HomeMy WebLinkAbout062-560-023`
- ^ =
- ~
MIC PATTERSON
95 Quprt ' v. ill LAne, Berry Creek
LEC A1,011VIff6
SUPPORT STRUCTURE REQ ;M�
62-56-23
�OMPACTION-1T.EST- REQ,
Perm*
V -
T�^�Tp
/ -�_-
m
�
o
'-
/
,
S
PERMIT NO.
PERMIT EXPIRES J -
OWNER MICHAEL PATTERSON
owner
CONTR. X�X3��FXl�d' 8$X%iXffi#'1fX`I�i�
ASSESSOR PARCEL 62-56-23
LOCATION 95 Quartz Hill Ln, BC
I _ OFFICE COPY
I
Address
i
GAS Date
Temp. Power P Meter By
ELECTRIC Dater
Called PG. Meter By
i
Temp. Elea Se�rv,ce --_ - ----- ---.
y
Called PG&E r
Temp. Gas Sei
Cal led PG
JOB FINALE[
Signature
I
11
J = OK
. 0. = Ngl OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date UNDERFLOOR (Plans) OK except#'s (Date FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & 1
2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check
Card -BI
Ca,d-BI
Date
2 exits
50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
4.
Fig., Porches & Decks; Soils -Steel- / /" Fig. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6.
Ste_mwalls, Garage: Steel-Blockouts-Wrapped=Slab
7.
Piers -Fireplace Ftg.-Steel
_
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9.
Gas Pipe; Size -Anchors
Card -BI
10,
Water Pipe: Test -Anchors -Regulator -Service Test
Card -BI
11.
Electric; Underground
Card -BI
12.
Plenums &_Ducts; Clearance -Material -Support -Ins.
Date
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Smoke Detector
Date_ Card -BI Date
Card -BI
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
14.
Water Ht.: Vent -Access -Combustion Air
15.
Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.: Test-Fttngs & Anchors -Nail Protection
17.
Shower Pan: Test, First Floor -Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
19.
Gas Pipe: Size & Anchors
Card -BI
66.
Date _ _ _ Card -BI Date
Card -BI
67.
_
Date Card -BI Date
Date
ELECTRICAL (Permit) OK except #'s
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance - Ins. Protection
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
21.
Elec. Receptacles Spacing -Lights & S_witches at Doors
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled_
Elec. Receptacles in Garage; (G.F.I.)-Ramex Protec.
23.
Romex Installed Close to Edge of Studs & C.J.
Insulation -Foam -Looked in'Attic ❑Yes
24.
Equip. Ground made up w/Meth. Fasteners -Bond Gas & Water
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen & Conductor Size
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26.
_
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
Following instld.: Drive ❑ Yes 0 No: Walks ❑ Yes ❑ No;
Planters Dyes EJ -No
:27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Stucco; Brown -Finish
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Insulated Neutral Yes No
Water Well; Disconnect, Electrical, Plumbing
28.
Service -Riser Conductors & Ground -Main Disconnect_
Exterior Elec. Trim: G.F.I. Receptacle -Underground
29.
_
Equip. Clearances: Pane ls-Motors-M_ech. Equip.
Ventilation throughout House
30.
Clothes Closet Light -Shower -L ight
Card B -I
Date Card -BI Date
Card B -I
Date Card -BI Date
Date
MECHANICAL (Permit) OK except #'s
86.
31.
A.C. Ducts. Insulation & Support
32.
Vent Fan: Exhaust above Insulation
33.
_
Condensate Drain & Overflow: Size & Grade
Card -BI
Ca,d-BI
Date
2 exits
50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
34. Furnace -Vent: Access -Comb. Air -Return Air_ Vent7115V outlet
35. Attic Access & Platform if Furnace in Attic
_ Card -BI
Date Card -BI Date _Card -BI
Date Card -BI Date Card -BI
FRAMING(Plans) OK except #'s
36. Sills, Proper Material & Anchors _
37. Walls. Studs -Nailing, Spacing & Bracing -Plates -Sound
38. Bearing Walls over Girders & Floor Nailing
39. Draft Stop in Walls (rat proof)
40. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
41 Header & Beam -Size & Bearing
42. Hangers -Post Caps -Anchors -Connectors
43. Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfnp.
44. Fireplace Ties or Type A Flue -Fireplace Throat
Date Card -BI
Date Card -BI
Date Card -BI
Com lents at Final:
45. Attic Access: Size & Romex Protection -Draft Stop -Ins, Baff_Ie_s
46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -
47. Garage Fire Protection Framing
(NOTE An entry must be made each time youvisit jobsite)
52.
Siding -Nailing -Veneer
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_
54.
_
Glazing Area -Glass Protection -Skylights -Plastic
55.
Shear Walls; Nailing -Bolts •,
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures•& Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles,at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Ramex Protec.
72.
Insulation -Foam -Looked in'Attic ❑Yes
73.
Guard Rails & Deck Construction -Post Caps
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75.
Following instld.: Drive ❑ Yes 0 No: Walks ❑ Yes ❑ No;
Planters Dyes EJ -No
_
76.
77.
78.
Stucco; Brown -Finish
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim: G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
83.
Glass Protection _
Corrections from Previous Inspections
84.
_
Gas `est -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/0 to Grade -HD Approval
86.
Energy Compliance Certificate -Other Certificates
34. Furnace -Vent: Access -Comb. Air -Return Air_ Vent7115V outlet
35. Attic Access & Platform if Furnace in Attic
_ Card -BI
Date Card -BI Date _Card -BI
Date Card -BI Date Card -BI
FRAMING(Plans) OK except #'s
36. Sills, Proper Material & Anchors _
37. Walls. Studs -Nailing, Spacing & Bracing -Plates -Sound
38. Bearing Walls over Girders & Floor Nailing
39. Draft Stop in Walls (rat proof)
40. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
41 Header & Beam -Size & Bearing
42. Hangers -Post Caps -Anchors -Connectors
43. Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfnp.
44. Fireplace Ties or Type A Flue -Fireplace Throat
Date Card -BI
Date Card -BI
Date Card -BI
Com lents at Final:
45. Attic Access: Size & Romex Protection -Draft Stop -Ins, Baff_Ie_s
46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -
47. Garage Fire Protection Framing
(NOTE An entry must be made each time youvisit jobsite)
J
I
V = OK
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date MOBILE ME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
ilef
o ing Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
s; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
Sewe Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
ater; L cation -Test -Ea nt Needed (S tch
4. Wood Awn.; Posts-Beams-Rftrs.-Con nec.-Shthg.-Rig.-Bracing_
K—ETe—ctricity; Lo -Clearances- /
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. G2; Location-Test-Wra �/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
--
6. Carports; Windows -Doors
Utility Clearance
7. Elec.
C B e 0-:2/ and -BI Date
Card -BI
Date Card -BI Date
Card -BI Date j"4j Card -BI Date ;!
Card -BI
Date Card -BI Date
Date MOBI EHOME INSTALLATION (Plans) OK except N's
Date
POOLS (Plans) OK except #'s
1 tng equirements-Setbacks-Easements
1. Setbacks -Easements
2 F Ings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
s; MH :Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
ec ucity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5, a,' , MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6 a e ; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
ater and Sewer Connected -C/0 to Grade -HD Approval
7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
and Electricity Tagged ;
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
1s; Insp.-Sketch
Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Tast
Card B- (Date Card -BI Date -fMCard-BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card -BI
Date Card -BI Date
�J r
i .
MOBILEHOME INSTALLATION ACCEPTANCE =
COUNTY OF BUTTE f
CDEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541 n
PERMIT NO.
,,Address or location ofAAmobi leho`me _ �� s `� Yiii t t
s Owner's name J1 �. ` LOW S FYL+
Owner's address /t rtQ✓
Insignia or hud number
Manufacturer's name_
serial number of V.I.N.
\1 �—_3 nA{
(Official Approving Installation
Year of manufacture 11
rrl
(Date)
,IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
13B White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
y
747 Elliott Road, Paradise— Phone: 872-6307
RRECTION NOTICE
7
T
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction, of work is completed. If you have any question pertaining to this
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
Rol
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
—
o�on
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pert�ning/to this
matter, or need additional explanation, please contact this office, i
to �f� • e-.-- ;-9
PaoQJ ?%t Cees
On
Inspector 0. Date _--
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 53411541
-Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION. NOTICE
T NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
,kma/tt,er,or ;,dadditional explanation, please contact this office immediately.
FI UC
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961. Ext. 57
CTION NOTICE
r�
:RMI T NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be'corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Jt
- / r
,j
Inspector_,. _&�_
Date
W
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS `
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
ORRECTION NOTICE
m
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
f
LTi -
y�^ `7
Inspector_1,10—W/t--Date_
k
X
1f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 o
APPLICATION AND PERMIT
ASSESSOR PARCEL UMB R
2, 5�-2
ZONING
(/
BUILDING P RMIT
O WNE
,4rf� T�
TELEPHO
79��!�t72
/
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
3043 p,g2eeliAl D�'owi i�W
CONTRACTOR'S NAME DIV
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
4$
CONSTRUCTION LENDER
UNKNOWN
1
Total Valuation
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS 1
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDI G AD Ess
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Oir
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
ff- 9
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome[��Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home
10.00ea ., CO
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation El Other ❑
Describe work: _
Permit Fee
$ 44V. 0-D
Contractor
10
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 D,�
Main service EA. ADD'L 100 AMP
2.50 7.Sv
CONTRACTORS LICENSE LAW
I declare under penaltyperjury
of p I y (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, Or my employees with wages as their sole compen-
sation, will do the work,and the structure Is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.(DWELLING OCCUP.& ,
OR ADDNS. ACC. SLOGS. / h2sgft
NEW CONSTR. ULTI.OUT LET
NO N.RESID BRANCH CIRCU, TS2.50 ea
POWER APPARATUS tr
(SINGLE OUTLET CIR. )
Ex. Occup( OR FIXTURES 20®@00
ewL030
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
#R
Permit Fee $ J
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date g—,r —�4
Signature of Applicant — Owner AContractor ❑ Agent ❑
An OSHA permit is required for ex ovations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee =� $
Energy Inspection Fee ,$
TOTAL PERMIT FEE '• $ 2 S
occuP,
coNsr.rrPc
r
1 -Loo
PARCE
PD
ND
ssu
This permit is hereby issued'under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
G�
Date (- 2--?(..
Receipt No. -& tve.J �c� r
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLD ENROO-APPLICANT
\\�
`bk ���
K
i
\\�
`bk ���
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
AA
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for: Water Supply
Final clearance O.K. for: Water Supply
Clearance for bedro mobile home. Other
NOTE * * *
2:0 /
Sanitarian
_.% ` pate
TO: Building Department
FROM: Encroachment Permit Section
o
RE: Driveway Clearance
o
Mine O location
o AP
Drivewciy permit _Q has been issued for the above property.
signa re
date
COUNTY OF BUTTE - DEPARTMENf OP, -PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICA-fl-0-DATA SHEET
Permit No.
OWNER /�I G1�A�L /"/7 J l Aj 0 A. P. No
Proposed Building Use P 6/7 /L
Permit Fee Based U on Compi�N Contracl, rice V DPW Valuation
Other (E'41 a i n) m
Building Inspector Date 2,?
06
At time of permit application, I was advised -the following da,ta must be submitted prior to permit processing
and/or issuance: L DATE RECEIVED APPROVED
1. All items have been submi
. Plot plans in duplicat i lic to ` . . . . . .
3: 6drri0f.et"Idlis in duplicate/ f", licate. . . . . . .
4_tl ompj to engineered plans andpcalcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6..`-CUSD ',Fees, Paid" Stamp on Floor Plan . . . . . . . .
7,Statemeptrof intent for Non -Heated and AC Buildings.
8.,; Fees of $ . . . . . . . .
9. Letter of signature authorization.. ,
0. Sanitation approval from eeeV Health Dept.
1._Planning, approval for (A) Use: (B) Parking:—
IT 2 6 cs r W'i
ck-te
arking:T2er#ickte of Workmen's Compensation Insurance. . . . . .
::Kt
Contractor's License Informati.on (no., name style, classif.)
Owner: -Builder Verification (Given to owner0, Mail to owner W)
15. Improvements may be required. . . . . . . . . . . .
s 16. Mobilehome Installation Data. . . . . . . . .
Lfl,1 q Pre -inspection for Required. Pre-Inspec. req est to (Dote)
Building In a or
�%$ 8. Recorde R 8 r I Acknowledgment Statement . 8 _
8 Other � r I Construction approval required ri r to occupancy
When you issue the permit, process as follows: Mail to owner. Mail to contra4or.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
k Applicante!L �/ Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at ti application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above requi ata'* Telephone Mail Other
8 �•. Date
a
Plans checked by ate r
Plans approved by Date
Other
Copy—DPW
`196 MEMORIAL WAY 7 COUNTY CENTER DRIVE 747 ELLIOTT ROAD
CHICO, CALIFORNIA OROVILLE; CALIFORNIA PARADISE, CALIF IA
891-2727 534-4281 872-6308
`�• BUTTE COUNTY DEPARTMENT 'OF PUBLIC HEALTH O�
DIVISION OF ENVIRONMENTAL HEALTH
SEPTIC TANK IhI ECTIO.N C RTIFICATE
X11 �
The Septic Tank System was Installed at� I C, �' L
FOR
SEPTIC TANK
Size-4d.90.
ize Gallons
Material
LEACH IN I ELD
Length Y0 ft.
Width in.
No. of Lines
Rock Under Tile20
f in.
The above dimensions meet the minimum requirements of Butte County Code, Article 19.
Additional leaching area will be required if experience shows it to be necessary.
Remarks:
Date
S2-7788
Sanitarian
13
Fluici--4
p, nm. '99-5
�CA1,
A £eroack o Jt i I i
property !in,,,, and a setback
of 50ft. from t`ie road
centerline shall be clear of
structures or equipment excE
fr:.:a ")ft. Pay, , overhang.
14
v'
n
41
,
h
�• wi a re Lfor th®
LL-
, LL- Atli ehome.
Utility conn
4 ft. Of ections shall be within
direct) he mobileho
Y behind or me' either
half within the rear
mobilehome of the
QJwrfZ 4:11 LA
toAfty`
A
'nom
4, ne
This set of plans and NOT'—AN Materials g �y
kept on the job at all ti nes c�fications MUST be AccordonEe with Reco odCmansh,p Shall
make an and it is unlawful to of a quail 9nized Good Practices
y changes or al .rry+' Y prescribed for the S and
written permission from he DepartmSame ent of Pub of ltnrform Building, Plum Specified use
Works, Coun $e National Electrical g & Mochani� "the
ty of Bu e. Public Cod®. and
9 �
s �3
#4 +e r k% h V, A p r1 A'WrNcomm
OUILDIN EPARTIt ENI!
'APPROVED
P-g6
H41
c.!'C . _
�v
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541
Nichsel Patterson
3643 Darwin Dr.
Fremont, CA 94536
With reference to the above subject:
" Attached is:
OTHER
DATE August 20, 1986
ME: Building Permft Application X62403-86
for Mobilehome Utilitdes
A.P. # 62-56-23
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
= We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in triplicate with demintions from property line to mobilehome, show all
Structural details in
4 --easements.
Complete Dlans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
(DPW).
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
Z4)9;R It appears your mobilehome and septic system may be in the right-of-way for
Cook Way as s own on parcel map- V_
Should you have any questions concerning the above, please contact this office.
Yours very truly,
William Cheff
Director of Public Works
.F. Glander
JFG/aj Chief Building Inspector
DM
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541
DATE August 15, 1986
Michael Patterson RE. Building Permit Application
3643 Darwin Dr.
Fremont, CA 94536 A.P. # 62-56-23
With reference to the above subject:
LX,X/ Attached is:
Application for permit Mobilehome Utilities Installation Sheet ,
Building Plans _ Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER AS Statrement of Acknowledgement & Receipt
XW We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in ,.including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
XX Recorded copy of agricultural acknowledgement statement.
AX / OTHER The ag statement must include the legal description of the property, which
you can get off 9f your deed. Also, the form must be recorded at the Butte
County Recorder's Office at 25 County Center Dr., Groville. It is possible
to accomplish this through the mail - put the legal description on the form
and return along with a check to the recorder's office. The fees are $5.uu
for the 1st page, $2.00 for each a 1 page and $1.U0 for a copy. Nost people
ask them to make a copy and send the copy to us.to speed up the process.
Thank vou.
Should you have any questions concerning the above, please contact this office.
JFG/aj
Yours very truly,
William Cheff
Director of Public Works
F. Glander
Chief Building Inspector
581-44Y ""AJ/9" 4VIAUJ �5L
AP # (a.2•rJ�o•Z3
OWNER Alle*AIA-EC_ PAME/1.SOA)
PERMIT
NSI UT IL .CLEARANCE DATE
INSPECTORLon-
ELECTRIC GAS
Support Compaction
Struc. Test eq.
Service
Size
OtherPipe
Load T e
Size
Length
YES NO YES NO
G P4.
2Sl
/U,&w
vEs
�
1
iy. ,1, S%AOC-D loa
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
/
PERMIT N .
ASSESSOR PARCEL NUMBER
62-56-23
ZONI
BUILDING PERMIT
OWNER
Michael Patterson (4L5�
TELEPHONE
796-3872
SQ, FT. DCC, BUILDING ATION
OWNER'S MAILING ADDRESS
3643 Darwin Dr Fremont, CA 94555
CONTRACTO N METELEPHONE
Owqmr
CONTRACTOR'S M L G D ESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 15.00
ARCHITECT OR ENGINEER
nnnp
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
95 Quartz Hill T.n-
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Rprry Creek-
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME ISARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome&X Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationU Other ❑
Describe work: _
few�` l p 3 86
-r,z
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main Service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
F1 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
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
-� I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for ttizeason
NEW CONST. ( DWELLING OCCUP.&) y2�sgft
OR ADDNS. 1 ACC. BLDGS.
NEW CONSTRMULTI-OUTLET 2,50 ea
NON•RESI0 BRANCH CIRC ITS
/POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 2
eAL@Lo30
Ex. Occup. OUT OUTLETS (RESID )D APPLNS KEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
Ijd!claredffr penalty of perjury (check one):
e 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.
'ET,I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FilingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building constructio nd hereby authorize representatives of the County of
Butte to enter upon e a ove-mentioned property for inspection purposes.
I also agre to say , i emnify and keep harmless the County of Butte against
I liabilit'es, judg nts, costs, and expenses which may in any way accrue\V\I
g Inst s d Co n in consequence of the granting of this permit.
Date -bZThis
Signature of A licant — Owner LJContractorI--]Agent ❑
An OSHA per it is required for excavations over 5'0" deep and demolition or construct-
ion of structur over'3 stories/—in height.
Mobile Home Installation Fee $ 49 -nn
Energy Inspection Fee $
TOTAL PERMIT FEE $ 70.00
Occu P,
CONST.TYPE
IFLOOD
ARCEL PD
�s
HD
ISSUE
-
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC R OF PUBLIC
BY
PE T EXPIRES Date_ -.
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date'/-� �
.yy
�'r�-L,'R—
Receipt NO. �' �9 ' 1
WHITE-D.P.W.. YELLOW --ASSESSOR, NK -INSPECTOR, GOLDENROD -APPLICANT
!P =0 -a 1 r a • R J ?i s , a ... �
COUNTY OF BUTTE - DEPARTMBNTrOIfiPUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER I t P rS P, o.
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
andlor 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 talcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD ''Fees Paid Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ),
Improvements may be required
. • • • • • ..
Mobi lehome Installation Data. . . . . . . . l
• Pre-Inspec.request to
17. Pre -Inspection for Required. Building Inspector
18.
19.
20.
21.
22.
Recorded copy of Agricultural Acknowledgment Statement.
Driveway Permit.
Plot plan approval from city of
When you issue the permit, process as follows: -
Telephone and hold for
Other
A, Mai I to owner,
ickup at off
Applicant
Copy of plans sent Health Dept., Fire Dept., Other
The following data must be submitted prior
c
1. Index permit for above items No.
2. Additional items required:
Mai i to contractor.
Deliver w/inspector.
Date
Date
permit issuance: `(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone----nail—counter by date
Contractor, designer, owner, was advised of above required data by—phone _mail—counter by date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved
File cabinet AP folder
e
— Flours: 10:00 a.m. - 3:00 p.m.
(Date)
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information 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) U.
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide, portions of this work, but I, have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Number
Date f -s-
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.
r� myhar
�EU_5— o
A setback of 5 ft. from the
property lines and a sAdA
of 50Ft. from, the road
m"terline straPP be 6,98f Of
sfrucfures or equipment ex -6W
for a 2 ft. eave overhang,
iris set of plans and s
kept on the job at all tirn
make any changes or rylt
written permission from t
Works, County of Buff)i
qL
1hJ
e.
Utility con
4 ft. Of
t sections Shall be
directlyhe Ions
within
half behind or within either
mobileh the rear
orae. ) of the
QJ AVP+Z W I l Le
E&C• 06.
41 he,
'40'r --- Aft �C yyor
fications MUST be o f a with Recognized k►r►anship $�z
hall Se
qual fY prescribed for C'oo
/Scaind it is unlawful to Uniform Building, Me SPe�fied Practices a, .
};r•ns on same without she National Electrpicaml Plumbing
& MachanlcaJ CaP I N
Department of Public Code,
3s to de,x go len
9
s� a3
LVg��r k'fin rod Ay I �o
n4q
� .1
------��vs==L
D h,
44
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE • 4-34-4541- 5'3.e 757/
1. Owner's Name: 111i
2. Installer's Name:
MOBILEHOME INSTALLATION SHEET
3. Is the site currently under permit? Yes LJ No u
(If yes, furnish permit number ) OR
F-1
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 [:a No F]
(If no, clarify
5. What is the mobilehome electrical rating? --------------- C/. Amps
6. What is the mobilehome site service rating? --------------4 -- Amps
7. What is the mobilehome site circuit breaker rating? ----- i G 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.)
10. What is the type of gas service? --=---------------- Natural LPG D
11. What is the gas pipe length from meter or tank to the
mobilehome?----------Yds- V 16---- �
�(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.)
MOBILEHOME-SUPPORT DATA
If other than single wide,
Mobilehome Mfr. Maiftq&&'hr furnish Setup Model No. Year �1
Width 4 (ft.) Box Length SJR (ft.) Tagalong or Expando Sizec� ft. x ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one) l- Wood -pressure treated or foundation grade. a 2. Other (specify)
SUPPORTS (check one) U1. Concrete block.0 2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
Line 1 Piers:
Size-Min.------------
-----------Spacing-Max.
Spacing-Max --•-------
From Ends -Max. -------
Line 2 Piers:
Size -Min. ------------
Spacing-Max ----------
From Ends -Max .-------
Line 3 goof Loads:
Size -Min. ---
Location (From'Front)
Line 1
Line 1 openings:
Size -Min. ------------------ „x u
Each Side of Openings
With Width Over ---------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min .------------------ u
Spacing -Max________________
From Ends -Max --------------
Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only)
Size -Min.------------ ,k „ Size -Min -------------------
Spacing-Max ----------
------------------Spacing-Max---------- , „ Spacing -Max .--------------- r n
From Ends -Max.------- �_ n From Ends -Max .------------- n
Line 5 goof Loads -- — - - --�'
Size-Minn-------------
ux a nx a ik a ux °x n ux a nx n ux n
Location (Flom Front)
r�..�.-.-.......-nom