HomeMy WebLinkAbout058-720-029I'
GRAY
ig
fn/s i of Nobb Rd, a 058-720-029 03-3.267
pp. 800 N. of- WOBBLE, PAUL
�5
Bi Bend Rd., Oroville h 5057 NOBB RD, OROVILLE i
i Permit # 2723-74P,E Cont: BRUCE BRODERICK--
j(uti1.,' MH) �i� �I� AS BUILT DECK '
a '
EARL DOUGLAS GRAY 058-720-029 03AG208 ' (�
n/s Nobb Rd., app 800' WOBBLE, PAUL
r Big Bend Rd., Oroville r 5057 NOBB RD, OROVILLE
Permit ## 2724-74B Cont:
( screen porch , MH ) AG EXEMPT BUILDING
_
°22-7 058-720-029 03AG207
Pe mit #1154-76P(inst, gas piping WOBBLE, PAUL
to existing site) MH 5057 NOBB RD, OROVILLE
Cont:
7/ AG EXEMPT BUILDING
i
�?eWit4t114MIX'9I(ex-site)
CONTR: Lons MH Service, No.Highlands
1
ISSUED ;z
t
58-72-29 3811L 89B
I
YOUNG, Annette
I
' 5057 Nobb Rd, Or-aville•
Contr: MH Center J
(MHI/existing site)
�58-72-29
3250-90B,E -
WOBBE, Paul
5057 Nobb Rd, Oroville
w '('garage)
=ERFND
03-3 66
OROVILLE INALE
ODERICK / -
r ND
. t t
NOTES RESIDENTIAL
PERMIT NO. 058720-029
_. W+ OBBOE, PAUL
5057 NOBB RD, OROVILLE
Cont: BRUCE BRODERICK
�EX MH PERM FND
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY ON NEW
MH' S).
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
03-3266
i
r
11 SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
IlI /111/1
JOB FINALED (Date)
Signature
J=OK
0 = Not OK
. = Not Readyable
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
-Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test-Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
7.
Well Clearance & Disconnect .
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
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
6.
8.
Gas and Electricity Tagged
7.
9.
Tie Downs -Type -Installation Cert.
8.
10.
Exits; Insp.-Sketch
9.
11.
Cert. of Occupancy .
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Enclosure; Fencing -Alarms
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
P1Z9piRg
Requirements -Setbacks -Easements
Footings; Size -Spacing -Marriage Line
3.
Blocking,
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH.Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11...
Verify #'s with Office
Date 4
Q
and B-1 Date Card B-1
Date I I
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or -Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh -
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining .
4.
Elec.; Receptacles and Lighting, Distance-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 Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-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 -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
72. Elec. Outlets at Wood Panel, Int. & Ext.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
_
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
87. Water Well, Disconnect, Electrical, Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
f
1
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
T r '
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 1272-3-4(010 PERMIT NO.
(Rev112/96) ''APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
058-720-029
ZONING
fr-10
BUILDING PERMIT
OWNER
WOBB PAUL
TELEPHONE
533-7824
SO. FT. OCC. BUILDING VALUATION
1152 R 62,208.00
OWNERS MAILING AD R SS
5057 NOBB RD. NAM OROVILLE
CONTRACTOR'S NAME
BRUCE BRODERICK
TELEPHONE
873-5059
CONTRACTORS MAILING ADDRESS
PO BOX 786 MAGALIA 95954
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 62
208.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filin Fee
$ 20.00
Permit Fee 473/2
$ 236.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
5057 NOBB RD. OROVULLE
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 279.50
LOT NO.
SUBDIVs IONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome J Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: EX MH PERM FND 24x48 ft.
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$ 50.00
ELECTRICAL PERMIT
Filing Fee 20.00
0000 R LESS
Main Service A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license ; full force and effect.
License Class Lic. No.,. tz7�y3
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO IOOOA
46.00
NEW CONST. DWEwNG OCCUP.
OR ADONS. ( a ACC. S.
so
3.50FT;
NEW
REOSID. MULTI -OUTLET
97,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 O 1.00
SAL @ .50
Ex. Occup. OUTLETS RESIo)EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
re inspection
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that 9 1 should become subject to the
rkers' compensation provisions of section 3700 of the Labor Code, I shall
thwith comply wi those p visions.
X_ pate _/0 �r� d
fJ
Signature of Applicant'- ❑ Owner ❑ Contractor Agent
An OSHA permit is required for excavations over 60 deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ CONST. TYPE
TOTAL FEE $ 329.50
HAZ •
D FEES IMP
—
I FLOOD
--'—
CDF
PARCEL
_
—
PD
—
HD
—
ISSUE
This permit is hereby issued under
of the a County Code and/or
indica d or ich.fees have
�(/�
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date �a ✓ d 03
Date
Receipt No. J909939.50
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Fid COUNTY OF BUTTE -DEPARTMENT OF DEV, ,LOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA4fV one (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: \r-4 (j LJ ASSESSOR PARCEL NUMBER
Proposed Building Use: ' M • % Oa`(1t1 YAC)'Y Y 'Counter Technician: Date: I U •!/`� v�
Items required in order to apply fora per'mik All boxes MUST be checked OR marked NA in order 4a apply.
'191. Site plans, 3 or 4 sets, sigried by the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate. ,,�
6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (!Tie down or fnd plans, all in duplicate.
7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and talcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be
stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and
returned to the plan review line-up when required items are received.
Y ❑.° 8:'- oo d<Elevabon Certificate, wet -stamped and signed, in duplicate..
'❑ 9. Site plan and business license approval from the City of Biggs......
❑ 10. Letter of intent for non-residential buildings ...............................
❑ 11. Detached Accessory Building Form filled out by the owner........
0 12. Hazardous Material Form ......................................................
O 13. Fire Sprinklers....................................................................
❑ 14. Agricultural Buffer cir and site plan apr from the Ag Commissioner
"0 1.5:. Other .
Date Received By
......................
Sent by
'Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... _
❑ 17. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 18. Sanitation and site plan approval from the Environmental Health Department in _
❑ 19. City of Chico Plumbing permit........................................................................ _
❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: _
❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 23. NPDES Form............................................................................................. '
❑ Al Encroachment Permit for drive fr the Public Works Dept .................................
25. Pre -Inspection for required ................
26. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 27. Worker's Compensation Carrier and Policy Number .............................................
❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 29. Letter of Signature authorization....................................................................
❑ 30. Recorded copy of Agricultural Acknowledgment Statement ........................... ......
❑ 31. Manufactured home utility clearance............................/............................. .
❑ 32. Existing violations and/or expired permits ...............................................
❑ 33. Grant Deed,'"-I.H. Title/Statement of Facts, [Vetter from Legal Owner, eck.to H.C.D. $
❑ 34. 0 er: moi''
When issued Telephoneand hold for pickup.
I have been infofined of the above items a `d requirements for obtaining a building permit. `
Applicant: ,/G�/' Date: �0%2�/ 3
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, as advised of the a ove d is by phone, ❑ mail, ❑ coun byr_Date-
Plans reviewed by: Date: U Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
C 09:P'Y of Document Recorded
10 -Nov -2003 2003-0079672
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RvrnRnF.R itch' nWT v
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date 'of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all -persons thereafter dealing with the real property.
PAUL WOBBE
REAL PROPERTY OWNER/LESSOR
5057 NOBB ROAD
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS. IF DIFFERENT
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if``also property owner, write "SAME")
,:!5�/G
MAILING ADDRESS
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY -
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
03-3266 530
538-7541
BUIL
IN PERMIT NO. TE PHONE NUMBER
11/06/03
SIGNA URE OF LOCAL AGENCY 0
DATE
NONE
DEAL,,ERR NAME ((if not a dealer sale, write "NONE")
IVO AI -
DEALER LICENSE NO.
