HomeMy WebLinkAbout058-340-02658-34-26
i' 'b- vid McIver
SECOND MHW/O PERMITS SfS pr�gravel kid., app.650'NW of Oro
Concow Rd.- Oroville
5/3/95 ��d Permit #366 '-379. E (ut
ELEC.
••tt DI` S� n `� GAS
��,( �) SUPPORT ST UCtURE REQ p�� �0' i \`�` "J COMPACTION TEST REQ./
58-34-26
Permit #A. 7-79MHI
I s s u ed
058-340-026 PERMIT#95-1790
HU W, T.K. & Margaret
13471 Green Forest Ln., Orov'lle
4
Relocate Util/MH% . j
ELECTRIC Z ab
GAS LINE LQG gay �25
COMPACTION TEST REQ }� o
SUPPORT STRUCT REQ N b
058-340-026. PERMIT#95-1791
H, T.K. & Margaret
13471 Green.Forest Ln., Oroville
MHI Ex Site
058-34-0-026 96-2620 B
HUFF, T.K. & Margaret
13471 Green Forest Lane 0 oville
(new cov deck)MH
MISCELLANEOUS Demo-Fire08
DEMO PERMIT - JUNE LIGHTNING
13471 GREEN FOREST LN AO�
HUFF T K & MARGARET,
=161"1 _ _ 2
908
MISCELLANEOUS Electric-Fire08
ELECTRICAL SERVICES - JUNE LIGid
13471 GREEN FOREST LN
HUFF T K & MARGARET,
\�I RIO
Im
LO
r
IIISESIDENTIAL
058-34-0-026 -- -
HUFF T.K. 96-2620 B
& Margaret
13471 Green Forest Lane, Oroville
(new cov deck)MH
z
1
r
d
f.
JOB FINALED (Dat -el -
Signature
V=OK
0 = Not OK
Not Ap
Not Readyble MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test Fall -C/O -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / /°L'ft.
/ /Nat. or/ /"L°ft./ /LPG
MISCELLANEOUS
Date DECKS VERS, CARPORTS, GARAGES(Plans) OK except #'s
Zon' equitements-Setbacks-Easements
gs; Soils-Size-DepthSpacing-ConnectorsSteel
C.Wtec��4ers and/or Joists-Decking-BracingStairs-Rails
ood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roofi-Shthg-Roofing
t.; Steps -Doors -Landings
Date Date Card B-1
Date Card B��1 Date Card B-1B��1 Date Card B-1
Date POOLS (Plans) OK except #'aOK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-DFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/9 Circulating Equip. -Pool LBhtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-Demand-Vatve-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/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS VERS, CARPORTS, GARAGES(Plans) OK except #'s
Zon' equitements-Setbacks-Easements
gs; Soils-Size-DepthSpacing-ConnectorsSteel
C.Wtec��4ers and/or Joists-Decking-BracingStairs-Rails
ood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roofi-Shthg-Roofing
t.; Steps -Doors -Landings
Date Date Card B-1
Date Card B��1 Date Card B-1B��1 Date Card B-1
Date POOLS (Plans) OK except #'aOK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-DFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/9 Circulating Equip. -Pool LBhtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
✓ = OK
0 = NotOK
- = Not Applicable
* = Not Ready
f
RESIDENTIAL (Angle & Duplex)
Date
FRAMING (Continued)
UNDERFLOOR (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning-Setbacks-Easments-Flood-Slope
48.
2.
Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P' Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
4.
Ftg. Porches & Decks; Soils -Steel-/ P' Ftg. Depth
52.
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
6a.
Hold Downs and Special Anchors
56.
7.
Slab, Steel -Wrapped
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
8.
Piers -Fireplace Ftg.-Steel
59.
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Brace Wall Panels
10.
UP Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
62.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
Date
13.
Pienums & Ducts; Clearance-Mate( al -Support -Ins.
FINAL (Plans) OK except #'s
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
64.
15.
Access & Ventilation
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
16.
Insulation
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Date
69.
Card B-1 Date Card B-1
Date
Fireplace or Stove. Clearance -Hearth
Card B-1 Date Card E-1
Date
72.
PLUMBING (Permit) OK except #'s
73.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Garage Fire Door; Swing -Landing -Closure
18.
Water Pipe; Test & Anchor -Nail Protection
76.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Plb., Elec. & Mech. Equip. Listed for Location
20.
Shower Pan; Test, First Floor -Tub Access
79.
21.
Test Tub & Shower, Second Floor -Tub Access
Guard rails & Deck Construction -Post Caps
22.
Gas Pipe; Sixe & Anchors
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Date
84.
Card B-1 Date Card B-1
Date
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral 0 Yes 0 No
31.
Service -Riser Conductors & Ground -Main Disconect
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat prool)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Wall Panels
61.
Insulation -Walls -Ceilings
62.
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
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove. Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/0 to Grade -HD Approval
93.
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:
COUNTYOF BUTTE- DEPARTMENT OF.DEVELOPM ENT SEFtVICES - BUILDING -DIVISION
-7 County Center Drive - Ordville,Ckliiorhll 95965 - telephone (916) 538-7541 P
�z
APPLICA TIJON AND PERMIT
ASSESSORPAKCIELNUMSER $ Wk.1
ZONING
BUILDING PERMIT
OWNERTELEPHONE
T.K. 6111 MARGARET MW
'534-4101-
S"OCC. BUILDING VALUATION
I
'
256 C 3,328
OWNERS MALAAAWRIESS
13471 NEEN FOREST -LANE, OROVII I E, -
(ANAME
TELEPHONE!
NO -AD
:CONTRACTOR DRESS
J,
Fireplace
CONST. L , n.:1I o .
. V
..
Total Valuation I$
Filing Fee
$
LENDER'S MAILIN1114101DRESS
Ar
Permit Fee
$ 63.00
ARCHITFCrn) ANEER. .
LICENSE NO.
Plan Checking Fee
$ '40.95
Energy Plan Checking Fee
$
ARCHITECT ORS' MEERV,MAJUNG ADDRESS
Penalty
$
BUILDINGADDRIISS 13471 GREEN FOREST 1ANE, OROVILLE
PERMITFEE
S 123.95
PLUMBING PERMIT
Filing Fee '-,20.00
77 ill
Each Trap
7.00
77-
LOT No.
.-SUBMISINI'S NAME
16
CEL ! W
Solar or heat pump water heater
23.00
Water piping
15.00
USEO t FSTRUCTVRE
SF'0 t!;*Dupleix 0. Mobilehome ,
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New; 13 --4Ad6ti& I 0 Rerrlodel 0 Utilities 0 Installation 0 Other OX
crig� Work:,;�.� - COVERED DECK
Mobile Home IS I GI W 1
(-8120.00
PERMITFEE
Contractor
ELECTRICAL PERMIT
Fifirw Fee .20.'00
Main Service OOV OR LESS�
OR LESS
/23.00"
Main Service 200A TO 1000A
46.06'
LICENSED CONTRACTOR' AECLARATION
I hereby affirm under penalty of p4ijury that I am licensed under provisions of Chapter
9 (comTnencing with Section .7000) of Divisi6n 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
i
OWNER -BUILDER DECLARATION
I hereby affirm under p e n -of perjury that I am exempt from the Contractors License
,' ry
"WWo,
Law for the following r on.
'
e- 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
O I;.as owner of the property, am-`efttuslvely contracting with licensed contractors
'to construct the project. -tl- ",, — .
❑ 1 am exempt under Sec. Bu >,nes-LIaS Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. & ACC. UDS.
so.
3.5t Fr..
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS
97.50
(POWER Aus
& SINGLE OUTLET
Ex. Occup. OUTLET OR FUTURES
20 (9 1.00
SAL 9 so
OR
Ex. Occup.' OUTLETS (RESID.) EA
OUTLETS
5.00
Temporary Service
—
23.00
Mobile Home Facilities
I
20.00
Misc. Wiring
23.00
PERMITFEE
Contractor
WORKERS' COMPENSATION DECLARATICRAP -711"
I hereby 'affirm under penalty of perjury ones of the following declarations,.,
0 1 have and will maintain a certificate of consent to self -insure f6.r workers'
comperigation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance"of work for which this permit is issued.
My workers" compensation insurance carrier and policy number, are:
Carrier
Policy Nu(nber
(The above'sections need not be completed iftthe permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any 'person in any manner so,,as to become subject to workers'
compensation laws'of California, and agree;that Lat if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shill
forthwith comply with those'Provisions x
,02 A A /I J
X I bate �6
SigAatu of gWant b own6r CE31 tractor 0 -,'Agent
An OSHA perm, required for excavations over 60" dee end demolition or construction
of structures over 3 stories in height:-
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE S
Contractor
Mobile Home Installation Fee
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE$ k3.95
HAZ.
I D. FEES
I VIMP A FLOOD
COFRq4 PD
PAV
HD
This permit is hereby issued under the
of the Butte C;un Cod% and/or
4140 al 9* 'es
Indic b which fees have
B y
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date -17.
(Date)
ReceiptNo.,-20
4
WHITE-D.D.S.-B.D. CANARY-ASSCSSO)V 'PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF OFNELOPMENT SERVICES -
7 County Center Drive - Oroville; California 195965 - Telephone
APPLICATION AND PERMIT
BUILDING DIVISION
(916) 538-7541 PERMIT NO.
ASSESSOR PARCEL NUMBER Z
ZONING
BUILDINGPERMIT
OWNER,
77
TELEPHONE
o,
SO. FT. OCC. BUILDING
VALUATION
OWNER'S MAILING AbORESS /
/, j /h - Yb
CONTRACTOR'S NAME
N—
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER -
UNMOWN -
Total Valuation $
Fling Fee
$ 20.00
LENDER'S "UNG ADDRESS
-
Permit Fee
$6
3^ , 0
ARCHITECT OR ENGINEER - -
LICENSE NO.
Plan Checking Fee
$ (Jn
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDINGADDRESSI
3 CI/;_73
PERMITFEE
$ � ,
PLUMBING PERMIT
Fling Fee 20.00
rQ-f CV -1
Each Trap
7.00
LOT NO.
