HomeMy WebLinkAbout065-100-015Z
65-10-15 ----- _, ,
R&
ERT HOLT
153 kyway, Mag�lia
Consr; onald Const, Mag.
Permit 1655 P,E(uril, MH)
i LEC
I i;
GAS 4- r 11
I SUPPORT STRUCTURE REQ 0 .�
COMPACTION TEST REQ
Contr : 65-10-15
III -an MH Ser, Ma ala --
Perm' 3444-86MH / g
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To: Building M-1-1�i,,I-, tile
From: ..-".nviromentz,.i1. 111c,�itli
E -.-'u b j e c t : Sanitation
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Plan Approved for:
Hold final for:
Final clearance O.K. 1"Or.:.
Clearance for !:)edrooi!,, mobile hom,:�.
ari
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C9 �/D - Ar
M-34
vjAer ;.upply k4
1PIM,or :,-.Upply
water supply
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TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
-• owner 1 cation AP #
Driveway permit gD 0 �-� has been issued for the above property.
date .
Z
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION -DATA SHEET
OWNER R • 4116 V I
Proposed Building Use
Permit No.
A. P. No. (//
a -JD - 1 J7
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explain)
Building Inspector Date 7 b
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. . .. . . . . .
3.
h.
Complete plans in duplicate/triplicate. . . . . . .
4.
Complete engineered plans and calcs. . . . . . . . . .
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 $ . . . . . . . .
�L 9,
Letter of signature authorization.
3-- YG
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.)
Owner -Builder Verification (Given to ownerIM Mail to owner ❑ )
_414.
15.
Improvements may be required. . . . . . . . . . . .
16.
Mobilehome Installation -Data. . . . . . . . .. .
17.
Pre-Inspec, request to
Pre -Inspection for Required. Buildig Inspector (pole)
18.
19.
�
RecordedY9(AcknowledgmentStatementnns�DRIVEWAPERMIT(CRUCTION APPROVAL REQUEUPRIOR TO OCCUPANCY)
Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicants ir; . r ��> 7'21;-457�" Date (ter . ✓ /i2_25) CJ
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 time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required: :r
(Contractor, Designer, Owner) was advised of above required data by
Telephone rr- Mail
By I'r Date
Plans checked by Date
Plans approved by Date --%,1
Other: {
E
Copy—DPW %r.
Other
2� This set of plans and specifications MUST be
d kept on the job at all times and it is unlawful to
make any changes or alterations on some without
Pq �G e written permission from the Department of Public
o Works, County of Butte.
015 " ®NOTE:—All Materials & Workmanship Shall Be in
Accordance with Recognized Good Practices and
Utility connections shall be within of a quaiiy prescribed for the Specified use in the
4 ft. of the mobilehome, either Uniform Building, Plumbing & Mechanical Codes and
directly behind or within the rear fhe National Electrical Code.
half of the roadside (left) of the: ,
mobilehcgmq, Scale •• - 20
J�S.l9
-rank
I
T
6+ -
�� A permit will be required for fte I .
I �
3 installation of the .mobilehome.
It' c A setback of 5 ft. from the
prop
erty lines and a setback
� P P
of 50ft. from the road
centerline shall be lean of
except
structures or equipment
for a 2 ft. eave overhang.
66.0
a.o
203- 53- /6SS"i�G
BUTTE COUNTY
BUILDING DEPARTMENT.
T
APPROVED
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MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. furnish Setup Model No. Year
Width(ft.) Box Length ,/ v (eft.) Tagalong or Expando Size ft. x ft
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified. ,
Footinns (check one)
I - .—
(ft.)(in.)
Center support
locations*
U
(ft.)(in.)
II
(ft.)(in.)
(ft.)(in.)
(ft.)l (in.)
Single
(in.) (in.)
Center support
footing sizes
(in.)
(in.) (in.)
tI
(in.) (in.)
rZ 1`.1'. Wood either
pressure treated or
foundation grade.
2. Other: (specify)
Supporta (check one)
Concrete block.:
•2: Other. (specify)
Tagalong or Expando,'
show support details.
