HomeMy WebLinkAbout065-171-041Raymond Vandervoort
S/S of end of pri.rd.,app.525'W.of Wo
Dr., app.300'N.of Woodward Ave., Magali
Permit #5515-78-B Eutil.,MH)
ELEC. I
GAS 1
SUPPORT STRUCTURER`FQ.117-7
COMPACTION TESTjREQ.
_ r.. 65-171-41
IE COBB
6 Gran view Dr, lot 400, Magalia
y'ermit#30%5-82P,E(u&il, MH)
ELEC �-
GAS
COMPACTION TEST RE
SUPPORT .STRUCTUR>,RM--
65-171-41
Contr: GaWet" t MH, Paradise
Permit ks1806-83MHI
Issue.,
'065-171-041 PERMIT#97-1977
JENSEN, Jim & Zenobia
6456 Grandview, Magalia
Cont: Skycrest G �zD ��
MHI Ex Site�/ll�
r,
�•�
RESIDENTIAL
065-171-041 PERMIT#97-1977
JENSEN , Jim & Zenobia
PERMIT NO. 6456 Grandview., Magalia
Cont: Skycrest
. PERMIT EXP MHI •Ex Site _ 9/ZZ)199
t OWNER
CONTR.
ASSESSOR PARCEL
{ �r
t LOCATION—
oM �-
.�CE COPY
Ll 5 `
Address
9
p ate `
f GAS v
Meter
ELECT RIC
Meter
Temp. Power Pole
it
Called PG&E_
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date) 5� 0y`���
Signature - y kG4kQ.Jo Q
V=OK
O = Not OK
'=NottRealdybb 'MOBILE HOMES
Date (MOBILE HOME UTILITIES (Plans) OK except #'s
1.-�oning Requirements - Setbacks - Easements
2. Is; Special MH Support Sketch
S. Electricity; Locafti-Clearances-(
6. Gas; Location-Test-Wnip; / MIL
/ /Nat or/ /'L'fL/ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
uare Card B-1 Data Card B-1
Date Ca -1 Date Card B-1
Z' Footings;
3. Gas; MH
Connector
L6. -Water; MH Test-RegulatorConnector
7. Water and Sewer Connected to Grade -HD Approval
8. Gas and patricty Tagged
9. Tiedowns-Type Installation Cert
10. ;Insp.Sketch
V( Cert of Occupancy
12. Permanent Foundation Only: License Decal
Date.S' , Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
0 C 4364
V
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plana) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connect Drs -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rttrs.Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; CdumnsConnectionsSplice4)ecal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frrng.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailinga/eneerStucco-Mesh
10. Roof, Shthg-Roofing
11. Ext; Steps -Doors -Lendings
12. Braced Wall, Panels
Date
Caro B-1 Date Card B-1
Date
Card 8-1 Date Card B-1
Date
POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pod Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pod Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/SCirculating Equip. -Heater
8. Elec.; Grounding; Equip, w/9 Circulating Equip. -Pool Lghtg.
Boxes-Encbsures-Panelboards4ns. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
wl =No
O = Not OK RESIDENTIAL (Single & Duplex)
- = Not Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued)
1. ZoningSetbacks-Easments-FloodSlope 46. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 47. Cling. Joist-Rttr. Ties-Purlin-roff Brac: Truss.Shting.-Rfng.
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -ins.
14. Girders-.-Sills-Anchor Bolts -Joists Vents-Crippies
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
17. Water Htr; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sae & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
23. Fixture & Transformer Clearance -Ins. Protection
24. Elec. Receptacles Spacing -Lights & Switches at Doors
25. Size Boxes & No. of Conductors Stapled
26. Romex Installed Close to Edge of Studs & C.J.
27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28. 2 Appliance Circuts in Kitchen & Conductor Size GFI
29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neutral 0 Yes 0 No
31. Service -Riser Conductors & Ground -Main Disconect
32. Equip. Clearances Panels-Motors-Mech. Epuip.
33. Clothes Closet Light -Shower Light -Spa Light
34. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #s
35. A.C. Ducts Insulation & Support
36. Vent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
40. Sits Proper Materials & Anchors
41. Walls Studs -Nailing Spacing & Braces -Plates -Sound
42. Bearing Walls over Girders & Floor Nailing
43. Draft Stop in Walls (rat proof)
44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearing
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
64.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior / Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 _ Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meth. Protection
66.
Bedroom Exiting
67. G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70. Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79. Insulation -Foam -Looked in Attic
80. Guard rails & Deck Construction -Post Caps
81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82. Following Instld./Drive 0 Yes 0 NoM/alks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88. Ventilation Throught House
89.
Glass Protection
90. Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
i
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION v
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 �_
EA MIT NO.
(Rev.12/96) • /
APPLICATION AND PERMIT 2!
ASSESSOR PARCEL NUMBER
065-171-041
ZONING
RT lA
BUILDING PERMIT /i
4
OWNER JIM & ZENOBIA JENSEN
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
PO BOX 821 NXgXKZXN MAGALIA 95954
CONTRACTOR'S NAME
SKYCREST
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
[Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
6456 GRANDVIEW MAGALIA
Energy Plan Checking Fee
$
$
PERMIT FEE
s 43.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 0 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation X3 Other ❑
Describe Work: X s1T9-
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zo.AORLESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
•
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. a 12
License Class (!� 7 g f Lic. No. I
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and Policy number are:
Carrier C.v(: C/� LG— N 5
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLDS.
So
3.52 FT.
NEW CONST. MULTI.OUTLET
NON•RESID. AN , Cu
97.50
POWER APPARATUS
3 SINGLE OUTLET CIR.
OUTLET OR FIXTURES
Ex. Occup.BAL
20 Q 1'00
@ .50
Ex. Occup. ourleis RES D.) F
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
S
Policy Number 64 V _C'`�� � 2-7
(The above sections nee not be completed If the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forth ith comply with those provisi ns. \
Q
XR�-� _ Date �%� -(�
Signature of Applicant - ❑ Owner ❑ C nt ctor ❑ Agent
An OSHA permit is required for excavations er 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $ 10
Energy Inspection Fee $
occ
CONST. TYPE
OTAL FEE $ 143.00
2.A. D F IMM
FLOOD
(/
Cg
PARCEL
It//
pp o
su
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
�2 �.y
ate f_
are
Receipt No. 224556-
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.-. �•- r •�.rti�r...r-vr* ,,,..',�,��• ., ,.N,-.Y`�.. i�.,T.-. J4('..�.�. .e-,,...,+""-';twvK''B,n---o=fi:�'r'!�h.,1.•�..v'r'.,:r-t"4,.(� `"+.`t..�. �..-.s^-^.+•.A-.. ,�Y�. -� a� .
