HomeMy WebLinkAbout058-520-028anon
A.P.
N/E corner Hwy. end Rd.
Permit 3970-73P,E (utilities for
-
Clifford Olson
Off NIS Big Bend Rd. app. 1 mi.
W -.of Hwy 70, arcel #2 Yankee Hill OQ _
Permit #1333-79P,E(.util.,MH)
ELEC.C- 5-711a5.�rn
rel
SUPPORT STRUCTURE REQ'. ivo j
COMPACTION TEST FfQ. NO
58-x.1-110
ntr: Carrell Bros MH, Chico
eCormit *3030-79MHI-
Issued��� '
29
�Z 58-21-135
Permit0263-83NHI(existing site)
.Issued 2/2 (,-7. 1'i7
58-52-28
nCLIFFORD`OLSON ---------------- .......
4279 Big Bend Rd, Oroville
ContR: Jerrys MH ///a3 UO {
- .PErmit#3665 -88MH ICeisting site
Issued
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t
a
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0
PERMIT NO. 3263-8311HI ex Site
PERMIT EXPIRES—
OWNER
XPIRES OWNER
CLIFFORD OLSON
CONTR. owner
I ASSESSOR PARCEL
i
LOCATION N/S Big Bend Rd, 1 mi W Hwy 70, YH
l
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service _
t
Cal led PG&E _
JOB FINALED (Date)
r
Signature
s
i
t
E
{
1
J = OK
0 Not OK
Not Applicable
= Not Ready
MOBILEHOMES
T
MISCELLANEOUS'
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zon i ng. Requ irements-Setbacks- Easements
Date
DECKS, COVERS, CARPORTS, ETC: (Plans) OK except ✓i's
1. ZoningRequirements-Setbacks-Easements
2. Soils; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall. -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails -
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing__
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /'L"ft./ P' LPG
6. Carports; Windows -Doors y
7. Utility Clearance
7. Elec.
Card -BI
Date Card - BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except W.s
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
1. Setbacks -Easements
2.Footings; Size -Spacing -Marriage Line
2. Soils;'Compaction-Structure Stability ^
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
k
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Card B-1
Date Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
J=OK '
0 = Not OK
- = Not Applicable
* Not Ready RESIDENTIAL (Single and Duplex)
Date
(NOTE: Anentrymust
UNDERFLOOR Plans OK exce thi's
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth
48.
49.
Property Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
_Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
-----
_
10.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
_
Date Card -BI Date
PLUMBING (Permit) OK except N's
14. Water Ht.; Vent -Access -Combustion Air
57.
Smoke Detector
58.
59.
Furnace; Vents -Clearance -Comb. Air -Connector-
In Garage; Above Floor -Ducts -Meeh. Protection
Bedroom Exiting
_ _15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Ftings & Anchors -Nail Protection
_
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
_
18.
19.
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
_
63.
Fireplace or Stove; Clearances -Hearth
-
64.
Elec. Out hetsat Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
---
20.
21.
Fixture & Transformer Clearance -Ins. Protection
Flet. _Receptacles Spacing -Lights &Switches at Doors
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & G.J.
-__-
--
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72,
Insulation -Foam -Looked in Attic E) Yes
73.
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
_26. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
_
27.
_Insulated
28.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Neutral Yes '--I No
Service -Riser Conductors & Ground -Main Disconnect
75,
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters Dyes ❑No
76.
Stucco; Brown -Finish
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_
30.
Clothes Closet Light -Shower Light _
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
---
Card BB=1
-- -
- -- -- --------------_.-.
Date
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
82.
Ventilation throughout House
Glass Protection
Card B-1
Date
_ _Date ------Card-BI -
Date Card -BI Date
MECHANICAL (Permit) OK except q's
83.
84.
85.
_
Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
31: A.C. Ducts: Insulation &Support
32.
33.
Vent Fan_ Exhaust above Insulation
_Condensate Drain _& Overflow; Size & Grade
86,
Energy Compliance Certificate -Other Certificates
34.
35.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI
Card -BI
Date _Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
_
36.
37.
38.
3_9.
40.
Sills; Proper Material & Anchors__ _
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor_ Nailing___
Draft Stop in Walls (rat proof)
_Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
41.
42.
43.
44.
45
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Rom_ex Protection -Draft Stop -ins. Baffles _
Bdrm. Windows or_Exiting Doors_ -Sill Hgt. & Dimensions__
rotectionFraming
Garage Fire Protection -Framing --
(NOTE:Anentrymust be made each time youvisit jobsite)
_COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS a ., • « PERMIT NO.
y - 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
' APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
,/ �; rt '
UNKNOWN
Total Valuation $
Filing Fee
g
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
('"' ( -)
LICENSE NO.
Plan Checking Fee
,$'
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ c„ .
BUILDING ADDRESS
C,
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
y
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome❑J Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
r
X / _��/,��. (� ,.-/ / %
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
Zh�SQft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
_
License No. Classification
Q I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
`vy I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON.R ESID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR.
Ex. Occu z0®s0c
P�o OR FIXTURES 6AL®aoa
A
FIXED APPLNS. OR
FIXED
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ .
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
O I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $ Y ,•
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
I
PARCEL
PD -7
ND
ISSUE
N�
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
I
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. i r
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
U
PERMIT NO. 3665-88B
PERMIT EXPIRES
OWNER CLIFFORD OLSON
CONTR. .Terry's Mobile Ser, Corning
r
ASSESSOR PARCEL 5f�-52-2f3
LOCATION 4979 io Rend Rd, .ORovi ] ] e
' r
l
4 Temp. Power Pole
Called PGF
Temp. Elec. Se
i Called PGf
Temp. Gas Ser
Called PGf
4 JOB FINALED
Signature
=..OK ,
0 = Not OK-
- = Not Applicable
= Not Ready
MOBILE HOMES MISCELLANEOUS
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements.