`Z x,31j Typical Support
(in.) (in.) Footing Size
(in.) (in.) -- Max. Pier Spacing
Ix 1 - ( % -- Max. Overhang
(.in.)I iin.) ;T(ft.)(inin..J)
*If center piers are other than drawn above,
-4 raw in -locations, spacing,. and dimensions.
3 el el34-Pee - :.
SUM COUNTY
SUILDING DEPARTMENT:
APO .
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1, owner's name:- fj�qb &i' T
2. Installer's name: 2-,
3. Is the site currently under permit? Yes No
i
(If yes, furnish permit number ) OR,
Is the site an existing site? Yes'/ / No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of.all setbacks.and easements? Yes /til No
(If no, clarify )
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.)
5.
What
is the mobilehome electrical rating? -----------------------
b 0 Amps
6.
What
is the mobilehome site service rating? ---------------------
d`T% Amps
7..
What
is the mobilehome site circuit breaker rating? -------------%i
Amps
8.
Is there any other electric load to be served by the mobilehome
siteservice?
---------------------------------------------------
Yes : No
(If .yes, identify the load and size: W40l (Load)
_ �_O (Amps)
9.
What
is the mobilehome site gas pipe size? ---------------=------
% (in.)
10.
What
is the type of gas service? ----------------------------- Natural /% LPG / k -r.,,
11.
What
is the gas pipe length from meter or tank to the mobilehome?
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.)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Galiforriia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT r
PERMIT NO.
41/
ASSES OR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNAR
1 u l�'i'
TELEPHONE
72 �- qi
SQ. FT. OCC. BUILDING VALU TI
OWNER'S MAILING ADDRESS ^�
3��Z-
C�rQ�jVIRACTOR'S NAME e
TELEPHONE
CO TRACT R'S MAILING ADDRESS
() -
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
LENDER'S MAILING ADDRESS
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 10.03
5 IL W�
Each Trap 2.00
Solar or heat pump water heater 20.00
LOT NO.SUBDIVISION
NA
PARCEL MAP
Water piping 5.00
Each gas water heater or vent. 5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomek Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home 1PV5T7 fl10_00ea 0
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities (V Installation[—] Other ❑
Describe work:
42 241
Permit Fee $ tJ
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS 10.00
100 AMP OR LESS
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
❑ 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
ry,�for sale. (Sec. 7044)
contract-Mobile
U t, as the owner, am exclusively contracting with licensed con
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.d+ ,
OR ADDNS. ( ACC. BLDGS. 20Sgft
NEW CONSTR. ULTI.OUTLET
NON.RESID. BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e:
(SINGLE OUTLET CIR.20@50)
Ex. Occup(OUTLETS OR FIXTURES eALo
DAL@ 0 3
Ex. QCCUp. OUTLETS P(RESID.)FIXED APLNS. REA.) 2.00
Temporary service 10.00
Ho
Mobile Home Facilities 15.00
9 15.00
W WLA-
Permit Fee $ S
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
�I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 10.D0
Heating
Cooling
g
Hood 3.00
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X—L , Date �7
Signature of Applicant — Owner Contractor ❑ Ag t ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over3 stories in height.
Mobile Home installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST.TYPc
I
I FLOG
PARCE
P
ND $SUE
This permit is hereby issued under the applicable p-ovi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRE OR OF)PUBLIC WORKS
I,p
BY ¢ate
PERMIT EXPIRES Date ''p,
Receipt No. Jov/ R
WNITE-D.P.W.. YELLOW -Age E990R, PINK -INSPECTOR, GOLDENROD -APPLICANT
-
PERMIT NO. 1655-86P,E(MH)
' /
PERMIT EXPIRES '�^'',^? —Y/%
OWNER ROBERT HOLT
CONTR. McDonald Const, Magalia
ASSESSOR PARCEL 65-10-15
�. LOCATION 15341 Skyway,,Msgalia
r'`�� fa%!i✓ 4 �d
ZcfAl d/=,QESa 4/14 k14
I OFFICE COPY
Address
GAS
Meter By Date
ELEC
Meter ate- - 7
OFFICE COPY+ a
I
Address/Lz/
GASgy—�oMeter at��•� I
I
ELECTRIC
Meter ByDate
I'
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service _
Called PG&E
JOB FINALED (Date)
G
1/
I.
