HomeMy WebLinkAbout058-700-03858-70-38 2839=91P,E
MARTIN., David; .
,b' Lumber, .Jack .Ln„ Orovslle:
(_travel trailer_ utilities
ELEC
GAS
COMPACTION TEST REQ
SUPPORT STRUCT REQ
W2
� �
RESIDENTIAL
58-70-38 2839-91P,E
MARTIN, David
61 Lumber Jack Ln, Oroville
(travel trailer utilities)
I OFFICE COPY
Address
i
�y Date
ELECTRIC
Meter By Date y�
JOB FINALE
Signature
/L _
J=OK
O = Not OK
Not Applic
Not Readyabl
Readyable MOBILE HOMES
Date MO E HOME UTILITIES Plans OK except k's
L-f"4peing Requirements -Setbacks -Easements
s; Special MH Support Sketch
r; Location -Test -Fall -C/O Concrete
Water; Location -Test -Easement Needed (Sketch
15. ectricity; Location-Clea rences-GrnS!J mp-Concrete
V4._.Gas Location -Test -Wrap:
/,/"Nat. or/ /" L"ft./ /"LPG
vr'weii Clearance & Disconnect
8. Utility Clearance
Date 2L Card B-1 Date Card B-1
Date /� Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except ff's
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged i
I
9. Exits; Insp.-Sketch I
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1 t
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 ff'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-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
J=OK
O=Not OK
= Not Applicable
Not Heady RESIDENTIAC(E
=
Date UNDERFLOOR (Plans) OK except ft's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls. Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. 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 ft's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
--------------------------- --------------
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
--------------------------- --------------------
19. - Shower Pan: Test. First Floor -Tub Access
------------------ -------------------
20. -Test -Tub & Shower, -Second Floor -Tub Access
----------------- -----------
21. Gas Pipe: Size & Anchors
Date Card B-1 Date Card B-1
------------- --------------- ---------- --- ------------ ----------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except H's
22. Fixture & Transformer Clearance -Ins. Protection
------------------------------------------------------------------------ --
23. Elec. Receptacles Spacing -Lights & Switches at Doors
------------ E-lec. Receptacles
Size Boxes & No. of Conductors -Stapled
--------------
Romex Installed Close to Edge of Studs & C.J.
------------ ---------
Equip.-Ground made up w!Mech. Fasiners-Bond & Water
---------- --------------------------------- ---------_Gas_---------------
27. 2 Appliance Circuts in Kitchen & Conductor SizeiGFI
------------- --- -------------------------- ---------------------------------
28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! 1 ga.
Cu or At
-------------------------------------------------------------------------
29. Range Circ / I ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes No
------------------ ------------------------------ - --- - - -
30. Service -Riser Conductors & Ground -Main Disconnect
--------------------------------------------------- _ ---------------------------
31.
---------- - ------------------------------------------
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 P's
34. A. C. Ducts Insulation & Support
------------- ----------------------------------------------------
_ 35. Vent Fan Exhaust above insulation
--------------------------------------- ---------------
36. Condensate Drain & Overflow: Size & Grade
37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
-
-- - ------ ------ -- -- -- ---- ------------------------------------
38 Attic Access & Platform if Furnance in Attic
------ ----------------------------------- ------------------------- -----------
Date ------- Card B-1--- --------- Date ----- -- -- Card -B-1 ---
----------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ft'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
Ingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors _
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
--------- ---
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
.-.----------------- --------
Date Card B-1 Date Card B-1
Date - Card B-1 Date Card B-1
Date FINAL (Plans) OK except ti'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. Stags & 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 -Meth. 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-- 0 Yes
80. Following instld.: Drive 0 Yes ❑ No: Walks ❑ Yes 0 No;
Planters Yes 0 No____ _
81. Stucco Brown -Finish -
--------------------- ------------------- - -
82. A.C. Unit: Disconnect. Electrical, Plumbing
- - - -- - ------------------------------
83.
----------------------------83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings _ _ _
a4. Water Weil; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim: G.F.I. Receptacle-Underg round
a6. Ventilation Throughout House
------------------------------------- - -
87. Glass Protection
8a. Corrections from Previous Inspections
89. Gas Test -Meters Tagged: Gas -Electric
---- ------ ---------------------------------------------
90. Water & Sewer Connected -C/O to Grade -HD Approval
----------------------------------------------- ------
91. Energy Compliance -Certificate -Other Certificates
------ ----------------------------------------
Date Card B-1 Date Card B-1
-- ----- -- - - - - - ------------------
Date
-----------------Date Card B-1 Date Card B-1
------------------------------------ --
Date Card B-1 Date Card B-1
Comments at Final:
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NORTH FOF?I< FEATHER RWER
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COUNTY OF BUTTE +!r
>• DEPARTMENT OF PUBLIC WORKSs
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — 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
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, ple ntact this office immediately.