SUBOMSION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehomeo< Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Rem el ❑ Utilities ❑ Installation ❑ Other
��
/
Describe Work: 1 L/ -� - C—
Mobile Home IS I GI W1
920.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filina Fee 20.'00
Main Service OOOV OR LESS
( zooA OR LE )
23.00
Main Service ( 200A To I000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
;, as owner of the property, or my em.p!o ees -.0h wages as their sc!e compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
NEW CONST. DWELLING OCCUR
OR ADDNS. ( & ACC. BUDS. )
SO.
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
POWER APPARATUS
( d SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FocruREs)
zo p I.50
RALE
FIXED APP S. OR
Ex. Occup. (ouruaTs IREs10.1 Ea)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring I
23.00 I
PERMITFEE
$
Contractor
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ /23, 9�
11A2. I D. FEES IMP
I FLOOD CDF PARCEL PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or Resolutions
indicated above for which fees have
BY
PERMITEXPIRESON
applicable provisions
to do work
been paid.
Date
(Dare)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.�ti,,..�.`..-'�-i�`Rl.....��.-.-...rwYSrw.,.�...---:r..-,_"�Y..-^^7�„t�.>;y.�..-.�.....-:�trrn'�rr`+..�..iR ...-r.-..6...,.��-r4.pJ _`n+,�-....,.....�.....,--.-�-��-'••,-•- -. .� -... ... .. .r...
COUNTYOF BUTTE - DEPARTMENTOFDEVELOPM ENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
OWNER
Proposed Building Use
PERMIT APPLICATION DATA SHEET
e.—
Building Inspector
A -
No. 0,5-8 - 3 y O- 02,C
Date /,( I'
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
83;'
ll items ha -ye been submitted . ........................ ............. .
lot plans,3A sets,,signed by preparer of plans. ..........................
mplete plans,q'4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome tsar d manufacturer's installation instructions, 2 sets. ...........
eesof $ .......................................... .
pact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year floby California Engineer . ............... .
,
anitation and plot plan approval Yv> Health Department . ............
City of Chico plumbing permit. ........ ....:. * * . * ........ .
16. Plot plan and business license approval from City of Biggs/Gridley: .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . .
20. Pre -inspection for to Bunspec4ns fe�U�
p required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ............ T
24. Recorded copy of Agricultural Acknowledgement Statement . ...... . ........... i
25. Letter of signature authorization . ............:.......................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
q0 Documentation of 50% subdivision developed or (A) Road improvements completed
/_*Iantl
and (B) Parcel meets zoning area and frq►age requVrents . ...............
Visn tion expired permits. ... _ .. 1...�?! .! ... ................. 7
checklist . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to gVner. Mail to contractor.
Telephone 3 c (-4I301nd hold for pickup at /'y — office. Deliver with inspector.
Other
Parcel Creation
/�
Acreage '/ Applicant 7� •u•�-LI' /`t Date /
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior ko pjermi4 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 �0 phone _ mail Counter by Date jf!�20-q<i
Contractor, designer, owner, was advised of above required data by �, phone _ mail Counter by � Date
Plans checked by Date Plans approved by G 1 34,a Date
Sets of plans on hold in File cabinet 71' AP folder
Copy - Department of Public Works
Z.,
••: E.H. US ONLY
Plot Plan Attached
Floor Plan Attached
Sent to B.D. /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well r
Clearance for ther UDl yhol gni-it.- 'P =tan 6CB cc)
Hold final for:
Final clearance O.K. for:
NOTE:
�0 N
Environmental Health Specialist
WEV
%/_ ;,a 7C
Date
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 M, 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: CONTRACTOR'S 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: CONTRACTOR'S 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
PROP RTY OWNER:
SOCIAL SECURITY NUMBER:
DATE: f l 144 — / 6
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
7Tti
44
------� .�
c.�iPA
Septic system and location 04 6tdkJ1
be as per
Butte County Health Dept. Re.
quirements.
All utility connections shall be
located within 4 ft, outside the rear
third section of the mobile home -
on the left (road) side of the mobile
home.
Tie Aiiig. Setback shall be 5 ft, from the
srde property .line and 50 ft. from th%
centerline of the road, permitting a max&
mum of a 2 ft. eave overhang but entirely
out of all easements.
�I p
e
4 a f�e9`'�e
c
NOTE: ---All Materials & Workmanship not Bs ��
Accordance with Recognized, Good Practices :4
of a quality prescribed for. the Specified use in the
Uniform Building, Plumbing & Mechanical Codes ane!
the National Electrical Code.
This set of plans and specifications MUST be
kept on the job at 'all times and it is unlawful to
make any changes or alferations on some without .
written permission from the Department of Public
Works, County of Butte.
3666= 7 y
BUTTE couNn
BUILDING DEPARTMENT
ARPROVED
i
i0 0��,;�
�c
d N E
Qjd�ki
•C
V
I
W
;i
This set of plans and specifications MUST be
kept on the job at 'all times and it is unlawful to
make any changes or alferations on some without .
written permission from the Department of Public
Works, County of Butte.
3666= 7 y
BUTTE couNn
BUILDING DEPARTMENT
ARPROVED
....... APPROVED ----.-.__
Butte county:,, ..
Environrnontal Health
-- -- - --
Cute
Signature _
Septi
t� k ss
�t
l
FILE
FILE C
This set of plans and. speaMm ons MO'BT be
�
kept on the fob at alltimes and it is unlawful LO
make any ohenges or-alteratfo,-i8 on same *itbout
-
"7
written xiermission from the Department of Pttblia-
Works, C6unty of Butte.
NOTE: All Materials. Workmanship Shall Be In
�--- - -- -
Aocordance -with Recognized Good Prac�ioes and
of a Quaut9Prescribed-ft�r-the SpeoitisdUse -
Uniform Bufldi n �$ & MeohMIOW
,Plumb
in the ,. - _
Codes and the National Electrical
....... APPROVED ----.-.__
Butte county:,, ..
Environrnontal Health
-- -- - --
Cute
Signature _
Septi
t� k ss
�t
l
FILE
FILE C
0
I
C. emACA
PT q Kq
'gild (VI a
qX4
T&I
e,.Xeip& d-5,
Ljx(4 LVOT
BUTTE Cou MTY
L JiLDNG DEPARTMMEN—f
A PPRO� ED..
f Ir
Ljx(4 LVOT
BUTTE Cou MTY
L JiLDNG DEPARTMMEN—f
A PPRO� ED..
TIDO R
,C)0 -F
Cov�-�t�tip✓�
?b osj3
� r
O' qq r ,
/fes
i P -66C
a
PPe5->O cam,,
-freq:� d PoS4r>
ykLj
APR
are C
Poo.. Zrl C) IN�
4 10 AA. I C6
and ends
a re em,Ie
",/ 44ZI,
+y
Ge-
ycLl Pfe,5-vcr- t cco,-4
fA
Ai-;
q)k&, - &C a vv -
I316 pJpb
r
ecl
Oki ?bp 06
p(ppe(
Supports
F kjTv
E coumol
Bt) i L D I Ma D F P A R Tt;vq E WN
A -trb
-R 0 V
49
K
X
COUNTY OF BUTTE- DE�ENT OF G� i/eLOOMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Orovjlie, Cal #ornia 95965 - Telephone (916) 538-7541 PERMIT�' O.
APPLICATION AND PERMIT �
ASSESSOR PARCEL NUMBER
058-34-0-026
ZONING
FR -5
BUILDING PERMIT
7 7 7
OWNER
T.K. AND MARGARET HUFF
TELEPHONE
534-4301
SO. FT. OCC. BUILDING VALUATION
256 C 3 328 -
OWNERS MAIUNG ADDRESS
13471 V
CONjggryi ft NAME
LX
TELEPHONE
CONTRACTOR'S MAULING ADDRESS
Fireplace
CONSTRUCTION LENDER -
UNKNOWN
Total Valuation Is
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 63.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 40.95
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
SULDINGADDRESS 13471 GREEN FOREST LANE, OROVILLE
PERMITFEE $ 123.95
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome XXj{Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 01K
Describe Work: COVERED DECK
-
Mobile Home S G W @20.00
PERMITFEE _
Contractor
ELECTRICAL PERMIT Filina Fee 20.'00
'
(Main Service aoov OR LESS
200A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
LICENSED CONTRACTOR'S DECLARATIOi4
I hereby affirm under penalty. of perjury that I am licensed under previsions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Fi0fessions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contrz ctors License
Law for the following reason:
• jsk I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR s0.
OR NS. ( 8'BLOB. ) 3.5¢ FT.
NEW C. MULTI- TI.OUTLET
CONST
NON-RESID. ( BRANCH CIRCUITS ) @7.50
POWER APPARATUS
(d SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FIXTURES 0 1.00
SAL
FIXED APPLNS. OR
Ex. Occup. (oLnLETs (REslo.) EA) 5.00
Temporary Service 23.uO
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE S
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
g
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE S
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor 'Code, I shall
forthwith comply with those provisions
/
X� Date ��_ Q
trtor ❑ Agent
Signetu a of �pcan O O_ •w er_ ❑ nac
An OSHA permif s required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 23.95
HAZ.
i
I D. FEES
MP FLOOD
CDF PAR PD
i
HD UE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
BY c/ Date
PERMITEXPIRESON
(Date)
ReceiptNo.�Or; r
WHITE-D.D.S.-B.0 CANARY -AS SSO PINK -INSPECTOR GOLDENROD -APPLICANT
�_�
Q
...''r .
4 .' ' _
.. .. �� `^
•- � � ,
. _. � h^ _ _
�y� �i ? ` _ _
.. �� i. _." ��
`` r
. � � �i
t •_
.��5�
.. .'iT� _ e.,.
..�'.
:y wdsa`. •,r #. .{:ti.ty. 'b� �'.3 aK ��fy.:.'sr�..-r4��.�'. x ,'kr.�.• >^.. �+SL �.