• F,
J=OK
0 = Not OK
- = Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEH UTILITIES (Pl6wsl OK except N's
Date
DECKS,.COVERS, CARPORTS, ETC. (Plans) OK except k's
1 oning Requirements-8etae�-geeeam lLs
FIs; Sp
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Depth -Spacing -Connectors
Lo6e"K_ on
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
✓ater;
L on E h)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing
' ,icity;on- e - -/ y Amp
to (
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
-
s; Locatio - p:/--P-i=- /—ridairor/' °'L"fL
/"LPG
6. Carports; Windows -Doors
�
Utility Clearance
7. Elec.
Card -BI
&Date LS44 Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Dat —/ -f(o Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
oni Requirements- c ssentelTts
Date .
POOLS (Plans) OK except #'s
1. Setbacks -Easements
o9tings;_Size-Spacing-Adaw4age-t71'fe
2. Soils; Compaction -Structure Stability
-0
QXas; Qi1j�-Beme d-VaIIvtf---Con&-vro—r _
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
lectricity; MH Test-Cr=,%w ._c -are -Ot ces
4. Elec.; Receptacles and Lighting; Distances-GFI
rte; MH-FaW-P1e`x onnector
5. Elec.; Pool Lighting; 15 volts-GFI
B/lfiater; M em -Com
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
ater and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
and Ele Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
,: xits; Insp.-Sketch
Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Dat ZB Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Da 2 [, Card -BI Date
Card -BI
Date Card -BI Date
v �
W/
At-
zl��T
CT
D04 1Y0 IsF
7
Jo = OK
0 = Not OK r
= Not Applicable
* = Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except N's
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- /"' /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
_
3.
Ftg., Garage: Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg.", Porches & Decks: Soils=Steel- / /" Ftg. Depth
51.
-
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel-Blockouts=Wrapped-Slab
52.
_
Siding -Nailing -Veneer-.-
6.Stemwalls,
7_
Garage; Steel -Blockouts-Wrapped-Slab
Piers_-Fireplace Ftg.-Steel
53.
54.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access _
Glazing Area -Glass Protection -Skylights -Plastic
_
8.
D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
_
9..
Gas Pipe; Size -Anchors
10.
Water Pipe: Test -Anchors -Regulator -Service Test
11.
Electric: Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Card -BI
Card -BI
Date Card -BI Date
PLUMBING (Permit) OK except q'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
-
Date Card -BI Date
Date Card -BI Date
57.
58.
Smoke Detector
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
Date
ELECTRICAL Permit OK except p's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper t
Card B -I
Card B -I
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
Fixture &Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights &'Switches at Doors
Size Boxes & No. of Conductors -Stapled
Romex "Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
2 Appliance Circuits in Kitchen '& Conductor Size
Subfeed Wire Size /- / ga. Cu_or AI-A.C. Wire Size / / ga. Cu or Al
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral Yes -,No _ _-
Service -Riser Conductors & Ground -Mai nDisconnect
------.----------
Equip. Clearances: Panels-Motors-Mech_ Equip. _
Clothes Closet Light -Shower Light _ -_
----.- --- --
Date Card -BI_ Date _
Date Card -BI Date
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.), :Romex Protec.
72.
Insulation -Foam -Looked in Attic ❑Yes
73.
Guard. Rails & Deck Construction -Post Caps
74.
I
Fdn. Vents & Crawl `sole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75.
Following instld.: Drive ❑ Yes p No: Walks ❑ Yes []No;
Planters ❑Yes ❑No
76.
^
Stucco; Brown -Finish
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
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.
Glass Protection
Date
MECHANICAL (Pern•tt) OK except H's
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
Card -BI
Card -BI
31.
32.
33.
34.
35.
A.C. Ducts. Insulation & Support_ _
Vent Fan: Exhaust above Insulation
Condensate Drain & Overflow; Size_& Grade
Furnace -Vent: Access -Comb. Air -Return Air_ Vent -115V outlet
Attic Access & Platform if Furnace in Attic
-
Date Card -BI Date _
Date Card -BI Date
85.
