HomeMy WebLinkAbout065-174-01311,
46,94
Cross65-174-1-1
Gerald C
A')j- I 1 @11 Ave
NE coirer of Wood Dr. & W6odwa
lot 405, Fir Haven Sub, Magalia
Permit #6687-76P,E(util. MH)
'ELEC.
GAS 17 a /j-) Z e , A
SUPPOAT StRUOURE REQ. ",VO
COMPACTION TEST REQ. A.00LO
'-65=474 '-Lr
sow rV F -
�',Benjamin,Burrill 1t 1k
-r NE corner of Wood Dr & wo wa-r&-Ave-4flj
lot 405, Fir Haven Sib-; K4'glalia
contr: -English-John,-Paradise
Permit #363f77 11
Issued -7') 4A'%%A(
-"65-174-13
Peimit4:4�?'-77BA(E(new private garage
E
1-3
15,58-90B
4S'
LLARb, se
P.
141606Wobd'- rMa
1. .5a :La
(addition/,garage)/��v�
, , , .7.
I
X065-,17 4-0.1'3- . :.o� -9 1 -m;38 14:
'AL- L A R D'JOSEPH '& Ll I NDA
C . ONTR:x MH
,;'CENTER
-14606 WOOD •DR, MAGAL 1,A-
Mki
0 -T7--' 4-0.13
9.1'--4084
t L%k JOSEPH,
-CONTR: ,,SICKELSTEEL,'KEN
4606 WOOD DR,-MAGALIA
LPAT 1O,PORCH`STEP/MfF1"
/ 93
OGt, f7,Y-
FA
OV
� - _ � ---,i � f
RESIDENTIAL 4k�
065-17-4-013
ALLARD, JOSEPH
CONTR: SICKELSTEEL,
14606 WOOD DR, MAGALIA
PATjo,PORCH,STEP/MH.
N
JOB FINALE
Signature
a
J=OK
O = Not OK
Not
= Not Readyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
c
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
Fo ngs; Soils -Size -Depth -Spacing -Connectors -Steel
lr_De riders and/or Joists -Decking -Bracing -Stairs -Rails
Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; SiIs-Anchors- Stu ds- Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date j - Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w;5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card 6-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
' =
Date UNDERFLOOR (Plans) OK except k's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls. Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
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 N's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
--------------- -- -----------------------------
17. Water Pipe; Test & Anchor -Nail Protection
----------- ------
18. D.W.V : Test -Fittings & Anchor -Nail Protection
-------------------- - -----------------
19. Shower Pan; Test. First Floor -Tub Access
----------- - --------------------------
20. Test Tub & Shower. Second Floor -Tub Access
------------------------------------------
21. Gas Pipe; Size & Anchors
--------- ---------------- -----------------------------------
Date Card B-1 Date Card B-1
------------------- ------------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ft's
22. Fixture & Transformer Clearance -Ins. Protection
------------------------------------------------ ---- ----------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
----------- -----------------------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
-------------- -------------------------------------------------------------
25.
-------------------------
25. Romex Installed Close to Edge of Studs & C.J.
---------------------------------------------------------------------------
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
----- ------------------------------------- ----------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
-------------------------'-------------------- ----
28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size ga.
Cu or Al
------ ---- --------------------------- -- -----------------------------
29. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
------------------------------------------------ -------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
------------- ----------------------------------------------
31 Equip Clearances Panels-Motors-Mech. Equip.
---------- ----------------------------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
------------ ----------------------------------------------------------------
33.
--------------------------------
33. Smoke Detector
------------------------------------------------------------------------------
-------------- - --------- -- --- - --- - ------ -- --------------- ------ -- - ----- ---- ---
Date Card B-1 Date Card -B- 1
-
--------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ft's
34. A.C. Ducts Insulation & Support
------------- ------------------------------------------------------
35. Vent Fan: Exhaust above insulation
----- - ------------------------------------ --------------
36. Conden=ate Drain & Overflo-- -
w: Size & Grade
---------------------- --- -------
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
---
-
-- ----- --- - ----------------- ------------------- -- - -
38 Attic Access & Platform if Furnance in Attic
----------------------------- --------- - - ---------- ----------- --------------
Date Card -B-1 Date Card -B-1
Date Card B-1 Dale Card B-1
Date FRAMING (Plans) OK except a's
39. Sils. Proper Material & Anchors
------- ------- -
----------------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
--------- - -----------------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
-- - ----------------------------------------------------------------
42. Draft Stop in Walls (rat proof)
-------- -----------------------------------------------------
43. Fire Stops: - Furred Ceilings -Stairs -Chases -Tub
------- -------------------------------------------------------------- --------
44. Headers & Beam -Size & Bearing
Ingle & Duplex)
Date FRAMING (Continued)
`45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_ 50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
------------ -------------------
_ 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection
-----------54.--plywood on Roof Overhang -Attic Vents -Rafter Outriggers
---- ----
55. Siding -Nailing Veneer
------------- 56. -- Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
--- --
_
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Card B-1 Date
Date Card B-1 Date
Card B-1
Card B-1
0
Date FINAL (Plans) OK except ft's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
