Southeast{corner
• .. �`.?Y4 .5 �F.
AP #
OWNER
PERMIT 41�S YT
MH UT IL . CLEARANCE DATE
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compactioi
Test -Req.
Service
Size
Other
Load
Pipe
Type Size
Lerith
YES NO
YESI NO
o-
c�
Y.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSM17f�0
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541n�g
APPUCATIN AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
211 I=
BUILDING PERMIT
OWN 5'5On
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
lu,,
CNT,�.,(C OR S N ` E
•C
CONTRACTOR'S MAILING ADDRESS
SS ?0 `/f y'
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
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❑ MobilehomeEg' Other
SPECT FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation®' 0th r ❑ '',
Describe work: 42 U
v S --
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
t00 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 for c and effect.
e: -:J
License No. �S� ��� Classificationy
IEA.)2.00
❑ 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. ACG. BLDGS. / iosgft
NEW CONSTR I.OUTLET
NON.RES'D BRANCHCIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
EX. OCCUp�OUTLETS OR FIXTURES 20050!
6AL030
FIXED APPLISIS R
Ex. OCCUp. OUTLETS (RESID )
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 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
against id County in consequen a of the granting of this permit.
1/_s
X Date '7 O
Sig ure of Applicant — Owner ❑ Contractor Q 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 $
FiReFoy Insp__"--$
TOTAL PERMIT FEE $
OCCUP.
CONST.TYPE
SCNooL
FLOOD
PARCEL
PD
No
i
IssuE
This permit is hereby Issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
PE T EXPIRES Date�riO
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date%�-
P 00
Receipt No.
WHITE-D.P.W.. YELLOW-ASSE350R. PINK -INSPECTOR. GOLDENROD -APPLICANT
- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - ORO�Vyj� 0CE-, CAtIFfbRNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER v I, A. P: No. —
Proposed Building Use Building InspectorDate
I T_ C4W11a1_
At time o ermit 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. ....................................
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. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
12. School District fees paid .................
13. Sanitation approval from Health Department ...
14. City of Chico plumbing. permit ......................................
15. Plot plan and business license approval from City, of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Ins ection for re uired .. , , Pre-Insperequest to
p q •Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
26.
When ou issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephonei r(—Land hold for pickup at0 r�,I.—office. Deliver w/inspector.
Other
Appl icant - 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:
Contractor, designer, owner, was advised of above required data by_phone_-nail—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 6_1<9 Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
Phis set of plans and specifications MUST be
cept on the job at all times and it is unlawful to
make any changes or alterations on same without
written permisson from the Department of Publk
Works, County of Butte.
��tlll
Utility connecti ns shall be. within
4 ft. of the r ;,a'lahome, either
dir ctly behind r within the rear
half ) of the
mobilehome. -
A permit will be*r uired for Ilia.
installation of the obilehorm
18
A setback of6ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of -
structures or equiprrlpnt except
for a 2 ft. eave overhang.
N TE:—AII Materi!-ognized
& Workmanship Shall Be in
Ac oreance with . Good Practices and
of duality presc ibed for the Specified use in the
Uniform gui'ding, wrnbing & Mechanical Codes and
the National Elec rical Code.
Z9.=
BUTTE COUNTY
- A9V"pe10t, 12g`�69,5q .�o ALL.
---- -- 464)) tG DEPARTM.ENI
APPROVED
3�os-�Iy�c
Y
44
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541.
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: ��%!�?le I fit SSG on
2. Installer's Name: /---,e
3. Is the site currently under permit? Yes No F-1
(If yes,
furnish permit number
) OR
Is the site an
existing site? .
Yes
F I
No
E�
(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 No
(If no, clarify
1
5. What is the mobilehome electrical rating? --------------- /g d Amps
6. What is the mobilehome site service rating? -------------
204P
Amps
7. What is the mobilehome site circuit breaker rating? ----- ) 690 Amps
8. Is there any other electric load to be served by the
mobilehome site service? -------------------------------- Yes El No 2
(If yes, identify the load and size: (Load)
(Amps)
9. What is the mobilehome site gas pipe size? ---------------- (in.)
10. What is the type of gas service? ------------------- Natural LPG
11. What is the gas pipe length from meter or tank to the
mobilehome?---------------------------------------------
* 12. What is the mobilehome gas demand? ----------------------
*(This information not required if pipe length less than�-6, f't. ons
natural gas or less than 50 ft, on LPG.)
Q
MOBILEHOME SUPPORT DATA
If otlher_than single wide,
Mobilehome Mfr.U4;r furnish Setup Model No. ,6&If/2 Year' Til
Width�(ft.) Box Length d (ft.) Tagalong or Expando Size ft. x ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structuralsetupsheets (if not on file with the County of Butte).