Date—Ke`t/ Inspector ��`7�
COUNTY OF BUTTE - DEPARTWENT OF PUBLIC WORKS
r 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO. j
ASSESSOR PARCEL NUMBER
58-70-38
ZONING
FR 20
BUILDING PERMIT
OWNER
DAVID MARTIN
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. BOX 2652 ORO.VILLE
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
NEnergy
LICENSE NO.
Plan Checking Fee
$ 15.00
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
61 LUMBER JACK LANE OROVILLE
Permit fee
$ 15.00
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME -
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [I Duplex❑ Mobilehome Other T T
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home
10.00 ea 30.00
TYPE OF WORK
New❑ Addition Remodel❑ utilities,(�� Installation❑ Other E]
Describe work: -'hl"wU��(�%� _
Permit Fee
$ 40.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 10.00
Main service EA. ADD'L 100 AMP
2.50 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p i y (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license IS In full force and effect.
License No. Classification.
i, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.EI\
OR ADDNS. ACC. SLOGS. I
, /20sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
/POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex, Occup OUTLETS OR FIXTURES
zo®soa
SALO 30
FIXED
Ex. QCCUp. P
OUTLETS (RESID.)REA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00 15.00
Misc. Wiring
g
15.00
Permit Fee
$ 37.50
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-1 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.
141 I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
i against said County in consequence of the granting of this permit.
X J-_ �_ 13,9
Date
I Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occCONST
TYPE
TOTAL FEE $ 92.50
HAz.
X_
CLIA-1PARK
I SCHL
I FLD
I CDF
PAR
PD
I HD
IssuE
This permit is hereby issued unoer the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated ab a for which fees have been aid.
P
OR UBLIC WORKS
l
By (Date —`0r
PE MIT EXP( Date ^-��/
Receipt No. 97175 92.50
WNIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT PUBLIC WORKS - BUILDING DIVISION
..F
7 COUNTY CENTER DRIVE - OROVIL'LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA' SHEET
Permit No,
e
e/
OWNER I )Ci V (C 2ffi r f In � A. P. No. S8 - 70 -3�
Proposed Building Use Tr'aveJ TIrGt(.ef Building Inspector ., Date �- 3
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . .................................. _
2. Plot plans in uplicate iplicate, signed by preparer of plans. . '2/-
3. Complete plans In duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
Sanitation approval from QUI k X_ Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirefhents)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
CL&wta Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector
21. Contractor's license information (No., Name Style, Classifications ...
-23. Certificate of Workmans Compensation Insurance ..................
Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. ( 3-9
Recorded copy of Agricultural Acknowledgment Statement ......... /3-91
25. ter of signature authorization ..........
27.
When you Issue the permit, process as follows: Mail to owner. Mail to contractor.
,� Telephone and hold for pickup at OLD_office. Deliver w/inspector.
Other
PA42Ce'aC. C(o,g Applicant /'� 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 submitte to permit issuance: (Circle new item not checked above).
1. Index permit for above items No +
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Ew Date nl"G'L _Plans approved by Date R �10�91
Sets of plans on hold in File cabinet AP folder
Copy—DPW
,1
TO
CBuildinc Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
.Owner Location
Plan Approved for.
Sewage Disposal Water Supply
Hold final for:
Final clearance O.K. for: .
Clearance for % bedroom mobile home°. Other
4
NOTE *:
Water Supply
Water Supply`
JA7— 4 Date
Sanitarian
TO
FROM:
VT
SUBJECT:
Buildinv Department
J
Environmental Health
Sanitation Clearance
L(j "Lor, iz-r-k
MILLI
owner Location - A2#
plan Approved for:Sewaqe Disposal _ Water Supply Wil/
Hold final for: Water Supply
^anal clearance O.K. for:
Clearance for bedroom s..e ome.
Other
Water Supply
NOTE x
Date
Sanitarian
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
-
7.ONING -
BUILDING PERMIT
OWNER a t/)J /l/l a r�
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
Po ag 65 l v (ie_ G, gs�Gs�
i
CONTRACTORY'SS NAM'E
`C /
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
O—V\- -P__
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENOER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR EVEER
��
LICENSE NO.