CFIY --- - ---CoUNT-Y- ------STATE- --- --- - ZIP- -
---- -- — - ------------ -- - - - - - - - - --- - -
UNIT DESCRIPTION
HOME SYSTEMS 1989 17189
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
HSCASNA/B90321317 48'X 24' PFS204895/6
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
MAL PROPERTY LEQAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER AP # 058-710-029
HCD FORM 433(A) REV. 8/91
WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept.
f RO4M 101D 'VALLEY T I TLE PRRADi SE (FR I ) 10 10 2003 11 : 30/ST. 11 :25/ N�r)..5011438476 P 4
r
PreIiminary Report
Order No. BU -215611-2 VG
Descriptions
7irland referred to Therein is situated in the State of California, County of Butte, and is described as
follows:
PARCEL I:
A PORTION OF THE SOUTHWEST QUARTER OF SECTION 6, TOWNSHIP 21 NORTH, RANGE
5 EAST, M.D.B. & N., MORE PARTICULARLY DESCRIBED AS FOLLOWS:
COA)�ENCJNG AT THE WEST QUARTER CORNER OF SECTION 6; THENCE ALONG THE
NORTH LINE OF SAID SOUTRWEST QUARTER, NO1ZTIi 89° 30' 36" EAST, 272I.43 FEET TO
THE NORTHEAST CORNER OF SAID SOUTHWEST QUARTER; THENCE ALONG THE EAST
LINE OF SAID SOUTHWEST QUARTER, SOUTH 01° 04'53 -WEST, 400.00 FEET TO IM Tp
POINT OF BEGINNING FOR THE PARCEL OF LAND HERErN DESCRIBED; TFIENCE FROM
SAID TRUE POINT OF BEG]INNYNG, CONTINUING ALONG SAID EASTERLY LINE, SOUTH 010
04' 53" WEST, 283.00 FEET; TFIENC�E SOUTH a4° 59' 00" WEST, 705.84 FM, EET THENCE ,'01 H
899 59' 50" WEST, 60.00 FTO A POINT ON A CURVE CONCAVE' Tp THE WE FIAVYNG
A RADIUS OF 50.00 FEET; THENCE ALONG THE ARC OF SAID CURVE, WHOSE TANGENT AT
THIS POINT BEARS NORTH 000 00' 02" WEST, THROUGH A CENTRAL ANGLE -OF 41' 37'42 -
AN ARC DISTANCE OF 36.33 FEET; THENCE NORTH 410 37' 44" WEST, 92.11 FEET TO A
POINT ON A LINE WHICH BEARS SOUTH 43° 10' 28" WEST FROM THE TRUE POINT OF
BEGINNING; THENCE ALONG SAID LINE, NORTH 43° 10' 28" EAST, 932.62 ITZT TO THE
TRUE POINT OF BEGINNING.
APN 058-720-029-000
ARCEL II,
A RICHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60
FEETIN WIDTH LYING EASTERLY AND SOUTHEASTERLYOF AND ADJACENT TO THF T..1NF
DESCRIBED AS FOLLOWS:
COMMENCING AT THE MOST WESTERLY CORNER OF THE ABOVE DESCRIBED PARCEL I;
THENCE SOUTH 41* 37'44" EAST, 92.11 FEET TO THI; BEGINNING OF A TANGENT CURVE
CONCAVE TO THE WEST HAVING A RADIUS OF 50.00 FEET; TFdF.NCE ALONG THE ARC OF
SAID CURVE, THROUG14 A CENTRAL ANGLE OF 118° 28' 38" AN ARC DISTANCE OF 103.39
FEET; THENCE SOUTH 76° 50' 56" WEST, 136.80 FEET TO THE BEGINNING OFA TANGENT
CURVE CONCAVETO THE SOUTHEAST HAVING A RADIUS OE 130.00 FEET; THENCE ALONG
THE ARC OF SAID CLMVE THROUGH A CENTRAL ANGLE OF 450 08' 07" AN ARC DISTANCE
OF 102.41 FEET; THENCE SOUTH 410 42' 49" WEST, 91.30 FEET TO A PONT IN THE
NORTHERLY BOUNDARY LINE OF SAID BIG BEND ROAD AND TFM EM OF SAID LINE.
CONTINUED
Page 5
.,FROM MID VALLEY TITLE PARADISE
A..
IFR I :i 10 .10 2003 11 :30/S T. 11 :25/N0. 501' 4 8476 P 3
Prelimmmy Report Order No. BU -215611-2 VG
PARCEL II: CONTINUED
THE EXTERIOR BOUNDARY LM OF SAID 60 FOOT WIDE RIGHT OF WAY IS TO BE
LENGTHENED TO SHORTENED AS NECESSARY TO TERMINATE ON THE NORTHERLY LLE
OF SAID BIG BEND ROAD.
EXCEPTING THEREFROM ALL THAT P
DESCRIBED HEREIN. ORTION LYING WITHIN THE BOUNDS OF PARCEL 1,
Page 5
FROM .N,1D VALLEY TITLE PARADISE (FRI'l10 10 2003 1i:29iST.11:25-N0.501149847e
STATE OF CALIFORNIA • OUSINESS, TRANSPORTATION AND
P
��.... MOUSING AOENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
GRAY DAVIS, Governor
orvlslon of ced.:ona su+noeros
-..
�,)5►NG y1
I
Title Search
04
Date Printed :
10/10/2003
Decal #: I.AN6412
Use Code:
SFS
Manufacturer: 09578 HM SYSTEMS INC
Original Price Code:
ATZ
Tradename: BAYwOOD II
Rating Year:
Model: 17189
Manufactured Date: 11/1.6/1989
Tax Type.
LPT
Registration Exp:Dace
Last ILT Amount:
First Sold On: 01/1211".0ILT
ILT .>1~ee Paid:
Exemption:
NONE
Serial Number HUD Labcl /Insignia
Length Width
HSCASNB90321317 PFS204895
48'
12'
HSCASNA90321317 PPS204896
48'
Record Conditions: PPF Exempt
12'
Registered Owner:
PAUL F WOBBE
5057 NOBB RD
OR.OVILLE, CA 95%5
Last Title Date: 03/19/1992
I -Wt Reg Card: 03/19/1992
SalvTrensfer Info: Price $34,903-00 Transferred on 02/27/1992
Situs Address: - - - ----
5057 NOBS RD
OROVILLE, CA 95965
Situs County: BUM-
Legal Owner
BANK OF AMJEIUCA
10089 WILLOW GREE
5AN DIEGO. CA 9213
n Perfected On: 03/04/ 92. 16:43:00
* * * ENDWF'IITLE SEARCH ***
`ROM MIC VALLEY TIT E PARADISE
PPAUL t�Rgf �
2711 Hswtl+ a Ave.
j SOCrafleld. CA 5330
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DOC 27.59
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RiOM MID VALLEY TITLE PARADISE (FRI;10 10 2003 11:30/ST.11:26;0--5011498476 P 4
Preliminary Report Order' No. BU -215611-2 YG
Description
The land referred to herein is situated in the State of Califomia, County of Butts, and is described as
follows:
PARCEL I:
A PORTION OF THE SOUTHWEST QUARTER OF SECTION 6, TOWNSHIP 21 NORTH, RANGE
5 EAST, M.D.B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT THE WEST QUARTER CORNER OF SECTION 6; ''HENCE ALONG THE
NORTH LINE OF SAID SOUTHWEST QUARTIR?, NORTH 89° 30' 36" EAST, 272I.43 FEET TO
THE NORTHEAST' CORNIER OF SAID SOUMWEST QUARTER; THENCE Ai.ONG THE EAST
LINE OF SAID SOUTHWEST QUARTER, SOUTH 01.04' 53" WEST, 400.00 FEET TO THE TRUE
POINT OF BEGINNING FOR THE PARCBL OF LAND HEREIN DESCRIBED; THENCE FROIvf
SAID TRUE POINT OF BEGINNING, CONTINLgNG ALONG SAID EASTERLY i.INIE, SOUTH 01 °
04' 53" WEST, 283.00 FEET; THENCE SOUTH 440 59' 00" WEST, 705.84 FEET; THENCE Snirm
899 59' 50" WEST, 60.00 FEET TO A POINT ON A CURVE CONCAVE TO THE WE HAVING
A RADIUS OF 50.00 FEET; THENCE ALONG Tld$ ARC OF SAID CURVlE WHOSE TANGENT AT
THIS POINT BEARS NORTH 00° 00'02" WEST, THROUGH A CENTRAL ANGLE OF 41- 37'42 -
AN ARC DISTANCE OF 36.33 FEET,' 'HENCE NORTH 410 37' 44" WEST, 92.11 FEET TO A
POINT ON A LINE WHICH BEARS SOUTH 43° 10' 28" WEST FROM THE TRUE POINT OF
BEGINNING; THENCE ALONG SAID LINE, NORTH 430 10' 28" EAST, 932.62, �T TO THE
TRUE POINT OF BEGINNING.
APN 058 -720 -029 -No
PARCEL It:
A RIGHT OF WAY FOR ROAD AND PUBLIC UTiL11Y PURPOSES OVER A STRIP OF LAND 60
FEE''' IN WIDTH LYING EASTERLY AND SOUTHEASTERLY OF AND ADJACENT TO THE T_TNF
DESCRIBED AS FOLLOWS:
COMMENCING AT THE MOST WESTERLY CORNER OF THE ABOVE DESCRI851) PARCEL I, -
THENCE SOUTH 41° 37'44" EAS''', 92.11 FEET TO THE BEGINNING OF A TANGENT CURVE
CONCAVE TO THE WEST HAVING A RADIUS OF 50.00 FEET; '1'F1F.NCE ALONG THE ARC OF
SAID CURVE, THROUGH A CENTRAL ANGLE OF 1180 28' 38" AN ARC DISTANCE OF 103,39
FEET; THENCE SOUTH 766 50' 56" WEST, 136.80 FEET TO THE BEGINNING OF A TANGENT
CURVE CONCAVETO THE SOUTHEAST HAVINGA RADIUS Ol? 130.00 FEET, THENCE ALONG
THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 450 08' 07" AN ARC DISTANCE
OF 102.41 FEET; THENCE SOUTH 41- 42' 49" WEST, 91.30 FEET TO A FOLN-T IN THE
NORTHERLY BOUNDARY LINE OF SAID BIG BEND ROAD AND TFL END OF SAID LINE.