2. Soils; Special MH Support -Sketch
Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P1 ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Card -B1 Date Card -131 Date
Card -B1 Date Card -B1 Date
Date MO LEHOME INSTALLATION (Plans) OK except #'s
4Wng Requirements -Setbacks -Easements
Fo tings; Size -Spacing -Marriage Line
MH Test -Demand -Valve -Connector
EI ricity; MH Test -Crossovers -Breakers -Clearances
r " ; MH Test -Fall -Flex Connector
AQ�a r; MH Test -Regulator -Connector
ater and Sewer Connected -C/O to Grade -HD Approval
G and Electricity Tagged
Insp.-Sketch
Cert. of Occupancy
Card- B Dat Card -81 Date
Card- 1 Date Card -81 Date
Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -B1 Date Card -Bl Date
Card -81 Date Card -81 Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding;.Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panel boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1 Date Card -B1 'Date
Card -B1 Date Card -B1 Date
=OK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable
--Not -Ready .
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De
_ 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance- Material-Su pprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -B1 Date Card -131 Date
Card -131 Date Card -131 Date .
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -81 Date Card -131 Date
Card -131 Date Card -81 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75, Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -131 Date Card -B1 Date
Card -B1 Date Card -131 Date
Card -81 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance Y
exist at the above address and should be corrected. Please notify this office ;=
. r
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS - 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA - 534-454T
PERMIT N0.3��° ��-
Address or local /n of mobbiiilx
llehome - - l G/"
`' / 1�, -G.G.-/���
Owner's name
Owner's address
+� Insignia or hud number_ (� .� �� N7 G 4-
Manufacturer's name
Serial number of V.I.N. % 1 Year of manufacture
tial Approving Installation) (Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
i� 513B White - Owner, Yellow - Installer, Pink - D.P.W.
lqa
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT IMO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
—5 — 3
ZONING
2
BUILDING PERMI
OWNER /
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING DDRESS
19,
ONT CTOR'S NA
eT-r L4 'S UUIa LA
TELEPHONE
gay 556 2—
CO,/TRACTO S MAILING ADDRESS
t�� o
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ ,
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit lee
$
PERMIT
Filing Fee 10.00
All/
Each Trap
2,00
I
(70)-Nc -, &>
Solar or heat pump water heater
20.00
LJOT NO.SUBDI
VISION AME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF S CTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home G S W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe work: 7 5 9 X 6e;
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
I00 AMP OR LESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS
and Professions Code and my license is in full force an`d7 effect.
License No.'!ZF__ 0 J Classification 1 /
❑as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
�] I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. I DWELLING OCCUR.6
OR ADDNS. % ACC. BLOGS. , hQsgft
NEW CONSTR MULTI -OUTLET
.
NON-RESID BRANCH CIRC ITS 2.50 ea(POWER
APPARATUS e\
SINGLE OUTLET CIR. /
EX. OCCUp(OUTLETS OR FIXTURES .-ALO 30
FIXED LNS.
Ex. Occup. OUTLETS P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabililieg, judgments, costs, and expenses which may in any way accrue
3agi sai ounty in co uence of the granting of this permit.
I " CV— �C�
O
nature of plicant - Owner ❑ Controcror Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $ o -`a
Energy Inspection Fee $
TOTAL PERMIT FEE
OCCUP.
CONST.TYPEJ
SCHOOL
PLOOD
PARCEL
D
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI ECT OF PUBLIC
ByZ
PERMIT EXPIRES Date —
the applicable provi-Date
resolutions to do
fees have been paid.
WORKS
Da�
DaReceipt
Receipt No. c��
No.
WHITE-D.P.W., YELLOW-ASSESSOK, PINK -INSPECTOR. GOLDENROD -APPLICANT
x/"Ilyw{.t
y — i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC'WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,-C/ LIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA -SHEET
Permit No. G
OWNER/TDr cJ� C/ �S �� A. P. No.
Proposed Building Use ' Bu'i'lding Inspector �', Date /fir/"��
At time of permit application, I was advised the following data must be submitted prior, to permit processing
and:/or Iss.ance, �- DATE RECEIVED APPROVED
1.
All items.have been submitted. .
2.
Plot plans in duplicate./triplicate, signed by preparer of plans. ,
' 3.
Complete plans in duplicate. /triplicate, signed by preparer of plans.
4.
Complete engineered plans and calcs, with wet signature on plans.
5.
Plans with Energy Design Compliance Statement. . . . . .
6.
School District "Fees Paid" Stamp on Floor Plan.
7
Statement of Intent for Non -Heated and AC Buildings.
8.
Fees of $ , . , . , , , ,
9.
Letter of signature authorization.
10.
Sanitation approval from t Health Dept.
11.
Pj'anning approval for (A) Use: (B) Parking:
12.
Certificate of Workmen's Compensation Insurance. . . . . .
13.
Contractor's License Information (no., name style, classif.)
14.
Owner -Builder Verification (Given to owner, Mail to owner ❑.)
_15.
Improvements may be required. . . . . . . . . . . .
16.
Mobilehome Installation Data. . . . . . . . . .
17.
Pre-Inspec. request to (Date)
Pre -Inspection for Required. Building Inspector )
18.
Recorded copy of Agricultural Acknowledgment Statement.
19.
Driveway Permit.
20.
Plot plan approval from city of
21.
Engineered trusses 'in duplicate (required prior to plan check).
22,
CUA FEES RECEIPT #
When issue theermit process as follows: Mail to owner, Mail to contractor.
,
4�q
Telephone ���� and hold for pickup at ice, Deliver w/inspector.
Other
Applicant
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
h
Contractor, designer, owner, was advised of above requiIred data by_phone---nail—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l_counter date
Plans checked by Date Plans approved by , Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Building Department
5' ` .
FROM: Environmental Health
SUBJECT: Sanitation Clearance
NOTE ***
Sanitarian
Date
Owner.
