HomeMy WebLinkAbout058-330-06858733-68 230=90 MHU
DAIGLE, Mark
13159'Mullen Way, Oroville
(MHU)
etc
s,
ELEC I/
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'COMPACTION TEST, -REQ _
SUPPORT'STRUCT REQ
,58`33 68 231-90 ,MHI
DAIGLE, Mark' + w
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A setback o. from the .-
property lines and a setbac
50 ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang -
N /4°26#/5"W `
PARC
5.0/ ACRE 5
eFPs �c.
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29
Mii7
60R/!Y4& Pa -
(SEE NO TE NO-/
iVe9° 0/'0 7 "'E 7WTORE COUNTY
PM.j14ZDE-PARTMENT
SU1?VEy00.5 CEiMPICATE
TN/S MAP WAS PREPARED sY ME OR UNDER MY DIRECT/ON AND IS BASED
UPON A FIELD SURVEY /N CONFORMANCE W/TNT U/REMENTS OF ;W
SUBDIVISION MAP ACT AND LOCAL ORD/NANO QUEST OF
1/64ER AND TACK/TT ONMARny I, I98? c 1, Y E THAT TE//S
PARCEL MAP SUBSTANTIALLY CONFORMS {,p4P CONDITIONALLY
APPROVED TENTATIVE MAP, IF ANY. ��
'2 LS.42Q2,�
RICHARD
. S. 4202
COON
TL//5 MG P
DIV/5/ON Ad -
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THE 60' Ao(,O/v
FOR DED/CAT,
ACCEPTED AT
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OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Mark Daigle
ADDRESS: ___ 13191 Mullen Way
CITY S STATE: Orovi 1 1 e, CA 95969 IMPORTANT:
November 15. 1990 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING Gnnnc no cFav►rvc
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Owner has decided not to do work. Permit #231-90B,
AP#58-33-68, Receipt #58537, dated 1/24/90.
Total Permit Fees Paid -------------------------------------- $70.00
Retain Building Permit Filing Fee ----------------- $10.00
Total Permit Fees Retained----------- $10.00
---------------------
TOTAL REFUND DUE ------------------------------------------ $60.00
TOTAL
$60,00
I, the undersigned, declare under penalty of perjury that the services or articles claim been performed or delivers , 1d that t
claim is true nd correct ae stated.
Dated thisJ,!i ................ day of 1 19�p etl.
........... 1.1/1...�./4r....I�s.... Calif. ......... ................................................
Signature of Claimant
I, the undersigned, hereby certify that, to. the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation[] or Specific Board Approval[] (Checkone) for t` me.
Dated this......15th November 90 Oroville
day of ............................. 19....... at ............................... Calif. .....
ertment Head or Authorized Depu
Dep` 440-002 Cod 4210500 Const. Permits
Code ............................................ Code ................................................PAYABLE FROM ................................................. FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO.
INV. NO. INV. DATE ENCUMB. GROSS AMT.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllrer California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
�22 3 ) `-j 6
ASSESS R PARCEL NUMB 'Fr
zorttA
BUILDING PERMIT
o
TEL PH y
SO. FT. OCC. BUILDING
VALUATION
OW E Mf ILI NG DRES
!�tT
LEPHONE
CON TOR'S MAILING ADDRESS
Fireplace
CONS CTION LENDER
UNKNOWN
C
Total Valuation $
Filing Fee
$ 10.00
LEN..RPS MAILING ADDRESS
Permit Fee
$
ARC IT CT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ !
Energy Plan Checking Fee
A CHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Oro ,U 1, e-
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5'5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeX Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G I W
0.00e
TYPE OF WORK
New ❑ Addition❑ /Remode ElUt'' Ijties [I Installation Other ❑
Describe work: 1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V 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):
F -1I am licensed under provisions Of Chapt. 9, Div. 3 of the BusineSS
and Professions Code and my license is in full force and effect.