CKs)►lf _ 1' _ i
Page 5
6
FROt4 MID VALLEY TITLE PARADISE
nw.
--w
(FR 1110 10 2003 111:30/ ST. 11 25/NO: 50114984'6. P 3
unary Report Order No. BU -215611-2 VG
jhk CONTINUED
EXTERIOR BOUNDARY LINE OF SAID 60 FOOT WIDE RIGHT OF WAY IS TO RE
LENGTHENED TO SHORTENED AS NPCFSSARY TO TERMINATE ON THE NORTHERLY LIKE
OF SAID BIG BEND ROAD.
EXCEPTING TKEREFROM ALL THATFORTION LYING Wfl'HIN THE BOUNDS OF PARCEL 1,
DESCRIBED HEREIN.
Page 6
Nov.03 03 I1:16a lam miller m•d 877-1034 P.
IJerlif
:November 3, 2003
PAUL WOBBE
10306 CHEYENNE DR.
BAKMFIFLD, CA 93312-5360
Ike:.Account #04114150755
VIN #HSCASNB90321317
;'o W110M It May Concem:
at: have reviewed the
at: request to affix the MAufaccured ho
rne currently located
5067 NOBB RD
OROVILLE, CA 945965-0000
This letter wM serve as GreenPoint Credit's approval to affrx this home to a
Permanent foundation located at:
50157 NOBB RD
OROVU,,E, CA 96965-0000
`Once the home is affixed please provide us with an Affidavit of Af bxtue. T)Us
affidavit should be sent to the UenMtle Release Department at:
GreenPoiht Credit, LLC.
12250 Kirkham Rd Suite A
Poway, Ca 920164
Please feel free to contact me with any questions or concerns at (800) 852-2126
ext. 3123.
Sincerely,
Customer Service
Green.Point Credit LLC
TOTRI. p.02
RESIDENTIAL
72 3250-90B, E
WOBBE, Paul
5057 Nobb-Rd, Oroville
(garage),
G
o s=- a^ Q� Li3 ew VU
ool
It
t
r
JOB FINALE
Signature
v=OK
O = Not OK
-=Not Applicable
' =Not Ready MOBILE HOMES
Date'
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Nat. or/ /' L" ft./ /"LPG
7. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-Demand-Valve—Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, Plans OK except #'s
.
"—Zonjpj Requirements -Setbacks -Easements
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
DateZ$ � r Card B-1 Date Card B-1 y..
Date Card B-1 `,Date Card B-1 r
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O=Not OK
= Not Applicable
' =Not Ready RESIDENTIAL (Single
& Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning-Setbacks-Easements-Flood-Slope
45. Hangers-Post Caps-Anchors-Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr, ties-Pu rlin -roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue-Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils-Steel-/ /Ftg. Depth
48. Attic Access; Size & Romex Protection-Draft Stop-Ins. Baffles
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
49. Bdrm. Windows or Exiting Doors-Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel-Wrapped
52. Ext. Doors-One 3'-Check Garage-3rd Story, 2 Exits
8. Piers-Fireplace Ftg.-Steel
53. Stairs; Width-Headroom-Rise-Run-Landing-Fire Protection
9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test
54. plywood on Roof Overhang-Attic Vents-Rafter Outriggers
10. Gas Pipe; Size-Anchors
55. Siding-Nailing Veneer
11. Water Pipe; Test-Anchor-Regulator-Service Test
56. Stucco Mesh-Drip Screed-Fd. Vents-Underflr. Access
12. Electric; Underground
57. Glazing Area-Glass Protection-Skylights-Plastic
13. Pienums & Ducts; Clearance-Material-Support-Ins.
58. Shear Walls; Nailing-Bolts
14. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples
59. Insulation-Walls-Ceilings
15. Insulation
60. Infiltration-Walls-Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s .
Date
Card B-1 Date Card B-1
16. Water Htr.; Vent-Access-Combustion Air-Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchor-Nail Protection
61. Ext. Steps-Door &Sidelight Protection-Landings
18. D.W.V.; Test -Fittings & Anchor-Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor-Tub Access
63. Furnace; Vents-Clearance-Comb. Air-Connector-
In Garage; Above Floor-Ducts-Meth. Protection
20. Test Tub & Shower, Second Floor-Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access-Spa
Date
Card B-1 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clearances-Hearth
22. Fixture & Transformer Clearance-Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing-Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap-Cooking Clearance
24. Size Boxes & No. of Conductors-Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing-Landing-Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage-Damper
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Wtr. Htr.; Vents-Clearance-Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or At
75. Plb., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes 0 No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77, Insulation-Foam-Looked in Attic 0 Yes
30. Service-Riser Conductors & Ground-Main Disconnect
78. Guard Rails & Deck Construction-Post Caps
31. Equip. Clearances Panels-Motors-Mech. Equip.
79. Fdn. Vents & Crawl Hole Door-Drainage & Wood-Earth
Clearance Looked under Floor O Yes
32. Clothes Closet Light-Shower Light-Spa Light
33. Smoke Detector
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes O No;
Planters 0 Yes CI No
Date
Card B-1 Date Card B-1
81. Stucco; Brown-Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
Date
MECHANICAL (Permit) OK except #'s
83. Vents Above Roof; PIbg.-App liance-Fireplace. -CI earance to
Openings
34. A.C. Ducts Insulation &Support
84. Water Well; Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle-Underground
-
36. Condensate Drain & Overflow; Size & Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access-Comb. Air-Return Air Vent-115 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test-Meters Tagged; Gas-Electric
90. Water & Sewer Connected-C/O to Grade-HD Approval
Date
Card B-1 Date Card B-1
91. Energy Compliance Certificate-Other Certificates
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Date
Card B-1 Date Card B-1
39. Sils, Proper Material & Anchors
Date
Card B-1 Date Card B-1
40. Walls Studs-Nailing, Spacing & Bracing-Plates-Sound
Date
Card B-1 Date Card B-1
41. Bearing Walls over Girders & Floor Nailing
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings-Stairs-Chases-Tub
44. Headers & Beam-Size & Bearing
each time you visit job site)
(NOTE: An entry must be made
.J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oro°-vil.le,-CO.liforriia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
,�3 =
ASSrfSSOR PARCEL NUMBER
ZONING
BUILDING PERMIT '
Ow s _
T NE
S0. FT. OCC. BUILDING VALUATION
579 M 81008
OWNER'S MAILING ADDRESS
5057 Nobb Road, Oroville 95965
CONTRACTOR'S NAME
owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
Nonw
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
,$'
37-95
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
5057 Nobb Road, Oroville
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
V— 8,3
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ OtherDetsP
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New JX Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 22 X 26 _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000 AMP ORV OR LESS10.00
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification
1, as the owner, Or my employees with wages as their Sole Compen-
VVI-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. OR ADDNS. C ( DWELLING OCCUP.tr ACC. BLDGS.
2�20sgft
NEW CONSTRMULTI-OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
20e50a
SAL030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. IVirin g
15.00 0121
Permit Fee
$ 35.00
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
FiIingFee 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.
1 also a to save, indemnify and keep harmless the County of Butte against
judgments, costs, and expenses which may in any way accrue
all �sai
aga nounty in coVence of the granting of this pe7;6 t.
X Date 11�
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 56.75
TOTAL
AZ
CUA
PARK
Flo
PAR
PD
Ho
Issue
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PER EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
��
Receipt No. 79706
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
TO euildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
�6 I
_ IA, AP#
Owner
Plan Approved for: Sewaae Disposal Water Supply
Water Supply
Hold final for:
Final clearance O.K. for: Water Supply
Clearance for bedroom mobile home. Other
NOTE**
-- it 9
Date
Sanitarian
COUNTY OF BUTTE - DEPARIMILLE,E�NT, OF -,PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVCALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT 'APPLICATION DATA SHEET � Y/
OWNER PO L:1 k)O
C
Proposed Building Use at
,*,
Building
Permit No.
t1Z 0. S�_ (c ;,;w -C)
Inspector 1 Date ??7/
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted.
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ '' ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ......................... , ........................
13. chool District fees paid ..............
4. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. 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 ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
Wh you issue the er t, roe s as follows: Ma' to owner. Mail to contractor.
Telephone M-' Q and hold for pickup _,,at_O� office. Deliver w/inspector.