Loca ' on
AP# -��—
Plan Approved for.:
Sewage Disposal �_
Water
Supply
Hold final for:
Water
Supply
Final clearance O.R. for:
Water
Supply
Clearance for bedroom mobile home. Other .( e aje
«_I�_
C, Ian i
,
NOTE ***
Sanitarian
Date
e chis set of plans and specifications MUST e�
kept on the fob at all times and it is unlawful tc
make any chaagc.s or alterations on same without
written permisson from the Dipartment of p*
Works, County of Butte. ubllc
Utility connections shall be within
4 ft. of the mobilehome, either
directly behind or within the rear
a
half of the
mobilehome.,
A setback of 5 ft. from theI
`r
property lines and a setback
of 50ft. from fhe road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang.
IVU I b:—All Materials & Workmanship Shall tae in
Accordance with Recognized- Good Practices and
ualiTy presccibe;i fer tiie Specified use in fhe
Uniform Di" snc, te�� Mechanical Codes and
the National Electrical Code.
&IE*0
BUTTE COUNTY
3UILDING DEPARTMENT
APPROVED
/ A
/#.,r
36�
�3
Q
11/08 15*49
1
1 206 584 2977
II
LIBERTY HOME. OR 01
Ot'�I.'�PJ!��L'. QUU1:'D f31cx��+r° ��!- C()(Lkrt
IoL-)
V LA, A" (It-) 0'r
T_
rA r5y I'% (Vt. Lie
81-0.
5' 7•
III U
Ad I i l
or)
BATHDINING KITCHEN BATH
UTILITY
Al or? ou !Tr SECOND
rq IL
OEDROOM
L
IL.7:111
!0,si
phas T.Ru U_
OST.
TOINOUGHOUIr
MASTER
BEDROOM
LIVINGROOM
FAML,( ROOM BEDROOM
100-1. 4TI4 Mon, Ili
IF 1749 SF II 1
2870 3B 2r -B GK 2B FAM CT287001
COUN I
ry) 4,, k nr Q. N, I L yp DEPARTrWNI
APPROVA
9D
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541.
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: 12AL72f S P r, A
2. Installer's Name: L1 �',�,Qc./ /i'//i H �P �C/l G -n
IVI
/
3. Is the site currently under permit? Yes No `PJ
(If yes, furnish permit number ) OR
Is the site an existing site? - Yes 7, No F-1
(If yes, furnish two plot plans.)
4. Will the mobilehome be located at.least 5 ft, away from septic tank and leach
fields and clear of all setbacks and easements? YesNo
7
• (If no, clarify
5.
What
is
the
mobilehome electrical rating? ---------------
%L0
Amps
6.
What
is
the
mobilehome site service rating? -------------
Amps
7.
What
is
the
mobilehome site circuit breaker -rating?
----- -
Amps
8.
Is there
mobilehome
any other electric load to be served by the
site service? --------------------------------
`
Yes F No
1Z
(If
yes,
identify the load and size:
(Load)
(Amps)
9.
10.
What
What
is
is
the,
the
mobilehome site -gas pipe size? ;•-------------
t e of as service. ---
type g ? ----------------
Natural � LPG
(in. )
17�
11. What is the gas pipe length from meter or tank to the
mobilehome?--------------------------------------------- /1.5— (ft.)
* 12. What is the mobilehome gas demand? ---------------------- OCJy (BTU)
*(This information not required if pipe length less than 6 ft. on
natural gas Ior less than 50 ft. on LPG.)
MOBILEHOME SUPPORT DATA
' If -other than single wide,
Mobilehome Mfr. Z/ p c furnish Setup Model No.
Year / tr7__11
Width (ft.) Box 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 (if not on file with the County of Butte).
FOOTINGS (check one)�1. Wood -pressure treated or foundation grade. a 2. Other (specify)
SUPPORTS (check one) al. Concrete block. F-1 2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
l i— t Line 1
Line 1 Piers:
Size -Min. ------------
Spacing -Max. --------- _
From Ends -Max .-------
Line 2 Piers:
Size -Min. ------------ .1x 1.
Spacing -Max. --------- _
From Ends -Max --------
Line-------
Line 3 Roof Loads:
Size -Min. ------------
Location (From Front)
Line 4 Piers:
Size -Min -------------
Spacing-Max ----------
From
------------Spacing-Max.---------
From Ends -Max. -------
Line 1 Openings:
Size -Min.
x
Each Side of Openings
With Width Over ---------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min -------------------
Spacing-Max ----------------
From
------------------Spacing-Max.---------------
From Ends -Max --------------
1 "x „x30 „ z „x,?b., x
Bear
Size -Min .------------------
Spacing -Max -----------------
From
------ -------Prom Ends -Max .------------- "
Line 5 Roof toads:
Size -Min.------------
' x "x "x "x "A "x "x "x
tocacion (Prom Pront) _ I_
6U1TE COUNTY
3U11D1NG DEPARTMENT
AppROVE
D 3f3
COUNTY OF BUTTE - DEARARTM�_:NT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cal.ifornia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER ZONING
BUILDING PERMIT
OWNER p� TELEPHONE
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING WDDRESS
CONTRAC R'S NAM
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONST UC TION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ do
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 2_-Smeo
BUILDING ADDRESS
� � /,0911�
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20,00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome� Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition [:],/Remodel ❑ Utiliti ❑ Int ation Other ❑
Describe work:
/�A(l ��� S 176-7
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
100service 100 AMP 001 OR ORSLESS
10.00
�r�
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. ULTI.OUTLET 2.50 ea
NON•RESID BRANCH CIRCUIT S
IRC ITS
NEW CONSTR ( POWER APPARATUS &)
NON .RESID.❑ SINGLE OUTLET CIR.
20050a
Ex. Occup(o XTs OR FIXTURES BAL®30
FIXED APP LNS, OR
EX. Occup. OUTLETS (RESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilit' s, judgments, costs, and expenses which may in any way accrue
against ount in cos a ce of the granting of this perm't.
XDate
Signature of licant - Owner Contractor ❑ Agent/F1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ Q
OCCUP, GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ISSU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI :ORWOF UBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
4017
Da W
`
Receipt NO. D7 /lo I
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
a . v
PZ ,rrL4rr APFLIG;TION L!ORK SHEET
Permit No.
i1NER 0450/t� A.P. No.
on in Use Proposed Approved
Not approved
ermit fee based upon: .1. Co^plete contract price.