�- ,,��,( ,fir C �` '. ', -�=•,
�?. "i r •W:�� �- ���e� � "t��` "' Lilyy. � _'r } :� -a:M"v +?� k � �,r..
... w:i-�+fi:IY+}"'. �:':?�1fi. � ) v. k���� ^i'Y'^�iM3.�i.'_ *.t ._. . �f ��14��
COUNTY OF BUTTE
BUILDINQ)DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
CORRECTION NOTICE
O NER PERMIT6NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at `
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
pleas�c act this office immediately. {
.a
ADate Inspector
REV 492 '
VIOLATION CHECK LIST
A. P. # 058-34-0-026 Address 13A71 GRFEN FOREST LANE, ORO
Owner T K AND MARGARET HUFF
Owner's Address SAME
,Owner's Phone No. Supervisoral District
Tenant's Name Phone No.
Type .of Violation in Detail with Code Section Priority No.
2ND MOBILEHOME INSTALLED AND OCCUPIED
Specific Plot Plan with C/V Noted _yes no •Penalties Required
1st. Notice Sent 10/3/96 2nd. Notice Sent
ate Date
Comments and/or Determination
Disposition
.ens 0W.W.4.I
For Citation Citation
Date (Date)
Department Recommendation to Court
Court Action
Notice of Violation Recorded
(Date)
Ell" COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
i
CORRECTION NOTICE
OWNER If`.PERMIT NO.
/ 54(7/ •-
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please tact this o ice immediately.
Complainant:
"Address:
Phone Number:
Other Comments:
Building Inspector must draw a plot plan with all buildings and violations:
fin
Additional, comments from Building Inspector:
OVER
.
BUTTE COUNTY DEVELOPMENT'SERVICES
I X_
Inspector must.draw a plot plan with all building loeations:
t r
Additional comments from Inspector:
2
COUNTY OF BUTTE
-• BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
" 1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
-�
NER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately. i
AA�/N.•b.A '.:'�
n
9
n
41
Date Inspector
REV 10 92 s
/7/,-�y
}
'• �•
,�3utte Co
L A N D O F N A T U R A L W E A L T H A N D B E A U T Y
T.K. and Margaret Huff
13471 Green Forest Lane
Oroville, CA 95965
RE: Code Violations
13471 Green Forest Lane, Oroville
Dear Mr. and Mrs. Huff:
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
September 8, 1997
A.P.#058-34-0-026
This is a formal warning notice. Pursuant to Butte County Code (BCC)
Section 41-2, we sent you a courtesy notice dated October 3, 1996 notifying
you that you are in violation of the BCC at the above -referenced location.
As of this date, the following violations still exist:
Failure to obtain the required ermitst inspections and approvals from
this office for installation o? a mobilehome and occupying mobilehome .
in violation of the Mobilehome Parks Act of Title 25, California Code
of Regulations, adopted by Section 28A-1 of the Butte County Code as
follows:
(a) 1018 -Permits Required for any Plumbing or Electric
(b) 1048 -Inspections Required for any Plumbing or Electric
(c) 1324 -Permits Required for Mobilehome Installation
(d)--1326-Inspections Required for Mobilehome Installation
The above violation shall be corrected or abated by removal of the mobile -
home from the property or applying for a use permit from the Butte County
Planning Department. If the use permit is granted, permits will be required
from this office to do the work.
This is your final warning. Unless you contact this office and make the
proper arrangements to correct or abate the violation(s) voluntarily, within
ten 10 days from the date of this letter, enforcement shall be pursued
through the issuance of a citation (ordering you to appear in court) for
said violation(s) and for failing to comply with this warning letter.
Upon conviction of said violation(s) or of failing to comply with this
letter, the court shall impose penalties (fines) and a Notice of Violation
shall be recorded in accordance with Butte County. Code Section 41-7. The
Notice of Violation shall include a description of the premises the violation
concerns, a description of the violation, the date of your conviction and
the action necessary to correct or abate the violation(s).
Letter to T.K. and Margaret Huff RE: Code Violations A.P. #058-34-0-026
Page 2
September 8, 1997
Should you have any questions concerning this matter, please contact Scott
Rutherford or Michael Vieira in this office at the address or telephone
number listed above.
MCV:dms
I
Sin4duilding
Mic C.B.O.
Ma Inspection
1
2
3
4
s
61
7
s
9
10
11
12
13
14
is
16
17
18
19
20
21
22
23
24
25
26
27
23
29
PROOF OF SERVICE BY MAIL
I am over the age of 18 and not a party of this cause. I am a resident of and employed in
the county where the mailing occurred. My business address is:
I served the foregoing
(A.P. #658-34-0-026)
Building Division
Department of Development Services
- 7 County Center Drive
Oroville, CA 95965
SECOND NOTICE VIOLATION
by enclosing a true copy in a sealed envelope and depositing said envelope in the United States
mail with postage prepaid on 8TH OF sFPTFmFR - i QQ7 and. addressed as follows:
T.K.. AND MARGARET HUFF
13471 GREEN FOREST LANE
OROVILLE CA 95965
I declare under penalty of.pedury under the laws of the State of California that the
foregoing is true and correct and that this declaration was executed on 9/8/97
at OROVILLE , California.
Donna Sperling
Office Assistant III
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
October 3, 1996
T.K. and Margaret Huff
13471 Green Forest Lane
Oroville, CA 95965
RE: Code Violation A.P. #058-34-0-026
13471 Green Forest Lane
Dear Mr. and Mrs. Huff:
This is a courtesy notice to notify you that you are in violation of the
Butte County Code, as follows, at the above -referenced location.
Failure to obtain the required permits, inspections and approvals from
this office for installation of a mobilehome. Occupying mobilehome
without the required approvals. (A use permit will be required from
the Butte County Planning Department for an additional living unit
in FR -5 zone.)
Since permits and inspections are required for the above work, please submit
three (3) complete sets of plans, apply for the required permits, and pay
the appropriate fees. All work must stop until these permits are issued
and you are authorized by our field inspector to proceed. The field
authorization cannot be made until the existing work is inspected and
approved.
It is the County's goal to obtain voluntary compliance with the Butte County
Code. However, you should be advised that Butte County has an active Code
Enforcement Program which provides an effective means of enforcement if
voluntary compliance is not obtained. Enforcement may be pursued through
the issuance of citations, fines and the recording of a Notice of Violation
including a description of the action necessary to abate the violation.
You have thirty 30 days to voluntarily comply with the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you. Should you have any questions concerning this matter,
please contact Scott Rutherford or Michael Vieira in this office at the
address or telephone number listed above.
Sincerely,
MCV:dms
Mi ael C. Vieira
Ma ager, Building Inspection
cc: Assessor
Mr. Mike C. Vierra
Department Of Development Services
#7 County Center Drive ,
Oroville, Ca. 95965-3397
Dear Mr. Vierra;
RECEIVED
NOV 13 1996
BUTTE COUNTY
BUILDING DIVISION
This is in response to your courtesy letter dated October 3, 1996 regarding our residence
on 13471 Green Forest Ln. Concow, Ca. Your letter indicates we are violating a County
Code by having two residences on a piece of property that is only zoned for one dwelling.
We discussed our situation with your Planning Department a couple of weeks ago to see if
we could make the second mobile home legal through the permit process and it appears
that. since our property is less than 5 -acres it would be highly unlikely that a permit
would be approved.
Our 27 -year old son, his wife and their 5 -year-old daughter have been living in the second
mobile for a couple of months due to financial necessity. His wife is due to deliver a baby
in about a month. Both my son and his wife are actively involved in the Concow
community in a positive way in that he is a Little League Coach and a Den Father for the
Cub Scouts and she works at Golden Feather School as a Teacher's Aide. He is also
employed as a carpenter. They are trying to save enough money to move to their own
place and hope this can be done in a few months.
Due to financial reasons we are requesting an extension on the date we need to remove
the second mobile. We could have it dismantled no later than April 15, 1997.
Any consideration your office may be able to provide our family would be most
appreciated.
Sincerely
T. .and argar ff
13471 Green Forest Ln.
Oroville, Ca.
�q LO
b
0--a 7
OL
0� �
3T111� OF CAUFORNIA - BUSINES& TRANSPORTATION AND HOUSING AGENCY PETE WILSON. Gown=
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT °=°°"`
6milON OF CODES AND STANDARDS
1800 THIRD STREET, Suite 260 P.O. Box 1407 -4
SACRAMENTO, CA 95812-1407
(916) 445-9471 FAX (916) 327.4712
TDD 800-735-2929
February 28,1995
William Thomas Hackney
Minute Man Anchors, Inc.
305 West King Street
East Flat Rock, North Carolina 28726
RE: Minute Man Anchors Inc, Engineered Tiedown System
(Model No. M.M.A.-B.T.D) (SPA No. B.T.S.-119).
Dear W.Hackney,
This letter is notification that the engineered tiedown system ,
Model No. M.M.A.-B.T.D. has been approved by the Department under
Standard Plan Approval No. S.T.S.-119.
This engineered tiedown system was approved on February 23,1995 and
expires two years from that date. This letter serves as evidence of
this Department's approval and should accompany all applications
for permits.
Please feel free to contact me at (916) 445-9471 if you have any
questions.
Sincerely,
Chris L.Anderson
Mobilehome Parks Program Manager
cc: Mike Rosenburg
90/TO'd 6009LL89T6T2LSOL92-- 01 6EbT 89Z(602!) S83Id '1N3-) b10d-d OT:-cT S66T-£0-onu
AUG -03-1995 12:15 FROM CENT. PIERS (209)268 1439 TO --367057319168775009 P.01i01
- JLH-06-1995 19- �5 MINUTE -MAN ANCHORS o INC. 704 692 82'58 'Kel
i
0
I
.yam tis�m
"TM plorser
jr Inc.