Other
Applicant
Date (/fig/.Y/)
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent _Health Dept. Fire Dept. Other Date By
The following data must be submitted prior 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___rnall_counter by_" date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by bW Date q-25-90 Plans approved by I%U Date 9-T�`90
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OV BUTTE = Department of Public Works :
7 County Cegter- Drive, Oroville, CA 95965 Phone: 538-7'5111.
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has-been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person firm) to provide the proposed
construe ion:
Name C S C �S�l
Address
Phone - � No• Z
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: ss�� Property Owner
Social Se ur�ty lyuA.ber __ •
Date s I7 (( e)
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.
MM
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS' — 7 OOUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
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.
White - Owner, Yellow - Installer, Pink - D.P.W.
PERMIT N0.
Address or location of mobilehome
�r J
% ��/ •� L•
f
Owner's name "4,
i
Owner's address
1
t
Insignia or hud number Ar
Manufacturer's name
Serial number of V.I.N. -
' ' L:L� Year of/manufacture
,G
(Official Approving Installation)
(Date) f
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.
White - Owner, Yellow - Installer, Pink - D.P.W.
i
58-72-29 3811-89BM I41
YOUNG, Annette
5057 Nobb Rd, Oroville
Contr: MH Center
(MHI/existing site)
. PI
PERMIT EXPIRES��
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
Y
4
7.
� t
i
t
Temp.. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
- i
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature��
= Ok
0 = Not OK
= Not Ready
MOBILE HOMES,
Date BI -E HOME UTILITIES (Plans) OK except #'s
oning Requirements -Setbacks -Easements
o'Is; Special MH Support -Sketch
Ai5ew-er; Location -Test -Fall -C/O -Concrete
ater; Location -Test -Easement Needed (Sketch
.imt-h
Xlectricity; Location -Clearances / / Am
Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
Utility Clearance
i
MISCELLANEOUS
_Date DEC KS,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-Beams-Rftrs.-Connec.- l
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors i
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -131
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOB14EHOME INSTALLATION (Plans) OK except #'s
7 oning Requirements -Setbacks -Easements
2, -Size -Spacing -Marriage Line
Card -Bt
Date Card -B1 Date
asy,MH Test -Oe a -
Card -B1
—
Date Card -B1 DateValve-Connector
€
4 ectricity;rossovers-Breakers-Clearances
Date
POOLS (Plans) OK except #'s
s
C5-15rain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
ater; MH Test -Regulator -Connector
_
2. Soils; Compaction -Structure Stability-
ater.and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
s and Electricity Tagged
Dead Men -Lining
E its; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
' ert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
# '
_
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
Card -B1
Oate —and -61 Date
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
"
Card -B1
Dat Card -B1 Date
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
t.
9. Health Department Approval
1
10. Plumb.; Cir. Test -Water Supply Test
�.
- -
- -
Card -131
Date Card -B1 Date
Card -Bl
Date Card -B1 Date
;ii,'
1
C
r
= UK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s _
1. Zoning -Setbacks; -Easements -Flood -Slope
Date
FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth _
5. Stemwalls, Main; Steel- Bloc kouts-Wrapped _
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel _
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test _
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground _
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
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. Bdlrm. 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
'
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
58. Shear Walls; Nailing -Bolts
59.Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
-
Card -81 Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -61
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
Card -81
Date Card -B1 Date
16. Water Ht. Vent -Access -Combustion Air -Baffle -
17. Water Pipe; Test & Anchors -Nail Protection
Date
FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1 Date Card -B1 Date
Card -B1
Date Card -B1 Date
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
22. Fixture & Transformer Clearance -Ins. Protection
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
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.
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above FloorProtection
Mech.
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
75. Plb., Elec. &Mech. Equis p. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes O No;
Planters ❑ Yes ❑ No
33. Smoke Detector
81. Stucco; Brown -Finish
Card -B1
Date Card -B1 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -131 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Card -B1
Date Card -B1 Date
91. Energy Compliance Certificate -Other Certificates
Card -B1
Date Card -B1 Date
92• Roofing Certificate
Card -B1
Date Card -B1 Date
Date
FRAMING (Plans) OK except #'s
Card -131
Date Card -B1 Date
39. Sills, Proper Material & Anchors
Card -B1
Date Card -B1 Date
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
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
!NOTE: An P.ntry rn ;t ho'ma(io oorh limn ..n
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cafiforrnia-95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO..
.3 K//— d Z
ASSESSOR PARC NUMBER
65- � -
ZONING
F(?,I a
BUILDING PERMIT
OWNER
TELEPHONE
SDS 322-4
SO. FT. OCC. BUILDING VALUATION
O ER'S MAI LI a�D ES
S1
CONTR$R'SN ME
FlAme 6677-A- /i1/L
TELEPHONE
CONTRACTOR'S MAILING AO KESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING A Ess
Permit Fee
$
ARCHITECT ENGINEER
LICENSE No.
Plan Checking Fee
$ S.o�
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
�D �B /�
Permit fee
$ as, ac
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
i USE OF STRUCTURE
SF ❑ Duplex yvl6Frilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W I I
hO.00e
TYPE OF WORK
New❑ Addition ❑ Remodel❑ Utilities<a Installation. Other ❑
Describe work: Z b a(L f.10 S f T _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main Service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare er 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.
G� '/
License No. (p � 7 dS Classification �'�/'7�' �
T
❑ 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 OCCUR.&
OR ADDNS. ACC. BLDGS.
, /Zdsq it
NEW CO NSTRULTI-OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. OCCu p�OUTLETB OR FIXTURES
20050,
SAL030
eAL030
Ex. Occup. ou IXED PLINIS REA.)
OUTLETS IRESID I
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Iyirin 9
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.
have placed on file with the County of Butte Building Department
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
FiIingFee 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 construct ion,�and-h eby authorize representatives of the Countyot
Butte to ent pon th'e above -m ntioned property for inspection purposes.
I also re; save ,indem and keep harmless the County of Butte against
all iabiIit' dg costs, and ex a ses which may in any way accrue
ainst id nt - c que a granting of this permit.
- Date ���3 89
.9 1. of Applic nt - owner ❑ Contractor/V' 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 $ 4S, o0
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE 70-00
HAz
CUA
^
PARK
SCHL
FED
P
`
PD
Is u
_l
This permit is hereby issued under
sions of the Butte ounty Code and/or
work indi ted ab a for which fees
IR TOR PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date - �-O
Receipt No. `19 7 I��d m
WHITE-D.P.W.. YELLOW -ASS[ SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT. QF.P:UBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OtOVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PEWIT -.-APPLICATION DATA SHEET
-� Permit No.
OWNER A,4 rt r -f(?- Yd A. P. No. __SA - 72- c I'
Proposed Building Use (�ntj I 1 4,.5;rr�lc, S,rg Building Inspector GC, Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
f 1. All items have been submitted . .................................... . DATE RECEIVED APPROVED
2. Plot plans in duplicate/triplicate, signed by preparer of plans ....... .
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans
' 5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufactdrer's installation
instructions.. *1/ .................................................
(0 10. Fees of $ -7n- -)o ........................
11. Chico Urban Area fees paid ............................
12. Park fees paid .. K......7 ............................
432 Z__0__::7
oT �S�District fees paid ..............
14. Sanitation approval from �O /" Health Department
15. City of Chico plumbing permit......., 1 ............................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required ... Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ............. a
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone , SS -4103 and hold for pickup at i2n office. Deliver w/inspector.
Other �.
Applicant
Copy of plans sent Health Dept., Fire Dept., Other
The following data must be submitted prior to permit issuanc&. (Ci
1. Index permit for above items No.
2. Additional items required:
Date
new item not checked above).
Contractor, designer, owner, was advised of above required data by—phone --- mail_counter by—. da e
Contractor, designer, owner, was advised of above required data by—phone _mall_count b date
Plans checked by Date Plans approved by kDate i/ t
Sets of plans on hold in . File cabinet AP folder
Copy—DPW
TO
I
Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
ostfwam
_ Owner Lac,}tion AP#
• Plan Approved for: Sewage Disposal Water Supply
Bold final for:
Final clearance O.K. for:
Clearance for O - bedroom mobile home. Other
NOTE * * *
i
Water Supply
Water Supply
-/ IV r- 11/0
�^-'`= Date
unitarian
ris MUST
as
(00 an
Iq
ironn Yho
WSsr:c^Cl.A in
Accordcm,,�v W
e ure in the
of a for
k)*,ng (;.odes and
Cada.
10
01• itOm Che
ck
be
lines and a Set
O\jeltl 1\-\e road 50it - {corn ak\ be c\ear 0'
sh
,,,,,toTes
ea
im
got a
I,e -, k
ID
lep
T -Ow
k(9)
m
- k I
{
• DNI SWaISICS 3WOH
.y 1
lowl-W
n
=j eta P*vl
3`4
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68 -£Z -OT
t
P
j^ RUurn to DPH
AGRICULTURAL STATEMBNT3OF ACKNOwLEDCEmEur
FOR -RESIDENTIAL DEVELOPMENT
1 Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
NOT COMPARED WITH
ORIGINAL DO EN1
NOV 9
The property described herein is adjacent to land or included I 89-044985
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit 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 agricultural zones which have as a
priority use for productive agricultural purposes, . and residents -within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm -operations..