Water & Sewer Connected=C%O to Grade -HD 'Approval
86,
Energy Compliance Certificate -Other Certificates
- --
---
--
Card -BI
Date Card -BI Date
Card -BI
_
:,:`te Card -BI Date _
Card -BI
C-ite Card -BI Date
Date
FRAMING(Plans) OK except q's
Com lents at Final:
36•
37.
38.
39.
40.
41
42.
43.
44.
45.
46.
47.
Sills; Proper Material & Ancho_rs
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing _
Draft Stop in Walls (rat proof)
Fire Stops: Furred Ceilings -St airs_-C_ha_s_e_s-Tub
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. BaIf_les
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
_
(NOTE: Anentrymust be made each time youvisit jobsite)
MOBILEHOME INSTALLATION ACCEPTANCE
lf='� COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA - 534-4541
f�
PERMIT N0.
)Address or location of mobilehome IS 7,11 5; /o' e1y/G.
Owner's name '� l� s� %• �� a %%
c; !
"Owner's address ��J 3 `�-rfr�./11G .,� --- �iUJ� �j G /i 4
Insignia or hud number-
?. -Manufacturer's name %�O 7cr
�`��
•s Serial number of V.I.N. �,� % Year of manufacture -2
(Official Approving Installation) (Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
,.;ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
's'MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
-y513B 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: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWN FR % / DCO�IiT Kln
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 corre .tion of work is completed. If you have any question pertaining to this
matter r need additional explanation, please contact this office immediately.
//, ''///SKY"/i �9c� r%f _/
W --/� s7 // 6,1Z // /-.,,
Inspector_"u �� Date .
COUNTY OF BUTTE
'• DEPARTMENT OF PUBLIC WORKS '
r 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway.and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
'OWN /T
ER 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 correctio of work is completed. If you have any question pertaining to this
matter, or eddaaddition��all explanation, please contact this office immediately.
InspectorC'—_-�f G i Date f-%
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
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.
FN
Inspector Date
OWNER 7- 14
PERMIT
MH UTIL. CLEARANCE DATE
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compaction
Test eq.
)ervice
Other
Pipe
YES NO
YES NO
iize
Load
Type
Size
Length
C6 0
L/E7
e�r-urn n to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
<<
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement(
be recorded prior to issuance of a building permit. 8G-19147 !. �;, JUIN 17 P"I v 3 2
The property described herein is adjacent to land or included �L_tis
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 di.sconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
1
Date:
PROPERTY OWNERS:
State of ("1142,0/ On this the / % ., da 19
Y of .,� ( /�'c � )(', before
1 ) SS. me, the undersigned Notary Public, personally appeared
County of rel 77 -- )
Personally known to me. -0--Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose names) / subscribed to
the within instrument and acknowledged that 1)6-
executed
)Cexecuted the same for the purposes therein cbntai.ned.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Present A. P. No. b^�/6 , - � `0/3' --�')
otary Public
PP �w POLLY MACK
h NOTAF?Y PUESUc; (:q li �Firdl,,. D
Princlpai oihcc n! i'i!I FF ("'.Jwy
.� ' My CuffimlG;aon
1) ESC RI P TI O N
_ N„Y All that certain real property silu"Iic in the County of Butte, State of'C,�lifornia,
described as fol.loi•is:
PARCEL ONE:
Being a portion of the Southeast quarter of the Northwest quarter of Section 1.1,
Township 23 North, Rani c ? P, est., 111.D.f3. & AI., and being more particularly described
as follov's:
Beginning at the Northwc.,;t corner of said Southeast quarter of the Northwest quarter
of Section 11.; thence South 00 29' 00” East, along the West line of said Southcaet
gri;irtcr of the "orth�t gri`rtor for a distance of 850.00 f('ci; the'nc'e North 89° 28'
,S" 1',;itit, ;i nil p;rrallcl to the Northerly boundary line of said Sor.rthcast quarter, for .i
disl;uice of 7rrrr.50 feet to ;r point located in the Northcr•ly boundary line of th,rt
certain parcel of land ns described in Deed to John Coverston, et ux, recorded Alarch
30. 1071 in Boot: 1666 of Official Records, at page 242, records of Butte Cotaity,
California, said point being; also the true point of beginning for the parcel of land
here in described; thence from said true point of beginning;, South 0°
a 29' OU" last, for
distance of 80.00 feet; thence North 89° 28' 38" East, ar,d parallel to said Northerly
boundary of the SOUtlieast quarter of the Northwest quarter for a distance of 203.55
feet ton point located in the 1Nesterly boundary of the Paradise-StirlincT City TligThw.fry,
:md being_; a point located in the Easterly boundary of said Coverston r)arccl; thellec
fotlo.�in; along the 11'csl�,rly bettiidt�.ry of said Highway, North 36° 36' 28" lticst, for
a distance of 98.99 feel to the North,,:.,sA corner of said Cevcrston [.greet; thren-e
follo.,in0 along the Northerly boundary line of said Coverston parcel, South 89 28'
;8" l�'est, and parallel to said Northerly boundary line of the Southeast quarter of the
Northwest quarter for a distance of 145.19 feet to the true point of beginning.