2. Partial contract price (explain).
3. Dr -d Valuation (G!10W):
.t time .of permit application, the applicant was advised the following data or information crust be
,ubmitted prior to permit processing and/or issuance:
Date received
1. All items have been submitted, --------------------------
- - 2. Plot plans in duplicate/triplicate.---------- -----.__-___
3. Complete plans in duplicate/triplicate. -----------------
4. Complete engineered plans and calcs. --------------------
5. 'Fees of - . --------------------
6. Letter of signature authorization- ----------------------
_ 7. Sanitation approval. ------------------------------------
8. Planning approval for
9. Workmen's Compensation Insurance Certificate. -----------
10. Contractors license information. ------------------------
11. Parcel declaration, recorded copy. ----___-______________
12. Access declaration. -----------------------------------
- 13. Auttt Minnie information- -------------------------------
-- 14. Deed of access, .recorded copy. --------------------------
�� 15. Deed of parcel creation, recorded copy, -----------------
16. Parcel map, recording data.
17. Pre -inspection request for -
18. 18. L-aprovements - plans required & D -a approval. -----------
19. Other------__�_ -
Date,yG�3
P
Bldg. Inspecto
'wring plan checking process, the following (Lata
Ir information must be submitted prior to perait
Lssuance:
Index permit for items
above and in addition file tollcia -l.ng:
Applicant advised by _ ` al.erhone
iia it
Other
3. Plans checked by D-;-ft2
a. Plans ,approved Ly{ r `fl;'te. �
then terrait is issued, process a3
_ 1. 'Mai -I to o tier.
2. Rail to contr. _etor.
3. Ca.liver with insp ecL'i.cn.
4. Telephone _ _ ai:d bold
for pickup @ � _r o�'{i.ca.
Before permit issuance, all of the following
iters rzust be signed or marked NA:
1. Zoning use
2. Legal parcel
3. Er-rjlr.Health - Date Plans Sent
A. Sanitation
B. Restaurant _
C. Other_
4.sent-.-- -
A. Strcet Imp• -
B
C. P exmiits & Fees
D. Other
5.
A. Use :'a;Yjtit_!_._---
B. Variance
C., Other
6. Other A; eticics - Date Plans Sept_
A . Yfta Dept..______
B. Other-
Applicant
t her_
o .
COUNTY OF BUTTE - Department of Public Works
• 7 County Center Drive, Oroville, CA. -95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit -has been applied for in your name and bearing
your signature. .
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in.processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.'
l
1. I personally plan -to provide the major labor and materials .for construction
of the proposed property improvement (yes or no).
I (have/have not) si ned an application for a buildin
,t/IZr%•�<��-i-"`�. j'�yj _"
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address- City.
Phone Contractors License No:
4. I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner dg
Social Sec u ity numb �.
Date`�/ 7 25
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.'
This verification must be completed and returned to our office before we are
permitted to issue the permit.
COUNTY OF BUTTE.- Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIF ICAT ION
Attention Property Owner: 4
An "owner -builder" building permit has been applied=for in your name and bearing
your signature. 4
Please complete and return this information in the envelope provided at your
earliest opportunity to.avoid unnecessary delay in processing and issuing your.build-
ing fpeer�mit. No building permit will be issued until this verification is received.
I/ I personally plan to provide the major labor and materials for construction
of the proposed prope in roveme t (yes or no)
Opermit
(have/have not) signed an application for a building
for the pr`+ osed wo
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address. City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
1 p .
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: oe
Property Owner ezo
Social Sec uJ�ity n mber — _
Date//�
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
` `P
_-`
0 �i40
i
r,
t
Clifford Olson
2479 Big' Bend Rd.
Oroville, CA 95965
COUNTY'OF BUTTE = DEPARTMENT OF PUBLIC WORKS
7'County Center drive'. Oroville, CA 95965 PHONE: 916-534-4541
With reference -to -the above subject:
Attached is:
DATE September 14,'1983
RE: Building- Permit Application .,-for.
Mobilehome Installation -
A.P. #58-21-135
X Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
X Owner -Builder Verification Form List of Codes Enforced
OTHER
X/ We need the following information:
Permit application signed and completed where.indicated with all copies returned.
` Fees -df`$ -payable td Butte County Treasurer.
X Certificate of Workmen's Compensation Insurance or check exemption statement.
X Contractor's License Law information or check exemption statement.
• Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan -approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department.at:
196 Memorial Way, Chico
7 County Center Dr., Oroville „
Skyway & Elliott Rd.,•Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
X Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
LX OTHER We are holding your check pending return of completed forms.-
Should
orms.-
Should you have any questions concerning the above, please contact this office.
JFG/aj
Yours very truly,
Clay Castleberry
Dir orPublic. Works .
J.?. Glander
Chief Building Inspector
A.��3�$9 r 1 i
The F4. Sefbcaick's6' 11 be 5 ff. fromlfhe
0 ff
a
In
side property line and' 50 f. fr4m the
I f
y
e f ro d.
. `-le 0 the d permitting m
cenlei-1;ne of f Ile ro,'d, perriliffing
d
f am Xj-
m n v,
mum of a 2 ff. eaveloverhang but eifir ly
out
a f till
a merl S
uf of cfII easemert�s..
Sr
—d for the.
1. L!L
A permitwi'l be rec
installaflor .01 mobs le',10r"ku
H Uf I 11ty ccrtnrsticns shall b
Ccc(,.6,j, wi-Inin 4 ff. oufsidc She rear `Nll�
fl-,irqlfsection of the 'mobile home -i
on J6 left side of the
Mobile
orne.