#10ome the do s"
MINMZ-MAN ANCRORBo. INC. MOXNIIZRED T1 DOWXB
State of California SPA No. E.T.B. 119
I certify that I have installed the •Minute Man Anchors,
Ync., anchoring system as per the installation
instructions. T have made no modif icat ions to the
anchoring system or to the building structure.
Company Name:
Conttactora License No.
signature 1
i
M.
306 West Walker Street • Lo Flat Rock, North Carolina 28726
Telepl
MA
MINUTE MAN ANCHORS, INC.
` ENGINEERED TIE DOWNS
ENGINEER APPROVAL
STATE APPROVAL
A►►ROVEp
Uww? to C+Olm=i0m poom
Ap.....� do= .N .wr..iw .. .00... ow ..rM.. «
1...
°► { 17916
6
Dop Flo" M 11,14iy a" C.Mm,,* 55,4180...
# `
OF C���►
COM MO VAk"m
f
SPA N
THIS 11EDOMN SYSTEM MEM 114E AREM005
of SW ISM 3r SUEIS�CTION (e)
Vhis Plan Appowal Expi !3
FS = ENOII!$Rt
MINUTE MAN ANCHORS6 INCA
~ was .�+■t
s and �H >< w Hlt M sir 014 IIF4�
Desia n &- General Notes .
DES ON LOAM
MHNo 1s PW
SGML BEARING `• ................1000 PW
It DOM $VMS � 31WO WMW I=
saw zm .................. 4
IM DM STRAPS TO 8E WL 1 1/C W x 0.036 IWICKNIM DNN PLAND �
Mw M MAL wm OQ-S-7QIN FOR TYPE 1. QAU 8. GRADE 1. STRAPPING.
EAR'iK.AUGERS.................. 2NU TO 4"" MIN.)
CROSS DRIVES..'7T7f ( M)
CONCRETE BLAB ANCHM....300/ ( )
GENERAL NOTIM
1. 1NE CMArM SHOWN HSN ARE FOR TN4 REQUIRED NUMBER OF TE DOWNS
ON THE S0 OF IM MAMLWACTURED HOME.
4. TE DOWNS ARE RE W4D AT EACH CHASSIS BEAK EACH END OF EACH
1RANSPORTARE SECTION OF THE MANWAC AM HOME AND CAN BE ANY
OF THE TYPES S10MI H umm
S. COMMATIONS W THE DpFOIENT TYPES OF TE DOWNS CAN OE USIM.
4. IN THE EVDfT AN CAM AU R CANNOT K INSTALLED DUE TO AN
OOSTRIJCTHON. USE OF CRASS DRIVE ANCHORS 19 PERMI1IM PROVIDED '
Z CM= DRIVES ARI: NSTAUJD FOR EACH EARN AUGER THAT CAWT
K MULLM
& FOR ALL TE DM OWALLATlC M TIE M>:n. NOW CHASSIS MCAM
ARE 900 AS Or KAMS. FOR ILLUSTRATION PURPOSES WILY. CHASSIS
TAWS CAN ALSO BH: C SHAPED OR RFC, SHAPED. _
&CCND, TE DOWNS CAN IN LWA70 WAN lir OF ETMER SIDE 01 CHASSIST
eEAIII-Alas-As-slHo�.--�
CHASSIS
WAM CnU�,Sx
7. 1NE 31= TYPIA U1lum M OF MAIE]RIAIS SHOWN HERIMMUM1116; W i ®�
LAROM LONGER. HEAVER MATEFAALS SJPPM 9Y MNUIE MAN � ED
WAY EE USED AT TOE &#A SPACMO Ill LOCATIONS SHOIME
4 ALL PARR ARE STAMPHA MMA --WTI THE APPROPRIATt PART MaR.A
90%Z0'd 600SLL89TGT2LSOL92-- 01 62VT 893(60E) S�Gl d '1N30 WOdd TT:7.T 1-366T-m-onu
'JU d lt:11 .L
�j.
SLE WDEi
EAFiTM ALjC�
114'0. 11011E �� 7Y
OOwNS
2 3. 4
0I
t
1iCp. 1101
MW
SLE WDEi
EAFiTM ALjC�
114'0. 11011E �� 7Y
OOwNS
2 3. 4
0I
t
E
E
1iCp. 1101
MW
�� 73•IM_I4
s
s1 7
E
E
C
no Do n am
�wrw�
PSR @OL%dr TOP
6
J. moi.
ME TIE OOFAW
DETAIL I"
Croce Drive Tie Down
90iS0'd 600SLL89TGT2LS02,92-- Ol 62bT 89ZC60Zl Sd3Id '1N30 WON -d 2T:ZT S66T-m-onu
-tv '
MMASD2
STAB ZER
PLATE
4 44.50 ON, 3/4
MMA -35 30' AUGER ANCHOR
CROSS DRIVE ANCHOR
W/ 23/32' DIA.x3r Roos
Minute Man Tie .Do
3a
Installation Instructions
32 SWM
W/ BUCKEL
FIRST CHECK FOR UNDERGROUND UTILITY LOCATION&
EARTH AUGERS
I. INSTALL AUGERS MIC SOL WIIH CONSTANT DOWNWARD PARE TO
MINS 80LL OWJEANCE LEAVING APPROX If OF SHAFT E*O=
2. INSTAL. STABILIZER PLATE - DRIVE FLUSH w/ GROUND SURFACE.
3. COMPLETE TURNING AUGER INTO GROUND UNTIL AUGER MEAD IS FLUSH
W/ GROUND SURFACE k TOP OF STABLIM PLAIE.
i cRoss oRlvi�s
ACE ARS use w+I� aARD oR Roac�r solL ocout�ss. �' t�
cRouMD SURFLs o�> THAN Isaac OR M1NNdw r ASPHALT, Ex1cASE
THE caves oalvEs w/ oo_Rcc�a�s sHo� IM oETAt< 'e�.
CONCRETE 8LA6 ANC�iORB � •
1. 0W.WIE SLAB 10 MIN. S 1/r THICK AND IN 0000 OONOI QK
2. MINIUM SLAB ARES MMURM FOR EACH ANCHdt IS Zd S&
ORAL PROPER SIZE MOLE IN SLAB • M94MUM 12* FROM ANY
ALL APPLICATIONS EID
1. ATTACH MAPS Tq d1ASSIS 6EJIM IN MANNER SHOWN.
P
2. NM SPLIT NUT. SPNUT. CUT OFF EXCESS STRAP k TIONIQI
90/20'd 600S2,L89T6T2LS0L9€-- 01 62PT 89Z(60Z) S63Id 'INTO W08J ZT:ZT S66T-20-onu
ClMC
Pmm OMT-om TOP -ice
Do Ti[ cm
WW !m? ! my MtlT �T 1 IRR
s'fAlR2�
ftATL
PA O
Earth Auger Tie Down
pa say -ft T
OO TIE Om
MHT DOLT • IRR 4w -w
w M•
Me Tie Down
AT Np�r11E)pIT C► AT
W -W, R15TALI.
MAL O/
!;PLA]Q�7
11r
1/Y' A307 DOLT
MAXT
/
an& iwtM
s7w
1M
K OOM1 Amcm R
C BCAM CHASM
FM BEAM CHASM
BUTTE CoUj
n A Ii RA
C Beam Chassis
RFC Bea&Uq
lu
iTY
ITT
90ib0'd 600SLL29TGT2LSOL92-- 01 62bt 89ZC60Z) S83Id '1N30 140dd Zt:2Z S66Z-20-onid
RESIDENTIAL
058-340-026 PERMIT#95-1790
HUfF, T.K. & Margaret
13471 Green Forest Ln., Oroville
Relocate Util/MH
- - - - 7- z?j� -
JOB FINALE D (Date _
-Signature'
F �'
Y=OK
O=Not OK '
= Not Applicable MOBILE HOMES
=Not Ready •.
Date MOB OME UTILITIES Plans OK except #'s
Zoni g Requirements -Setbacks -Easements
Soils Special MH Support Sketch
Se Location -Test -Fall -C/O Concrete
Wa Location -Test -Easement Needed (Sketch)
j5-1bectricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -fit- ap: / /"L"ft.
/ /"Nat. oV,5!"L"ft�"LPG
a� 7. Well Clearance & Disconnect
_8 ility Clearance
Dat ard B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
Z�g Requirements -Setbacks Easements
Fo as: Size-Soacino-Marriaae Line
9 -Ga H Test-Demand-Valve—Connector
Elec Ity; MH Test -Crossovers -Breakers -Clearances
rai u1H Test -Fall -Flex Connector
a H Test -Regulator -Connector
a Sewer Connected -C/O to Grade -HD Approval
tv Taoaed
rt. of Occupancy
Date/ ®Card B -l_ 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.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single
' =
Date UNDERFLOOR (Plans) OK except N'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-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wra pped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except n's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
------------------------- --------------------------------
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
-------------- ----- -
-----19.-Shower
---- -----------------
19. -Shower Pan: Test, First Floor -Tub Access
------------------------------
20. Test Tub & Shower. Second Floor -Tub Access
- 21. Gas Pipe: Size & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except a's
----------- -- 22. Fixture & Transformer Clearance -Ins. Protection
------------------------ ------------------------------------
23. Elec.. Receptacles Spacing -Lights & Switches at Doors
-- - -------------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
-------- - - --------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
------------------------------------------------
26. Equip Ground made up w!Mech. Fastners-Bond Gas & Water
--- ---------------------------------------------------------
27. 2 Appliance CircuIs in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size ga.
Cu or At
-------------- - --------------------- ----------- -------------------- --------------
29.
-------------
29. Range Circ. / / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
----------------- - ------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
------------------------- -------------------------------
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 a's
34. -.A. -C.- Ducts Insulation & Support
35. Vent Fan: Exhaust above insulation
--------- ---------------------------------- ----------
------------- 36.