EXCEPTING TIIEREI713OP1 all mineral rights lying below n depth of 150 feet from Ilio
surface, <:rssaid niiticral ri�hls r;"cre cluil claimed to a depth of 150 feet c.xccutc,(l t)v
l�ry S. COnver, et r3.1, to l,,rl(,li 1. ><.lorfoi•d et rix: dated Ma%,
.ine 1 5, 1 966 in Rook1 �l'? 1 „f O f ' 31, 19116 nerd r•ecordrd
tidier► I,ccords, it page IT6, r�'comds of Riitto t.:'oirniv,
c'nlifornin.
COUNTY OF BUTTE - DEPARTMENT QF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER _ /0 v �`
5
z°N NG _
BUILDING PERMIT
OWNER
TELEEPHONE
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDR S a9�
CONTRAC O 'S METELEPHONE
01, _ � _3�d
CONTRACTOR'S AILING A DRES
4 4e6 Ms r
Fireplace
CONSTR UC TI N LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER.
LICENSE NO.
Plan Checking Fee
$ 1
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ t
BUILDING ADDRESS
153#1
PLUMBING PERMIT
Filing Fee 10.00
i
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF [:1 Duplex ❑ Mobilehome Other
SPECIFY
Building sewer5.00
Mobile Home TSTG W
10-00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lilies ❑ Installation 99 -'Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service jp0 AMP ORV OR LESS10.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLOGS.
t2h2sgft
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)
2.1 1, 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 CONSTR. MULTI -OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEw CONSTR POWER APPARATUS &
NON-RESID, SINGLE OUTLET CIR.
Ex. Occu zoesoe
P�OUTLETS OR FIXTURES BAL®30
FIXED APPLNS, OR
EX. QCCUp. OUTLETS (RESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
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
f Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
%� Date �� �%
Signature of Applicant — Owner � Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $ Y
n
TOTAL PERMIT FEE $ 0, %
OCCUP. GROUP
TYPE OF CONST.
PARCEL
,_
PD
NO
IS
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC A OF PUBLIC
BY
92�
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date`���D�'�q/�
I/j(s// ��/
Receipt No.
WHITE-D.P.W., YELLOW-ASSe SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
/ COUNTY OF BUTTE - DEPARTMENT -OF- P 1BLI& WORKS - BUILDING DIVISION
V 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET ----
�p r t � Permit No.
OWNER
A P. No.
Proposed Building Use Building Inspect r Date
At time of pe mit application, I was advised the following data must be submitted prior to permit processing
and:/or ISSYance: DATE RECEIVED APPROVED
1, All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate, signed by preparer of plans. .
3. Complete plans in duplicate. /triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. 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 owner0, Mail to owner[:]
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec.request to
17. Pre -Inspection for Required. Building Inspector (Data)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
Whe 40Vyou issue the R it, process as follows: Mail to nneer, Mail to contractor.
Telephone ' and hold for pickup ats ffice, Deliver w/inspector.
OtherX3-3(
Applicant J-���� /D` Date %�v , /,7
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
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 _mall—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
— Flours: 10:00 a.m. - 3:00 p.m.
Copy—DPW