COUNTY OF BUTTE -DEPARTMENT OF'DEYPLOPMENT SERVICES -BUILDING DIVISION v
7 COUNTY CENTER DRI°�.- OROVILLE GA A 95965 - TELEPHONE (916) 538-7541
PE 7WT APPLICA TION DATA SHEET
OWNER: ASSESSOR PARC ER: -04/
Proposed Building Use: Building Inspecttor: Date: `
At time of permit application, I vias advised the following data must be submitted prior to permit ross' g and/or issuance:
' Date Received By
❑ 1. All items have been submitted.--------------------------------- Arr---------- ----------------------------------
02. Plot plans, 3/4 sets, signed by the preparer of plans. ---------j2 --------------------------- ---------------------
03. Complete plans, 3/4 sets, signed by the preparer of plans. --'------------------------- ---------
114. Engineered plans, 3/4 sets, with wet signature on plans. All iengineering must be shown on plans. --------
05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
El 6. Energy Design Compliance and supporting documentation. t ----------------------------------------,----------
117. Statement of Intent for Non -Heated and A/C Buildings.
W8. Pazasdous Material Form. ------------------------------------------------------------------------------------------
�. Manufactured Home data and installation instructions ' -----------------
❑ 10 Fees of $ --- -=-------------------------------------------------------------------------------
Impact fees as shown on the attached scheduleC�p�___________________________________
❑ 12 California Department of Forestry plan approval/fees.---------------------------------------------------------
r— ❑ 13. Flood elevation certificate.
❑ 14. Sanitation and plot plan approval Health Department. -------------------------------------------
❑ 15. City of Chico plumbing permit. -------------------------------- --------------------------------------------------
0 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
❑ 17.Jlanning approval for (A) Use: (B) Parking: ---------------- _---------
1118.
________❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
❑20Pre-inspection for required. Request to Building Inspector on �;(Date)��
❑21. Pre-inspection
license information. (Number, Name Style, Classification). ------------------------------------
El 22.
-----------------------------------
❑22. Workers' Compensation carrier and policy number. -----------------------------------------------------------
❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 1:1) - ______________________________________ ;$
❑24. Letter of signature authorization.--------------------------------------------------------------------------------
❑ 25. Recorded copy of Agricultural Acknowledgment Statement.--------------------------------------------------,, ,.
❑26. Letter of intent on building use.----------------------------------------------------------------------------------- • w
027. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑28. Existing violations and/or expired permits. ----------------------------------------------------------------------
❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .---------------
E130.
--------------
❑30. Other:-------
Wh n you issueett/he! permi process as follows ❑ Mail to owner, ❑Mail to ontractor.
Telephoney`t'ci 'q and hold for pickup at I' office. ❑ Deliver with ' spector.
Applicant: Date: S'C-A% //
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ llution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Othe Date: !9�_,By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Bu
ion counter, by Datf:
Plans reviewed by: Date: Plans approved by: - Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Ye; low Copy - Department of Development Services, Building Division.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location
Plan Approved for: Sewage Disposal Water Supply: Public _
Clearance for Z bedroom mobile home. Other
Hold final for:
Final clearance O.K. for:
GH. USE ONLY
Hot Plan Attaehed yt�
Fluor 1'Lm Atadwd y4d_
Sent
(%r- /7l - 041
AP#
Private Well
NOTE: ,,. ;& /1 L«,s< "' .aced noemimq as r�� oma �{�i¢, 6yi)y»y F�i1Di'" p�iin,
1
cl 3Z97
Environmental Health Specialist_ ' Date
8/92
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER �'- L
ZG NG
BUILDING PERMIT
OWNER I \
TELEPHONE
SO, Fr, OCC. BUILDING VALUATION
Ow tN�IS�MO--�LJ �yq�p, ORES
CONT TO R'S NAME
TELEPHO '
CONTRACTOR MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation L
ARCHITECT OR ENGINEER
LICENSE NO.
Flan Fee S
20.00
ARCHLTECT OR ENGINEERS MAILING ADDRESS
Permit Fee $
Plan CheckingFee b
BUILDING ADDRESS /^
Energy Plan Checking Fee $
t
$
PERMIT FEE t
3,
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Pee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome W10ther
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT I
Filing Feel 20.00
800V OR LESS,
Main Service 2o.OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.O
License Class Lic. No.
OWNER -BUILDER DECLARATION
I herebyaffirm under penalty of perjury that I am exempt from the Contractors License
P hY P 1 rY P
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed 4 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
laws of Cal fornia, and agree that if 1 should become subject to the1A2
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO Lo00A 48.00
NEW CONST. DWELJNG OCCUP. SO
OR ADONS. a ACC. e<ns. 3.52FT:
rNONN•RESD MULTI.OUTLET @7,50
„yP��
a SwGLE OUTLET CI0.
Ex. Occup. OUTLET ORFwrvREs
Ex. Occup. Fl7(ED APRES, OR
. ETs IPLNS EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FET= S
Mobile Home Installation Fee 1 $ /QQ
Energy Inspection Fee E
TOTAL FEE $
ecompensation
loccCONE❑
IMP
FLOOD
I COF
PARCEL
I PD
I HD
I ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
ro
ReceiptNo. 1551
WHITE-D.D.S.•B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
6RANDV/Ew
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WATER
L�r[E
'PROPOSED R6:51DENCE
(z BR)--
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Jim � 7.EKOBIA JE'NSGN,," i
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64-5(0
MA qq L.IA CA 959 Sq- . .
A/P 7/-
SCAIL8 1 401
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- i
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
�. i' (One ,form -per Building)
School DistrictI Building Department No.
a
A.P. Number
Property Owner
Property Location/A
Jurisdiction: City County""
I
Subdivision , " Lot No.
Residential Development
No of Living Mobile Home Addition
Units Installation
I.
Commercial/Industrial
T
New
Addition
District Identification No.
School District certifies.that
1f
Sq. Footage
(Group R) /
Sq. Footage
(Including Exterior
Roofed Areas)'
Date'
i
/.
(Applicant)
(Street Address) (Phone Number)
has complied with the requirements of Resolution No.
representing
School District Representative ti
r fr kid ►
Paid by Check # -
square feet.