------------------------- -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
64. Bedroom Exiting
65. G F.I & Bath Fixtures & Tub Access -Spa
--------------------------------
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
--------------
------------
------- --------------------
67. Stairs -&-Rai-Is
68. Fireplace or Stove: Clbarances-Hearth
69. Elec. Outlets at Wood Panel: Int. & Ext.
------- ------------------------
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
-- ----------------------- --
71. Elec. Outlets & Receptacles at Kit. Counter
-------------------------- -----
72. Garage Fire Door: Swing -Landing -Closer
------------73.-A.C. Duct in Garage -Damper
-------------------------- -- --
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb. Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
-------------- 7. Insulation -Foam -Looked in -Attic ❑ Yes
-------------------------------
- ------------
78. Guard Raits & Deck -Construction -Post Caps
-----------------------------
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked -under Floor - ❑ Yes -
80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
--------------------------- --
81. Stucco: Brown -Finish
----- -- ----------------------- ---------------
82. A.C. Unit: Disconnect. Electrical. Plumbing
----------------------------------------- -
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
- - - - - - - - - - -- ---------------------------- -----
84. Water Well: Disconnect, Electrical, Plumbing
-------------------------------
85. Exterior Elec. Trim; G F.I. Receptacle -Underground
86. Ventilation Throughout House
-- ----------------------------------- --
87. Glass Protection
----- -----------------------------------------------
88. Corrections from Previous Inspections
------------ ------- -----------------------------------------------
89. Gas Test -Meters Tagged: Gas -Electric
------
90. Water & Sewer Connected -C/O to Grade -HD Approval -
------------ --- ------------------------- ---
91. Energy Compliance Certificate -Other Certificates
Date - - Card B-1
------ --- --------------------
Date Card B-1
Date Card B-1
Comments at Final:
--------------------------------
Date Card B-1
Date Card B-1
Date Card B-1
COUNTY OF BUTTE - DEPARTMENT OF,PUBLIC WORKS
7 County Center Drive - Oroville, California 45965 - Telephone: 916/538-7541
. APPLICATION AND PERMIT
P RMIZ NO.
ASSESSOR PARCEL NUMBER
65-174-13
ZONING
RT1A T,/
BUILDING PERMIT YT– t
OWNER
JOSEPH AIS
TELEPHONE
873-1497
,SQA FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
' I
192 coy 24
CONTRACTOR'S NAME
F, F.
TELEPHONE
R77-6141
.F1
CONTRACTOR'S MAILING ADDRESS
PO BOX 2456 PARADISE 95967
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 45.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 22.50
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
14606 WOOD DR MAGALIA
Permit fee
$ 82.50
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
S0.-410
SUBDIVISION NAME
FIR HAVEN SUB.
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeffV� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G W
@ 15.00
TYPE OF WORK
New ❑ Addition g Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 8'X24' PATIO COVER, 8X24 PORCH
& STEP
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El 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.
u
License ;Jo. ,ZClassification !
�r%
El I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000AI
37.50
NEW CONST. OR ACDNS. 1 ( DWELLING OCCUPACC. BLDGS. I
M
3.64sq.ft.
NEw coNsrR U TI -OUTLET
NON.RESID BRANCH CIRC ITS
@ 5.00
(POWER APPARATUS el
SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES
20 76
Ex. Occup. OUTLETS (RE SID)KEA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. byirin g
'15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
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 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
e
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 Id Co ty In q th c nting of this perm't.
X% , to
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 3fstories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
DCC
CONST TYPE
TOTAL FEES 82.50
HAz DFEES
IMP
FLOpjY
v
CDF PARCEL D
I
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
IRE R OF PUBLIC
B _
PPMFIE XPIRES Date
applicable provi
resolutions to do
have been paid.
WORKS
7 L �J—rim
Receipt No. !