(cense 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.11
OR ADDNS. C ACC. BLDGS. /
2,/20sgft
NEW CONSTR. MULTI -OUTLET
HPCIRC ITS
NON.RESID BRWER
2.50 ea
AANCH
(POe
ISINGLE OUTLET CIR. )
Ex. p\OUTLETS OR FIXTURES
Occu (
120 @50c
20@030
OALe30
EX. Occup. OUTLETS FIXED P(RESID )REA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
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
o Consent to Self -Insure.
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
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
al said County in c sequen f the granting of this permit.
X Date % '
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST TYPE
TOTAL FEE $
HAz
CUA
PARK
SCHL
FLD
PAR
PD
HO IssuE
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
I
COUNTY OF BUTTE - DEPARTME-NT'OFL PUBLIC WORKS - BUILDING DIVISION �f
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER A. P. No.
Proposed Building Use ,�%/1�--� Building Inspector 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 . ....................................
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. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees.
ai.................................................
p .
13. _/ School District fees paid ..............
approval 14. Sanitation from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
�23. Owner -Builder Verification (Given to owner T, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for ckup at office. Deliver w/inspector.
Other
Appl ican<t 0Date =� 9a
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle neV ;te{Ti t ch k d above). t'
1. Index permit for above items No. /
2. Additional items required:
Y
Contractor, designer, owner, was advised of above required data by_phone---- inail_counter by .date
Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in . File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-5-9r�-.
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) Yl signed an application for a building permit
for the proposed work.
3.. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but -I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Number
Date /— d-9 — 9'6
P
F,
r
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.
16
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14
TOP CHORD 2X5 FIR -LARCH 42
BOT CHORp 2X8' FIR -LARCH ti
WEBS 2XA FIR -LARCH STANDA C. EXCEPT AS SHOWN
111-2X4 FIR -LARCH 01
CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH
REGUIRE14.ENTS OF I.C.0_0. RESEARCH REPORT 12949.
ALL PLATES ARE TO BE CENTERED ON THE JOINT. LEFT Tfl RIGHT AND
TOP TO BOTTOM. EXCEPT WREN LOCATED BY CIRCLE OR DIMENSION.
SEE DRAWING 130 FOR -PLATE LOCATIONS ON TYPICAL JOINTS-'
ALL BOTTOM CHORD SPLICES OCCURRING BETWEEN
PANEL POINTS ARE TO BE LOCATED AT APPROXIMATELY
1/4 OF PANEL LENGTH FROM PANEL POINT IWITHTu 12-) AP40
SHOULD NOT OCC N PANELS NEXT Tfl A PANEL POINT SPLICE.
CONNECTOR PLATES DES NEO FOR GREEN LUMBEP. PER NDS
TABLE 6.18 -
Note: 2X4 #3 beR-fir or better onouzs lateral bottoms chord bracing
g32" 0-C_ sax. ^ecaired.. Atta-6 -16d nabs- SracLog is oot SX 12
required if a rigid ceil_ng is at directly to bottom
chord- Bracing material to be supplt and attacbed at bath
ends to a suitable support b! erection tractor.
pecmmneoded cm=ection Cor 22-0-0 trusses t 24. 4.C- to
bottom cbord: Simpson LU26- See catalog C- -1
! for nailing sPecificatioas-
5
3X8
TC X -LCC L -R: 0.29 5.9d 11.00 15.vb ii
BC X -LCC L -k 0.2-0 5.94 11.00 16.06 21.71
STNGLE CUT WEB 1 -ESC: 3 : 2 ENDS: 1.5
BEARING BLOCKS -SAME GRACE ANO SIZE AS BEARING; ME%eER
BRb LOC -1 00-00-00:1 BLOCK 12' LONG - 7 16d NAILS/BLOCK
BRG LOC 2 22-00-00:1 BLOCK 12' LONG - 7 16d NAILS/BLOCK
THIS GIRDER HAS BEENDESIGNED TO SUPPORT:
FROM ONE STOE-22. 0' OF SPAN FRAMING TO THE BOT CHORD
OPPOSITE SIDE— 2' 0'_OF SPAN FRAMING TO THE TC/0C SHIT
GIVING A TC LOAO OF 52•PLF AND A SC LOAD OF 315 PLF
TOP CHORD SHALL BE LATERALLY BRACED NIT PROPERLY CONNECTEO
PU. PI
LINS SPICED AT A MAXIMUM OF 24' 0.