Remarks:
(State)
(Zip Code)
by payment of $
B 2926 $
ULL MITIGATION $ '
,4A
'al 2�, 7
Date -T_
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. X
White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm
APPRa—VtDIs lure COWIVY ,
-
C5l1 5/9 7
Date
/ WRYER
d LI rL E
�,inrq:�h arP
'PROP05ED 7Ri5S/DENCE
(2 BR)- 12.j8 �
N
I
EX(ST- 1 I
SHO P
15xIto I
ExIsr
I ESI DENCE
(2 S 12) l Z x Lo
I Exisr sEprlc -�- �xpANDo
I � 9
. I �
I
I
139.E JAM -2-6tiOSIA SENSEN
Z's6TB#,C\<\' LINE Environmental Health 4� 4- 5(o G R19 N V V f E W
MAe;/�LfA CA 15954
AUG 0 6 1997 A/ P o(D, t / 7/ - 041
.SCALe It' - zo'
Chico, CA
.i
G RAN,p Vl STRUCTURE$ AND EQUIPMENT INCLUDING
ERHANGS SHALL, BE CLEAR OF ALL EASEMENTS -
A SET BACK OF . S__. FT. FROM THE SIDE At,::
FT. FROM THE REAR PROPERTY LINES 4 :.
,1()_ FT. PROM THE ROAD CENTERLINE SMALL 02
CLEAR OF SMOTURES AND EQUIPMENT FMVl .
MR A 2 FT. EAVE OVERHAW. LlrlE
PROPOSED ;ZE5/DENCE
Exfsr
I sH6F
32' =
I.
• . 1� i
15 x 110
REStAEN.CE' `L i '
(z 812)..1 Z x to
�EX15r 5EPrlc
14-1 t
(.
%9t4 T
E COU7� .,
NUING DEPAR ENT1 `
APPRO IED
41
139.E Jim ?.EKo61A JENSGN
SETBACK IINS (014-51v C?RANOVIEW
MA qi A L IA CA 959 5'44
A/P 0(65- 7/- 041
1. Owner's Name: r M E4 0 13 t o 51'5fj SE "!
2. Assessor's Parcel Number: D (o:!;- — f7 / — D 4 1
3. Installer's Name: .5k y Q S T 9 TEOe P21 S s
4. Is the site currently under permit? Yes[ 1 No[ X] Permit No.
5. Is the site an existing site? Yes[X] No[ ] (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehome? f 0 o Amperes.
7. What is the mobilehome site circuit breaker rating? /0 0 Amperes.
8. What is the electrical rating of the mobilehome site? D Amperes.
9. Is the main service remote from the mobilehome site? Yes[ 1 No[%C1 If it is, what is
the rating? Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[ 1 No[�o If yes, please identify the load and size:
a) The mobile home site:
Load- Amperes -
b) The main service:
Load- Amveres-
11. Type of gas service at mobilehome site: Natural[ 1 Propane[X1 None[ 1
12. Size of gas pipe at the mobilehome site from the meter or
tank: N inches.
13. What is the gas pipe length from the meter or tank to the mobilehome? 30 (ft.).
14. 'What is the mobilehome gas demand? B.T.U.*
*(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane). .
THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
BUTTE C
1114- 1� E
. , 'AE1�T
May 1995 8.5
Mobilehome Manufacturer: 6 Al )/L/i✓E-7- Manufacture Year: /`P 4 7
If other than single wide, furnish Setup Model Number: OM ?R .38'
Width: ;k& (ft.) Length: (ft.) Tagalong or Expando Size�(ft.) x
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation gradeV] Other:
SUPPORTS: Concrete block[] Other:
Provide Tie Down Specifications for all Mobilehomes: 6Z_ 2 va
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line 1
Line 2
................................................................................................
'Main Beams
................................................................................................
Line 2
Line 1
........................... .
Main Beams
...............................................Pine4
ine 5
Tag or Triple
el
Line 1 Piers:
Size minimum: r 1 x
Spacing maximum: 1 9`
From ends -maximum: `
Line 2 Piers:
Size minimum: [ 12 ]x['301.
Spacing maximum: 4 ` D I', From ends -maximum. p
Line 3 Roof Loads:
Size minimum
Location (from front).
ane 1
Line 2
ane 2
Line 3
Line 2
Line 2
Line 1
Line 1 Openings
Size minimum: PA ] X1301 -
Each
[3a].Each side of openings
with width over: I a ` (v `
Line 4 Piers:
Size minimum: ] x [ ].
Spacing maximum: j From ends -maximum:
2X30 12X30 112x3012,x3012.4 0 143430 2y+t3o12-A30 12x3c
I 1 0 q,g11 6(8" 13'0" 1 17'4" 21''f" 100 36' p 1 y0'0
Line Roof Loads: COAT_
Size minimum: 12 x 30 )2-4'30 iA X3o
Location (from front): yy' 6 yg'o 59'0
OVER
}
T-12' lO�-�- 4•�la`-B•�
14'-B' -17'-4'
CENTERLINE SUPPORT REQUIREMENTS
THIS SHEET TO BE INSER1ED Wil" SUPPLEMENT TO FIELD INSTALLATICN MANUAL
FOR 30f Roa SNOW LOAD. SEE ABOVE PRINT FOR LOAD REQUIREMENTS
• a L =.
1601
21201 2i20�
i Dq
07
i
CPT DLX BATH
160
416-01''4S4, ���•
ig50 f 15t1� 114x#
r
i
i
r'
LL7
�JD
1T
P.3
OD
Co
n
' Z
Co
2
0
o
p
301 ROOF ` "`"•
LIVE'LOAD 4�-4'�481S-2CJC-2B-CJ1TH 2239�CT
K 9321
m
Q'
T StdC. 4
ILL 51 PG. 6-481(
u�i
,T
N
DRAHN BY : RYKER
A
DATE: 05-15-1996
ORAVANGNU
301 ROOF ` "`"•
LIVE'LOAD 4�-4'�481S-2CJC-2B-CJ1TH 2239�CT
MOBILEHOME INSTALLATION ACCEPTANCE,
COUNTY OF BUTTE a '�
DEPARTMENT OF DEVELOPMENT -SERVICES
BUILDING DIVISION -7 COUNTY CENTER DRIVE
OROVILLE, CA 95965—PHONE (916) 538-7541
APN: ^�
PERMIT NO.:
Owners: t
y
Name:
Owners: V �`�
G.r :�. �' Y
Address:
Mobilehome 1_.�?u 1 �,t, '
Year of
Manufacturer h'�,� � � l __ CI if M ZZ 38—B
Manufacture:
Serial number
r7
Insignia nia or 0�- I 14 7 F 7,,,3
or V.I.N. n `(j — --0 — ����
HUD numbek✓ t— 1 y 5 q�- y
Official a "roving installation:
Date:
C'Y4 � Q
G ' c�
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.