�!! 2 22
WNITE-D.P.W.. YELL W-A99(990R, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARC L NU SER
'157/3
ZONING
ftT //))A W
BUILDING PERMIT
OWNER
'5nSV_0X
TELEPHONE
77
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRE S
V
)rTRACTOR AME
TELEPHONE
6
CO TRACT 'S MAILING ADDRESS
Z�-'�� �� `�
Fireplace
CONSTRUCTION JILIENDER
UNKNOWN
Total Valuation is 2
Filing Fee
$ f
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ Z 2 _
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
Z
PLUMBING PERMIT
Filing Fee 10.00
6 C wo 00 PA,
Each Trap
2.00
// G4 ^ /�
/p L/A
Solar or heat pump water heater
20.00
LOT NO.
ly/
SUBDIVISION NAM
FA ill
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] MobilehomeD< Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New ❑ Addition D4 Remodel El Utilities ❑ Installation❑ Other ❑
Describe work QA4#4
am S
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
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. 5:J 69 /7— Classification Ii !Z- !7
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&
OR ADONS. ( ACC. BLOGS.
,
2/20sgft
NEW CONSTR. ULTI.OUTLET
N ON.RESID BRANCH CIRC ITS
2,50 ea
(POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
209300
9AL0 30
FIXED APLNS.
Ex. DCCUp. OUTLETS ?
,., nt `✓.' c.*..r - --w -��•--. _,,,4„ .. y:. � ;'jr+Cr.T" ;,. � .i .n .,v .r.. rs-�;fy(r'�iFs,�S .ii -.tea •.-.i.
a o`"''"` C9dNTY OF BUTTE - DEPARTMENTOF PUBLIC'$ORKS - BUILDING DIVISION -
✓✓
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNI45965 - TELEPHONE: 916/538-7541
PERMIT APPLfCATION DATA SHEET
a Permit No.
OWNER os ic PH AL-Lv j ' A. P. No. �e X •, / 3%
Proposed Building Use aBuilding Inspector Date lr
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of :plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous. Material Form ......................................... .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot lan and business license approval pproval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....r
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
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 Date 1 — 02
Y
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By.
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required Idata by! phone___nail-_counter by k' ..date
Contractor, designer, owner, was advised of above required data by—phone _mall—counter 1;iy_ date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
Date
TO Buildina Department,C�NJ l
FROM: Environmental Health
'A)
t
SUBJECT: Sanitation Clearance
tet..
jS c�K �IC,I
Owner Location AP#
Plan Approved for: Sewaqe Disposal
Fold final for:
Final clearance O.K. for:
Clearance f _ edro o ome.
Water Supply
Water Supply
Water Supply
Other -� Z`� ?/O )EZ
r
NOTE
Sanitarian Date
- JL_
Aff Mi , 31:em�a�lws anship ShaU Be In
rdanoe with Reco zed Good Practices and.
(_ e -C ze
____ _f;
X
MO
This set Of and speciftoatim MUST b
P�W .9
kept on the joat .an times and it Is unlawful to
make any IOphoges or alwr-eman on same wlthou-.
_. .
U&
Wawa. tSow� loffttw
Pre r the Specified use
in Plumbing 0 M.Schanlcd APPROVED
pc" and Eleotricai Code. Butte County
Environmental Health
Date
Signature
-t-
?
rz
7 77 13
ENAIR COUNTY
NOMMM DF-PARTMEN'
Paradise,
APPROVE D-7
F10 3I l.i
Or0►1E I '
EN/D
ELEVATION
FIION*r
ELEVATION
.. D.F. *� Z
BC4 POST CAPS
TYPICAL
SIMPSON OR EQUAL
1 L B44 . COLUMN BASES
�� A[, : �.L �i� ; �6 ' i �• SIMPSON OR EQUAL
ROOF LOAD DESIGN 3® LBS.
ROOF SHEATHING �(� h� i-'HEE STANUIN(; AWU1,&IC UR CARPUR'r -- -
SHBO GRADES �o2 . �i.b e�" r --I run -x2 5
SHOW ALL DIMENSIONS 1 BUILDING AND MOBILEHOME ACCESSORY BUILDINGS 8£EI�IY FEES.
SIZE OF CONCRETE FOOnNGS -'
(a) l=ees for it to co ins t -all -build - �bileho essory
buildings or struct or - tetas that do ave a standard
plan approv ro epar etm nt11 ectric umbing in-
tions-ar�ttun or on buildings or struc shall be. as follows:
- NIr
_ BUTTE COU
BULDING DiPARTMENT
APPROV90
..,c
it!cbes
12X 1Z
18x R
I2
b
l 3.2s18
1
14.34
1�{
5.4
/244
17
Io
6.