3
,�j
NOTE:—All JAcder"dS a- Sh 11 Be
v
I P -Odl 0—
Accc,rd-_,-.r,cc w]"I
A
of 4:4 01'_'U1;Ty use
c *;-.l!Qna -n C
Uni-orrnBLW1�ric &cvkcode:
.
the National ", �A
1`11:5 set C" !-nans a dpc� ci f :I +, C', UST b
kept on ike job a.i- cA "!n-!cs Dnd i, -r is ur.!ay.-�ul tc
q
M:L -,y CLE _S Cr ailer-,isamelos on sae wi�hcllui
w r c n j_cM the Department of Pu! -
Iii c Works, County of Butte.
—d for the.
1. L!L
A permitwi'l be rec
installaflor .01 mobs le',10r"ku
H Uf I 11ty ccrtnrsticns shall b
Ccc(,.6,j, wi-Inin 4 ff. oufsidc She rear `Nll�
fl-,irqlfsection of the 'mobile home -i
on J6 left side of the
Mobile
orne.
3
,�j
Ap, , F .
P��;O-ern arld tocc+!'0,-1 Or 1 -.1
irl'a, I�A,� � quild-
in stub -out. to 6 as- , 1.
County HeathD, P::4
10 <14
-7
BUITTI: r
BUTTE
BUILDING DEPARTMENT
J,
APPROVED
v
Ap, , F .
P��;O-ern arld tocc+!'0,-1 Or 1 -.1
irl'a, I�A,� � quild-
in stub -out. to 6 as- , 1.
County HeathD, P::4
10 <14
-7
BUITTI: r
BUTTE
BUILDING DEPARTMENT
J,
APPROVED
J. Owner's name:
BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
2. Installer's name:
3. Is the site currently under permit? Yes / / No E72
(If yes, furnish permit number ) 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 setbacksand easements? Yes / / No
(If no, clarify )
( )
5. What is the mobilehome electrical rating? ----------------------- a� Amps
6. What is the mobilehome site service rating? ------ Amps
7.. .What is. the mobilehome site circuit breaker rating? ------------- �(� D Amps
8. Is there any other electric load to be`served by the mobilehome
site service? " ��"`'G"'-------------------------- Yes No
(If yes, identify the load and size: (Load)a (Amps)
9. What is the mobilehome site gas pipe size? ----------------------
�,� (in.) '
10. What is the type of gas service? ----------------------------- Natural /% . LPG
r
11. What is the gas pipe length from meter o tank to the mobilehome? /a " (ft.)
.Ke�- =
12. What is the mobilehome gas demand. --------- (BTU)-
(This ,information not required if pipe length less than 6 ft. on natural gas.,
or less than 50 ft. on LPG.)
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. furnish Setup Model No. Year
Width_(ft.) Box Length ln3 _(ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
(ft.)(in;)
enter support
locations*
L—�J
(ft.)(in.)
I I
(ft.)(in.)
0
O
(ft.)(in.)
(in.) (in.)
Center support
footing sizes
(in.)
(in.) (in.)
(in.) (in.)
(in.) (in.)
(in.)I(in.)
Single
*If center piers are other than drawn above,
`draw in -locations, spacing, and dimensions.
Footings (check one)
1'. Wood either
pressure treated or
foundation.grade.
2. Other: (specify)
Supporta (check one)
is Concrete block.
.2: Other,. (specify)
Tagalong or Expando,'
show support details.
;��x -- Typical Support
(in.) (in.) Footing Size
F�/ -- Max. Pier Spacing
t(f.)(in.)
(ft.)(in.)
-- Max. Overhang
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
P01MIT NO. 1333-79P,E
z PERMIT EXPIRES
OWNER Clifford Olson
CONTR. owner
LOCATION (A.P. 58-21-32 port. )
Off NIS Big Bend Rd. 1 mi.W.of Hwy 70,
Parcel #2 ankee Hill
r
` r
.k
tgg
.A I
1 _
J
R;
.F
I.``t
1�
ll
1,
� 7!
s
7
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. els e
Called PG&E
s Serv. %-9 +�
Called PG&E
JOB
FINALED
;(Date)
gnature)
Mesh/ \ I MECHANICAL \ I Grd. Fa6lt Prot.
scr ch I HeatInA N I Servi
B/own I coolAg T p. Pole
terior Lath V ntilation Permanent
(',boor Closer inal Flnal
c�fi�p� -
MOBILEHOME UTILITIES - - - - - - - - - t% Elec. Service Elec. Pedestal
Water Piping Sewer 2 5P Gas Piping
70§16E OME INSTALLATION - - - - - - - - - - - - - - Supportio- EZ _ Elec. Continuity —1
Water Piping 6-/2-79 Gas Piping
Z 7
-5=29
DATE REMARKS OR CORRECTIONS
C1/�..�Q �.•�-alp' ca
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF, BUTTE — DEPARTMENT OF PUBLIC -WORKS
BUILDING INSPECTION RECORD '
BUILDING BUILDING (Cont'd)
PLUMBING
Seloack
Fir wall
Sol .Piping
FoAw
Para is
I 1 s .Floor
Mak Bldg.
Restro Finish
2nd loor
F tins
Windows
3rd Nor
Ste all
Siding
To out
Slab
Roof Sheathing
Water PI i
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footin s
Stemwal I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physical
handicapped
Conformance of ex. V
y structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final A
Sanitation
Patio
F REP ACE
Final
Footings
Footing
ECTRICA
Masonry Walls
Throat
Rough
Reinf. Stee
Final
Fixtures
Bond -Bea
IRE SPRINKLE
Motors
Framing
Test
Water Htr.
Mesh/ \ I MECHANICAL \ I Grd. Fa6lt Prot.
scr ch I HeatInA N I Servi
B/own I coolAg T p. Pole
terior Lath V ntilation Permanent
(',boor Closer inal Flnal
c�fi�p� -
MOBILEHOME UTILITIES - - - - - - - - - t% Elec. Service Elec. Pedestal
Water Piping Sewer 2 5P Gas Piping
70§16E OME INSTALLATION - - - - - - - - - - - - - - Supportio- EZ _ Elec. Continuity —1
Water Piping 6-/2-79 Gas Piping
Z 7
-5=29
DATE REMARKS OR CORRECTIONS
C1/�..�Q �.•�-alp' ca
(NOTE: An entry must be made on this form each time you visit the job site.)