5'5136 White -Owner, Yellow-installer,'Pink-Bldg.,,Gold-Assessor
CHICO BUILDING SYSTEMS
Set up & Delivery of Manufactured Homes
Plus Building Accessory Structures
CONTRACTOR'S VERIFICATION
I certify that I have installed the Ground Loc Tie Down System as
per the installation instructions. I have made no modifications
to the tie down system or to the building structure.
Skycrest Enterprises, Inc.
d.b.a. Chico Building Systems
13468 Highway 99
Chico, CA 95973
(916) 342-2694
Contractor's License #295412
Installer:
For Client: e1aNSEA). .i l MY1 ? ZEN0131 A
Site Address: 1/44Sio EileANjbV1e(d l'Y1AE,ALl14 Cq
Permit Number: 97' M? 7 Serial Number 0b•'70.04bqt B
No 04logk•A
Donn Dooley, Production Manager • Jim Brogden, Service Manager
13466 Hwv 99E • Chico. CA 95973 • Phone (916) 342-2694 • Fax(916)342-9174
v
I
PERMIT NO.
3405-82P,E'(MH)
PERMIT EXPIRES
OWNER ELVIE COBB
CONTR. owner
ASSESSOR PARCEL 65-171-41
LOCATION_ 6456 Grandview Dr, lot 400 Magalia
i;
6
f
d
z
.t
j Temp. Power Pole
q Called PG&E
Tefec. Service 3
- Called PG&E
Te ervice V J ��� •�d.
Called PG&E
JOB FINALED (Date)
1!
Signature
p n
J'=,OK-
O = Not OK > •
= Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
:.r
.Dale MO�I6fO_ME UTILITIES (Plans) OK except #'s
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
oils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
ewer; Lo tion -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4e ater• Location -Test -Easement Nee d
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_
5 ectricity; Location -Clearances .-/ / &p -Concrete
_
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
Gas tion -Test -Wrap:/ /"L"ft./ /"Nat.or "L'ft..
LFIG
6. Carports; Windows -Doors
tility Clearance
+
7. Elea -
Card -BI ate 'BI Date
s
Card -BI
Date Card -BI Date
Card-BIdAl�ate Amucard-BI Date
Card -BI
_
Date Card -BI Date
Date YMbdlL OM I STA LATION (Plans) OK except #'s
Date
POOLS (Plans) OK except #'s
1 . oyiag Requirements -Setbacks -Easements
(
1. Setbacks -Easements
2. oo ' s; Size -Spacing -Marriage Line
j
2. Soils; Compaction -Structure Stability
3. I a�H Test -Demand -Valve -Connector
j
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. I ricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
Dr ; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
Wate H Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
air -end Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. G nd Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
Insp.-Sketch
Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
i
Card -BI
Date Card -BI Date
Card•B-I Date 12 Card -BI Date r
Card B -I Date Card -BI Date
Card -BI
Date Card -BI Date
la
V = OK
0 = Not OK
= Not Applicable
= Not Ready RESIDENTUL.(Sing.le and Duplex)
1k
Datt
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 -Check Garage -3rd story, 2 exits
3.
• 4.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
50.
51.
-3'
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
-
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Fig. -Steel
54.
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
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
_
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
_
19.
Gas Pipe; Size & Anchors
62.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
69.
A.C. Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meeh. Protection
---
20.
21,
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
71.
Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
22. Size Boxes & No. of Conductors -Stapled
23. Romex Installed Close to Edge of Studs & C.J.
-_
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72,
Insulation -Foam -Looked in Attic ❑Yes73.
25.
2 Appliance Circuits in Kitchen & Conductor Size
Guard Rails & Deck Construction -Post Caps
_
26.
Subieed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
_Insulated
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑Yes ❑ No;
Planters []Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_ -
30.
Clothes Closet Light -Shower Light _
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
------
---
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
----
----.-
Card B-1
Date Card -BI _ Date _
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except Ws
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support _
85.
Water & Sewer Connected-C/Q to Grade -HD Approval
_
32.
Vent Fan_Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
+
33.
Condensate Drain _& Overilow; Size & Grade
34.
Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Card -BI
------------ --- --
Date -_ Card -BI - Date
Date- Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
_
_
-�
3_7.
_3_8.
39.
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders &Floor Nailing_____
Draft Stop in Walls (rat proof)
__10.
_Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
45
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors T
Cing. Joist-Rftr. Ties-Purlin-Roof BraC.-Truss-Shthnp.-Rfng
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size &_Romex Protection -Draft Stop -Ins. Baffles
Bdrm._Windo_ws or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
_
(NOTE:Anentrymust be made each time youvisit jobsite)
Q
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the Cali�#ornia Administrative Code, Title 25, Chapter 5, under permit
number `- for the following location:
Owner r,
Owner's Address�-
Mobilehome Mfg. --* 3'..l-_�' Model Year -
r
Insignia No. �, Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
i
Date ` By ti
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE _
DEPARTMENT OF PUBLIC WORKS �
695 Oleander Avenue, Chico — Phone 3434211, Ext. 70
2 7 County Center Drive, Oroville — Phone 534-441
Skyway and Elliott Road, Paradise —
872-29l.i 'xT7. i
C R CTIO _ NOTICE
BUILDING OR PROPERTY ADDRESS '
A routine inspection indicates that the following violations of County Ordinana"e
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.
l► ! �i/
� ,
c c 400(
i n
Inspector
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
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.
v s '
e-.4 -4 1...1 ri
✓., .;� , l Y� /tel �� � r/1 J.[�/�r'/� �
r
i i/
Inspector / 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
ILDING 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.
30'�-0". MIN.
i
1` V
a
ra
V ♦ I
CENTER PIER(S) ONLY IF REQ'D '
TO MAINTAIN MAXIMUM PIER SPACING
ENO
DIM.
TV.
PLAN - SINGLE WIDE
PLAN LEGEND AND KEY
PER SCHEDULE
13
TYPICAL PIER AND PAD
0
TYPICAL MARRIAGE LINE PIER AND PAD
A
GROUND-LOC-ASSEMBLY
---�-�—
TENSION ONLY MEMBER
"S�►Afrl�
SPECIAL PRODUCT ANCHORING MATERIAL
(SPECIALLY FORMULATED) SEE MIXING
AND HANDLING INSTRUCTIONS. "
POSSIBLE ALTERNATE LOCATION OF GROUND -
LOC -ASSEMBLY
4•r�. •�
MLCFT - MARRIAGE LINE CHASSIS FRAME TIE.
LOADING
RF SSNOW 0 PSF
(INC. ROOFLOADS)
WIND - CA MIN.. 70C. 75C. OOC
END
DIM_
TYP.