7
Is
8
3,7
zo
I
10
4 s
zy
14
2.32
.28
1z
I
3.1
37
9
tO
387
zI
1z
IIL
DLR/
I -)/am
-
(a) l=ees for it to co ins t -all -build - �bileho essory
buildings or struct or - tetas that do ave a standard
plan approv ro epar etm nt11 ectric umbing in-
tions-ar�ttun or on buildings or struc shall be. as follows:
- NIr
_ BUTTE COU
BULDING DiPARTMENT
APPROV90
#V 100 rlp••r C -C rl•O.r w
qt www w N t•IN M =•{ oa11y
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OIVIl1 ! I
W 1 My Mwee • 1000 M I..1r.0 qq�� ��ii
C...M 1bw„•• rood B1 a 28 ft DEPARTMENT OF HOUSING AND COMM SEP
1.{ Ty Moil
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Section
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OIVIl1 ! I
W 1 My Mwee • 1000 M I..1r.0 qq�� ��ii
C...M 1bw„•• rood B1 a 28 ft DEPARTMENT OF HOUSING AND COMM SEP
ilehome Porch
•/11 {, MT{
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Notes:
Min "d from -porch
to lot -line shall be 3'-0"
eiccept to l ine borddtring
roadways.
ROADWAY
PIOT PLAN
State of California
Department of Housing and
Community Development
ision of Codes and Standards
Park
Addres
city,
Owner
zip
Address
City zip
Applicant
Address
City tip -
Telephone
Approved
owner/operator/manager
Permit Fee s 30.00
I Permit Issuance Fee 20.00
WON
i Total Fees s 50.00
2. The total occupied Applications submitted with
area of a mobilehome deviations to the NCD Mobilehome
lot shall not exceed Porch plan shall be subject to a
75 percent of the lot minimum plan check fee of $10.00.
area.
PERMIT NO. • 4213-77B,E
PERMIT EXPIRES
3.
OWNER Benjamin Burrill
CONTR. owner
a. LOCATION (A.P. 65-174-13
/'1-6o6
r�> 405)Woodward, lot 405 Firhaven Sub, Magalia
OF
C) E/
1
,a
i
A
1
Tem. Power Pole
��jj
Called PG&E
TeAp. Elea Serv.
lCalled PG&E
errip. Gas Serv.
Called PG&E
JOB
FINALED�
(D e)
ature) _
Relnf. Steel I Final 1 I Fixtures'-.,
rramIa . i est water ntr.
Stucco Final Subpanels
Mesh MECHANI L Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts. Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
=E ME 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
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBINp
Setback
"I. I Firewall
Soil Piping
Forms
hyx W Parapets
1st Floor
Main Bldg: '•
Restroom Finish
2nd Floor
Footings
Windows Z 42
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing ,1177
Water Piping
Piers
Roofing C.
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa l l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sically
handicaped
Conformance of ex.
structure
Appliances'
Gas PI in &Test
Temp. Gas
Slab
Final --
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Relnf. Steel I Final 1 I Fixtures'-.,
rramIa . i est water ntr.
Stucco Final Subpanels
Mesh MECHANI L Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts. Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
=E ME 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.)
y/
COUNTY OF BUTTE.. - DEPARTriENt OF PUBLIC WORKS
f 7 County Center Drive — Oroville, California 95965
• Telephone: t534-4541 �VW:Z_7_
APPLICATION AND PERMIT
BUILDING ;7 !
Owner h —�1t VVN t V-, a,2 I L '
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address S OC)p
`Z— 2
IPA`
Telephone No.
Fireplace
Contractor 6uj N P, VL,
Total Valuation
Mailing Address
Permit Fee —
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
—
Building Address 10 VVQ `� UQ'1-V),
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
_
Or -4 USF 14. C,c
Each Trap 1.50
L.t '
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
r S
A.-P./No. lD "j y
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
FABS
.C.
Fire Dept. FireZone
Use Permit
Building sewer 5.00
EQA
Declaration
Parcel
60' R/W
Improvements
Lawn sprinkler system 2.00
����PPlans
Bldg. Plans Recd
'Map
Parcel Appr
Plans pproval
Permit Fee ,$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ FEEPERMIT
FILING FEE 1$3.00
Main service 100 AMP ORV OR LESS5.00
Main service EA. ADD'L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service 100EAMP oR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONS. DWELING 0
OR ADDNST ( ACCLB DGS.CC P. &) 2¢sgft --�
NEW CONSTR. MULTI -OU ET
NON-RESI D. (BRANCH CIRCUITS) 2.50ea
NEW CON ST R. (POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)BA@L @125C
04
FIXED APPLNS
Ex. Occup.(ou LETS ((RESID.)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
e� 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.1 @ FEEPERMIT
FILING FEE 1$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
.. qac ieNieseniau ves UI the County of Butte to enter upon the
above-mentioned property for inspection purposes.