9. Electrical Jl
A. Is service large.enough to provide adequate amperage -to mobtilehome (must equal rating of
mobilehome with a minimum.of/OO amp):,and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes,/ No
B. Is there proper clearances around panels? Yes --Z No
C. Is power supply cord or feeder assembly properly fused? Yeses 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 es a .
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 mobile home 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 the electrical 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
Length i0 0 Width "
Vehicle Serial No. _S`7c?,:2A
.State Identification No. IJ�/:`� •78 - 0�7 �l
Additional Information or Comments:
� _i2.79 a ��� � J •.cam lea F�� t-�.,,
4�
MOBILEHOME INSMLATION INSPECTION CHECK LIST
1. Is the mobilehome located wi5h required separation from lot lines and buildings and generally
conform to plot plan? Yes No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes -No
3. Are -footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec: 5082 & 5083) Yes/ No
4. Is the mobilehome level? (Sec. 5088) Yeses No
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yeses No
.6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes/ No
B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes-✓ No
C. Backflow - If coach is nott t of California approved, does station have backflow device
and pressure -relief valve?WK— No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? YesL/ No
B. Does it have minimum 4" per foot slope and is it properly supported? Yes ✓ No
C. Are any leaks detected in drainage system after running 3- llons of water through each
fixture including washing machine standpipe? Yes No
D. If Icis not State of California approved, does station have required trap and vent?
Y e sb_
8. Gas Piping and Gas Vents '
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is to be.at least as
large as the mobilehome gas line inlet without reductions other than the mobilehome
connector. Yes No^
B. Test OK as per following procedure? Yes 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, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes/ No
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
A the California Administrative Code, Title 25, Chapter 5, under permit
'number for the following location:
v
Owner
Owner's Address �*� ' - %r " =�•� 5 %G'+ _
Mobilehome 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.
COUNTY OF BUTTE — DgFOARTMENT OF PUBLIC WORKS
7 County Center Drive t— Orovi Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above -menti ned property for inspection purposes.
X Date Yzz/
!�ignat re of Pier�miittee or Agent
/
Receipt No. b 366(,
6
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
abov�t@r which fees have been paid.
tl AIR&AOR OF PUBLIC WORKS
/I/��/k.
lvi Iding permit expires .. i .ter
BUILDING
Owner L G
SQ. FT. OCC. BUILDING VALtrATION
Mailing Address ga
•
Telephone No. /
14
Contractor �•,_,,
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
�Q
Building Address t iL-d
Plan Checking Fee&/or Penalty
Permit Fee
�C5 — (A7 d� D
PLUMBING No.1 EE
PERMIT FILING FEE $(DC>
t1.50
Each Trao
H M A
Repair drainage or vent piping
A. P. No. rt
a i 1� °0g & PI)ning
Water piping 1.50
Each gas water heater or vent 1.50
S
C. Sanitation
Fire Dept.
FireZone Use Permit
Gas piping system 1 - 5 outlets 1.50 D,
EQA
Parkin g
Plans
Parcel
Declaration
�
afcel
60R/W
'
Improvements
Each additional outlet .30
Building sewer 5.00 a �
Bldg. ahs Recd
Parcel rovol
Plan Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES10 OTHER ❑
permit Fee $ 33,00.$
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00 �D
Main service 800V OR LESS ^-W
100 AMP OR LESS 5•�0
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50 --4n
Main service OVER 600 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.( OR ADDNS. ACCLBLDGS.CCUP. Y) 22sgft
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 (MULTI -OUTLET
NON.R ESID BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &,
NON.RESID. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIIRES g L ,�
Ex. Occu FIXED APPLNS, OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 ,
License No. Classification
Misc. Wiring 6.25
Too
ELI am exempt from the Contractors License Laws of the State of California.
Permit 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.
EgI 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.
MECHANICAL No. @ FEE
PERMIT FILING FEE $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
$
authorize representatives of the County of Butte to enter upon the
above -menti ned property for inspection purposes.
X Date Yzz/
!�ignat re of Pier�miittee or Agent
/
Receipt No. b 366(,
6
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
abov�t@r which fees have been paid.
tl AIR&AOR OF PUBLIC WORKS
/I/��/k.
lvi Iding permit expires .. i .ter
4�C�El /` 14/a
Z2
I �
i
The . Setback shall be 5 .ft. i
side property line kind 50 ft. f
centerline of the rood, permitting
mum of a 2 ft. eaveloverhang but
out of all easements.
N
N
k
> .35lil, -/2
NOTE: - All Materials &, Workmanship Shall Be va
Accordance with Recognized Good Practices amyl
of a quality prescribed " for the Specified use in the
Uniform Building, PIUM- Bing & Mechanical Codes and.,j
the National Electrical Code..v
\ N
(his set of p16ns and specifications MUST bt v
kept on the iab at all times land it is unlawful to q
make any ch nges or alterations on same without
writtfen pe Mission from the Department of Puke
lic Works, County of Butte.
A permit will be re uired for the.
;t. installation of t I& mo i e orr
r~`
N
�II t-fility connections shall b�; L
iocattrd within 4 ft. outside the rear �
third:'section .of the -mobile home o
on tie left (road) side of the mobile
3a 1
_BUTTE COUNTY -- -
8UILDING DEP-ARTME
N7
App
R0VF
Yv�PSepti
1`em and location
of
uileP`o
1�E ing aiin stub
Q (l Bu#e County
u irements.
-out to
Health
b as
D pt
. .
RIV
q
G
f�
I
c,
3a 1
_BUTTE COUNTY -- -
8UILDING DEP-ARTME
N7
App
R0VF
I It-
CCKJNTY�OF 6*JTTE DEP-ARTMENT OF PUBLIC WORK'S
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
3030 79
ter.
s,
aUl11UrILe repre'ellL IVC U1 tile 111, UI null tv enter upun the
above-mentioned oper for ' pec ion purpo S.