Plan Checking Fee
$ %.S
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADORES
U CtC. f10 4(Lvt
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome❑ Other �— T
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S W
j10.00 ea Q
TYPE OF WORK
New ❑ Addition ❑ Remodel[] Utilitiess)Z Installation[] Other ❑
Describe work:
Permit Fee
$ CYO 0-0
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 OR OR L
100 AMP OR LESS
10.00 Cr_O
Main service EA. ADD'L 100 AMP
2.50 2 `so
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
17 1 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.
i7I, 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 CONST. / DWELLING OCCUP.6)
OR AOONS. 1 ACC. SLOGS.
y2¢sgft
NEW CONSTR ULTI-OUTLET
NON.RESIO BRANCH CIRC ITS
12.50ea1
POWER APPARATUS s
SINGLE OUTLET CIR. )
Ex. OCCUp� OUTLETS OR FIXTURES
120.9500 I
Ie AL. 300
FIXED
Ex. OCCUo. OUTLETS (RESID )APNS.REA.)
I 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$ 5
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for 5100.00 (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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
XThis
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONSTTYPE
TOTAL FEE S -/Q �- S�
HAz CUA I PARK SCfil FLO coF PAR PD Po o•;Issu-
I I )
permit is hereby issued unser
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the appl)cauie provi-
resolutions to do
fees have been paid.
WORKS
Date '
,
Receipt No.
✓•'MITE-O.P.W., YELLOW-A3eE350P, PINII•INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
1 .
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.
311-1
I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) y%S
2. I (have/have not) H ivl_' signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. )I plan to provide portions of this work, but I -have hired the following person.
to coordinate, supervise,. and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner off•
Social Security Number
Date LP'/.? -9/
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
..: yu--7°'-352
"7/9 -
• twrder Fl,-. 16111' EQi1BIT "A" s
• DESCRIPTION
All that certain real property situate in the County of Butte, State of California,
described as follows:
PARCEL ONE:
The West half o't the Northwest quarter of the Northeast quarter of Section 18, Township
21 North, Range 5 East, M.U.B. G M., and more particularly described as follows:
Beginning at the North quarter corner of said Section 18; thence along the North line
of said Section 16, North 89° 29' 06" East, 672.02 feet to the Northeast corner of" said
West half of the Northwest quarter of the Northeast quarter of Section 18; thence along
the East line thereof, South 00° 30' 09" East, 1275.86 feet to the Southeast corner thereof,
thence along the South line of sa?d parcel, North 89° 51' 00" West, 673.94 feet to the
Southwest corner thereof; thence along the West line of the Northeast quarter of said
Section 18, North 000 33' 08" West 1268.08 feet to the point of beginning,
PARCEL TlYO •
An easement for road and public utility purposes over a strip of land•60.00 feet'in`wtdth,
lying 30.00 feet on each side of the following described centerline:
Beginning at a point that is located South 89° 00' 40" West a distance of 369.52 feet from
the North quarter corner of Section 7, Township 21 North, Range 5 East, M.D.B. G M.; thenen
from said point of beginning South 24° 19' 57" West for a distance of 34.59 feet] thence
ce
South 12° 41' 27" West for a dista-ce of 54.91 feet; thence South 630 45' 33" East for
a distance of 200.02 feet; thence South 440 53' 53" East for a distance of 157.21 feet;
thence South 14° 34' 33" East for a distance of 414.03 feet; thence South 10° 48' 57"
West for a distance of 119.01 feet; thence South 130 04' 13" East for a distance of
322.13 feet; thence South 790 27' 07" West for a distance of 168.94 feet; thence South
243.1 fet;
Olt
distance JOfE195.ast f7rfeetistthencefSouth920°e15' 13heEastnceSforha6distance3ofout90 26' 4"E309.57rfeet;
thence South 7° 31' 36" Nest for a distLnee of 242.09 feet; thence South 64° 53' 03"
East for a distance of 229.75 feet: thence South 291 40' 43" East for a distance of
107.33 feet; thence South 30 26' 17" West for a distance of 132.26 feet; thence South
371 42' 27" West for a distance of 200.66 feet; thence South 240 04' 03" East for a
distance of 52.20 feet to a point that is located South 70 09. 11" East for a distance
of 2093.05 feet from the North quarter corner of said Section 7; thence North 63'`28'
57" East for a distance of 405.72 feet; thence South 340 50' 53" East for a distance
of 46.70 feet; thence South 33° 55' 37" West for a distance of 167.28 feet;' thence
South 40 37' 07" West for a distance of 210.55 feet; thence South 1° 02'27" West for a
distance of 227.93 feet; thence South 240 26' 23" East for a distance of 221.19 feet;
thenut South IY.1" East for a distance of 190.13 feet; thence South 10° 58' 43"
East for a distance of 140.11 feet; thence South 240 21' 43" East for a distance of
492.16 feet; thence Scuth 12° 35' 27" West for a distance of 272.86 feet: thence South'
4° 33' 05" East for a distance of 308,83 feet; thence South 30° 28' 05" West 358.73
feet; thence South 3° 17' 15" West 147.19 feet; thence Sonth 280 04' 23" West 219.82
feet; thence South 100 52' 38" West 73.93 feet; thence South 290 Olt 43" West 129.25
feet to.a point on the East lire of the above described property and the end of said
center line.