--------
36. _Condensate Drain & Overflow: Size & Grade
37. Furnance-Vent: Access -Comb. Air -Return -Air Vent -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 N'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
& Duplex)
Date FRAMING (Continued)
_ 45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-root 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 Exitinq Doors -Sill Hqt. & Dimensions
50. Garage Fire Protection Framing
_ 51. Property Line Firewall & Openings
52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
_ 55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights- Plastic
58. Shear Walls; Nailing -Bolts
59, Insulation -Walls -Ceilings_
60. Infiltration -Walls -Windows
--------------------- ---
Date
---------------------Date Card B-1 Date Card B-1
------------------------------- --
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except lt's
61. Ext. Steps -Door & Sidelight Protection -Landings
-----------------------
62. Smoke Detector
------------- ------- --------
63. Furnace: Vents -Clearance -Comb. Air -Connector -
in Garage: Above Floor -Ducts -Meth. 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;
iance; 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
7.. Insulation -Foam -Looked in Attic ❑ Yes
-- ----------- 78. Guard Rails & Deck Construction -Post Caps
--------------------------
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
------ -------------------------------- -------------- -
80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
----------------- ---
81. Stucco: Brown -Finish
-----------------------
82.
------ -------82. A.C. Unit: Disconnect. Electrical, Plumbing
- ---- ------------------------------ -pp -- P -
83. Vents Above Roof: PIb9_ A liance-Fire lace. -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
- -Gas
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
------ ---------------------------------
Date
------------------------------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:
1
COUNTY OF, BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS
7 County Center Drive - Oroville, Laliforriia 95965 - Telephone (916) 538-75 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 058-340-026
ZONING FRS
BUJ161NGPERMIT
OWNER
TK & MA-RGARET .HUGG
TEl NE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAI""° ADDRESS 13471 GREEN FOREST LN OROVILLE, 95965
- -
-
CONTRACTOR'S NAME. OWNER - _
IV
TELEPHONE
CONTRACTORS MAIUNG ADDRESS -
Fireplace
CONSTRUCTION LENDER _
UNIOJOWN -
Total Valuation $
Fling Fee
$ 20.00
LENDER'S MAIUNG ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BuwwGADDREss 13471 GREEN FOREST LN
PERMITFEE
S
PLUMBINGPERMIT
Fling Fee 20.00
OROVILLE, 95965
Each Trap
7.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex O Mobilehome 6 Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities 11 Installation ❑ Other ❑
Describe Work: RELOCATYE UTILITIES
Mobile Home
@20.00 60.00
PERMITFEE
s 80.00
Contractor
ELECTRICAL PERMIT
Filino Fee 20.'00
Main ServiceE00Y OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO IOOOA )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law jor the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
NEW CONST. OR ADONS. DWELLING OCCUP.
( & ACC. BUDS. )
SO.
3.50 FT.
NEW CONST.MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
EX. Occup. ( OUTLET OR FIXTURES )
20 @ 100
BAL Q .SO
Ex. Occup. (oFIXEED REws o.ORA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
20.00
Misc. Wiring
23.00
PERMITFEE
$ 0.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
S
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code,_ I shall
forthwith comply with :thF provisions.
Dade
'-Sig atur of PI ant - ❑ Owner ❑ Co ctor ❑ Agent
An OSHA permi ' required for excavations a '0" deep and demolition or constructionJ//
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 11.2.00
HAZ,
1 0. FEES I IMP
FLOOD
COF PARCEL I PO HO
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRESON
I
applicable provisions
Resolutions to do work
been paid.
Date
o; 27
(Dat
ReceiptNo. 180692
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD.APPLICANT
Attention Property Owner:
Ari."owner-budder" 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.
I. I personally plan to provide thema•or labor and materials for construction of the
Zproposed prop improvement :I[ ] NO[ �.
2- I HAVE[l f 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:
PHOS: CONTRACTOR'S 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:
ADDRESS: CITY:
PHONE: CONTRACTOR'S 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 WORD
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUMBER:
DATE:�—
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
Dear- Property -Owner. - -
An application for a building permit has been submitted in your name listing yourself as the builder of .
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply. '
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and- other costs) is S300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and. if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employers, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Buiiding permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Michael C. Vieira, C.B.O.
Manager. Building Inspection
NOTE- This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
0VTR
'
AnqYAP
r a,
PERMIT. V *
$ : MH,.UTIL. CLEARANCE DATE
"INSPECTOR
ELECTRIC
GAS
Support
Compaction
!rvice
Other
Pipe
Struc.
Test -Req.
Sze
Load Type
Size
Length
YES NO
YES NO
•.y i
t r
AUG -03-1995 12:15 FROM CENT. PIERS (209)268 1439 TO --367057319168775009 P.01i01
. -;.P` JLN-06-1995 19:35 MINUTE -MAN ANCHORS INC. I 704 6920258 P.01
� an
XINVT3-DEAN ANCHORS o- INC, E QUIVERED TZ DOWNS
State of California SPA No. E.T.S. 119
20NTBACPOR9 V1=rICATION
I certify that I have instilled the -Minute Man Anchors,
inc., anchoring system as per the installation
instructions. x have trade no modif icat ions to the
anchoring system or to the building struct4re.
Company Name: k r
Contractors License No.
Signature Date:
M.
305 West Walker Street • East fiat Rock. North Carolina 28728 Tel
.;a•�•:�
BUTTE COUNTY SCHOOLS Iy1PACT fEE CERTIFICATION FORM
(One Form Per Building)
School District ro V11b _ Building Department No.
A.P, NumberJurisdiction: i City FVI
'\ County
Property Owner
Property Location/Address I 75
7Subdivison
Lot No.
Residential Development C; Sq. Foptage D [�
a No. of Living HI Ad ition (Group R y
Units T7
Commercial/Industrial Sq. Footage
New Addition (Including Exterior
Roofe Areas)
t, --7L- J;7�
wilding Departmen Representative Date
(Floor Plans reviewed by School District Personnel)
No. 7 6 0 n 16
C6 School District certil
,3
(Street A,pdr%s
(City) \
has complied with the requirements of Resolution No.
t
representing square feet.
School District Rep sentative
s that r . -
(Ap licant)
' (Phone Number)
e) r� Gam. + (Zip Code) !
by paymr ept of $
I AB 2926 $
FULL MITIGATION $
Date
—Y —
Paid by Check # Remarks: jAIL (/�K
Bank Number
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School ,District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fullv mitioate its imoact on the school district's schools.
r
White (applicant), Yellow (building department), Pink (school district) feeform.wkt (11/94)dmm
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Califo¢nia 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT 95-1791
ASSESSOR PARCEL NUMBER
058-340-026
ZONING
BUILDING PERMIT
OWNER
T.K. & Margaret Huff
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
-
-
OWNERS MAILING ADDRESS
13471 Green Forest Ln. Oroville- CA 95.965_
_
CONTRACTOR'S NAME"
Owner
_TELEPHONE
CONTRACTORS MAILING ADDRESS - -
_
Fireplace
CONSTRUCTION LENDER -
UNKNOWN
Total Valuation is -
Fling Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
23.00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
13471 Green Forest Ln., Oroville
PERMITFEE $
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LAT NO.
SUBONISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome y+ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationXib Other ❑
%i� /��
Describe Work: MHI•-�X—&3-te / ,
Mobile Home S I G W
920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.00
Main Service000v OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, army employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
DR ADON ( a BLOB. )
s0ACC.
3.5¢ Fr.
MULTI -
T. MULTI -OUTLET
NEW CONST.
NON-RESIO. ( BRANCH CIRCUITS )
97.50
WER APPARATUS
(B�SINGLE OUTLET C R. )
Ex. Occup. ( OUTLET OR FIXTURES )
20 Q 1.00
BAL 0 .SO
Ex. Occup. (OUFIXED TLETS (REN o.) Ea)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0- 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if 1 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with hose provision t
X Date "
Si nature of licant - ❑ ner ❑ ntractor ❑ Agent
An OSHA per is required for excavati over 5'0" deep and demolition or construction
structures over 3 stories in)height.
Mobile Home Installation Fee Is
100.00
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 143.00
HA2.
D. FEES
IMP FLOOD
-� /_
CD PARCEL
PD H
ISSU
This permit is hereby issued under the applicable provisions
of the "Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
/O/V4_?of
BY ate
PERMIT EXPIRES ON
(Date
ReceiptNo. 180692
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
09,.Yx iG �i. .i 1. ��.�i A� .b ! iry3.. l r die' .-.its. :3.J.�.i�7M.. e.. v�i.s •Sv'1n.
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION --7 COUNTY CENTER DRIVE
OROVILLE, CA 95965 --PHONE (916) 538-7541
APN:
S-' 5/- 3 y t) -
PERMIT NO.:
Owners: /
Name: f
Owners:
Address:
Mobilehome ,
Ute''/
Year of f
Manufacturer
Manufacture:
Serial number e .--
/"'
Insignia or
�f/•
or V.I.N. ✓ J�
HUD number:
Official approving installation:
Date:
If the mobilehome is moved or relocated, the mobilehome installation acceptance shall b1come invalid. This form shall
not be used when the mobilehome is installed on.a foundation system.
513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor
V",.
s
COUNTY OF.BUf!E --DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
1. All items have been submitted . ...................... .................. .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ . ........... •
Impact fees as shown on attached schedule. ...... C .Q� �S
12. California Department of Forestry plan approval/fees. ......... ......... .
13. Flood elevation letter (100 year flo d) by Crifornia Engineer. . .
✓ 14. Sanitation and plot plan approvals YOVI Health Department . .......
....
.�
15. City of Chico plumbing permit. . ....................................... .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). ..... .
Pn:-lnspedion request
20. Pre -inspection for required. . to Building Inspector. (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _)............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use. .... ............................. .
Mobilehome utility clearance. o .............................
Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . .............................. . .
32. Plan chec list. ................................................... 9
When you issue the permit, process as follows: M'I to owner. Mail to contractor.
Telephone %iv and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. _
Copy of plans sent Health Dept. Fire Dept. T Other
The following data must be submitted prior
1. Index permit for above items No.
2. Additional items required:
Air Pollution Date
Date
ircle new item not checked above).