ALL NAILS SPECIFT_EO ARE. COMMON WI5r NAILS.
5X8 /
3X8 X9 3X8
3X8 X6
11-0-0 11-0-0
22-0-0 OVER 2 Si>TS
R-40478 W- 3.50'
3X8
X8
- 12-0-0 ,
c�Ao s N- 3.50'
crAt r = A _2SA
PLT. TvP_-ALPP4E
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RESIDENTIAL
' 58-33-68 230-90 MHU
DAIGLE, Mark
13159 Mullen Way, Oroville
(MHU)
OFFICE COPY
Address
GAS
i Meter By Date
ELECTRIC �o�s
Meter By Date��
JOB FINALE
Signature
J=OK
O = Not OK
- = Not Applicable
Not Ready RESIDENTIAL (S
I' =
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-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. Gas Pipe; Size -Anchors
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. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
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 #'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. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-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 #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
jingle & Duplex)
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-Underfir. 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 #'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 Protection
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 0 Yes O No; Walks ❑ Yes ❑ No;
Planters 11 Yes Cl No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Date Card B-1 Date Card B -1 -
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
J=OK
O = Not OK
-=Not Applicable
Not Ready MOBILE HOMES
' =
OK except #'s
o11'ZpFrrng Requirements -Setbacks -Easements
So' pecial MH Support Sketch
!et3q4er; Location -Test- Concrete
atm Locatiorief&49sement Neededl.Sleetch)
rete
-Test-Wrap: / /" L
/" L"ft./ /"LPG
7. Utility Clearance
f r/ - _r
Ir vir
Date 34_1f-* Card B-1 Date Card B-1
Da -.e r-4. 'o^�G Card B-1 Date Card B-1
Dare r�MOBILE HOME IN TALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy ,
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports: Windows -Doors
7. Electric
8. Frma: Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date 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-PaneIboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.: Cir. Test -Water SuoDly Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
COUNT? OF BUTTE ._
DEPARTMENT OF ISUk3LIQ;1VbRKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
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.
Date !�— / r — 191/ Inspector �� /
iso /
COUNTY OF BUTTE :, DEPARTMENT OF PUBLIC W KS PERMIT NOI,'
7 County Center Drive - UroV�ille, &alifornia 95965 - Telephone: 916 3 - 1 c2 0 _ n
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMB -
ZOtLIN
BUILDING PERMIT
O WNE
/
��}}
K -t
T EPH NIE
/
SO. FT. OCC. BUILDING VALUATION
O N R'S AILINGA RES¢ I
l/ le
p A T R'S N M,.
U. heq
TELEPHONE
CONTRACTOR'S MAILING ADD ESS
Fireplace
CON UCTION LENDER
11 It
UNKNOWN
Total is
$
Filing Fee
$
L ND R'S MAILING ADDRESS
Permit Fee
$
ARCH TECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESSC
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
ro V i `
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
?I__�—
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 S W10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑]Ut' litiesg Installation❑ Other ❑
Describe work: oO1� lis') _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service sOOV OR LESS
100 AMP OR LESS
10.00 Q
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑NO
I am licensed under provisions Of Chapt. 9, Div. 3 Of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&
OR ACDNS. ( ACC. BLDGS.