X Date
Signature of Perm—iitee or gent
Receipt No.
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 which fees have been paid.
DI _ PUB C WORKS
e ate
Building permit expires Date — (��
BUILDING
Owner Olson Clifford &/oa Betty
SQ. FT. OCC.1 BUILDING VALUATION
Mailing Address Rt. 1 BOX 245A
Orovilltm, CA
Telephone No.
1533-2086
Contractor Carrell Bros. Mobile Home Sales
Mailing Address 3042 Esplanade
Fireplace
Total Valuation
Chico, Calif.
7h ple.
p1�
OO
Permit Fee
Building Address Rt. 1 BO
Plan Checking Fee&/or Penalty
Permit Fee
Big Bend Rd. & Hwy. 70
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. 8-21
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F s �. Saai�eiForn
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Pians
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. s Recd
Parce:oval
Plan pproval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
XHI
ELECTRICAL No. @ FEE
-33_
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ® Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER
100100 AMPeoov OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST NG
OR ADDNS. ACCDWELBLDGS.CCUP. S) 20sgft
LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of:
y
Carrell Bros. Inc.
NEW NON-RREBIESIDD, MULTI-OUTL T
( BRANCH CIRCUITS) 2.50ea
CONSTCONTRACTORS
NEW CONSTR. POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTURES b L0j
Ex. Occup. FIXED APPLNS. OR
p. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 31.0,421-- Classification C—%1
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit 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.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
E2O
Hood
Permit Fee $ 30.00
$
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 reI91+ng to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE MHI
$ 000
3
aUl11UrILe repre'ellL IVC U1 tile 111, UI null tv enter upun the
above-mentioned oper for ' pec ion purpo S.
X Date
Signature of Perm—iitee or gent
Receipt No.
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 which fees have been paid.
DI _ PUB C WORKS
e ate
Building permit expires Date — (��
1. Owner's name:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Orov.ille, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
2. Installer's name:
3. Is the site currently under permit? Yes / / No 777
(If yes, furnish permit number ) '.OR
Is the site an existing site? Yes / / No /X/
(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 57 No
( If no, clarify )
5.
What
is the mobilehome electrical rating? -----------------------
/00 Amps
6.
What
is the'mobilehome site service rating? ---------------------
�Amps
7.
What
is the mobilehome site circuit breaker rating? -------------
/00 Amps
8.
Is there any other electric load to be served by the mobilehome
site
service? ---------------------------------------------------
Yes / X/ No
(If yes, identify the load and size: Klll.�� (Load) 30 (Amps)
9.
What
is the mobilehome site gas pipe size? --------------------
(in.
10.
What
is the type of gas service? ---------------------------
. Natural /K/ LPG
11.
What
is the gas pipe length from meter or tank to the
mob' ehome? ,JU/4 (ft.)
12.
What
is the mobilehome gas demand? ---------------------
-------- (BTU)
(This information not required if pipe length les
t4an 6f_ ttural gas
or less than 50 ft on LPG
• 7 7•, i (.�l X71 •" � t : �1 l i' ° � +, f l i �..? C..'
�/�l/.�,�/�J��(/yV L,i.�.Q
F
MOBILEHOME SUPPORT DATA
If other than single wide, G
Mobilehome Mfr. Lance y- furnish Setup Model No. / D 7 Year /9
Width(ft.) Box Length 6-49 (ft.) Tagalong or Expando Size ft. x _f t.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installa�,ion
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.
Single
_U _
(ft.)(in.)
r-
enter support
UC
U locations*
(in.) (in.)
Center support
footing sizes
(in.)
®• /Z x 3
(ft.)I (in.) (in.) (in.)
r
Footings (check one)
1. Wood either
pressure treated ox
foundation grade.
[_\71 2. Other (specify)
IX�Cl11 S�Y1 Q_
Supports (check one)
0 1. Concrete block.
0 2. Other (specify)
<---Tagalong or Expando,
show support details.
/fix ,�,IY" -- Typical- Support
.) (in.) Footing Size
' /)°I -- Max. Pier Spacing
(ft.)(in.)
L—UJ -- Max. Overhang
(ft.) (in.)
BUTTG -COUNTY
8UILDING DEPARTMW
APPROVED
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
(ft.)(in.)
(in.) (in.)
u
g-6
v.
`4
V
(ft.)(in.)
(in.) (in.)
f(ft.)
( )
('in . ) ( in . )
®• /Z x 3
(ft.)I (in.) (in.) (in.)
r
Footings (check one)
1. Wood either
pressure treated ox
foundation grade.
[_\71 2. Other (specify)
IX�Cl11 S�Y1 Q_
Supports (check one)
0 1. Concrete block.
0 2. Other (specify)
<---Tagalong or Expando,
show support details.
/fix ,�,IY" -- Typical- Support
.) (in.) Footing Size
' /)°I -- Max. Pier Spacing
(ft.)(in.)
L—UJ -- Max. Overhang
(ft.) (in.)
BUTTG -COUNTY
8UILDING DEPARTMW
APPROVED
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
2-6
14' pr
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Cif' l'�'41
COUNTY Of BUTTE — DEPARTMENT OF PUBJ_IC WGRKS
7 County Center Drive — Oroville, California 95965
Tel eghone: 134-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Date
Signature of Permitee or Agent
Receipt No. —
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.
By
DIRECTOR OF PUBLIC WORKS
Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$
Building Address
PLUMBING
No.1
@ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.Gas
Zoning & Planning
piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W. C.
Sanitation
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.1
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
—
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures66(io
Receps., switches & fix outlets It 10
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:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit 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.
MECHANICAL
No.
@ FEE
PERMIT FILING FEE $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
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Date
Signature of Permitee or Agent
Receipt No. —
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.
By
DIRECTOR OF PUBLIC WORKS
Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR n
7 County Center Drive — Orovi Ile, California 95965
Tel ephtfTe: 534+4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 2,�LA Date
Signature of Permitee or Agent
Receipt No. / ` L/5 , S
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 PBBLIC WORKS
By Date_ /°��y�7�
Building permit expires Date
BUILDING
Owner .0, Z, s zt0r
SQ. FT. OCC. BUILDING VALUATION
Mailing Address t# Q
`
Tele hone No.