FOOTINGS (check one) Wood -pressure treated or.foundation grade.2. Other (specify)
SUPPORTS (check one)Iy(1. Concrete block. a2. Other (specify)
u Pier Footing Sizes and Locations
SINGLE -WIDE MUL11-
Main Beams
Line 2
Main Beams
Tag or Triple
in, 4
Line 1
Line 1 Piers Line 1 Openings:
Size -Min- ------------ x „ Size -Min- ------------------
Spacing-Max -
-----------------Spacing-Max. --------- _ Each Side of Openings
From Ends -Max. ------- ' " With Width Over ---------
Line 2 Piers:
Size -Min. ------------
Spacing -Max.---------
s -�
From Ends -Max.-------
Line 3 Roof Loads:
Size -Min. ------------
Location (From Front)
Line 4 Piers:
•'x a. �' 'x3 0' o� /'k
Size-Min -------------
.k „
Spacing -Max.--------- n
From Ends -Max --------
Line 5 Roof Loads:
Size -Min. ------------
Location (From Front)
Line 3 Piers: (Under Bearing Wall Only)
Size-Min-------------------
Spacing-Max ----------------
From
------------------Spacing-Max----------------
From Ends -Max .------------- "
.k he "A
tine 5 Piers: (Under Bearing Walls 0-17—
Size -Min .------------------
Spacing -Max----------------
From Enda-Max.------------- - "
,. .. .. ._ _ .. ,,. o. rr*"rl"-,-'rr,,....-c �7' � •••- :4'r'v "i} i'✓`• �Y'. ...�- . _. .... .� .. v.,= __;. .,ry-lx[ zi.?; r�i� .. �..'..
L3343 3079-89E
iaprings RdOrovillergan
H
A
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r
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 NUMBER
8 `
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS o
V &p ,--) s r 111.«
CONTRACTOR'S NAME
/LoK n e, e-
TELEPHONE
�3`f-S3�3
CONTRACTOR'S MA11LII�,IG 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
V L 6. CwJ % r K •" .f
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
(Q
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❑ Mob ilehome?,",Other I
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
r1
New [-I Addition Remodel El Utilitiestn Installation❑ Other ❑
Describe work: ✓ !/. L ��Cti_-�� e�-i. _
w� G
Permit Fee
$
Contractor
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
V OR
Main service 1000 AMP ORLESS10.00
/0.00
Main service EA. ADD'L 100 AMP
2.50 2 .
CONTRACTORS LICENSE LAW
I 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 CCCUP.tr
NEW AMULTI-OUTLET
,
h¢sgft
CONSTR.(
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. FIXTURES
2-LO0@50t
elo30
FIXED
Ex. Occup. OUTLETS ( R
RESID 1EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 / . GV
Permit Fee
$ U
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 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.
MECHANICAL PERMIT
FiIingFee 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, costs, and expenses which may in any way accrue-
agaiii`st said Cou ty in consequenc f;?he granting of this permit.
X ����� L�{1��.� Date
Signature of Applicant — OW%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 height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 379 S O
AZ
CUA
PARK
SCHL
FLD
PAR
JTTD
This permit is hereby issued under
sions of the Butte County Code and/or
work indicatedbovq for which fees
/I
O1 ECTO_R_O'K PUBLIC
By \/-�
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date ,.
'9 ! %
Receipt No.q-719 n
WNITC-D.P. W., YELLOW-ASeE730R, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION ANb PERMIT
PER IT NO.
ASSESSOR PARCEL NUMBER
8 — . — 3
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ.FT. OCC. BUILDING VALU.PftION
OWNER'S MAILING ADDRESS �� 0,-0.
D ecJ rr
ONT ACTOR'S NAMETE`EPHONE�
Q2
S���JJJ19 SJ (p!
CONTRACTOR'S MAILIN. 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 /
O G.G— C.eI / YC S
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
USEOF UCTURE
SF [IDuplex❑ Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
1 5.00
Mobile Home S I G I W 1
110-00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities installation❑ Other ❑
Describe work: CF.- .. ��y I/ - L--e2C x'�i oK _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 p, i.`?o
Main service EA. ADD'L 100 AMP
2.50 2— 5'0
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
El 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.OR ADDNS. ( / ACC. BLDGS. DWELLING OCCUPM
'/z2sgft
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20050Q
eAL@30
FIXED
Ex. OCCUp. OUTLETS PR
RESID )EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 IS -00
Permit Fee
$ Q
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 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.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 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 Iia . dgents, costs, and expenses which may in any way accrue
$aid rmit.
ag ou ty , n conse uence granting of this pe
Date
ontractor ❑ Agent ❑
Signature of Applicant — OwLova,iacns
An OSHA permit is required for 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 $ �o S d
HAz
CUA
PARK
SCHL
FLD
PAR
PD
I HD
Iss E
This permit is hereby issued under
sions of the Butte County Code and/or
ch fees
BLIC
work in21a5f
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date _
Receipt No. �%�1�
WHITE-D.P.W.. YELLOW-ASDE350R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DeoarM- nt 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
constru ti°
Name
Address v `- 0 -L - City
Phone S_ - ntractors 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 Number —
Date 9/ 14 ,meg
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.