All that real property situate in the County of Butte, State of California, described
as follows:
Date: /v _ PROPERTY OWNERS:
STATE OF CALIFORNI _
COUNTY OF L•`i-�Inally
19 , before
appeared
n
E
On b fore me, the ndzrsion2d. a Notary Public in and for
re
T
I
v
said Stare, personally appeared • L personally known to me
to be the person whose name is subscribed to 6wit/h-�in instrument, as a irness thereto. w being by me duly
sworn, deposed and said: That he resides i �U LC.,i� (�.
C
$
u
that he was present and saw_"'�� AIA]6�'["'rL—� U1
Y VGrT
-- —
ito basis
E
personally known to him to be rhe same person described
me on the
� �
Q
in and who executed the said within instrument, as 7W4E
:3Sactdry evidence.
Lb
z
�s�aem�la■®�o�esms���®ora■ subscribed to
parr `� r/hereto, sign, seal and deliver the same an
that the said �_� N IET'TE YQL, N (!
CWWiFilA A. COLLIER
Ain contained.
3
NOTARY PUBLIC-CALUFORNIA
a
and/and official seal.
a
o
Butte County
duly acknowledged in the presence of said affiant, that MY on ExpKes Oct 30. 1992
!!
0
executed the same, and that he, the said affiant, thereupon answunnownexamn.,'�..5■■.■�,
E
--�Ie request, subscri d his name as a tness thereto.
0
WITNESS m� and and oficial a 1. —
Signature ..
'fit-tlP� Ar• l.l.lE___2_-
iry Public
Name (Tvped or Printedl ,This area for official notarial seal'
89-37941
PARCEL to
A Portion of the Southwest quarter of Section 6, Township 21
North. Range 5 East, more particulary described as follows
COMMENCING at the rest quarter corner of Saction 6; thence along
the North.line of said Southwest quarter, North 89 degrees 30'
.' 36' East, 2721.43 feet to the Northeast corner of said Southwest
quarter; thence along the east line of said Southwest quarter.
South 01 -degree 04. 53' west, 400.00 feet to the true point of
beginning for the parcel of land herein described; thence from
said true point of beginning, continuing along said Easterly
line, South 01 degrees 04' 53' west, 283.00 feet: thence South
44 degrees 59'00' West, 705.84 feet; thence South 89 degrees 59'
50' Nest, 60.00 feet to a point on a curve concave to the West.
having a radius of 50.00 feet; thence along the arc of said
curve, whose tangent at this point bears North 00 degrees 00'
/ 02' West, through a central angle of 41 degrees 37. 42' an 'are
distance of 36.33 feet; thence North 41 degrees 37' 44' West,
92.11 feet to a point on a line which bears South 43 degrees 10'
• 28' Nest from the true point of beginning; thence along said
line, North 43 degrees 10. 28' East, 932.62 feet to the true
point of beginning.
PARCEL 2:
i
Together with a right of way for road and public utility
purposes over a strip of land 60 feet in width lying Easterly
and Southeasterly of and adjacent to the line described as
follows
COMMENCING -at the most Westerlycorner of the above described
parcel of land] thence South 41 degrees 37. 44' East, 92.11 feet
to the beginning of a tangent curve concave to the West having
a radius of 50.00 feet; thence along the arc of said curve,
• through a central angle of 118 degrees 28' 38' an arc distance
of 103.39 feet; thence South 76 degrees 50. 56' West, 136.80
feet to the beginning of a tangent curve concave to the
Southeast having a radius of 130.00 feet; thence along the are
/ of said curve through a central angle of 45 degrees 08' 07' an
• arc distance of 102.41 feet; thence south 41 degrees 42' 49'
Nest, 91.30 feet to a point in the Northerly boundary line of
said Big Bend Road and the end of said line.
The exterior boundary line of said 60 foot wide right of way is
to be lengthened or shortened as necessary to terminate on the
Northerly line of said Big Bead Road.
EXCEPTING THEREFROM all that portion thereof lying within the
above described parcel of land.
END OF DOCUMENT
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
,;....:; 7 County Center Drive, Oroville; CA
PHONE: 538-7541.
MOBILEHOME INSTALLATION SHEET
1: Owner's Name: .4I9 XO di
2. Installer's Name: It,_1414- l�i r.� ,. C,.� f ,o�. T14<
3. Is the site currently under permit? Yes a No
(If yes, furnish permit number ) OR
Is the site an existing site? Yes No
(If yes, furnish two plot plans,)
4. Will the mobilehome be located at least 5 ft. away from septic -tank and leach
fields and clear of all setbacks and easements? Yes [E___"_No
F-1
(If no, clarify
5. What is the mobilehome electrical rating? --------------- �%� Amps
6. What is the mobilehome site service rating? ------------- U Amps
7. What is the.mobilehome site circuit breaker rating? ----- 4a 5 Amps
8. Is there any other electrid"load to be served by the
'1-
mobilehome site service? ----------
� ---------------- Yes � No
(If yes, identify the load and size:' LL (Load) (Amps)
9. What is the mobilehome site gas.plpe,1size?,� :------
(in.)
10. What is the type of gas service? ------------------- Natural LPG
11. What is the gas pipe length from -meter or tank to the
mobilehome?--------------------------------------------- (ft.).
* 12. What is the mobilehome gas demand? ---------------------- (BTU)
*(This information not required if pipe length less than 6
natural gas or less than 50 ft. on LPG.) WE
��t ID
MOBILEHOME SUPPORT DATA
Mobilehome Mfr.�p.�JY�ySfr�yZHr
- -
If bthe'r ' than single wide,
furnish Setup Model No. /7l
�yG
Year `
Spacing -Max.---------
Width a L14 (ft.) Box
Length
(ft. ) Tagalong or Expando Sizes
—ft. x_ ¢' ftp.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setu heets (if not on file with the County of Butte),.
FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. U L. Other (specify)
SUPPORTS (check one)Lf-11]Concrete block. R2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
Line 1
line 2
Main Beams
Line 2-,; . — _ — _ _ — _ — —
Main Beams
— _ — — —
— — — —. a Line V
Tag or Triple
Linp 4
Line
Line
L
Line 1 Piers:
c'
Size -Min. ------------
S pac
-----------Spac ing-Max.
From Ends -Max .-------
Line 2 Piers:
- -
Size -Min. ------------
Spacing -Max.---------
From Ends -Max .-------
Line 1 openings:
Size -Min. ------------------
nx n
Each Side of Openings
With Width Over ---------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min .------------------ x
Spacing -Max.--------------- r_ „
From Ends -Max .------------- n
Line 3 Roof Loads:
Size -Min. ------------ .,x „ / x ,. f")f
. %•, - V^
Location '(From Front) _ '_3 " '_�p" /.2tL--3Q"'-
Line 4 Piers: line 5 Piers: (Under Bearing Walls On y
Size -Min.------- -- rk Size-Min--------------------
Spacing-Max ----------
------------------Spacing-Max.--------- r_ „ Spacing -Max .--------------- r_ n
From Ends -Max.------- r_ „ From Ends -Max .------------- -
e 5 Roof Loads:
Size -Min.------------
nx „kx,knxLocation (From Front)EE
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IX
i >> PE tMIT NO. 4214-79MHI existing site
PERMIT EXPIRES 7/12/80
OWNER EARL GRAY
CONTR. Lon's MH Ser, North Highlands
LOCATION (A.P. 62-45-29
NIS Nobb Rd; app 800' N of Big Bend Rd Concow ares
COUNTY OF BUTTE -;,DEPARTMENT OF PUBLIC WORKS.
BUILDING INSPECTION'RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwalI
Siding
To out
Slab
Roof Sheathing
I Water Piping
Piers
Roofing
t Sewer
Garage
Fdn. Vents
; Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
-Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping& Test
Temp. Gas ;
Slab
Final
Sanitation !
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL 57—
Masonry Walls
Throat
Rough
Reinf. Steel.
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------ Elec_ Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
BILE OME INSTALLATION
.............. Support 74Z
Elec,Continuity
Water Piping
Drainage
s Piping
DATE
REMARKS OR CORRECTIONS
r
(NOTE: An entry must be made on this form each time you vis I- the job site.)'
,r
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 'A� — li; 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number-J-1-11�L/W" 79 for the following location:
Owner ,,�y r
Owner's Address A��
Mobilehome Mfg. %�`�_"'Model Year
Insignia No. Serial No. of IE' 1'
It is hereby certified for occupancy at the above described location and
may be occupied.
Director;of Public Works
Date _..! ?J " % /� 13y,,4(' .-1k ��cic —,Vo
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
`White - Owner, Yellow - Installer, Pink - D.P.W.