2,/20sgft
NEW CONSTR. ULTI.OUTLET
N•R ESID BRANCH CIRC ITS
2.50 ea,
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(ouTLETs OR FIXTURES
BAL030
Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
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.
E3 -1/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
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,atilo expenses which may in any way accrue
gai t said Count in segue ce f the granting of this permit.
X r� Date /I� 7 a
Signature of Applicant — Ow(Ker I�1 Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
over 3 stories in height.No.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
iTOTAL
CONST TYPE
FEE $ d.SO
HAz
I CUA
PARK
I S,
1 D
PAR
PD
HD
I
Th;s permit is hereby issued under
Bions of the Butte County Code and/or
work in ed ab e f which fees
DI E OR PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
DateP.W..
nionol.slLructures
YELLDW-ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT`WP,UBLIC WORKS - BUILD NG IVISION
7 COUNTY CENTER DRIVE - ORO�VII-E,:OALIFORNIA 95965 - TELEPHONE: 916/538 7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER AoL La I, A. P. No. _2
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 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. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid ....................................... M
12. Park fees paid ....................................................
13. chool Dis r'ct fees paid .............. 14 s4
40!14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
1-9. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to �yy
Building Inspector (Dan's)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner Mail to owner ❑) ..... L ��
24. Recorded copy of Agricultural Acknowledgment Statement ......... 2 �U
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applica 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_maiI—counter by
Contractor, designer, owner, was advised of above required data by—phone —ma ll_couryter by
Plans checked b,
Copy—DPW
Date —e Plans approved by
Sets of plans on hold in . File cabinet AP folder
,date
/— date
Date
TO Building Department'
ti R
FROM: Environmental Health
SUBJECT: Sanitation Clearance
4.wnr e r
Location AP#
Plan Approved for: Sewage Disposal �' Water Supply
Hold final for:
Final clearance O.K. for:
Clearance for Z bedroom mobile home.
NOTE ***
Other
Water Supply
Water Supply
----- — Date
Sanitarian
c
COUNTY OF BUTTE - Department of Public Works
7 County Centdr Drive, Oroville, CA- 95965 Phone: 916-538-7541
N
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) s .
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
Address 1 11 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
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.
-5-& -33-��l ?--
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL, VEVELOPMENT
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
7:7 7
The property described herein is adjacent
90-003777.
'
Rec Fee 5.00
to land or included within an area zoned
Cash 5.00
for agricultural purposes, and residents
Recorded
of this property may be subject to incon-
veniences or discomfort arising from the
use of agricultural chemicals, including,
County of
-z
PARrr SHOWN..
but not limited to herbicides, pesticides,
Butte
Candace J. Grubbs'
,
and fertilizers; and from the pursuit
Recorder,
,
of agricultural operations including,
i : 27pm 29 -Jan -90
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which.
occasionally generate dust, smoke, noise, and odor. Butte County
has established .agricul-
tural zones which have as a priority use for
productive agricultural purposes, and residents
within said zones and on adjacent property
should be prepared to
accept such inconvenience
or disconform from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described. as
follows:
�'"i�l2CCL l 19-5 S b cvrAJ o TSAT C��2� A>AJ f'v1 A o� �4
v 70��As4iP 2-2-
p6)
Z
Po2�10�
AJ
%v i r -e- a /mss 4-i oel-G 3-7.
Date: January 29, 1990
State of California)
SS.
County of Butte )
.�� �Q4' 0J F �• O�
PR PERTY OWNERS:
Mark E. Daigle
On this the 29th day of January , 19_gD_, before me,
the undersigned Notary Public, personally appeared
**MARK E. DAIGLE**
[] Personally known to me. 0 Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose names) is
subscribed to the within instrument and acknowledged that he
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No. ti -
No y Pu 1" c
EN® OF DOCUMENT
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Uniform Building,
Ibe National Elec
& Workmanship Shat! B in
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for the Specified use iirid_,-
ins Mechanical Codes god
358. /5-
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