PARCEL 711REE•
V
An casement for roan and public utility purposes over the North 60.00 feet of the East
303.43 feet of the West half of Section 7, Township 21 North, Range 5 East, M.D.B. G M.
PARCEL FOUR: o
An casement for road anti public utility purposes over the North.60.00 feet of the East
CJr
half of Section 7, Tonvship 21 North, Range 5 East, M.D.B. G
Bend Road. 1:, lying Westerly of Dig
X m
Also an easement for road and public utility purposes over a strip of land 60.00 feet
in width lying 30.00 feet on each sada of the following described centerline:
cc
Beginning at a point that is located South 89° 00' 40" West a distance-of'369.52'feet''"
from the South quarter corner of Section 6, Township 21 North, Range 5 East, M.D.B. G M.;
thence from said point of beginning. North 240 19' 57" East, a distance of 20.20 feet;
thence North 23° 21' 00" East a distance of 263.70 feet to point in the centerline
of the Bin Bend Rnad ami the end a of sold centerline.
END Of DOC' 1UENr ��
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMB9R
58-70-38
ZONING
0
BUILDING PERMIT
R
DAVID MARTIN
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. BOX 2652 OROVILLE
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation is
Filing Fee
10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
NONE
LICENSE No.
Plan Checking Fee
$ 15.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
61 LUMBER JACK LANE OROVILLE
Permit fee
$ 19.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomex Other T T
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home
10.00 ea 30.U_0
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑
Describe work:-r(`1.1If r r f"!�_. �'�
Permit Fee
$ 40.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00v OR LESS
I00 AMP OR LESS
10.00 10.00
Main service EA. ADD'L 100 AMP
2.50 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
JZ 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
NEW CONST. ( DWELLING CCCUP.°d)
OR ADONS. AGC. BLDGS.
yz¢sgft
NEW CONSTR ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
/POWER APPARATUS &)
(POWER
OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
2003011
°AL930:
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00 15.00
Misc. Wiring
15.00
Permit Fee
$ 37.50
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.
N71 I shall not employ any person in any manner so as to become subject
40J 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
i �liabilities, judgments, costs, and expenses which may in any way accrue
nst said County in consequence of the granting of this permit.
' X - IhA— Date e I3' 9l
Signature of Applicant - Owner' Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
/
/HAz
CONST TYPE
TOTAL FEE $ 92.50
I CUA I PAP,K
I SCHL
I FL0
I CDF PAR PD HD ISSUE
This permit is hereby issued unoer
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 97175 92-50
WHITE-D.P.W.. YELLOW-ASDE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965
PHONE: 916-538-7541
DATE -8-15-91
DAVID MARTIN RE: B P #2839-91
P.O. BOX 2652
OROVILLE CA 95965 A.P. # 58-70-38
With reference to the above subject:
Attached is: '
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes.Enforced
OTHER
/ / We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
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
Completed Owner -Builder Verification form.
oraea copy or agr
OTHER
ement statement.
MAP.
Should you have any questions concerning the above, please contact ROD TAYLOR
of this office. BETWEEN 3 & 5 P.M.
Yours very truly,
JFG/aj
William Cheff
Director of Public Works
J.F. Glander
Chief Building Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE:. 916-538-754.1.'
DATE u� —
RE'
A. P. # 0_3C
With reference to the above subject:
" Attached is:
Application for permit. Mobilehome Utilities Installation Sheet..
Building Plans Mobilehome Installation Information Sheen
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of_Codes Enforced_.:..
r0 5 .
LL We need the following information:
Permit application signed and completed where indicated with.all copies returned.:
Fees of $ payable to Butte County Treasurer._ _
Certificate of Workmen's Compensation-Insurance_or:check exemption statement.