MOBILEHOME INSTALLATION INSPtCTION CHECK LIST
1. Is the mobilehome'located'with J equired separation'from lot lines and buildings and generally
conform to plot plan? Yes o '
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yesf--_ No
3. Are footings and 'supports properly sized, spaced, and braced as pe approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes v No
4. Is the mobilehome level? (Sec. 5088) Yes No
5. If moree,than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes ✓ No
6. Water
A. Isle connector of adequate size and properly installed (1/2" ID m1n.)? (Sec. 5566)
Yes No_
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yesjf<
C. Backflow - If coach is not Stat,01, California approved, does station have backflow device
and pressure -relief valve? YeNO
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes /-1vo
B. Does it have minimum '" per foot slope and is it properly supported? Yes 0
C. Are any leaks detected in drainage system after rpnpaing.3-,gallons of water through each
fixture including washing machine standpipe?',Ye
D. If co ch is not State of California approved;.does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector Is mobilehome connected to the gas supply with'an approved 3/4" minimum`
mobilehome connector not more than 6.ft. long? Note: ,All piping is to be at least as
large as the mobil me gas line inlet without reductions other than the mobilehome
connector. Yes No
B. Test. OK as per following procedure? Yes
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
9. Electrical
A. Is service large enough to provide ad-equatq amperage -to mobilehome (must equal rating of
mobilehome with a minimum of PO amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes_&f No
B. Is there proper clearances around panels? Yes 1,4o
C. Is power supply cord or feeder assembly properly fused? YesZ
D. Is continuity test satisfactory as per the following procedure? Yes No
1. De -energize electrical wiring system of the mobilehome at the pedestal.
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
r apply the other lead to each mobilehome supply conductor, including neutral.
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of 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,sanitati�on?
11. If everything okay, sign off card and tag services. 12,4--W 7 21�1 —7
MOBILEHOME DATA
Manufacturer and/or Namestyle 6
/el -
Length Width
Vehicle Serial No. tZ
State Identification No.
Additional Information or Comments:
J Jti
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
is 4Date
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 B County Code and/or resolutions to do work indicated
abo,wdawhich fees have been paid.
i`TR OF P C WORKS 1
Date
Building per ' _expires Date Z'"�
BUILDING
Owner E L G—P—A
SQ. FT. OCC. BUILDING VALUATION
Mailing Address e
Telephone
Fireplace
Contractor �� i1J r� ®�1 e, pe.IlA E 5e f V I C,,a
Total Valuation
Mailing Address 4,21Z
Mailing �.,�0tL_i. �%i
Permit Fee
plan Checking Fee&/or Penalty
�0 L C:-44 L--INIMZ5 CA ���i�
Telephone No.
$j - ®�i
Permit Fee $
Building AddressD t '�
PLUMBING No. @ FEE
PERMIT FILING FEE J$3.00
�Q '�
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
114a
Each gas water heater or vent 1.50
A. P. No. �, -- p2
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
`�
Flees
-6&R"aiipn
FireDept.
Fire Zone.
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Lawn sprinkler system 2.00
Bldg. P ns Recd
Parcel Approval I
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER a=
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP ORSLESS 5.00
Main service EA. ADD'L too AMP 2.50
Main service OVER 600V100 AMP OR LESS 25.00
Single Family ❑ Duplex ❑ Mobil Home 00'Others ❑
Main service EA. ADD'L 100 AMP 1.00
_
w ' %
�+p revizy/'dm �C I/
NEW CONST./DWELLING OCCUR. &
OR ADONS. ACC. BLDGS. 2¢sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS & '
NON-RESID.. SINGLE OUTLET CIR.
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:
G-�.�NfJ �"1Q�'Slt e` +'`�"'►E-��1
Ex. Occup(OUTLETS OR FIXTURES) 50 @ 254t
109
FIXED ALNS.
Ex. Occup. ( OUT ETS P(RESID.)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classificationd
Misc. Wiring 6.25
F.
❑ 1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
?I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 1 2.00
Permit Fee $
$
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
1
C�
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
is 4Date
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 B County Code and/or resolutions to do work indicated
abo,wdawhich fees have been paid.
i`TR OF P C WORKS 1
Date
Building per ' _expires Date Z'"�
�/V G ZPAA"
d
MUST b.
s ecificationsunlawful
and P
®
-
fans . it is
Chip s of P � times and e without
on thcI Io1 ?t or' QTc d . rs on ,a�
o¢ pub-
; �►
.
kept alp t
Cllr o • :. ;ile Depar�m
rt,ake any �rorn
_
•`
•,
liccrr•:•.�-.
writan P County of Butte.
_ �Ic ��'OP
►�p OA.0 /S
lic �,jorlLs,
A)OTif
bvT-rL
//
<00014i y LIAZ *CL �hal8 Izo 5a ��. from �P e
�� yo�l�"
II
The .. f � . frr®��
si�"eo��or��9 lino and g®
70?
Y�G .OG-, S Al9n a GY��Ii(�'
®i
o`� a 211. eave oderhang but entirely
„.. _ b KE
QST 1 vPd
mum
out of all cazorrmcntr�o
AICAI
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- - - -- �U-rre
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7o
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V) L c. IF,
.54
0UTTE COUNTY
BUILDING DEPARTMEN'
APPROVED
1'. Owner's name:
2. Installer's na
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
_LCounty Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
3. Is the site currently under permit? Yes / / No / V1
(If yes, furnish permit number ) OR a
Is the site an existing site? Yes /L// No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome,be located at least 5 ft. away
from septic, tank and leach fields and
clear of all setbacks and easements? Yes /�/ / No
( If no, clarify )
5. What is the mobilehome electrical rating? ----------------------- L1 'Amps
6. What is the mobilehome site service rating?
------------------- - zunps
7. What is the mobilehome site circuit breaker rating? -------------4212
Amps
8. Is there any other electric load to be served by the mobilehome
site service? --------------------------------------------------- Yes / / No
(If yes, identify the load and size:. (Load) (Amps)
9. What is the mobilehome site gas pipe size? ---------------------- (in,)
ZI
-
10. What is the type of -gas service? -----------------------------
Natural / / LPG
i
11. What is the gas pipe length from meter or tank to the mobilehome? (ft.)
12. What is the mobilehome gas demand? ------------------------------ (BTU)
(This information not required if pipe length -less than 6 ft. on—natural gas
or less than 50 .ft. on LPG.)
---0
MOBILEHOME SUPPORT DATA
� If other than single wide,
Mobilehome Mfr., :2 = furnish Setup Model No. Year
Width. / (ft.) Box Lengt (ft.) Tagalong or Expando Size_ ft. x 10 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.
/ Single
(ft\)(in:) I (in.) (Xn.)
Center su port Cente support
location k fooTn.)
g sizes
(ft.)(in.)\ I Vin.) (in.)
Footings (check one)
1. Wood either
pressure treated or
ff/foundation grade.
2. O t r( sp p� i ).
Supports (check one)
1. Concrete block.
F] 2. Other (specify)
Tagalong or Expando,
show support details.
*If center piers are other than drawn above,
draw im1ocations, spacing, and dimensions.
(ft.)(in..)
(in.) (in.)
-- Typical Support
(in.) ('n.) Footing Size
(ft.) in.)
x
(in.) (in.)
o ' -- Max. Pier Spacing
(ft.)(in.)
x
Max. Overhang
( t.) (in.)
(in.) I (in.
(ft.)(in.)
sUT�� COUNTY
3UILDING DEPAI�TMENI
APPR0Ve
*If center piers are other than drawn above,
draw im1ocations, spacing, and dimensions.
I D
III
I'I �
s i
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965
Telephgne: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned ppr(o�perty[ for inspection purposes.
X (p 12A �%I / `�'�{ Date /21"Ad / (P
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.
DIRECTOR OF PUBLIC WORKS
l/
ByDate
-Building permit expires Date ,: -5 - / �'
BUILDING
Owner 1E h 8:14
SO. FT. OCC. BUILDING VALUATION
Mai ling Address 'Sq?,9— 10A, q RU i2 N POD,
C QTR- I -1L (7" -r �� ��
Telephone No.
2�j— / (Q
Fireplace
Contractor r )�1ttit
Total Valuation
Mai I Ing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address LOS klo--2,P, P 200'PLUMBING
No.1 @ FEE
PERMIT FILING FEE J$3.00 -•1,,00
�1) _t A D K D
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping ..1-5fl 10.00
Each gas water heater or vent 1.50
A. P. No. 2•Z
oning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W -c—
I •San4al4
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Imp rovements
P
Lawn sprinkler system 2.00
BId¢'s—Rec'd
Parcel Approval
Plans Approval
Permit Fee $ (7,0
$ (T x
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER,K]
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 1000V OR 0 S 5.00
AMP OR LESS
C r-
T -
Main service EA. ADD•L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home 'Q Others ❑
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD•L too AMP 1.00
NEW LING O
OR ADDNST ( ACCLBL GS.CCUP. &\ 22Sgft
l
NEW CONSTR. MULTI.OUTLET
NON.RESID. BRANCH CIRCUIT5) 2.50ea
NEW CONST. POWER APPARATUS &)
NON • R
RESID. (SINGLE OUTLET CIR.