By
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by (s I l GvrJ_5 Date 8-1.5.q-5 Plans approved by (9 t 3 G'a„/ S Date fe) -/ 8
.3 Sets of plans on hold in File cabinet iC AP folder
Copy - Department of Public Works
••'- + E.H. USE ONLY
Plot Phn Ami&ad
FIm Plan AMAed
Sent to B.D.
TO: , Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location
Plan Approved for: Sewage Disposal Water Supply: Public
02Z
APS/
Private Well
Clearance for ,4 -4-3 bedroom mobile home. Other
/v" ks's e.. T'�. f��1/'u 20?c.rs" M, l-{�
Hold final for:
Final clearance O.K. for:
NOTE: / 0 k 5,5f PI,
,
j-N"I- 'Ch.1S bAIk C— iv lt"'` �-+•�- (Io v cc„
Envirdnmental Health Specialist Date
v
r
4 /07 5'Q.•r"('- l C.rc S
O.B.- I
i' i•iti.: v,r �.. ' S:>;: •. •�4z.
K{P .
�\i�
{. I�
v�
�: is i:;
.. 11 III
- - 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.
Cl) I personally plan to provide the major labor and materials for construction of the
proposed pro erty improvement: J NO[ I
_ HAVE ij HAVE NOT[ ] signed an application for a building permit for the
v
proposed work-
3.
ork3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: QTY:
PHONE: CONTRACTOR'S 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
NAIL M:
ADDRESS: Com:
PHONE: CONTRACTOR'S 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: -7 -7 ^ —
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
Dear Property Owner-
An
wner. An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself; you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
r .for which they apply. '
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and' other costs) is S300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Govertunents as an employer and you are
subject to several obligations including state and federal income tar withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and. if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employers, without a licensed contractor or subcontractor, only
under limited.conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Li J
Michael C. Vieira. C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
0 VE R
Y
0
M
Mobilehome Manufacturer: KC4 Manufacture Year:
If other than single wide, furnish Setip Model Number:
Width:aQ_(ft.) Length:�(ft.) Tagalong or Expando Size (ft.) x (ft.)
On all mobilehomes manufactured after October .7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood. pressure treated or foundation grade[ ] Other:
SUPPORTS: Concrete block] Other:
Provide Tie Down Specifications for all Mobilehomes:
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Lin Line 1
ine 2 Line 2
Main Beams
................................................................................................
Line2 ine 2
ine 1 Line 3
Line 2
................................................................................................
Main Beams
................................................................................................
Line 2
Line 1
.................................................ine S
Tag or Triple ine 4
Pine 1
Line 1 Piers: .
Size minimum: r 1 x
Spacing maximum: I t I `
From ends -maximum: `
Line 1 Openings
Size minimum: [ ] x [ ].
Each side of openings
with width over: `
Line 2 Piers: 3 Line 4 Piers:
Size minimum: [ ] x [ ]. Size minimum: [ ] x [ ].
Spacing maximum:Spacing maximum: `
From ends-maximugE�� From ends -maximum: `
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
r� / �'e Ai
OVER BUILDING D PA Tk1ENT
APPR � LJ
1s-- (7,qf
1. Owner's Name:'G
2. Assessor's Parcel Number:
3. Installer's Name: D 1A)Qi(
4. Is the site currently under permit? YesLo No[ ] Permit No
�s -190
5. Is the site an existing site? Yes, No[ ] (If yes, furnish two plot plans).
0 What is the electrical rating of the mobilehome? 1 D OAmperes.
7. What is the mobilehome site circuit breaker rating? Amperes.
8. What is the electrical rating of the mobilehome site? �;L{.Sy Amperes.
9. Is the main service remote from the mobilehome site? Yes[ ] Not, -.1k If it is, what is
the rating? Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? YeNo[ ] If yes, please identify the load and size:
a) The mobile home site: I ��
Load- M -�\ Amperes -
b) The main service* Z
Load- JI)a� I 2 Amperes-
11. Type of gas service at mobilehome site: Natural[ ] Propane[\] None[ ]
12. Size of gas pipe at the mobilehome site from the meter or
tank: 3 inches.
13. What is the gas pipe length from the meter or tank to the mobilehome?�W(ft.).
14. What is the mobilehome gas demand? % B.T.U.*
*(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
t
May 1995 8.5
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION (IVR): (530) 538-4365
OFFICE: (530) 538-7541 FAX#: (530) 538-2140
ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 13471 GREEN FOREST LN
APN: 058-340-026
Owner:
HUFF T K & MARGARET,
Permit No: B08-1611
Issued Date: 8/11/2008 By GLB
Permit type: MISCELLANEOUS
13471 GREEN FOREST LN
Subtype: Electric-Fire08
OROVILLE, CA 95965
Expiration Date: 8/11/2009
Description: ELECTRICAL SERVICES - JUNE L:
(530) 872-9690
Occupancy: Zoning: FR5
Contractor
Applicant:
Square Footage:
HUFF T K & MARGARET,
HUFF T K & MARGARET,
Building Garage Remdl/Addn
13471 GREEN FOREST LN
13471 GREEN FOREST LN
OROVILLE, CA 95965
OROVILLE, CA 95965
Other Porch/Patio Total
(530)872-9690
(530)872-9690
FEE INFORMATION
Total Charged: $0.00 Fees Paid: $0.00
Balance Due: $0.00 Receipt No:
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
HUFF T K & MARGARET, OL:CRW_00398783 / /
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 8/11/2008
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's Signature Date
❑ 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE -
COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required byCONTRACTORS
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
TO CONSTRUCTTHE PROJECT (Sec. 7044, Business and Professions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not be completed if the permit is for one hundred dollars ($100) or ass.
❑ I AM EXEMPT under Section B. & P.C. for this reason:
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
X 8/11/2008
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation Laws of California, and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
Owners Signature Date
XZA t 8/11/2008
�gz
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all. City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property own tura u oriz t acto he ropertyowners behalf.
8/11/2008
Signature / Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Per Itt a [S N� Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner 1:1 Contractor OR. DAgent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
4
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). 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 OF41gP
2. 1400/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. 1 PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
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
Description: ELECTRICAL SERVICES - JUNE LIGHTNING FIRE
Reference Number: B08-1611
Applicant Name: HUFF T K & MARGARET,
Owner's Name: HUFF T K & MARGARET, AP # : 058-340-026
Signature of Property Owner: �� Date:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION*
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 ?D6
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
PLEASE PRINT CLEARLY
PERMIT
NO.��'
BIN #
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
OWNER INFORMATION
Last Name
Firsame
'
Mai in Addres
S e
Z'
h e_Cf / s Fax
`�
-mail
APPLICANT INFORMATION
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City .
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
r�
PROJECT LOCATION
API p58 . 6 O
iPr dre s J
it `
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Scl FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office us o ly:
Zoning
lood Zone
SRA
Yes
No
Occ.
Type Const.
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION (IVR): (530) 538-4365
OFFICE: (530) 538-7541 FAX#: (530) 538-2140
ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 13471 GREEN FOREST LN
APN: 058-340-026
Owner:
HUFF T K & MARGARET,
Permit No: B08-1610
Issued Date: 8/11/2008 By GLB
Permit type: MISCELLANEOUS
13471 GREEN FOREST LN
Subtype: Demo-Fire08
OROVILLE, CA 95965
Expiration Date: 8/11/2009
Description: DEMO PERMIT - JUNE LIGHTNIN'
(530) 872-9690
Occupancy: Zoning: FR5
Contractor
Applicant:
Square Footage:
HUFF T K & MARGARET,
HUFF T K & MARGARET,
Building Garage Remdl/Addn
13471 GREEN FOREST LN
13471 GREEN FOREST LN
OROVILLE, CA 95965
OROVILLE, CA 95965
Other Porch/Patio Total
(530)872-9690
(530)872-9690
FEE INFORMATION
Total Charged: $0.00 Fees Paid: $0.00
Balance Due: $0.00 Receipt No:
LICENSED CONTRACTOR'S DECLARATION
OWNER I BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
HUFF T K & MARGARET, OL:CRW_00398783 / /
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 8/11/2008
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's Signature Date
1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier: Policy Number: Exp. Dale:
(This section nee not a competed if the permit is or one hundred dollars ($100) or less.)
❑ I AM EXEMPT under Section B. 8 P.C. for this reason:
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
X 8/11/2008
rL"'J ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation Laws of California, and agree that if I should become subject to the workers' -
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
Owner's Signatu a Date
•X,X 8/11/2008
, .L
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am qulthoriz acto property owner's behalf.
8/11/2008
Signatule Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency ford
Name ofPbrmrittee1[SrGNyVPrint Date
the performance of the work for which this permit is issued. (3097 civ. code)
❑ Owner ❑ Contractor OR. FlAgent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
�p�a€ oz63
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES PERMIT
BUILDING PERMIT APPLICATION" NO.
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 I
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION l
Website: www.buttecounty.net/dds BIN N
PLEASE PRINT CLEARLY.
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
OWNER INFORMATION
Last Name
First ame
Mailin Addres
S e
Z'
h e Z-3 A b Fax
-mail
APPLICANT INFORMATION
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City .
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
�jAPPLICANT SIGNATURE
Y'
PROJECT LOCATION
AP# `� 6
tP O
dre s J �
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING A.GENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK.
1
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office UJA o I :
Zoning
lood Zone
SRA
Yes V No
Occ.
Type Const.
Brute County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
I PERSONALLY PLAN TO PR VIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. (YES OR
2. I Ql? /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:
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO_
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
PHONE
CITY
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
Description: DEMO PERMIT - JUNE LIGHTNING FIRE
Reference Number: B08-1610
Applicant Name: HUFF T K & MARGARET,
Owner's Name: HUFF T K & MARGARET, AP # : 058-340-026
Signature of Property Owner: Date:
i
OFFICIAL NOTICE
BUTTE COUNTY PUBLIC HEALTH DEPARTMENT �.