Contractor's License Law information or check -exemption statement. :.._.._.
r
Complete plans in including..plot. plans.
Plot plans in
Structural details in r
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
Completed Owner -Builder Verification form._
Recorded copy of deed showing G 0 C4
Recorded copy of agriculturalacknowledgement statement.
L� OTHER
Should you have any questions concerning the above, please contact._
of this office.
Yours very truly,
William Cheff
Director of Public Works
.F. Glander
Chief Building Inspector
660 x U 2f,
lhir. --ot col Plans Ond 'LIT be
vn,
Q we((
A sei.baek of
25' FedM sloe "66,
�Irbpe,. 4 -�Ctrom the
Ilineand a setback
of 50ft. from the read
centerline -3hall be clear of
--tructures 'or'equipment exce
-Fn.r a ? ft. eAv* overhand pt
d e 04 4 a(/ ea se /)7'er*
NOTE—, -M! Mat riFlz, 8.. W-rk
nsh ip e vv
Shall S,:
Accv-t4i,�nn:� v!ith J loc� Pr ti 3
a -C Ce
of a qua!il.:y 'Six.-cified ue.o In
Uniform Building, PILM-,binf.) & Piechanical Co -,4r.,
and t,
he Notionzi El,-.�cwrical Code.
Z8 99 -91
,D /'� P436-
NUM
C Itt-r- P10 A G. C
I "'Is :;(-"' O,t Plons ond
0", C,41
I +;r..�, +:,`.
* MU
, " ; ST be
IT is vniavvful fo
insOn S
PerMissio",iar w
COL),tify of ifhcuf
U �Mcnf Of public
t"k Of ft. -from
Property lines and a setbkk
of 50ff. from the road
centerline shall be clear of
structures or equipment eXcept
overhang. 4-
eaSern" to
0 "Ye
MCI(-
L,v tv�
NOTE:—All
. snship Shall Ba in
A Acwsdv-,nce yms
-ed Good
-of a qoalitY for th,Specified use In t
frQ
rt
Und ifor
§ the m t4,3fi' Plumbing & Mechanical Cod -es
Qnal Eledrical Code.
Miju 'MR -9
4r
j j
The property described herein is adjacent
Recorded
to land or included within an area zoned
9 30146
-Return to DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMNT
of this property may be subject to incon-
Butte I.
veniences or discomfort arising from the
FOR RESIDENT11--L DEVELOP'RFNT
use of agricultural chemicals, including,
Section 26-8.1
of the Butte
County Code
and fertilizers; and from the pursuit
requires this
acknowledgement
be recorded
1.
prior to issuance of a building
permit. 91-034746
I Rec Fee 5.00
occasionally generate dust, smoke, noise, and odor. .Butte County has established agricul-
tural zones which have as a priority use for
productive agricultural purposes, and residents
1 Cash - 5.00
The property described herein is adjacent
Recorded
to land or included within an area zoned
Official Records
for agricultural purposes, and residents
County of
of this property may be subject to incon-
Butte I.
veniences or discomfort arising from the
Candace J. Grubbs
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
Recorder
and fertilizers; and from the pursuit
1.1:52am 29 -Jul -91' I VS 1
,of agricultural operations including,
= -
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. .Butte County has established agricul-
tural zones which have as a priority use for
productive agricultural purposes, and residents
within said zones and on adjacent property
should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real ..property- situate in the County of Butte, State of California, described as
follows:
-71-kQ- We -s+ lea df,
RaA9e_ 5 EaS+J
Date:
State of)
) SS.
County of )
Lof 8 in Se.cfloh 1 S) Townskip ZI Klort%i
M.D3.-ti-M
PROPERTY OWNERS:
'R J/UA
On this the day of 19_�L, before me, the
undersigned Notary Public, fersAilly appeared
0
ki
OFFICIAL SEAL Personally known to me. Proved to me on the basis
a
of satisfactory evidence.
DO'R'OTHY E COMBS NOTARY PUBLIC - CALIFORNIA to be the erson s whose name sBU7TE COUNTY _ subscribed to the within nstr.i�me t .and'... owledged that
'My comm. expires MAY 25, 1993 -'i "' ^. '�
executed the same for the :purgb�Ps•'_ H} 'z'biii;-.contained. IN WITH SS
WHEREOF, I hereunto set m:yK.Hi i-bg'> And r_Ydf&i �al 'S.eal .
Present A. P. No.
Netary Public
lk
END OF DOCUMENT
r-
Id
I I .