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:
Ex. Occup(OUTLETS OR FIXTURES) 50@25
FIXED APP LNS. OR
Ex. Occup. OUTLETS'PEA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
aI 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.
0 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
State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ :)cand
authorize representatives of the County of Butte to enter upon the
above-mentioned ppr(o�perty[ for inspection purposes.
X (p 12A �%I / `�'�{ Date /21"Ad / (P
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.
DIRECTOR OF PUBLIC WORKS
l/
ByDate
-Building permit expires Date ,: -5 - / �'
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC'WORKS
7 County Center Drive — Uroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
115: /_ 7. (e �
rePfGSelltauvCs UI Lime k.ounty or Buiie to enter upon the
above-mentioned ppr(o)perty for inspection purposes.
X /�'' Date /2�11A1L -7Y'
Signature of Permiitee or Ag tt
Receipt No. _- 1,4r—, S—�, 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 BLIC WORKS
ByDate''
permit expires Date 55-- �—
^v—
BUILDING
OwnerD-
SQ. FT. OCC. BUILDING VALUATION
Mailing Address .— 1Ob A05V PN
Telephone
—
Fireplace
Contractor ��/�Ef`
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address "l5 NJO?)R APP-5001
L� O
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 S,00
6 (In Qet\A ® RP,
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping . 4.5 I o ��
Each gas water heater or vent 1.50
A. P. No. 2 --Ai �Z
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
get—s I
OV -C-1
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
Lawn sprinkler system 2.00
FE
B ans ec'd
Parcel Approval
Plans Approval
Permit Fee $ ,001,
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
_
Main service i°oo AMP ORV OR SLESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service IOOOEAMP OR LESS 25.00
Main service/ EA. ADD'L 100 AMP 1.00
NEW CONST.DWELING
OR ADDNS. ( ACCLBLDGS.CCUP. &) 20sgft
NEW CONSTR. MULTI.OUTLET
NON-RESID, BRANCH CIRCUITS) 2.50ea
NEW CONSTPOWER APPARATUS &)
NON.R. RESID. (SINGLE OUTLET CIR.
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:
Ex. Occup(OUTLETS OR FIXTURES)@�C
BAL@1
Ex. OCCU FIXED APP LNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I 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.
'have placed on file with the County of Butte a certificate of
❑ Workmen's Compensation Insurance.
MI certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 2.00
Permit Fee $
$
TOTAL PERMIT FEE
$
rePfGSelltauvCs UI Lime k.ounty or Buiie to enter upon the
above-mentioned ppr(o)perty for inspection purposes.
X /�'' Date /2�11A1L -7Y'
Signature of Permiitee or Ag tt
Receipt No. _- 1,4r—, S—�, 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 BLIC WORKS
ByDate''
permit expires Date 55-- �—
^v—
�- -f
FILE NO
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For Informationt/)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop
Equip. & Yards
Ref. Disp.
Bldgs. & Grds.
Bldg. Insp. Admin.
D & C/Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Mapping
Drng./Permits
Sub. Checking
Right of W
5935 -Auburn Blvd. #106
Citrus Heights, Ca. 956,10_
County of Butte,
Dept.. of Public Works
7 County Center Drive
Oroville, Ca. 95965
Dear Sirs;
The county inspe::.tor, Mr.--Hopper,-says that the only thing with-
holding final approval of our gas installation and connection is thea
question of the installation date of our moble"home.
It was purchased from Twin Cities Mobile Home Sales of Marysville
in August of 1974 and, was delivered,and installed on. August 22nd of -
that year. _
Yours truly,
Earl D. Gray
��
Big -Bend Road
C(:),;: .
r DFPT, OF PVBOF el RKS
0 �
r,
AP
ry�t R 51976
t819tiatrl1�„ t�l�,�i4r5pih
�6
►r
PERMIT NO. 2724-74B
P
E
M
MH� 7h �J —
PERMITMIT NO. oZJ / /O
PERMIT EXPIRES L� — z5
'OWNER Earl Gray
CONTR.
i
LOCATION (A.P. 62-45-29 )
n/s Nobb Rd., approx 800' N. of Big
Bend Rd., Oroville
y
i
Temp. Power Pole
Called PG&E _
Temp. Exec. Serv..
Called PG&E _
Temp. Gas Serv. _
Called PG&E
JOB
FINALED
i
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'dj PLUMBING
Setback f
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Pvov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Pati 5i.e
FIREPLACE
Final
Footings
Footing f
ELECTRICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
F SPRINKLERS
Motors
Framin -
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHAN'tqAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
COUNTY OF' BUTTE — t DEPARTMENT, OF PUBLIC WO
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541 /
APPLICATION AND PERMIT
Owner �1/
Mailing Address J I.- J4 1
BUILDING
SO. FT OC BUILDING VALUATION
!0
�t
Telephonenfo.
Fireplace
Contractor/%� tp`�
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
r
Telephone Na.
Permit Fee
$
Building Address /
PLUMBING
No.
@ 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
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F VdfWn
Fire Dept.
FfreZone
Use Permit
Building sewer 5.00
EQA
Parking arcel
Plans Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. Plans Recd
P r proval �'
PI ns Approvol
Permit Fee
$
NEW ADDITION UTILITIES ❑ OTHER
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (morethan 12)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures bait 1110
Receps., switches & fix outlets
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
rI 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 J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee
$
$
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
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above -me tinned pr/o/p/erty for inspection purposes. /
X Date iz^ 7
Signature of Permitee or Agent
Receipt No. 12_ J
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 OPIPUBLIC WORKS
By Date -7-'if_?V�_
7 G'...-' ...J,
11ding permit expires Date......................� ..
VI A
901
Bldg.. Setba k shall be 5 ft. from
'VZ v
the side prope y lin' and 50 ft. from -X
#e centerline f the road, permitting
a' maximum of a 2 ft. eave overhan
9 N
C4
U)
j
AJ V)
Septic system and location of build-
'ing ils� to. be as per
Butte County Health Dept_ Re-
quirements.
J
V
,JOIE:—Ali Materials & Workmanship, Shall Be in
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified 'us'e in the
Uniform Building Code, Uniform Plumbing Code, and
the National Electrical Code. BUTTE COUNTY
SUILPING DEPARTMEW
WS def Of plans and specificatlonis MUST b®
sept on the job at all times and 'it is unl43wful to APPROVED
make any changes or alterations on same without
written permiss6n from 'the Department, of. Public
Works, County of Butte.
10A
kr� o
BUTTE COUNTY
_._�� . q o�� .� F w -r • .v�-s BUILDING DEPARTMENT
APPROVES
SI
wt q .
..- L-3. - -
E- Ll_.VA--FG O N
.z �d G
Ad
2/8 x 6 /8
S c- m m_ m
Dvo
yx6 sfflop
� 014 1&
Z x4 - -?r...
fir- AJGi-
1�re a/ 'pa
�rpvid� :•s��qK ale d�'d,
o c
8xf3 Go Ai r- 6`ocW.-s
4" Q v,(, c. FvOT J til C�
� ra oiti�
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
i
4/0
Ro e o AW 1
to �0,+► N ot-�- 6 �DI f r �o �-Q � � G-�a �r
,4/c* r'oa-l' all 00 -11 -us
_'.a
{!i
+ . ±PERMIT NO.
f P
E
M
MH UTIL.
PERMIT NO. 2723-74P,E
3
PERMIT EXPIRES
OWNER Earl Gray
I
'CONTR.
LOCATION (A.P. -2-6--45-29 )
7
n/s of Nobb Rd., app. 800'N. of Big
Bend Rd., Orouille
I
'i
1 •
r,
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.�
[ Called PG&E
Temp. Gas Serv.
Called PG&E
f
JOB
• FINALED / L
(Signature)
.Setback
Forms
Main Bldg.
Footings
Stemwal I
Slab
Piers
Garage
Footings
Stemwal I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Bond Beam
Framing
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
DATE
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
r
Cl Firewall
Soil Piping
Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding
To out
Roof Sheathing
Water Pipin
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Water Htr.
Prov. for physically
handicapped
Heaters
Appliances
Conformance of ex.
structureTemp.
Gas Piping & Test
Gas
(Final , % 1 % -
Sanitation
FIREPLACE
Final
Footino
FIRE SPRINKLERS
Final
MECHANICA
Heating
Cooling
Ducts
Ventilation
Final
REMARKS OR CORRECTIONS
Grd. Fault Prot.