—
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$
Building Address Allor eqPLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
2.
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
hh�-2
A. P. No. — `/ '' 3 L Zanin & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F
a r ` n Fire Dept.
FireZon Permit
wilding sewer 5.00
EQA
Parking Parcel
Plans Declaration
Parcel Ma P
60' R/W Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee
$
$ i
NEW ❑ ADDITION ❑ UTILITIES 2 ---OTHER❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
d
Additional meters, each
1.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures []ba110
Receps., switches & fix outlets �Z�o�2�5
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:
Hood, Ex. FanorF.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
® I am exempt from the Contractors License Laws of the State of California.
Permit 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.
MECHANICAL
No.1
@
FEE
PERMIT FILING FEE $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
TOTAL PERMIT FEE
$ �'�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 2,�LA Date
Signature of Permitee or Agent
Receipt No. / ` L/5 , S
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 PBBLIC WORKS
By Date_ /°��y�7�
Building permit expires Date
All utility connections shall . be =
located within 4 ft. outside the rear
third section of the mobile home ,el
on the left (road) side -'of the mobile .. 14
home._/ ®0
Septi
i4g c Sys tem
Butte Co 6=°t'to
$ quirernentsntY Health be
Per
Re-
I'his set of plans and specifications MUST be
BUTTE COUNT Y kept on the job at all times and it is unlawful to
..-BUILDING DEPARTMENT make any changes or alterations on same without
written permisson from the Department of Public
A -1P P R O ` , E .^ Works, County of Butte:
;it,
.f
E,�e- �/, 4 n 06 —2
A)o 441,6
l�j
�%cv Junt f'J
-�„ .�
� �-f s � -�
�� .. ��
./
�"�
File No
BUTTE COUNTY
Public Works Dept.
(For Action 1, 2,3)
(FdrfnsiUm%ition ✓)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
D&C / Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Transp.
R/W
Mapping
Land Dev.
Ref. Disp.
Orng. / S.I.
Sub. & Pcl. Maps
Permits
�����(2�2 O
N#4
01106rd Olson
P*O.p 3 2-45-A -
Orovillo.,, CA. 95465
vww Mr, 0 U-04
Iq
MAY 1,0* 1983
HS: AP #W -21 -ISS
Mth tatotanod to the aboft bub)eclts :t* hiV6 be advUed by 6adi of O'Ut bU114108
Inspactorc that you have insulled a.mbilehome on your property Utated off Big
atud leo odtt villi
The 1hopmtIon teveaW yOu have done the work to viol atloh of a of the vw-
V10i0fte Ot tho builds as code and in vi-014tion bg the Couaty coning V44quirements
of tta VR -20 Coms.: vhIch doe pat pecolt wo JIVItia unite o4 the parcol.,
Sift* the sono dares amt vatmtt the aeon d"0111"a, U."It" thoaobltohomo must be
Please contact this oft,140 Vitbin too 4aya of tbo date of thla lottar 40 advise.
of .your Intontione, poncovaths dhis. =ttav
Should you havo any que'stional'. please, contact this office. Lv
Youto vary truly*
clay Calatlebarry,
Director of Public Wr4a
JTG:aj
oc: Sulldu*
0401th 00partftnt
Plannfts Department
Original signed by
J. E. Oland.er
J -V, -010"dor
Cbi*t Building UMPOCtor
pm wto
t£:aaA.Qaz
error or should your construction be completed, please advise this office immediately.
Thank you in advance for your prompt attention concerning. this matter.
Yours very truly,
Clay Castleberry
D'rector of Public Works
. F. Glander
Assistant Director
Ih
t
X
-1.:.j
o '3/t
' BUTTE COUNTY
DEPARTMENT OF PUBLIC WORKS
r SPECIAL INSPECTION REPORT
R
Owaer�
�-:,�
- EA. P. - s
Address': �.'. _
Date of Inspection'3'-- 3 d.
Tenant:
Inspector
Building Location:
Type of Inspection requested:
-.T% 1. Housing, L 2. Financing
3. Change of 0 cupancy to
11'L/4,. Other (specify)
e �
Present use. of building:
'Sanitation (Housing)
1. Water closet •.
2. Lavatory:
3. Bathtub or shower:
' 4.: Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating' facilities:
. 7.' Natural light and ventilation:
8.'- Room and space requirements:
9.. Bedroom window or door for second
exit:
. 10. Infestation of insects, vermin,
or rodents:
11. Connectior-to sewage disposal:
'. 12. Connection to water -,supply:
13. Rubbish and garbage facilities:
`
14. ,Comments:
' B. Structural
1. Piers and footings:
2. Floor construction:
I Wall construction:
' .4. Ceiling and:roof construction:
5. " Fireplaces:
.. 6. . Comments:
C. Electrical.
1. Service and ground
2. Receptac: es: '
3. Fusing:
4. Comments:
D. Plumbing
,
1. Fixtures connected and vented:
2. Gas water heater:
" 3. Gas heating vents:
4... Comments
A
E. Other
1. Maintenance and repair:
Fire hazards:
3. Safety hazards: r --
"�4: Weatlier protection:
5. Underfloor and attic ventilation:
Convents:'
F.` Commercial Buildings
1. Roof covering:
2."'Distance to property lines:
3. Physically handicapped:
4. Rest-oonl floors and walls:
5. Exits: -
" '6-.-'Impr6vements:
7. Zoning:'
8. Comment:
G....~Fle'ld'Problme s or Viclatior,s
1. Pr o. -.► olatior.i (give ,c 1et.z description)
Wratc:tiott taken (give complete:.i.escri >t:o t) :
3. Whitt action recc;mmencied :
-T7 A. " anfonaution only - fil.r.
7: B° Hold for ten (10) days, then write le -tier.
Write letter.
_.. —7 D. tither: