HomeMy WebLinkAbout063-240-066s
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ANTHONY SAN 0.9 ���
E%S Dodi` 1 R. d,a ,pfo /2500'S of
Nichols d o e Ranch'
Permit#662 83 ,P,E,M(New single family)
;. 063=24-0=066
, E,
LAROCCO; Phillip
126 T6 Doe Mill,Rd:, Forest Ranch t
travel trailer u tlites -
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COMPACTION, TEST ,.RE. A
SUPPORT.STRUCT REQ
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
P ERIIALT N0.
SSESSOR PARCEL NUMBER
063-240-066
ZONING
TM -10
BUILDING PERMIT
OWN JO� Pftla-IP&1-RJtLc
TELEPHONE877
SQ. FT. OCC. BUILDING VALUATION
M$I L '7t0.1�Ch 85942
O wnl�]lY
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
�
/ Doe Mill Rd. , Forest Ranch
Each Trapi 1
1 5.00
Solar or At p# water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water pipi
7.00
Each qa ter heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex[]Mobilehome® Other
SPECIFY
Ga p g system 1 - 5 outlets
5.00
ui d g sewer
15.00
M bile Home S G W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities U Installa ion❑ 0th r
Describe work: MHU/TT
Permit Fee
$ 45.00
Contractor
ELECTRICAL PERMIT
FilingFee 15.00
Main service 200V OR LESS
00AOR LESS
1 18.50 18.50
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
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
Main service 200A TO 1000A)
37.50
NEW CONST. ( DWELLING OCCUP.81
OR ADDNS. l ACC. BLDGS. /
3.6d sq.ft.
NEW CONSTF ULTI.OUTLET
NO N.R ESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS a1
SINGLE OUTLET CIR.
Ex. OCcU p OUTLETS OR FIXTURES
20 760
JAL AR.4
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.�
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00 15.00
Misc. Wiring
'15.00
Permit Fee
$ 48-50
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
tpof 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
FilingFee 15.00
Heating
Cooling
Hood
#_
6.50
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.
XLA�k 4y�� "6 �—
Date �
Signature of Applicant — Owne Controctor ❑ Agenta
An OSHA permit is required for excavations over S'0" deep and demolition or construct -
on of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
I TOTAL FEE 413.50
HAz
I DFEES
IMP fL00D
COF
PARCEL
PD
HD ISSUE
Thiiih
s permit s hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
applicable provi-
�
resolutions to do
have been paid.
WORKS
Date
Receipt No. 122802
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
�y
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
OWNER
PERMIT APPLICATION DATA SHEET
Proposed Building Use
Building Inspecto 6Date %
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
All items a e been submitted. .
Plot pla/4 sets, signed by preparer of plans.
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4., Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form ......... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings. ....... ............ .
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 se s. ..........
10. Fees of$ . ...........................
11. Impact fees as shown on attached schedule. ..............
1 , California Department of Forestry plan approval/fees. .................. .
Flood elevation letter (100 year fl by by C lifornia Enginger
0 Sanitation and plot plan approvaKi��G Health Depa ment. ............
15. City of Chico plumbing permit. ........ ; . .... .. ;).. .....................
16:, Plot plan and business license approval fro Cityof Bigggs/Gridley. .............
17. Planning approval for (A) Use: (fP),Parking: ........
Contact Land Development aboutA(A) IniprovemdVs; (B) Drainage. .......... .
Driveway permit (construction approval required prior to occupancy). . .
20. Pre -inspection for ` Pre- Inspection reclu-6
required. . to Building Inspector (Date'
21. Contractor's license information. (No., Name Style, Classification). .
22. Certificate of Workmans Compensation Insurance. ...... 3? r ...... .
Owner -Builder Verification (Given to owner Mail to owne;�� . ciccp... .
Recorded copy of Agricultural Acknowledgement Statement . ................. .
ZAI 25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ........................................"
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34. i
When you issue the permit, process as follows: L�'r Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant 1y�
Date YZI"I"r—
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 it issuance: (Circ) new
1. Index permit for above-irems No. Z ) i i i Z3,2
2. Additional items required:
above).
Contractor, designer, owner, was advised of above required data by _ phone -Zzmail Counter _ e
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSV P RCEL NUMBER —,O
ZON NG, _ ,^
l
BUILDING PERMIT
i/l///
TEL
SO. FT. OCC. BUILDING VALUATION
�6 �q y
OWN�'S�IAILING ADORE '•
CONT AAUTOR'S NAME
TELEPHONE
CO RACTOR'S MVnLING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
n
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS'
fes– f
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO: SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE, OF STRUCTURE
SF ❑ Duplex[] Mobil, home Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S 9GrW
@ 15.00 .3;0 e
TYPE OF WORK
New A��d%%tion Remodel❑ Utilities [I Installation❑ Other ❑
DeAn �d .
Permit Fee
$ Q
Contractor
ELECTRICAL PERMIT
Filing Fee t 15.00
Main service R LESS
200A OR LESS
18.50
Main service 200A TO 1000AI
37.50
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.
0License 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)
❑ t, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
�l 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW OR ADONS. CONST. ACC. SLOGS. ( DWELLING OCCUP.a)
3.6Qsq.ft.
NEW CONSTR ULT' -OUTLET
NON-RESIO BRANCH CIRC ITS
@ 5.00
POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. Occup(ourLETs OR FIXTURES
20 76d
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
1 3.00
Temporary service
15.00
Mobile Home Facilities
15.00 / o
Misc. Wiring
15.00
Permit Fee
$ t
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 shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
g
Hood
6.50
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 ot.
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 CoLLQ__ty \iin consequence of the granting of this permit.
X W Lt-A'c�- Datec _
Signatuownb �dnf'ector E] 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 FEES .S
HAz
1 0FEES I
IMP
70D
I COF
PA CEL
PD
HO
ISSUE
This permit is hereby issued under the
.:,:sions.of:the .Butte.County Code.and/or-resolutions
Work Indicated above for which fees
DIRECTOR OF PUBLIC
By
EXPIRES Date
applicable provi-
to do
have been paid.
WORKS
DatePERMIT
Receipt No.
WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
FINE WINES'&`WIN' GRAPES t ( '
r ) Certified'Organic 'Nb -Sulfites
+ 2, \ A 1, 1
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La Rocca'Vineyards 53,47 La_Playa„Ct. '• Chico, CA•95928 916.. 899•WINE,•`916 • 891k8872 `
Re' y ted Paper
E.H. USE. ONLY
Ila 1'1:m Aluchcd
' 1:1,mr 1'I:m Aa❑chcd
:. .• Sent w Is.D_ /®��"b—T 0���
TO: Building Department
FROM: Environmental Health.
SUBJECT: Sanitation Clearance
Owner / Location AP#
Plan -Approved for: Sewalge Disposal ✓ Water Supply: Public Private Well C/
Clearance for % bedroom mobile home. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/92
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_ • �_ - _ -t ' j - -APPROVED
+ - ; Butte Count Environrrien� • l
Y o! �eotth
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 ;
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
01
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ter,:
07 ->A, 0 - 7- /1 a ; L/ 4,4) � —I- A'R "-, P- t - R �� /---
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Inspector �`% 1%`F Date '�' /. J
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
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.
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Inspector_ _ Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 a y�
as; 7 County Center Drive, Oroville — Phone: 5344541
.� Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
A' CORRECTION NOTICE
PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
111\kt 12
Vs
Inspector— Date
County of Butte
DEPARTMENT OF PUBLIC WORKS
=r 695 Oleander Ave., Chico — 343-4211, Ext. 70
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd., Paradise — 877-3435
CORRECTION NOTICE
......................................................................................................................
Building or Property Address
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.
,�1.....' ........ ddcl
.............,Sc,.......
...........................................................................
-... ....�..........:..-
Date.............................. Inspector..........................................................
Do Not Remove This Tog
(400-4)
%PERMIT NO. 662-83B P E M
i PERMIT EXPIRES
OWNER ANTHONY'SANTOS
CONTR. owner
ASSESSOR PARCEL 63-01-98
y' LOCATION E/S Doe Mill Road, approx 2-'S_
• r �/lals4lf /2�4 GCf
of Nichols, Rd, Forest Ranch
fAVIVIae�
:I (t
k, Temp. Power Pole
"a Called PG&E
Temp. Elec. Service
ti
Called PG&E
s
Temp. Gas Service
Called PG&E
�. JOB FINALED (Date)
Signature
5
V = OK .I
0 = NOVOK
- = Not Applicable
fNot Ready
a_J
RESIDENTIAL (Sing.le and Du"plex)
Date
UNDERFLOOR Plans OK except N's
Date FRAMING (Continued)
o_ning requirements -Se ks- nts ,QA
ings
tg., M�ia!S -Steel-Ele rnd.- //V/" Ftg. Depth
"�9iERt Doors-Q�,2'�(iPieek-9eral�e�8rd-story-exits
- /"'Ftg. Depth
90. WaadNeem-Rise-Run-Landing-Fire Protection
Perches $rBGCkS; Soils -Steel- /gyp /" Ftg. De J
lywood on Roof Overhang-At6@-V-ents-Raftgers
temwalls, Main; Steel -BI is-Wr -SId7a----
52. aiding -Nailing -Veneer
n. Vents-Underflr, Access
-5
a Area-Gleae-Preteetton-SkpFic)frts-Pta5T1>✓
D.W.V.: F F" gs way C/O ewer
65. Sheei Wellai Nailing -Bolts
_ a
Water Pipe; ors=Regnta[or rvic es
I! "ridergrearrd
1 - - upport-Ins.
"13. - - "pples
Card -BI Date Card -BI Date
5/�rLf f /C Zea %g�3lree[-o
Card -BI Date_ Card -BI Date
—�
Card -BI IvDate Card -BI Date
Card -BI
Date �t Card -BI Date
Date FINAL (Plans) OK except k's
Card -BI Date FZ-p3 Card-BIDates
Date
PLUMBING (Permit) OK except p's
j,6t -' Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
1 ccess ustion Air
® Furnace; Vents -Clearance -Comb. Air -Connector -
arage; Above Floor -Ducts -Meth. Protection
_
C1 Water Pi & n or Nai ion
6 D. .; T�Pttd@e-CAd'ehbrs ail ec
B Broom Exiting
-�
ower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access
lec. Trim & Sub panel; Breaker Sizes -Labels
1 Tub Access
_
rs
6Q--S:a irs'✓Ra i l s
Fireplace o Stove; Clearances-Hear
Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Z J Card -BI Date
6 Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
d Date (_ - Card -BI Date f,
. Elec. Outlets & Receptacles at Kit. Counter
Date
t
�� t
ELECTRICAL Permit OK except q's
0.r& -h -Garage Fire Door; Swing -Landing -Closer
-@B--*.6--0uct in Garage -Damper
--
20. Fi a &Tran . _ - tech n
arc. Receptacles Spacing hts & Switch ADoo
tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
. In Garage; Above Floor -Meth. Protection
70. Plb., Elec. & Mech. Equip. Listed for Location
_fie Boxes & No. of Conductors -St
Receptacles in Garage; (G.F.I.)-Romex Protec.
_
%
--M5a-8nac9-
ex Installed Close to Edge of Studs & C.J.
ui round made up w ec a-7en B .& V�dTf3r .
Insulation -Foam -Looked in Attic ❑Yes
Mls & Deck Construction -Post Caps
2 Appliance Circuits in Itchen onductor Size:
—
__
ubtee rF41-A.C. Wire Size //d2 ga. oe-cMl
ents & Crawl Hole Door -Drainage & Wood -Earth Clearance
hooked under Floor El Yes
Range Circ. /9-/ ga C r AI -Oven Circ. / / ga. Cu or At;
Insulated Neutral ❑ es ❑No
Following instld.: Drive&4f EJ No; Walks ✓Yes E]No;
(-
Planters []Yes TQ -No
_
Service -Riser GwIluctors & G�Main onnect'
C761r�: Brown -Finish
_ -
2,a—E-quip. Clearances; Panels -Motors -Meth. Equip.
Caj A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
) Clothes Closet Light -Shower Light _
7 Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
— -- ---
.i§r-JXaKr Well; Disconnect, Electrical, Plumbing'
^_ —.—
Exterior Elec. Trim; .F.I. Receptac Underground
ar
Cd B -I
Datec�i Card -BI Date
Ventilation throughout House
Card B -I
ate -U Card -BI Date0_
_942ss Protection
Date
MECHANICAL (Permit) OK except q's
Corrections from Previous Inspections
est -Meters Tagged; Gas -Electric
—
3 lation & Support
it) Water & Sewer Connected -C/O to Grade-HD•Approval
3iiTtaust above Insulation
gg Energy Compliance Certificate-Other.,Certificates
n_& Overilow; Size & Grade
34--9"uiaa ��� a.A,, Access -Comb. Air -Return Air Vent -115V outlet
319��s & Platform if Furnace in Attic
Card -BI DateCard-BI — Date
-�--- YY
Card -BI Date Card -BI Date
Card -B Date Card -BI Date
Card&K Date Card -BI Date
Card -BI Date Card -BI Date
DateAMING(Plans)
OK except #'sComments
at Final,
_ Is; Proper Material
Its; SNa0jyg�Sp Bryy�=Plse�Souad.
--_=
`Raarina Walls over Girders &Floor
in Walls (rat proof)
T
Furred Ceilin s -Stairs -Chases -Tube
eader & Beam-Sizaring
Z.7;t7gers-Pos:.6aps-Ar co ""ne" g�ars
43. Ing. Joist-Rf�yyl'es-
D-R�rt3rac.-Tratcs�SF�r q fnq.
Firepioee-46es Type lu Rir&&Ua Throat
3
�r
Attic Access ize & rotech __ I"_Q&Wes
drm. Windows or Exiting Doors -Si gt. & Dimensions
--- — -
- -- ing---
(NOTE: An entry must be made -each time.you visit job site)
J OK
O '- Not OK
- = Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
_
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails _
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except #'s
1, Zoning Requirements -Setbacks -Easements
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2: Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Card B -I
Date Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
t
I COUNTY OF BUTTE -DEPARTMENT OF?UBLIC WORKS -'
r.... .' rr7 County Center Driver OroviIle,* California 95995`- Telephone 916/534-4541 J,�4 ' •APPLICATION AND`,PERMIT
- ' 4 'PERMIT NO. Jf,
n
ASSESS4R PARCEL NUMBE - •.+ . • -
ZON N
^/
4'�' �. BUILDING PERMIT
t
OWN E _ _ +•�" ..
TE PHON-
E
,
ASO. FT.'.» OCC: BUILDING
VALUATI q
O NER'S MAILI G A DRE55
CONTRA TO •S NAME- Z,'"
.` r T
TELEPHONE
Y
I
• . �\ PL
,
CONTRACTOR'S MAILING ADDRESS .`Y •�,
_ _
Fireplace
Q 0"D
CONSTRUCTION LENDER , -
UNKNOWN+,L•
Total Valuation: '$ .
.Filing,Fee
10.00
LENDER'S MAILING_ ADDRESS"' _ , - - �. i ♦ - _ ,� -.
Permit Fee
J'
$
ARCHITECT OR ENGINEER ., , '^' :
LICENSE•NO.
Plan Checking..Fee,..
$
Penalty `
.. $ I .,•
-ARCHITECT OR ENGINEER'S MAILING ADDRESS - I �- "
.'..
Permit fee
BUILDIN ADD ESS + -1-! t. ♦ "-� �,•
,1
'PLUMBING PERMIT
- �'FilingFee 10.00
S CJ6
A
*Each Trap
2.00
Water Heater Pte' 20.00 a7
'
••
Water -piping
_
5.00
LOT, NO.SUBDIVISION
NAME, s .. + -
'PARCEL MAP
Each oaS Water heater UI vent 1
5.00
Gas piping system 1 -5 outlets
5.00
.,
i
.• , -USE OF STRUCTURE ' e ,
'
Building sewer '
5.00
�' F
SF Duplex ❑ Mobi le'home ❑-1Other '
Mobile'Home S G W
110-00 ea
,
- SPECIFY
TYPE OF WORK -
Permit Fee
$
New Addition ❑ Remodel ❑ Utilities ❑ ; Installatioh[l .Other ❑
.Contractor }, `
Describe work: -`
ELECTRICAL PERMIT '
Filing Fee 10.00
Main service 1000V OR AMP LESS
10.00 010C
r
Main service EA., ADO'L}100 AMP'
2.50
• - °- -
NEW CONST.- / DWELLINGLQL`C}J &
OR ADDNS. C ACC. BLDG /
Z�IZQ3Qft
,
'•
• ' CONTRACTORS LICENSE LAW �" ' I
NEW CONST1 ULTI.OUTLET
NON-RESID `BRANCH CIRCUITS
,.
2.50 ea)
declare under penalty of perjury" (check one): ,I '.
NEW ,CONSTR. ( POWER APPARATUS &I
• r
❑ • I am licensed under provisions of Chapt. 9, Div. 3 , of the Business
"effect.
NON-RESID. SINGLE OUTLET CIR.
Ex.'.Occu P(ouTLErs OR FIXTURES
20@500
egL�30Q
and Professions Code and m license is in .full force and
y
• FIXED APp LNS, OR
EX:'OCCUp. OUTLETS (RESID,) EA.�
Z.00
•
No. - Classification~
�ense
s the owner, -or my employees with wages`6s:their sole compen-
iMobile Home Facilities -1 15.00
sation, will do the work,and the',structure is not intended or offered
for sale. (Sec. 7044) .•'
' , . �
Misc.'bViring '
15.00
,
❑'. I, as the owner, am exclusively•contracting with' li.ensed contract,.
ors. (Sec. 7044) `
Permit Fee.. " _
$
❑ I am exempt under Sea Business and Professions Code
for this reason I
Contractor
MECHANICAL PERMIT
FiIingFee ,10.00
` • } WORKMEN'S COMPENSATION INSURANCE,
,
.Heating -
,0
I declare under penalty of perjury (check one): r', w. >.
❑: The permit is for $100.00 (valuation) or'less.T
' Cooling
(�
❑ .'I have placed on file with the County of Butte Building Department
a Cei •f'icate of Workmen's Compensation Insurance of a.Certificate
Hood
3.00
ofr,,dnsent to Self -Insure: t 4,
- Ventilation
`
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,•shouId-you become'subject'
Fee.
$ . S�;OZi
to the W. C.,provisions of the Labor Code, you must forthwithPermit
comply,with such,
Contractor
provisions or this permit shalI,be deemed revoked. �'�,
`the
I certify that I have read this application and state that above. information
Mobile Home Installation Fee";,
, $
}
t.
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.,-,
,NOTAL PERMIT FEE
$'
I also'agree to save indemnify and keep harmless tlie'Countj of Butte against
all.liabiliti ju ents, costand-e ' enses which may -in any way a rue:
-OCCUP. GROUP
_ TYPE OF CO T.
PARCE'
PD
HD
SSU
'd
�V
against s y i s-en g of -,this permit.
(This permit is hereby issued under :he applicable provi-
X
Date _.
,,sions. of the Butte County Code and/or
resolutions.to do
`
Signature of Applica — Owner Contractor ❑ Agent ❑ •� f' ` y
-work %indicated above • for which
•fees have been � aid.
P
An, OSHA permit i required for excovations over 5'0 deep and demoLltlo or construct
-
'i „ ' DIRE O OF PUBLIC WORKS
ion.oF structures over 3 stories in height. :. t••
'By L
t
Date 2- -3
'� Ste'•':
n Receipt No. (%
p' -P IT EXPIRES • Date
7'-24 =J� `
WHITE-D:P.W: YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -A PLICANT:� ' •
s m.
Return to DPW AGRICULTURAL STATEMENT OF. -ACKNOWLEDGEMENT s3- 8965
FOR RESIDENTIAL DEVELOPMENT
l WFIOIAL` I'iEOCi F; '
Section 26-8.1 of the Butte County Code requires this acknowledgement 1; f�.�;,,
be recorded prior to issuance of a building permit. WDVALLEYTITLE CO
ft $9 WWI
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of ELAtllf� F�, FcC15EFt `
this property may be subject to inconveniences or discomfort arising CLERK -RECORDER e'
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 occas
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
A portion of Sections 16 and 17, in Township 23 North, Range 3 East,
M.D.B. & M., more particularly described as follows:
PARCEL 6, as shown on that certain Parcel Map recorded in the Office of
the Recorder of the County of Butte, State of California, on December 15,
1977, in -Book 63 of Parcel Maps, at pages 54, 55 and 56.
EXCEPTING THEREFROM all mineral rights and the right of ingress and egress
ant the right to cut timber for use in mining,. as reserved in a Deed from
M. Schott to E. Gage and E. W. Gage, dated August 14, 1925 and recorded
August 20, 1925, in Book 213 of Deeds, at page 193, records of .Butte bounty.
Date: March 14, 1983
State of Val i fnrni n )
) SS.
County of BUTTE )
NOT•COMPARED WITH
ORIGINAL DOCUi1AENt
On this the 14th day of March , 19 83
before me, the undersigned Notary Public, personally
appeared ANTHONY SANTOS and J. SANDRA SANTOS
known to me to be the person(s) whose name(s) are
subscribed to the within instrument and acknowledged
i LIJCY C• S71BNUS that they executed the same for the purposes
therein contained.
tia's%bl NOTARY PUSLIGCALIFORNIA
Bu110.County
Coir.missiun Expire. Sept. 26, 1966 IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
^[ /� I l./.�� �yy Notary P lie
OWNER • H4TMOIJY
B.
RESIDENTIAL PLAN CHECKING GUIDE.
(S.F., DUPLEX, & MISC. ONLY)
ow
Bldg. Permit # %Z-001
A.P. # (03-01-
r
A. GENERAL
JK Zoning requirements.(sideyards and parking).
Valuation.
.Signature by R.C.E. or Architect (if require
s
PLQZ PLAN
/Complete parcel size and dimensions.
Oetbacks, sideyards, easements, etc.
ther buildings or structures.
Grading, fills, drainage.
C FLOOR PLAN.
complete to scale plan with dimensions.''
Required windows for light and ventilation (Sec. 1405).
30.1 Required windows for second exit (Sec. 1404).
gooOlilowable glazing.for energy requirements. (70% max.-per.State law).
�,..,,Human impact glass (Sec. 5406).
G.equired room sizes, ceiling heights (Sec. 1407).,
F.C.I.'s-in baths and exterior outlets (Sec. 210-8)..
Light fixtures., switches, receptacles, and exterior receptacles for maintenance of
mechanical equip
Locations of wat r4i a e , heating & cooling equipment,' other electrical. or gas
equipment, and plumbing fixtures.
tMarage firewall, door size, and closer (Sec. 503(d)(4)).
1 1 - 3'0" exterior- exit door (Sec. 3303d).
Fireplace location.
! Smoke detectors (Sec. 1413).-
D. ST CTURAL DETAILS
oundation,plan complete enough to construct building.
��oor construction details complete enough to construct building.
E-Tevations.and wall construction details complete.enough to construct building.
Roof construction details complete enough to construct building.
&replace construction details and calcs if over one-story in height.
Sufficient data and details to satisfy energy insulation requirements (State law). -
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
4 -r -"Mr -plywood on exposed locations and overhangs.
+2 -.-'St' WIrway details (Sec. 3305) .
JvEI'a-rdrail details (Sec. 1716)'.
T4ck or stone veneer (Chapter 30).'
_erior plaster - weep screeds (Sec. 4706 & 4708).
roper roof, pitch for roof covering (Chapter 32).
W� Rafter ties or bearing ridge beam.
age door or porch .header sizes. `
M. Adequate bracing.
wwr0'. MIV~ing area"over garage - complete 1=hour separation -required including supporting
walls and posts, etc: 4
exits on, three-story dwellings (Sec. 3302) .
3 INCIDENT TYPE
IR ❑ FALSE ALARM T GO TO O
0
k
rRef.
RESPONSIBILITY .(AT ORIGIN) 46
'PRAT. RESP.(ro.P.R•) STATUTORY
STATE ZONE RESPONSIBILITY
j,.8CEOUDEARpPORR THREATENED
STATE
❑ UNPROTECTED ❑DISTRICT
�>❑ OTHER AGENCY D.P.R. E] CITY
LOCAL ZONE -. ❑COUNTY
U. SCHEDULE A M P.R. ❑ U.S.F.S.
t)o❑ OTHER AGENCY D.P.R': (Unlncorp) ❑ B.L.M.
FEDERAL ZONE ❑ B.I.A.
0 ❑ FEDERAL(except MIIItary) D.P.R. ' ❑ N.P.S.
O❑ SCHEDULE A D.P.R. []OTHER FEDERAL t
® ❑ MISCJOTHERVZONEI ❑OTHER
��CAA
TARTS IN 00 8 OROONLY)
Y 2 6 or g ❑ SMOKING EQUIPMENT
❑ DEBRIB ❑ PLAY W/FIRE
r ❑'ARSON ❑ OTHER/MISC.
6 LAND US J4T TS IN t 2 OROONLY)
❑ Old not siert >n0 2` 6 orO C] FOREST INDUSTRY
❑ DOMESTIC . ` RECREATION
RANCH -FARM HER INDUSTRY- COMRCL.
❑ DUMP /�p� /L I/❑`YAND
[]ROAD (/" � 1N-WILO D� p
[I UTILITY, RAILROAD fj5 PEO
❑ UTILITY, ELECTRIC
7
❑ NO DAMAGE IN
Nuoof
(NearrestA 00
Y
2 8/or B
8
1 2 6 OR 8
Veh/Dwlg
TIMBER A/OR
FIRMN
NUMBER-.
`r
8TARTMO.' DATE YEAR COUNTY'
R.U.
NO.
WILOLAND VEGETATION
JINCIIEN+�T
(Other than T & Y a)
EFIRENUMBEk'
mm"ORT
)
(Other then TBYGDWELLINGS
thru
�
Aj
- -Yt) (1/80).
FC
_
• _.
"_"
., . _ •... �
8/OR CONTENTS
,Q -APO
ORIGIN LOCATION.
OTHER STRUCTURES
.
Pr�7
OWNSH N
RANGE'
E
MILES
IRECTIOIN
FROM ❑IN NATIONAL FOREST 'FIRE D13T CITY d STREET NO.,
VEHICLE$ 8 CONTENTS
.❑S
v�
Cl w'
_
/
PVYPst 1 myr ET .. a d � 14
,..
—
-.
3 INCIDENT TYPE
IR ❑ FALSE ALARM T GO TO O
0
k
rRef.
RESPONSIBILITY .(AT ORIGIN) 46
'PRAT. RESP.(ro.P.R•) STATUTORY
STATE ZONE RESPONSIBILITY
j,.8CEOUDEARpPORR THREATENED
STATE
❑ UNPROTECTED ❑DISTRICT
�>❑ OTHER AGENCY D.P.R. E] CITY
LOCAL ZONE -. ❑COUNTY
U. SCHEDULE A M P.R. ❑ U.S.F.S.
t)o❑ OTHER AGENCY D.P.R': (Unlncorp) ❑ B.L.M.
FEDERAL ZONE ❑ B.I.A.
0 ❑ FEDERAL(except MIIItary) D.P.R. ' ❑ N.P.S.
O❑ SCHEDULE A D.P.R. []OTHER FEDERAL t
® ❑ MISCJOTHERVZONEI ❑OTHER
��CAA
TARTS IN 00 8 OROONLY)
Y 2 6 or g ❑ SMOKING EQUIPMENT
❑ DEBRIB ❑ PLAY W/FIRE
r ❑'ARSON ❑ OTHER/MISC.
6 LAND US J4T TS IN t 2 OROONLY)
❑ Old not siert >n0 2` 6 orO C] FOREST INDUSTRY
❑ DOMESTIC . ` RECREATION
RANCH -FARM HER INDUSTRY- COMRCL.
❑ DUMP /�p� /L I/❑`YAND
[]ROAD (/" � 1N-WILO D� p
[I UTILITY, RAILROAD fj5 PEO
❑ UTILITY, ELECTRIC
7
❑ NO DAMAGE IN
Nuoof
(NearrestA 00
Y
2 8/or B
8
1 2 6 OR 8
Veh/Dwlg
TIMBER A/OR
YOUNG GROWTH
WILOLAND VEGETATION
(Other than T & Y a)
.
� ;
AGRICULTURAL PROD
)
(Other then TBYGDWELLINGS
8/OR CONTENTS
OTHER STRUCTURES
d/OR CONTENTS
•'•• %' %`"
:i ri% :•:•i.+•Fir<+•:•:
•ii+:iii. .:..
i
VEHICLE$ 8 CONTENTS
-------------
OTHER
fes; ;:';•.<:
TOTAL
$
,...
ffleE04TRRII�AL
ATION FIRE _ ❑' OTHt R; •ta0 70 0
SIZE DISTANCE'(Or Igin to head)
• ..,. a J
ACRES' FEET
L�AR(ESTIMATEATSCENOIRECTIONrFROM TEtiAPERATURE '~ ' }
00 M.P.H.
1
y�1 t
10
OVERz PLEASE
CDF 7640-1,30-0/1E