DIVISION OF ENVIRONMENTAL HEALTH
202 MIRA LOMA DRIVE
OROVILLE, CA 95965
(530) 538-7281 (530) 891-2727r
FAX: (530) 538-5339 �t
=
TO: M� &LO V �'� ADDRESS:
3�i `-7 J fru ic_c;ST C.3. , (?'.N.Jc�3�;
SUBJECT: Notification of Cleanu
INSTRUCTIONS: Your ro ert has been assessed and cleaned of all visible asbestos household
hazardous waste and other recognizable hazardous materials.
__.._4, .,a�u iKiani Rnww If you believe
r the county "Bin Program" call 53x3-7473 and arrange Tor U11 L
nlaacP make vour own arrangements for disposal of fire deb
TIME ALLOWED DAYS
R �EtCPY
Offidal nolloe 8-2008
HAZARDOUS MATERIALS MANAGEMENT SPECIALIST
RIO'
\\ r;
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
www.buttecounty-netldds
www.butteaeneralplan.net
a
' ADMINISTRATIVE PERMIT FOR SPECIAL TEMPORARY TRAVEL
TRAILER — 2008 BUTTE COUNTY FIRES*
t' Owner: HUFF, T K & MARGARET I Phone #: (530) 872-9690
Mailing Address: 13471 GREEN FOREST LN, OROVILLE, CA 95965
E-mail Address:
Applicant: HUFF T K & MARGARET, Phone #: 530 872-9690
Assessor's Parcel Number: 058-340-026
Street Address of Site: 13471 GREEN FOREST LN, OROVILLE, CA 95965
The temporary travel trailer is allowed for a maximum of 24 months from the date of the event;
however, the use of the travel trailer will fall under the jurisdiction of Butte County Code Section
24-300(c) following the issuance of a building permit for a residential unit (stick built or modular
home).
*Any requests to extend the temporary use will be required in writing prior to expiration.
I HUFF T K & MARGARET, certify that the above information is correct.
Owners' Signature: ��% Date:Tr
TO BE FILLED IN BY PLANNING DIVISION
Administrative Permit: ADM08-0016 I Date Application Received: 8/11/2008
Verified Exis
Zone: FR -5
Date Appro
Dl—;— Al
Structures:
: 8/11/2008
EH Clearance Received: 08/11/2008
f
* Temporary Travel Trailer permit specifgaN'y for those properties with residences impacted by the 2008 Butte County Fires. Residences not
impacted by the 2008 Butte County Fires are eligible for a Temporary Travel Trailer pursuant to Butte County Code Section 24-300(c).
Date revised: August 6, 2008
K:\BUILDING\Fire Storm 2008\Forms\ADM_Special Temp Travel Trailer -08 Merg Doc.doc
i
i
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
www. b u tte c o u n tv. n etld d s
www.buttegeneralplan.net
- APPLICATIONXOR
ADMINISTRATIVE PERMIT FOR SPECIAL TEMPORARY TRAVEL
If
TRAILER — 2008 BUTTE COUNTY FIRES*
Owner:./ 1(, a, ( Y 1 A1U_1AJdj4M Phone #: 4�<` — 11401fn
Mailing Address: 12,41L(�
E-mail Address:
Applican�-Phone #:
Assessor's Parcel Number: 06-9 • `5040 -
The temporary travel trailer is allowed for a maximum of 24 months from the date of the
event; however, the use of the travel trailer will fall under the jurisdiction of Butte County
Code Section 24-300(c) following the issuance of a building permit for a residential unit
(stick -built or modular home).
I [OWNER NAME] certify that the above information is correct.
Owners' Signature: Date: A-11—OR
' Temporary Travel Trailer permit specifically for those properties with residences impacted by the 2008 Butte County Fires. Residences not
impacted by the 2008 Butte County Fires are eligible for a Temporary Travel Trailer pursuant to Butte County Code Section 24-300(c).
Date revised: August 6, 2008
K:\BUILDING\Fire Storm 2008\Forms\ADM_Special Temp Travel Trailer -08 BC Application.doc
&S
PERf�IT NO. 3666-79E,E
PERMIT EXPIRES Cal y�
David McIver
OWNER
CONTR. owner
58-34-26
LOCATION (A.P. )
S/S pri.gravel rd., app.650'NW oOro Cp�oW
Rd., Oroville
-
A0
Temp. Power Pole
Called PG&E
Temp. E,lec. Serv.
Cfled PG&E
e3 —� Gf/7l
p. Gas Serv.
g Called PG&E
C
DATE REMARKS OR CORRECTIONS
,�4 g
0
3
49
O - An entry m4ube made on this form each ti a you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS '
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Sekack
FN ewall
All Piping
ForAlli
PAPIs
Vt Floor
Mai Bldg.
Rest om Finish
2k Floor
Fo ins
Windo s
3rd loor
Stem all
Siding
To out
Slab
Roof Shelffilng
Water PI In
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwal l
Insulation
Heaters
Slab
Carport
Footings
Prov. for physic ly
handica ed
Conformance of ex.
structure
Appliances
Gas Piping & Tes
Temp. Gas
Slab
Final A
Sanitation
Patio
IR LACE
Final
Footin s
Footing
E _ ECTR CAL
Masonry Walls
Throat
Rough
Reinf. Ste
Final
Fixtures Al
Bond Be
FIRE SPRINKLNRS
Motors
Framina
Test
Water Htr.
Stucco
Final
Sub anel
Mes
MECHANICAL
Grd. Fa t Prot.
Scra4ch
wn
oo ng
T p. Pole
h
jHeatla(gServlcB
is
der round y %
toerlorLath
ntllatlon
ermanent
oser
r
anal
tinal
MOBILEHOME UTILITIES ..... •
Elec. Service�}-
Elec. Pedestal
Water Piping
Sewer �
Gas Piping
MOBILEHOME INSTALLAT O - - - - - - - j7 - - - - - Support
Water Piping R— Drainage
Elec. Continuity
rGasPiping i r .-
DATE REMARKS OR CORRECTIONS
,�4 g
0
3
49
O - An entry m4ube made on this form each ti a you visit the job site.)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
.of the California Administrative Code, Title 25, Chapter 5, under permit
number for the following location:
Owner "
Owner's Address
Mobilehame Mfg. Model Year��
Insignia No. Serial No. .
- It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White- Owner, Yellow- Installer, Pink - D.P.W.
MOBILEHOME INSTALLATION - INSPECTION CHECK LIST '
1. Is the mobilehome located w t required separation from'lot'lines and buildings and generally
conform to plot pian? Yes_ No
2. Does the mobilehome have required clearances aboveground? (Sec.5085) Yesl� No
3. Are footings and supports properly sized, spaced, and braced as approved plans? (Note
possible variation at spring shackles.) V!,;wo
82 & 5083) Ye _ No
4. Is the mobilehome level? (Sec. 5088) Yes
5.. If moan a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6. Water
A. Isf able connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes_ No
B. Test - Does water piping withstand working pressu a or 50 lbs. air test? Yes No
C. Backflow - If coach is not State of Calif# 'a oved, does station have backflow device
and pressure -relief valve? Yes_ No
7. Wastes and Drains V
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No
B. Does it have minimum k" per foot slope and is it properly supported? Yes V140.
C. Are any leaks detected in drainage system after running 3- allons of water through each
fixture including washing machine standpipe./,-. s No
D. If coach is not State of Californiaapprov es tation have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connect# not more than 6 ft. long? Note: All piping is to be at least as
large as the mobi home gas line inlet withou reductions other than the mobilehome
connector. Yes No
B. Test OK as per following procedure? Ye No
:1. Open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter to mobilehome with connector, tun on gas, test connections with
soapy water.
C.. Are all appliance vents properly installed?
Yes Nc
9i. Electrical
A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum of 100 amp) and,other facilities on lot, i.e., water pumps,
garage, cabana,•etc.?' Ye SK No
B., Is there proper clearances around panels? YetJ No
C. Is power supply cord or feeder assembly properly fused? Yes -1 No
D. Is continuity test satisfactory as per the following procedure? Yes No
1. De -energize electrical wiring system of the mobilehome at the pe estal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle �Ut
Length _�s Width f V
Vehicle Serial No. 7 7�
State Identification No.
Additional Information or Comments:
• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 C6unty Center Drive OroviIIe, California 95965
Telephone: 534-4541
• Y APPLICATION AND PERMIT
X8'66 -7049
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date Z12�7_
Signature of Pe mitee or Agent
Receipt No. 4175 D,
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF—PUBLIC WORKS
By Date 6-Z
B ilding permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address h/ I 7
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address S �v� QoV—Permit
Plan Checking Fee&/or Penalty
Fee
PLUMBING No. @ I FEE
PERMIT FILING FEE $3.00 3,00
Each Trap 1.50
Repair drainage or vent piping 1.50
�
A. P. N0. J U �
%,
ening & Planning
Water piping 1.50 10,00
Each gas water heater or vent 1.50
F
S't tion Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50 ,0,9
Parking
EQA Plans
ParcelEach
Declaration
Parcel IJIa
60' R/W I
Improvements
additional outlet .30
Building sewer 5.00 ift. t90
Bldg. Plan ed
Parcel A roval
Plan royal
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Permit Fee $
$ ^
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3.00
Main service 100 AMP OR00V OR SLESS 5.00 ^tea
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50 2,. 5"2>
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST % ACCLBLDGS.LING CCUP. Y) 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
tyle of:
NEW CONSTRULTI-OUTL T
NON-RESID BRANCH CIRCUITS 2.50ea
NEW CONSTR. POWER APPARATUS e
NON-RESID. SINGLE OUTLET CIR.
Ex. OccuD(OUTLETS OR FIXTIIRES) g @2j
sLNS
C24
Ex. Occup.(OUTLETSFIXEDP(RESID)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 ^p0
License No. Classification
Misc. Wiring 6.25
1,oD
.® I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$i
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
JZI certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
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
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 2.00
Permit Fee $
Land Development Fee
$
$ 1-S"a
TOTAL PERMIT FEE$
o//�� $•t
F4
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date Z12�7_
Signature of Pe mitee or Agent
Receipt No. 4175 D,
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF—PUBLIC WORKS
By Date 6-Z
B ilding permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR . S
.. 1 7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT J 1IQQ /
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date / 5
Signature of Perm,Itee or Agent
Receipt No. 1=9-! ��,__
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIR OR OF UBLIC WORKS
By Date --36�
g permit expires Date ��� d'��
BUILDING
Owner/110—
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
V !Q r
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address S� '
Plan Checking Fee&/or Penalty
Permit Fee
15;S" O-'Z�4
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
(�
Repair drainage or vent piping 1.50
A. P. No. 8"" 3 �' 6
d
6zo_.ing & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Rre s
FireDept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
��t ��
Bldg. PI(etec'd
Parcel A of I
Pla pproval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 1000 AMP ORV OR L LESS5.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD -L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.( DWELING OOR A.D.S. ACCLBLDGSCCUP. 7i) 20sgft
CONTRACTORS LICENSE- LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTR. ULTI-OUTLET
NON-RESID BRANCH CIRCUITS) 12.50ea
NEW CONSTR. (POWER APPARATUS .&
NON.RESID. SINGLE OUTLET CIR.
EX. OCCUR OUTLETS OR FIXTIiRES BAL@1
FIXED ALNS
Ex. Occup. ( OUTLETS P(RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
Dom exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
is . px
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date / 5
Signature of Perm,Itee or Agent
Receipt No. 1=9-! ��,__
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIR OR OF UBLIC WORKS
By Date --36�
g permit expires Date ��� d'��
MOB ILEHOME . SUPPORT DATA
/ If other than single wide,
Mobilehome-Mfr: ([�J��'� furnish Setup.. Model No. Year
Width l d (ft.) Box Length SS (ft.). Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehome.s manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on'file with'the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
V ( )
Single (� Footings s 1. Wood either
check one
A JIM A14J pressure treated or
foundation -grade.
ft.)(in.) (in.) (in.) L Ej 2. Other (specify)
Center support Center support
locat'ons* footing sizes Supports (check one)
(in.)
j 1: Concrete block.
x 1 E:]' 2 Other ( specify)
(in.) (`in.) fq
(ft.)(in.)
fft.) (in.)
(in.) (in.)
(in.) (4n.)
(in.)I (in.)
*Tf Fenter piers are other than drawn above,
draw i.n-lnnatinnG_ ananina_ and dimPncinna_
I4---Tagalpng or Expando,'
-+I show support details.
Typical Support
in. (in.) Footing Size
/Z X3D
op
_,f
-- Max. Pier Spacing
(ft.) (in.)P�
e -- Max. Overhang
(ft.)(in.)
BUTTE COUNTY
BUILDING DEPARTMEN
APPROVED
-„ BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-.4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: s/ �/�i� /,0✓> 'J ,
s
2. Installer's name: >1�✓/�"
3. Is the site currently under permit? Yes % ` / No
( If yes, furnish permit number -a— a ) OR
Is the site an existing site? Yes / / No
(If yes, furnish two (2) 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 )
5. What is the mobilehome electrical rating? ----------------------- Amps
6. What is the mobilehome site service rating? --------------------- l% d Amps
7. What is the mobilehome site circuit breaker rating? ------------- (/ y Amps
8. Is there any other electric load to be served by the mobilehome
(This information not required if pipe length less than 6 £t. on natural gas
or less than 50 ft. on LPG.)
-
siteservice?
---------------------------------------------------
Yes No / /
(If yes, identify the load and size:
(Load) ys (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? _� (ft.)
12.
:What
is the mobilehome gas demand? ------------------------------
(BTU)
(This information not required if pipe length less than 6 £t. on natural gas
or less than 50 ft. on LPG.)
-
BUTTE COUNTY DEPARTMENT OF PUBLIC_XORKS,
'.SPECIAL'INSPECTION' RFPORT'�
Ownet• C A. P. #--
6
Address: Date of Inspection
Tenant:��� Inspector
Building Location:
Type of Inspection requested:
1. Housing / ! 2. Financing 3. Chance of Occupancy to
-
4
4. Other (specify)— -_
Preseut use cf building: A4 .
A. SanitationJiRusijg
1. Water closet:
2. I.ava.torj :--
? Bathtub or shower:
4. Kitchen sink:
S. Piot and -cold water to fixtures:
b. Heating -fa:rUities:
7. Natural light and venfilation:
8 . Rdo:n and space requirements:
9. _BedrocAm window or door for second exit._
10. Infestation of insects, vermin, or. rod:=bits:
11. Connection to sewage disposal: -
12. Cornection to 'water supply:
13. Rubbish and garbage fact-1iti.es:
14. Comments:
B. Structural '
1. Pi.<ers and footings:
2. Floor constniction:
3. Wall construction: _ __
4. Ceiling and roof construct ion:
5. F .re.r i.aces: ____.
6. C��:nnents: ��— ..r �.�..
C. Electrical
i. Sezk-icc: ^nd frounj:�_
2.
3. Pus
4.
D. Plumbing
ar.vG co.-1nacv d and vented:
2. i1 t.citc s.«,_e...�....d�.....-r...-�.�.�_.-�.•-�_�_.-�.�..�
3. Cas t.t�at it �V--
4 . is nmmenr s • ' — -- -- - —
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3 Physically handicapped:
4. Restroom floors and walls:_.
5. Exits:
6. Improvements:
7. Zoning
8. Comments:
G. Field Problems or Violations
1. Prob em o •Tiolat on (give conmlete description):
2. What action taken (give complete descript-ion)
3. What action recommended:
77A. Information only - file.
XTB.�Hold for ten (10) days, then write letter,
1 / C. Write letter.
77D. Other:
I
POV. ill l/
{`1V'ire • Setback shall be 5 ft. from then
> � �G �°r side property dine and 50 ft. from they
centerline of the road, permitting a maxi.
6 mum of a 2 ft. eave overhang but entireit►
c,� 1 po„,-, out of all easements.
e
Septic system and location '
be as per etpb�df {o.-
Butte County Health Dept. Re. e
ouirements. @.
C
NOTE—All Materials & Workmanship Shat k
Accordance with Recognized Good Practices a.
of a quality prescribed for the Specified use in th$
Uniform Building, Plumbing Rc Mechanical Codes and k
All utility connections s raK The the National Electrical Code.
located within 4 ft. outside the rear
third section of the mobile home'
on the left (road) side of the mobile
home. This set of plans apd specifications MUST be
kepk on the job at all times and it is unlawful to
make any changes or alterations on some without
wrWen permission from the DepcHment of Public
Wo&. County of Butte.
11
36G�- 7 ?
BUTTE COUNTY
BUILDING DEPARTMENT
ARPROVED
f, i
�."1 - C'1 ,. ] • 7 t : i C". r+� '�7 ire , ,�} � !'•: "�] C i �. M7 't: t i 7 �
I,A j
41
f
t
r'. 'j S.. i,! s�sfem and
Pf 110
g). par
BHealth; i
County
.,e
Ul ents.
j,
14.
ir, �Lesti t. -
on
Uff
reryi
A
Afi- 'utility
Connec� ions
I I be
`orated.Within 4 ff..Ijoutsj
e
third section of a-f6.466bi
n' the left (road) of:d' � '
fh
home:
ne
Ile
t
ISO
zr prdP" IniP a' a
D2� 0 Re� -P
1r-cbn -lirf# of fhts4ocd " ' , :
pe ing,cp
Mal&
• er ,oY,
of, butent;*
swern T. k.
-.4
k 0
wFKx —
4%,
IL
rt
OTE. 11
MbfeAi &Ati Woi�rkrncnss
cacid ince with J, Recognized.nj D
, G)6-od cc x4s
of 4 U. [if' P is
e
y peci 1.4e, ih..t*h4,
IV -j I t
ni 14,11 n( lu in' 64 ani I C�?des cind
C
f e National 'Elc' C i E We
0"
m vi
s
Eeir
permi
Olen
V. V
frgm
the E
epa
tmenfaf Put
n
IV
04
8
VIP -�p
BUr
I
V. V
IV
�o
0
Owner:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
-
SPECIAL 124SPIEC'!IGN REPORT4
A.P.
Address:_ �f� rj ��� _ Date of Inspection -/�_
Tenant: �W Inspector
Building Location:--
Type
ocation:
Type of Inspection requested:
/ 1. Rousing j/ 2. Financing !_.L 3. Change of Occupancy to
4. Other (specify)__
Present use cf building:
A. Sanitation i�tjisinAj
1. Water closet
2. Lavatory:, - --
3. Bathtub or shower
4. Kitchen sink:
5. Hot and cold va.ter_ to fixtures:
6. -Heating fa.ciiities:
7. Natural light and venfglat on: _ --
8. Rocyin and space requirements:
9. Bedroom window or door for second exit: - ~
10. Infestation of insects, vermin, or rodents:_�_
11. Connection to sewaage disposal.
12. Cornece: yon to water supply:
13. Rubbish and garbage facilities:
14. Comments:
B. Structural
1. Piers and footings:
2 Floor const:niction: _
3. Wall construct on: _ __-
4. Ceiling and roof construction:
5. Fir.c.places:
6. Ccmnents:
C. Electrical
i . Servicc: ^rid s.:round:
2. Receptacles:-
3.
eceptai`les•3.
4.
D. P lamb ink
1. F x::ur s co-nnect-,,d and ve+ateis
2. hecater:
3. Gas t:c.iL'ir5 veu•at-s°_�_-__�._._--__._._------�--_._----------- ---. - 4.
E. Other
1. Maintenance and repair:
2. Fire hazards:''
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:_.
5. Exits:_
6. Improvements: -
7. Zoning •
8. Crmttnents:
ield Problems or Violations
1. Proem or ,solation (give complete description) : /-
2. What
3.
tion taken (give complete description):
wnat action recommended:
7-7A. nforaation only - fii,2.
B. Hold for teal (10) days, then write letter.
C. Write letter.
/
7D. Other