Service ff—%
Temp. Pole
Underground
Permanent
Final
ELECTRICAL
l �e
R
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORK
f % 7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
Owner
BUILDING
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
r
Telephone No.
Fireplace
Contractor �7C�� �� `� ��
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$
Building Address 0
SL
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
s
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No ..,
Z
oning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fe
S ion
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
OA
Parking
Plans
ParcelParcel
Declaration
Ma p
60' R/W
Im r
p ovemen
Lawn sprinkler system 2.00
Bldg. PI s Recd P c pproval !
Plan proval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILI"PIES OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
LQ
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil HorneX Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 205
boillo
Receps., switches & fix outlets
b.
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.
rJl 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.
Ax w i Date
Signature of Per itee or Age f
Receipt No. /4P I�2�
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 FAJBLIC WORKS
Be
...........
ilding permit expires Date ....�'........:.....
I
lb
sfem ana location eW "
S¢ptic sys to 'be as per
s s Health Dept. Re-
m
Butte County
`� �►
uir4em ents..
. a „ ,
�t (D rVTu,�
m
C� n�..omI s.F'
^3*'.
�o 4 10 :3
fp � �
CD
0 � 3 :r
CLJ401
D
0 0 7. r %3
too
U.
14
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE – OROVILLE, CALIFORNIA 95965 – TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
/4f�
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to housefarm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. 7.2 _ 02
ZONING rl?_
Id
OWNER (%L wa66�
PHO O
g
OWNER'S ADDRESS L L Q�
LOCATION OF BUILDING
USE OF BUILDING
r
SIZE OF STRUCTURE �
'X '=�SO.FT.
0—
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE
OTHER (Specify)
TYPE OF SIDINGS
ROOF CO�V ING
FLOdR TYPE
40 tl
ESTIMATED COST OF CONSTRUCTION
$ 1560
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:
Z `7�
FRONT SIDES
REAR��
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated
AG Building definition. If any change in use or occupancy of the buil o c
obtain any necessary permits, inspections, and approvals to comp WO
occupancy. l)�
Date �� Signature of Owner
Permit F - $60. The above described AG Buildi
Receipt No.
iut, and he purposed use confirms with the
is mad , will contact the Building Division and
th irements in effect at that time and before
is exempt from a burg perm
Manager BuildingDivision
n
By% Date
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
-PERMIT NO
d
Agricultural building is defined as follows: Agricultural building is a structure designed and structed to ho se farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. ,c�-7,;2
I /J
OWNER
PHONE NO 3 3G/�
OWNER'S ADDRESS/�—
LOCATION OF BUILDINGLo O 671
USE OF BUILDIN ; '' SCO U �e 6761f e_
SIZE OF STRUCT ✓� 2 ' ' X -&2L-'= 38 SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME ✓ STEEL CONCRETE OTHER (Specify)
TYPE OF SIIYNG
ROOF COVER G
t�7��
FLOOR E
/'�
ESTIMATED -COST OF CONSTRUCTION
$ �% . RO0
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County
Ordinances as follows: I iM"� �/, I %
FRONT /SIDES <dl'Z� REAR Oy/
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.,
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated
AG Building definition. If any change in use or occupancy of the buildi
obtain any necessary permits, inspections, and approvals to comply th
occupancy-
DateSignature of Owner
A the purposed use confirms with the
I will contact the Building Division and
sments in effect at that time and before
Permit Fee 560.0 The above described AG Building is exempt from a bu!png permit.
FL D I P R C;n ROOFI ISSU
Receipt No.
Manager Building Division
ByT 4ae2� Date
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
f. • t
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT ERVICES - BUILDING DIVISION
7 County Center0rive c Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT o3'3X67
ASSESSOR PARCEL NUMBER /-meg _� C2_
\AJ /
ZONING
FR -10
BUILDING PERMIT
OWNER _ / /moi
TE
lJ
SO, FT, OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
5057 NOBB ROAD,
100 Gov 1300•
CONTRACTOR'S NAME
BRUCE BRODERICK
TELEPHONE
873-5059
CONTRACTORS MA1uNG ADDRESS
PO BOX 786 0 MAGALIA, CA 95954
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee $
20.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Permit Fee $
31.00
Plan Checking Fee $
23.00
BUILDING ADDRESS
5057 NOBB ROAD OIROVIIIE
Energy Plan Checking Fee $
$
PERMIT FEE $
74.00
LOT NO.
SUBON610N5 NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 1 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome NX Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater 1
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Others[
Describe Work: AS BUILT CDM.ED DECK
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service "'.A oR LEsLESs
200A OR S
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main .Service 200A TO 1000A
M
46,00
NEW CONST. DWELLING OCCUP,
OR ADDNS. ( & ACC. BUDS.
SO
3.5¢FT,
N a S11DT. MULTI -OUTLET BRANCH CIRCUITS
@7.50
OWER AFPARATUS
d SINGLE OUTLET CIR.
Ex. OCCu OUTLET OR FIXTURES
B20 @ 1.00
Ex. Occup. ..ED s AE�sID,oEa
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
\/ of one hundred ($100) less.)
11Q I certify tha a 7permance0orf the work for which this permit is issued, I shall
not em y any n in any manner so as to become subject to workers'
com nsation s of California, and agree that if I should become subject to the
w ers' c s tion provisions of section 3700 of the Labor Code, I shall
rthwi m it, those provisions.
{ G�
X Date / Q/`
gna r pplicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 74.00
HAZ.
--
D. FEES IMP
--XX
FLOOD
X
CDF
--
PARCEL
__T_
X
HD
ISSUE
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.
0.
B Date s ��
PERMIT EXPIRES O S
(Da te
ReceiptNo. 390993
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r
N
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
D3-32��
B.Fi USE CAitb
Bios Plan Attach.
Roar Ran Attachad
Sans to B.D. !
(L-)oh50sg- N 0� 6 ]� (- 8 -
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public
Clearance for dwelling. Other 1 n K /b (h �),OA-
Private Well\
Hold final for: 6
Final clearance O.K. for:
NOTE:
Environmental Health
8/96
list
Date
COUNTY OF BUTTE-DEP.,OF DEVELOPMENT SERV1Cf�S-BUILDING DIVISION
7 County Center Drive, Orovilie, C9'95965 Phone (530)538-7541 Eax (5,0)538-2140
/PERMIT APPLICATION DATA SHEET
OWNER: 1` ' vc
� ASSESSOR PARCEL NUMBER
Proposed Building Use: 'e V Counter Technician: Date:
IIms required in order to apply for a permit. All boxes MUST be checked OR marked NA in order o pply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
�►� ❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be
stamped and wet -signed by the engineer.
-.J
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and
returned to the plan review line-up when required items are received.
Date Received By -
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Site plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Fire Sprinklers............................................................................................
❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 15. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) w
❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑/7. Statement of Intent for Non -heated and A/C Buildings ..........................................
%718. Sanitation and site plan approval from the Environmental Health Department in CJS (j . Z %� -O 3
❑ 19. City of Chico Plumbing permit........................................................................
❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 23. NPDES Form.............................................................................................
❑ 24. Encroachment Permit for driveway from the Public Works Dept .................................
0-25. Pre -Inspection for required ................
❑ 26. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 27. Worker's Compensation Carrier and Policy Number .............................................
�
28. Owner -Builder Verification (E] Given to owner, ❑ Mailed to owner) .....................
29. Letter of Signature authorization....................................................................
❑ 30. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 31 Manufactured home utility clearance...............................................................
❑ 32. Existing violations and/or expired permits.........................................................
❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check.to H.C.D. $
❑ 34. Other: 1
When issued Telephone3 . and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: ��� C Date: �� le;iL16 ?j
1. Index permit application for the above items numbered: Pla Check Letter
2. Additional items required
Contractor, designer, owner, was adviseb of the above data y ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the aboved a b ❑ phone, ❑ mail, ❑ counter by Date:
Plans reviewed by: �C.; _Date: Plans approved, by: i�-Date: 0
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
O.B.- I
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit.. No building permit will be issued until this
verification is received.
1. I personally plan to provide ft major labor and materials for construction of the proposed
property.improvement : YES NO ❑
2. I HAVE HAVE NOT O signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm.) to provide the�proposed construction:
NAME:
ADDRESS: CITY;
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work: -
NAME:
ADDRESS: CITY.
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide*some of the work but I have contracted (hired) the following persons to provide
-the work indicated: .
NAME ADDRESS - PHONE TYPE 'OF WORK
DATE:
NOTE. This Owner -Builder Ver fication is required by .Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
`T
r 1. 1 Q-A- I.
OWNER BUILDER INFORMATION
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -budder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personaliy performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
'. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
.� with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administuation). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the'verification is returned.
rely,
Mic 1 C. Vi ira, C.B.O.
M ger, Building Inspection
NOM This Owner-BuWerlaformadon is required by Section 19830 of the California Health and Safety Code
OVER
017le