III
:gyp
q�t�D
..'WESTERN GROUND LOC A 91710 .
1� 41$2 CENTRAL AVE, UNIT Ds CHINO C °i
MODEL7 CL200_1 A�
,0A/�1N'0 '0 Om,Gror /V sys!'w/w
APPROVED
51/81ECT TO CORAICTIONS NOTED
spprowl does viol 00thadle or opp.ove ony on.lsslon e.
ievlalioo from re4uir1M4n11 of 00011cable S141e toes and
.4ou1olivM.
31014 of Ca111orn10
0q;a"menl of Hatsielq and CK'mrAvnitr Qsva laa�lc+1�
OIYISI_QJ Of CODIS AND STANDAWS.
ilgnotul�)�L( / /�/
.SPA N0. 9rid..,.....
,�.r....
.this .PJ.OA Approval ExpirAS.��
SO'd SHO Ol
ROGER LEGGETT INC.
.7650-961-2182 -
MOBILE HOME
�
N- SYSTEM.-
TI� , DOW E�
SINGLE, MULTIPLE SHE..
M061LE HOMES
TEST AGENCY
REVISIONS '°•
P.C.I.--PREFERRED
CONSTRUCTION
SW3ISAS SN I Q -1 I NS 1S3dOAAS 140ad WU90 : SD L66T-T T-60
• r .may o'
17 n'11
CENTER PIERS) ONLY IF REO'D
TO MAINTAIN MAXIMUM PIER SPACING
END
DIM,
T1'p.
PLAN --DOUBLE WIDE
SEE SINGLE WIDE FOR LEGEND
SPACING PER SCHEDUIr.
OMIT MLCFT IF MANUFACTURER HAS PROVIDED
UNITS WIN TIES FROM STEEL CHASIS TO ADJACENT
STEEL CHASIS
v
a
WESTERN ' GROUND LOC
14182 CENTRAL AVE, UNIT D, CHINO CA 91710
MODEL GL200-1 A
ROGER LEGGETT INC.
760-961-2182
MOBILE HOME
TIE [SOWN SYSTEM
SINGLE, MULTIPLE
MOBILE HOMES
REVISIONS
A
TEST AGENCY
R.I.-PREFERRED
971698
SHEET
2
3o' -o" MIN, J
I
` I
1
-
12" MAX. (TYP.) �
11 _. ` I
I
� I i
I
I
1 �
ONTER MAINTAIN MAX MNJM PIta $PACING
END
DIM.
Trp.
PLAN TRIPLE WIDE
PER
ENO
DIM.
TYP.
No. 1654
SEE SINGE WIDE FOR LEGEND .K ERp 6.39- Of
oug uLCFT IF MANUFACTURER HAS F'ROMDED �Q
UNITS WITH TIES FROM STEEL CHASIS TO ADJACENT �19If OF f
STEEL CHASIS
A nr+ ter► t'rr% ► ka� rr ��T .. �� �t► �� �w
-�
- MODEL GL200-1 A
i
AROGER LEGGETT INC.
760-961-2182
MOBILE HOME
TIE DOWN SYSTEM 97 M
SINGLE, MULTIPLE SHEE
MOBILE HOMES
REVISIONS YES' AGENCY
009'r, P.C.I.-PREFERRED
tri
1(:>
0OQi r-- rn
07
E� I ' z m
C:O,
K u) 9:
r't ---'i rn
(1't M
m K
T�!6-
to
1)
-P rFj
-.3,(/)
CID --i
N rrl
x
C7 Z
Z G')
D �
r— Z
CT7 r-
C
Z_
—4
Lo
a
SINGLE WIDE U01311. UNITS
EWDTH4
i
SPACING
ENC DIM.
10'
CA- MIN.
10 - 11
4' - V
70-C
8' -1'
4-
47 i
t
m
so -C
3' ' 100
1 z
CA. M)N
15! - 6"
''.4'
CA. WN
ZIPER SIDE
2fI'- 8"
4.' -'ti`
25'- 0"
75-C
75-C
rri
80_C
11'- 4`
01
v 2V-
Ips
rn
-j
70-C
f 27- - 6'
80-C
Z
-4
80-C
0'
--
-P rFj
-.3,(/)
CID --i
N rrl
x
C7 Z
Z G')
D �
r— Z
CT7 r-
C
Z_
—4
Lo
a
SINGLE WIDE U01311. UNITS
EWDTH4
VVM LOAD
SPACING
ENC DIM.
10'
CA- MIN.
10 - 11
4' - V
70-C
8' -1'
4-
75-C
6'. - 3"
so -C
3' ' 100
1 z
CA. M)N
15! - 6"
''.4'
CA. WN
ZIPER SIDE
2fI'- 8"
4.' -'ti`
25'- 0"
75-C
75-C
80_C
11'- 4`
v 2V-
70.0
tT - 2'
-
70-C
f 27- - 6'
80-C
8' - 2'
-4
80-C
--I
--
16' CA MSN.
28' - 61
` C.,
CA. MIN
ZPER SIDE I
i 75-C
111-8,
4'
80-C
9'- 3'
NOTES_ 1. USE CALIFORteA M.NINIUM LOADS FOR 70,.75 AND
80 flpH WIT4OS WIT'ri EXPOSURE B.
2. END DIMENSION MAYBE REDLK:=D :-ROM i riA
ojME►ti1SjoN Sr JOWNt IN TABLES.
DOUBLE WIDE MOSIL VNrrS
NOTES:
1 • LGE CALIFORNIA MINIMUM LOADS FOR 70,75 A,*JC 30
MPH WINDS WITH SX00SLRE S.
Z.. SAID DIMENSNON MAY BE REDUCED FROM TKA -t
pIIVIISNSICK SHOWN rN TABLES.
ANC";SPACING SCHEDkXE
WIDTH
WIND LOAD
SPACING
70-C
19' - 10"
75-C
3' ' 100
80-C
10 - 4'
''.4'
CA. WN
ZIPER SIDE
70-C I
25'- 0"
t
75-C
80_C
11'- 4`
v 2V-
CA. MIN
! 2lPER'SIDE
70-C
f 27- - 6'
75-C
i6' - 5"
{
80-C
Il' - 7',
CA. MIN
ZPER SIDE I
75-C
17 - 4'
"c'
CA. MIN
i 2(PER SIDE ,
70-C
U.. 5-
75-C
80-C
`Z
CA. MIN
� 2lFER SIDE !
I
70-0
35• 1�J"
{
75-C
I's,
a0 -c
1r - 4" I
NOTES:
1 • LGE CALIFORNIA MINIMUM LOADS FOR 70,75 A,*JC 30
MPH WINDS WITH SX00SLRE S.
Z.. SAID DIMENSNON MAY BE REDUCED FROM TKA -t
pIIVIISNSICK SHOWN rN TABLES.
.,,�.
TRIPLEVIDE MOPIL UNITS
ANCHOR SPACING SCHEDULE
WIDTH
WIND LOAD
SPACING
END DIM,
32'
CA. MIN.
21PER SIDE
9' • 0"
70-C
35'- `10"
9'• - 0"
76-C
18' - S"
7' - s"
80•C
12'-4"
5'-0"
34'
CA. MIN.
21PER SIDE
9' - 0"
70•C
0.6.
A' - 0"
15-C
2/PER SIDE
8' - 3"
80-C
21PER SIDE
5' - 0"
38'
CA. MIN.
21PER SIDE
9' - 0"
70-C
2/PER SIDE
9' - 0"
75-C
21PER SIDE
9' . 0"
80-0
2/PER SIDE
5' - 0"
AT
CA. MIN.
2/PER SIDE
9' -0*
70-C
2/PER SIDE
9' - 0"
75-C
2/PER SIDE
9' - 0"
80-C
21PEN SIDE
6' - 0"
+48'
CA. MIN.
2/PER SIDE
9' -0"
70-0
21PER SIDE
9' - 0"
75-C
21PER SIDE
9' - 0''
8•-C
21PER SIDE
5' - 0"
NOTES:
1. USE CALIFORNIA MINIMUM LOADS FQR 70,75 AND 80
MPH WINDS WITH EXPOSURE 8,
2. END DIMENSION MAY BE REDUCEO FROM THAT
DIMENSION SHOWN IN TABLES.
11
WESTERN GROUND LOC
14182 CENTRAL AVE, UNIT D, CHINO CA 91710
MODEL GL200--1 A
ROGER LEGGETT INC.
760--961--2182
MOBILE HOME 971898
TIE DOWN SYSTEM
SINGLE, MULTIPLE SHEET
M081LE HOMES
V7' REVISIONS TEST AGENCY5
P r.I.--PREFERRED
/ COUNTY OF BUTTF - DEPARTMENT OF'�).UBLIC WORKS
v 7 County Center Drive - Oroville, California 95565 - Telephone 916/534-4541
APPLICATION ANb PERMIT
%,9d6-83
PERMIT NO.
T
ASSESSOR PARCEL NUMBER
ZO IN -1
. i I 12V
BUILDING PERMIT
,VZ
U-)•C Coe 3.
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAI LIN DDRESS
0�- AN /gr2.4
CfTRACTOR'S NAME
V ,%/I
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCH TTEECpT OR ENGINEER
' A) -
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
� --� 110 Z
PLUMBING PERMIT
Filing Fee 10.00
_)X4r�
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
V
NAME
�( VIZ'
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeV Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W 1
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Instal lation)o Other ❑
Describe work: —
�-� L +
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
NEW CONST. (/ DWELLING OCCUP.&
OR ADDNS. l ACG. BLDGS.
I
2/20sgft
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)
Q� 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 CONSTR ULT'.OUTLET2,50 ea
NON -R ESID BRANCH CIRC ITS)
NEW CONSTR. POER APPARATUS &\\
NON-RESID. (WSINGLE OUTLET CIR. I
20@e0:
Ex. Occup(o OR FIXTURES BAL0300
IXED A
Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
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
Count�yoin c s uence of the granting of thisnp'ermit.
X / Date ✓VUJ �-! �rj�'L
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 ight.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ %v —
OCCUP. GROUP
I TYPE OF CONST.
I V
Fagainst
PARCEL
PD
I HD
9 E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO UBLIC
By
P T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
`+—�
G-%
Receipt No.
WHITE-D.P.W., YEL PINK -INSPECTOR, d R ` -APPLICANT
� ,�.� .. , .•. � rr.^V.....f'-',r.J'',..,,...,n.,,+i-..+.r ..:v1.o..tri.fir-.r....-"..-._.•�....�,.rAiFgb.v::�-41St.:.-+.� ,;.-:-d �`�,`:.'T..•_a ,' t}�'•-�.,r` � "-' �S' • --' v^.ti�..
COUNTY OF BUTTE-DE`PARTMENT-OFPUBLIC-0-6RKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLJE CA,LIFORNIA�195965� - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET '
Permit No. /
OWNER % I .t�/ t= �n 1? 13 A. P. No. 6..r=�%�� 7
Proposed Building Use Ax i
Permit Fee Based Upon: Complete Contract Price DPW Valuation
_
Other (Explain)
Building Inspector Date , f 17 2—
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. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . , . , .
9. Letter of signature authorization. . , . . . . . . .
10. Sanitation approval from Health Dept.
i
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of .Workmen's Compensation Insurance. . . . . .
Z�
"Contractor's' License Information (no., name style, classif.) I _n A
4. Owner -Builder Verification (Given to owner5rMail to owner ❑) l
1 _
Improvement's may be required. . . . . . . . . .
0 6. MobilehomelInstallation Data.
b-a_L3
17. Pre -Inspection. for f Required. •Pre-Inspec. request to (Date)
P q Building Inspector
18. Other iJ 1,�
U
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
Applicant _��./� Datet dv` 17 1202
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 ai2fneo application, circle item.)
1. Index permit for above Items No.
2. Additional items required: or
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail § Other
Plans checked by
Plans approved b�
Other
Copy—DPW
By Date
Date
Date'x•
COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO
11� ^
ASSESSOR PARCEL NUMB
71
Z NING
(
BUILDING PERMIT
OWNER
LLU/0- L O
TELEPHONE
SQ. FT. OCC. BUILDING VALUAT N
OWNER'S MAILING ADDRESS
�
C N R'S E
TELEPHONE
CON RACOR'S ING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$
L NDER'S AILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
�� ��
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT N .SUBDIVISION
y U
NAME
_
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OFSTRUCTUREBuilding
SF ❑ Duplex❑ Mobilehome�K Other
SPECIFY
sewer
5.00
Mobile Home
10.00e tJ
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities IV Installation❑ Other ❑
Describe work: —
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
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
1
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
El am licensed under provisions of Chapt. 9, Div. 3 of the Business
Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEw CONSTR ULTI.OUTLET 2.50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR. /POWER APPARATUS IN
NON .RESID. ISINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES B� @S oQ
and
FIXED APPLNS. OR
Ex. OCCUp- OUTLETS (RESID.) EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 %z
Permit Fee
17
Contractor
MECHANICAL PERMIT
FiIIng Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said unty in cons ue ce of the granting of this permit. C�
X �� Date Z%1QV 1� 1912
.�
Signature of Applicant — Owner N3 Contractor ❑ Agent ❑
An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL PD
,X
ISsl,c
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF BLIC
By
PERMIT EXPIRES Date
the applicable to do
resolutions to do
fees have been paid.
WORKS
Date Ara"
Receipt NO. �7% �'
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
i
COUNTY OF BUTTE - DEP•ARTMENT OF' PUBLIC. WORKS - BUILDING DIVISION %
7 COUNTY,CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
4"Permit No.
OWNER A. P. No. 1 -
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Building Inspector_
Other (Explain)
�•-!� - Date / 7 /k L -
At -time of permit application, I was advised the following data must be submitted prior to per • rocessing
and/or issuance: DATE RECEIVE APPROVED
1. All items have been submitted. . . . . . . . . . .
!_lot plans in duplicate triplicat
3. Complete plans in duplicate/'tYlpV is
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
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 ❑ )
15., Improvements may be required. . . . . . ... . . . .
16. Mobilehome Installation Data. . . . . . . ..
,Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector�
18. Other A_P_c
Date)
When you issue the permit, process as follows: ,X Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant_c�✓ [ei�& Date W 7 J97 S"?_
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:
(Contractor, Desic^ Owner) w fs advised of above required data by Telephone Mail Other
By
Plans checked b)
Plans approved b
Other:
Copy—DPW
Date
Date " Z
Date '
To Building Department
From: Environmental Health
Subject: Sanitation Clearance
�IVCO �
Owner
Plans approved for:
Hold final for:
I l i ck L,Pn) SJb 0(2-L `400
Location
Sewage Disposal X Wate
Final Clearance O.K. for:
Clearance for- bedroom mobile home. Other
Clearance for addition of
Note"
anitarian
lPS-111-4A
AP
r Supply
Water Supply.
Water Supply
(0 ()C-(
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 nameand bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing 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) : ye5
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
4.
Address City
Phone Contractors License No.
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 : lj
Property Owner
Social Security number
Date Alay LZ '1192
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
permitted to issue the permit..
' s2-34454
Return to DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
81JTTF .0Ui,t T r Ai
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included
N, L4ECKU
within an area zoned for agricultural•purposes, and residents of ELEANOR 11�
this property may be subject to inconveniences or discomfort arising CLERK - RECORDER
from the use of agricultural chemicals, including, but not limited to herbicides, EE
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
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:
Ar # o65-17-1-021-0
Parcel 1: The North one half of Lot 400 as shown on that certain Map entitled,
"Fir Haven. Subdivision", which Map was recorded in the office of the
Recorder of'the County of Butte,`State-of Cal ifornia, May 19, 1955, in
Map Book 21, at pages 31, 32, 33, 34 and 35.
Date: November 17, 1982
State of l t )
) SS.
County of Butte )
GERI OUAYLE
NOTARY PUBLIC
Butte County
State of California
My Commission Expires Apr. 12,198 5
PROPERTY OWNERS:
E1vie L. Cobb
Sharon E. Cobb
On this the 17th day of November , 19 82. ,
before me, the undersigned Notary Public, personally
appeared Elvie L. Cobb and Sharon E. Cobb
known to me to be the person(s) whose name(s) are
subscribed to the within instrument and acknowledged
that they executed the'same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
• Present A.P. N0.
AV14,,>
Notary Pub '•c
END OF DOCUMENT
0
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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 in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit.will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no).
2.' I (have/have not) signed an application for a building
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
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:
Address h1l le I a 4 aCity.
Phone 77 ? /X'e79 Contractors License No. —721
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 Aloi 20 193-1,
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
permitted to issue the permit.
MOB ILEHOME. SUPPORT DATA
If outer than single wide,
Mobilehome Mfr. furnish Setup Model No. Wil(, Year
Width 1,9L (ft.) Box Length 5'6 . .(ft.) ,Tagalong or Expando, Size % ft. xJ.'L—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 np�
mobilehome unless otherwise specified.
A C, I�
4 It. 114t ootinns (check one)
Single ® 1'.'. Wood either
0 pressure treated or
foundation grade.
x
(ft.)(in:) (in.) (in.) Other: .(specify)
Center support Center support
locations* footing sizes is�/�' u ort (check one)
(in.) a Xa17, ; Concrete block.'
U ❑ :Other. (specify)
(ft.)(in.) (in.) (in.) „
� X�2
agalong or Expando,'
SWAP.. r491 support details.
(ft.)(in.) (in.) (in.)
W(in.)
a-- Typical Support
(in.) Footing Size
wore: /Z"x3o' 'P�4Ds May
N •6F uSEa rb SPAM V &
Q
(ft.)(in.) (in.) (in.) -- Max. Pier Spacing #•sP'=p3
(ft.)(in.)
(ft.)I (in.) (in.) I (in.)
*If center piers are other than drawn above,
draw im-locations, spacing,. and dimensions.
/ „',I -- Max. Overhang
(ft.)(in.)
M06 �ary
3.
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
~ BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name:
2. Installer's name:
3. Is the site currently under permit? Yes /5Z/ No
(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 / /. No
( If no, clarify )
( )
5. •What is the mobilehome electrical rating? ----------------------- /010 Amps
6. What is the mobilehome site service rating? ------- /SO ^ Amps
7.. What is the mobilehome site circuit breaker rating? ------------•- /0 Amps
8. Is there any other electric load to be served by the mobilehome
siteservice? --------------------------------------------------- Yes N071 /
(If yes, identify the load and size: (Load) (Amps)
h
9. What is the mobilehome site gas pipe size? ----------------------
10. What is the type of gas service? ----------------------------- Natural / / LPG
,J �
11. What is the gas pipe length from meter or tank to the mobilehome? �g _(f t.)
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.)
5515-78P,E
PETQAI-T NO. .
PERMIT EXPIRES
Raymond VanddrVoort /
OWNER
o�
a
CONTR. ner
LOCATION-(A.P. 65-171-21�port .
S/S of end of p \i. rd.,app.525'W..of Wood Dr.
app.300'N.of Wood' —Ave., Ave., Magalia
' Temp. Pow r Pole
Calle PG&E
Temp. lea Serv.
ailed PG&E
Te p. Gas Serv.
Called PG&E
JOrMtue—'
du -IJ
Signat ea
t
Test Iff
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPEMON'RECORD
Final
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Fire II
S@lI Piping.
orms
Para , s
st Floor
ain Bldg.
Restroo Finish
2 d Floor
Footin s
Windows
3r Floor
,emwaII
Siding
To out
Si
Roof SheaArg
Water P in
Pie
• Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footing, -
Stemwa1l
Garage Verus
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for phslcall
handicaped
Conformance of ex.
N structure
Appliances
Gas Piping & Te t
Temp. Gas
Slab
Final
Sanitation
Patio
IREP�ACE
Final
Footings
Footing 10,LEC
�i1CAL
Test Iff
Water Htr
Final
Sub anofs
MECHANICAL
Grd. P� ult Prot.
HeatAg
Sery e
Co Ing
Amp. Pole
cts
nderaround
Intirlor Lath
entilation
Permanent
or Closer
TFInal
Final
MOBILEHOME UTILITIES ------------------
Elec. Service
Elec, Pedestal
Water Piping
Sewer
Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: r534-4541
N
APPLICATIOAND PERMIT
__ .4 _�p
/145
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
x, Date 4?-/ 7- %8
Si nature of Permiitee or Agent
Receipt No. /sV(00
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR UBLIC WORKS
By Date !j! -7-Z-77
i lding permit expires Date �� z,. -7
BUILDING
Owner �iY/V10AI ` lgly e�\1 ooP %
SQ. FT. OCC. BUILDING VALUATION
Mailing Address Pro, 80)( 30Z
_f
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address S/s erA/D oP PJe rPlan
Ro�D APP
Checking Fee&/or Penalty
Permit Fee
� w or ft/ C70 U b R . /+PP, 50o'
PLUMBING No. @ FEE
rZ;S
/V r O t 100 ODGt A/ZD 1WG�
PERMIT FILING FEE $3.00 ,00
Each Trap 1.50
J
�U f/2, IV Y�riffca • AW461 "
Repair drainage or vent piping 1.50
//�'' �-7
A. P. No. cow' / �� po Q-1
/� /
t I/�
Zoning & Planning
Water piping 1.50 p,60
Each gas water heater or vent 1.50
ViG6'
Sa i 'on Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map 60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00 p
Bldg. Plans
1t0Parcel proval
Plans provol
,Q
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑OTHER ❑
Permit Fee $ 04
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 :3.00
Main service 600V OR LESS ^
100 AMP OR LESS S.DD •QtJ
Single Family ❑ Duplex ❑ Mobil Home Q--o-thers ❑
Main service EA. ADD -L 100 AMP 2.50
sm So FT MININ41-IN4
FOR MOBILES
Main service OVER a 25.00
100 AMP O OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING OCCUP. s
OR ADDNS. ACC. SLOGS. 22sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of:
y
NEW CONSTRES'D, -OUTLET 1
NON-RESID. BRANCH CIRCUITS/ 2.50ea
NEW CONSTR. (POWER APPARATUS 8
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTURES 50 L ,5
Ex. OCCU FIXED APPLNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 �51
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ Wo5o
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
TOTAL PERMIT FEE
$ / 3 Z
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
x, Date 4?-/ 7- %8
Si nature of Permiitee or Agent
Receipt No. /sV(00
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR UBLIC WORKS
By Date !j! -7-Z-77
i lding permit expires Date �� z,. -7
i
I
Sept
icc system location 96 6mild
i
as per
But/�) i
Butte County Health Dept. Re.
'v y�
quirements.
i
i
i
i
This set of plans 11
• kept on the job Mt
make any Chang is
written permi561on
-p lig liVorks, County
V" C
? d o I
_76 I -4
M � i
NOTE:—All- Iv
Accordance' w'
errr��t ill be r of a quality Apr
#i re Of
. r th Uniform Bub,c�'
in
the mobi ehnethe Ncstio��r�l; El
M I
All u ility connections shall be
Pri✓a7e road
Ing- I,_ within 4 ft. outside the rear
•chi
- - - - - - - - - - - - - - - - - - - - - -- - - - - - - - ral ection of the mobile home
left (road) side of the mobile
nd specifications MUST b`,
Il times and it is unlawful tc:
r alterations on same withct.''-
nom the Department ®f P106p
f gutte.
aterials & Workmanship Shall Be in
th Recognized Good Practices and
scribed for the Specifiod use in the
, PILIMbing & Mechanical Codes and
ctrical Code.
The . Setback shall be 5 ft. from the
side property line and 50 ft. from the
centerline of the road, permitting a maxi-
mum of a 2 ft. eave overhang but entirely
out of all easements.
on
?6010"
BUTTE COUNTY
BUILDING DEPARTMENI'
'SPP,ROVED
NOTE -,All Materials & Workmanship Shall Bd in
.Accordance wirh RecogniZekl-Gbbd Practices and
of a quality presci i;,ted for the Specified use in the
Uniform Building, P!u:n',�g & Mechanical Cones and -
the National Electric -al Cod A setback of 5 ft. from the
I property lines and a setback
'- h d
This set of plans and spec!
kept on the job at
make any
written perr;ii "sign -fro:;: the I
lic Works, -County of; Butter
r
1
F ,
. 6
•
l
7
OT 50ft. from t e roa
ications MUST bE centerline steal! be clear of _
d. f i is unla�,vful tr � �trurtures orecuipmont except-
id
xcept- -- — {
for
s o;i same without D 2CLEAR,
e o� rhaa ( ;
rUL
epa tment of Pub- EASEM TS,
N�
F 1°�,� • I� �e't�I PoWcr Utility connections shall be within Pow
I 4 ft. of the mobilehome, either
r l O
directly behind or within the rear
iat�5 GA .
I half of the roadside (left) of the LPG fi'�n1.,yj.
j I t mobilehome.
�• ...f.l ..., .-. ..,-.��ro�♦.� .•..1 ..:-..-i +. .a. .� ... - ..-. ., --.� /' j;. +4�irt�s..r .. ,.y, o r' ..... .. .. .. ..r. .
t I t permit will fie r quire3 for the
t -- ens!%fie of"";#ie'rno�Iiilc ome.
l I 00 SQ. FT. MINIMU Al a K 60 Mobi f. E Hom r
FQR ;vI06IL4S
00 - ►000
r •t I � I f � ` O
i
O
3 t
• l t � �a, t So sa' .
i
I �
}
t,nT 4tv
II
Note. )P � t �,
t Pow&c t-ei..es �•
b�r�ed 3 fit. v�.e�ea�t�b ,
I with � �t • Sep�c�.��on. •
I 1 f"t.�.:bovtr^ mer
ell
4
t •
�
It l ,
E Pie,i� !
SCAL. E n � =�r�,
M
BUTTE COUNTY
BUILDING. DEPARTMENT
APPROVED