XDate f-lY-77
ignaturetrm_itee or gent
Receipt No. 1 `0 -7 l S 3'
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
Rv Date T- 1- -7 Z—
B ding permit expires Date L"
RESIDENTIAL
X065-17-4=013 91-3814
ALLARD, JOSEPH &.LINDA
CONTR: MH CENTER
14606 WOOD DR, MAGALIA
MHI
JOB FINALE
Signature
J=OK
O = Not OK
Not =Not'Readyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements-Setbacks-Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location-Test-fall-C/O Concrete
4. Water; Location-Test-Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete
6. Gas; Location-Test-Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MO LE HOME INSTALLATION (Plans) OK except #'s
9. oning Requirements-Setbacks Easements
Footings; Size-Spacing-Marriage Line
6s; MH Test-Demand-Valve-Connector
Orpbctricity; MH Test-Crossovers-Breakers-Clearances
Drain; MH Test-Fall-Flex Connector
C%Peter; MH Test-Regulator-Connector
Water and Sewer Connected-C/O to Grade-HD Approval
as and Electricity Tagged
kits; Insp.-Sketch
11YCert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes-Enclosures-Panalboards-Ins. to Main in Conduit
9. Health Department Approval.
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
' =
Date UNDERFLOOR (Plans) OK except ff's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
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 k's
16. - Water Htr.: Vent -Access -Combustion Air -Baffle
----------------------- -----------------------------
17. Water Pipe: Test & Anchor -Nail Protection
--------------- ------------------------
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
----------------- -----------------
19. Shower Pan. Test, First Floor -Tub Access
20. Test -Tub & Shower. -Second Floor -Tub Access
- ----- -------------------
- ------------------
21. Gas Pipe: Size & Anchors
Date Card B-1 Date Card B-1
--------------------- --------------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ft's
22.- Fixture-- & Transformer Clearance - Ins. -Protection
-------------------- --------------------------- -------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
---------- ------------------------------------------------------------------
'24. Size Boxes & No. of Conductors -Stapled
---------------------------- -----
25. Romex Installed Close to Edge of Studs & C.J.
--------------------------------------------------------------------------------
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
-----------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI
-------------------------------------------------------- -----
28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size / ! ga.
Cu or At
29. Range Circ / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
----------------------------- ----------- - - --- ---
30. Service -Riser Conductors & Ground -Main Disconnect
--------- - - ---- ---------------------------
31. Equip Clearances Panels-Motors-Mech. Equip.
---------- ------------ --------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
----------------------------------------------------------------------------------
Date Card -B-1 Date Card -B- 1
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except a's
34. A.C. Ducts Insulation & Support
----------------------------------------------------------------------------------
35. Vent Fan: Exhaust above insulation
------- - --------------------------------------
36. Condensate Drain & Overflow; Size & Grade
-------------------------------------- ---- - --- ------ ----
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
----------------------------------------------------------- -
38. Attic Access & Platform if Furnance in Attic
------------------------------------------------------------------------------ -
Date Card B-1 Date Card B-1
-------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ft's
39. Sils. Proper Material & Anchors
------- --------------------------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
-------------------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
------------ - 43.. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
----------------------------------------------------------------
44. Headers & Beam -Size & Bearing
Tingle & Duplex).
Date FRAMING (Continued) "
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
_ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
_ 57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
-----------------------
Date Card B-1 Date Card B-1
---------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except tf's
61. Ext. Steps -Door & Sidelight Protection -Landings
____________ 62. Smoke Detector
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
--------- -----------------
64. Bedroom Exiting
65. G F.I_& Bath Fixtures & Tub Access -Spa
----------- -------------------
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
-----------------
67.-
--------- 67. Stairs -& -Rai-Is
68. Fireplace or Stove: Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance
---------------------- ---
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door_Swing-Landing-Closer
----------------------------------
--------
------ -
73. A.C. Duct in Garage -Damper
74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb.. Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
7;. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
----------------------------------------
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
------------------------------------------ -
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
-
81. Stucco: Brown -Finish
..--------- - - - ----
82. A.C. Unit Disconnect. Electrical, Plumbing
.. -- ------ -------------------------- -
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
- - - - - - - - -- -- -- - ----------------------- -
84. Water Well; Disconnect, Electrical, Plumbing
-----------.-.. --------------------------- ---
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
------------------
86.
---86. Ventilation Throughout House
------------ --------------------------------------
87. Glass Protection
------ ---------- -----------
88. Corrections from Previous Inspections
----------------------------------
89.
--- ------ -----------89. Gas Test -Meters Tagged; Gas -Electric
-------- ---------------------------------------
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. 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:
Stv
ell
e . P1103
wow
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE -
OR_OVILLE, CALIFORNIA — 534=4541 .f
_ PERMIT NO..�L, �.
Address or location of mobilehome
1 Owner's name
iv��fi��1 . l�4> 4r
Owner's address)
Insignia or hud number 1" F x 7
Manufacturer's name
Serial number of V.I.N., ✓'' Year of manufacture
S,AJA-=t'5N8 17Z3z�421 a'
cial Approving'Installation) (Date)
6i-'" ' L
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ti
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED -WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
i
5138White- Owner, Yellow -Installer, Pink ry D.P.W.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
65-174-13
ZONING
RT 1 A
BUILDING PERMIT
OWNER
JOSEPH & LINDA ALLARD
TELEPHONE
873-1497
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. BOX 1067 MAGALIA 95954
CONTRACTOR'S NAMETELEPHONE
MOBILE HOME CENTER
741-3818
CONTRACTOR'S MAILING ADDRESS
1225 B STREET MARYSVILLE 95901
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 20.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
14606 WOOD DRIVE MAGALIA
Permit fee
$ 35.00
PLUMBING PERMIT
FilingFee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each pas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome[� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation® Other ❑
Describe work: REPLACRING EXISTINGM H WITH 2 BDRM
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 20SS
0A OR 0V OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS
and Professions Code and my license is in full force and effect.
License 'Jo. -,?(v i ( q C�'=� Classification `� /'
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000A,
37.50
NEW CONST. ( DWELLING OCCUP.�\
OR ADDNS. l ACC. BLDGS. /
3.64 sq.ft.
NEW NON.R ESICON5TR ULTI.OUTLET
D BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &)
SINGLE OUTLET CIR.
ExOccup(
. OUTLETS OR FIXTURES
20 764
FIXED APPLNS, OR
Ex. Occup. OUTLETS (RESID.) EA.1
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
-15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
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 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
agai said County ' consequence of the granting of this permit.
X Date lli -! - �`
Signature of Appr ant - owner ❑ Contractor ❑ Agent
Ari OSHA permit is required for excavations over 5'0" deep an demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S 70.00
Energy Inspection Fee $
OCC
CONST TYPE
I TOTAL FEE $ 105.00
HAz
DFE
IMP
t
FLOG
CDF
-
PAR EL
PD
H
155
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work Indic d ab r which fees have been paid.
i
I OF PUBLIC WORKS
BY
PERMIT EXPIRES Date //- S =mss —
Receipt No. 3()1 3g3
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
l:�r'Irfly+"S'r~•'1s"r�n'e�.�.75�t�.`'Y"`�'�y�.'S�`"'y��.-�++4;'�+:,;;Cf`�Iil�►`+'s''�''`-�"i'i�``^i='�::Jy,��'i��'�"�:.��f'�g�,r
COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
_AJ
7 COUNTY CENTER DRIVE - QROVILLE CALIFORNIA 95965 - TELEPHONE: 916/538-7541 4 t
PERMIT APPLICATION DATA SHEET`
Permit No. n
OWNER L70se- 4111'a F" A. P. N
Proposed Building Use CaX iS�)V St te Building Inspector Date A9
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . .................................. >.
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans . .
5. Hazardous Material Form ... ......................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
Engineered truss details and layout in duplicate (required prior to plan check)
:::z( 9. )Mobilehome installation data including manufacturer's installation
Instructions ................................ 11 S S
10. Fees of $
11. Chico Urban Area fees paid .......................................
Park feesa' .. .........
p PQ School District fees paid .............. A0
.
Sanitation approval from Health Department
City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)'
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ...................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement ..........
2 . Letter �signat authorization . ,/
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone `7q/ ?affil$ andlhold for pickup at office. Deliverw/inspector.
' Other �r
Applicant -.Date-/C,-29
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted pr'to permiipuance: (Circle new item not checked above).
1. Index permit for above items No. 4 & X W
2. Additional items required:
7�7
Coni
Contractor, designer, owner, was advised of above required data by—phone—mail—cnter by A I date
Plans checked by 13WDate J 0 1 Z91131 Plans approved by Date _ r
Sets of plans on hold in File cabinet AP folder G
Copy—DPW
I
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
aJ owner
location AP #
Driveway permit /4i&'n2
S7t4X
4e Whas been issued for the above property.
1d74-- /?W
date
TO Buildinv Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
a6 UmoJ U,0 *P4 asvl-
Owner Location A #
Plan Approved for: Sewaqe Disposal ` Water Supply„
Hold final for: Water Supply
^incl clearance O.R. for: Water Supply
Clearance for 2,- bedroom mobile home. Other
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNER Jose /V / 1 C1 1 j A. P. NO.
PROPOSED BUILDING USE /'/l DATE /0/0 �Zg z
REC. # DATE REC
V 1. School Distri(t Fees 0( i0 I S -e—.
(paid at District Office)
2. Sheriff Fees
(paid at Building Department)
Residential .......... _x ' ? Z o =$ ,3� d 1011JA—A
unit amt.
Commercial(per sq.ft.) X =$
sq.ft. amt.
3. Urban Area Fees
(paid at Building Department
Residential (per unit) X =$
# units amt.
Commerical(per sq.ft.) X =$
sq.ft.. amt.
4. Recreation District Fees
(paid at District Office)
5. Drainage District Fees
(Contact Land Development). .........................
6. Other
7. Other
At time of permit application, I was advised the above fees are required to be paid prior
to issuance of the permit.
APPLICANT �"""'"'1 DATE � G
f
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT"
t
PERMIT NO.
ASSESSOR PARCEL NUMB R_ - I I
ZO NG
BUILDING PERMIT
OWNER
�gsgk 1 I.IN:3a ALLAkt)
TELEPHONE
- (14q
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ACDFJESS
Ra 0 0(b.7At,iR Cd 4554
T
CO ACTOR'S NAME
t:� , OM.G �N�
TELEPHONE
u$(�
CONTRACTOR'S MAILING ADDRESS
vi, L,(
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $ 10.00
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 [� 'l l f,'1/��(� �}�%
i �� Ul WVVU ISI\
Permit fee $
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
I
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeA Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW 1
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationp< Otheriq
Describe work:_;;�EA4,CE 1AJ c ;GXI S 15—rt y _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service a00v OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession Code and my license is In full f0�e and effect.
License No. CD I �G� Classification. �C..�l_ l
❑ 1, as the owner. or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 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 CONST. ( DWELLING OCCUP.0i)
OR Acc,'LOGS.
, h¢sgft
NEW COCONSNST
CONSTR. MULY LET
NO N•R ESID BRANCH IRC T3
2.50 e8
POWER APPARATUS fl
(SINGLE OUTLET CIR. /
Ex. Occup( OR FIxTUR ES
20000e
IIAL950
FIXED
Ex. Occup. OUTLETS P(RESID )LNS REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. lyirin g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
� have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
E] 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.
Contractor
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.
also a ree 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 Data
Signature of Applicant - Owner El Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAz.
CUA
PARK
SCHL
FLD
CDF
PAR
PD
I HD.
ISSUE
This permit is hereby issued unaer the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work Indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
M22
Receipt No. 0/11
WHITE-D.P.W.. YELLOW-ADe(000R. PINK-INGPICTOR. GOLD CHROD-APPLICANT
COUNTY CrF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center D,rlve - Oroville, California 95985 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT -NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO.FT.7 UCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'SNAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN _
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ o.
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy -Ian Checking Fee
$
Penalty
$
BUILDING ADDRESS
`
Permit fee
$
PLUMBING PERMIT
Filing Fee 1 15.00
Each Trap
5.001
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE ,
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
1 15.001
Mobile Home I S I G W
615.001
TYPE OF WORK
New ❑ Addition ❑ Remodel D. Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service soot/ OR LESS
200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
17I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO 1000AI
37.50
NEW CONST. ( DWELLING OCCUP.E\
OR ACDNS. ACC. BLDGS. //
3.60 sq.ft.
NEW CONSTR. ULTI.OUT LET
NON•RESID. BRANCH CIRC Q ITS
@ 5.00
POWER APPARATUS &
(SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES
20 75d
R
Ex. Occup. OUT ETS IPRESID IFIXED APLNS.REA.1
I 3.00
Temporary service
15.00
Mobile Home Facilities :d
15.00
Misc. 6Virin g
.1
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 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.
❑ 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.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Coolin 9
Hood
6.50
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
signature of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHA
ion of structures toverr3gstories in height. excavations over 5'0" deep and demolition or construct-
Mobile Home Installation Fee $ ?(�`
Energy Inspection Fee $
OCC
i CONST TYPE
1
TOTAL FEE $ 0
HAz
OFEES
IMP
FLODD
CDF
PARCEL PD
HD
IS UE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR. OF PUBLIC
BY
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
q
1 a'�4r\ V
AL -LA' R 1)
JW<00(0 Dk
144 (;A
�, A P ra5-Ii�
-3
All. hl� Shgj
A Gaod pract;n
4z
C, led uts in
&
c
.31 C
Its set of o,Qns and
para. ;Q'I -vil
$00 SO. FT. MINIMUM
1&%D AA0611 CC
oll� plutio.
ji 1.Aitz 22 S
A wtock of 3 ft. fmm the
<----fa*ory 6es and a setba
of S -Oft. thasoa
"v
�tructvres or equipment exw4w
for JL 2 ft. *AV* OW'o-horlb
cAectA o! ail ea4e mmb
IN
tF—y i sT-) u r.
(Tr
W.UST
unlcmful to
1 -NIS oil
0, Of
00,
A00A� 3
0
L
1 7100
a SL
(/1) n- o D weq tzD
9/ -sw
aim cbuwv
BUILDJNG DEPART-1015-Nt,',
PSG V" ED
up
TO
c
01
W.UST
unlcmful to
1 -NIS oil
0, Of
00,
A00A� 3
0
L
1 7100
a SL
(/1) n- o D weq tzD
9/ -sw
aim cbuwv
BUILDJNG DEPART-1015-Nt,',
PSG V" ED
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541.
MOBILEHOME INSTALLATION SHEET
1.
Owner's Name:
(in.)
2.
Installer's Name: kG es t C- g,
��
til i �- n- �� �-C-
(BTU)
3.
Is the site currently under permit?
Yes
F-1
No
(If yes, furnish permit number
_
) OR
,
Is the site an existing site?
Yes
IN
No F]
(If yes, furnish two plot plans.)
4.
Will the mobilehome be located at least
5 ft.
away
from septic
tank and leach
fields and clear of all setbacks and easements?
Yes
No
(If no, clarify
5. What is the mobilehome electrical rating? -------------- -- Q Amps
6. What is the mobilehome site service rating? ------------- Amps
7. What is the mobilehome site circuit breaker rating? ----- lQ G Amps
8. Is there any other electric load to be served by the
mobilehome site service? --------------------------------- Yes � No [21
(If yes, identify the load and sizer (Load)
9. What is the mobilehome site gas pipe size? --------------
10. What is the type of gas service? ------------------- Natural
11. What is the gas pipe length from meter or tank to the
mobilehome?.
-----=---------------------------------------
12. What is the mobilehome gas demand? ----------------------
*(This information not required if pipe length less than 6 ft. on
natural gas or less than 50 ft. on LPG.)
BUTTE OMMY
. BUILQING DEPARTMENT
APPROVED,,/��t
(Amps)
(in.)
LPG
(ft.)
(BTU)
*(This information not required if pipe length less than 6 ft. on
natural gas or less than 50 ft. on LPG.)
BUTTE OMMY
. BUILQING DEPARTMENT
APPROVED,,/��t
MOBILEHOME SUPPORT DATA
If other than single wide
!1.
Mobilehome Mfr. 1 j �OtE �CMSc furnish Setup Model No=;.�,�,.,,�,��
Width GG RFs �(ft. ) ' Box Length 62 8 "(ft. ) Tagalong or Expando Sized�*,
, x ft.
x kmsX
On all mobi-lehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS'(check.one)FDK. Wood -pressure treated or foundation grade. 2. Other (specify)
SUPPORTS (check one) Concrete block.
1:12. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
Main Beams
Line 2
Main Beams
Tag or Triple
i.inp 4
Lire 1
Line 1 Piers: Line 1 Openings:
Size -Min. ------------ Size -Min.
lIx
"�— --1
Spacing -Max- --------- „ Each Side of Openings
From Ends -Max - ------- '_ " With Width Over ---------
Line 2 Piers:
Size -Min- ------------
Spacing-Max ----------
From Ends -Max .-------
Line 3 Roof Loads:
Size -Min. ------------
Location (From Front)
Line 3 Piers: (Under Bearing Wall Only)
Size -Min ------------------- k
Spacing -Max.---------------
From Ends -Max.-------------
j "x30" 36 'x 3o„ Y,k3o' 'k3U„ 36„x301 „x3o„aYk3�n kap
Size -Min .------------
Spacing -Max----------
From Ends-Max.-------
Size-Min-------------------
'k
Spacing -Max---------------- �- n
From Ends -Max -------------- '-
Line S Roof Loads:
Size -Min .-----------
„x
location (From Front)
L
MODEL NO.
BOX ;IZE
LIVE LOAD P.L.F.
PIERS A
FOOTING REQUIREME)IT•S
A -HALF 2-63
IB
)T3�P 6ip4i0
2�0� 1.7-t-��¢
-HALF 7-6 3
I
4:0 24°
MAX MAX
— A -HALF — — — —
_� I �" ��-2" L 8'Z•� l3�-A• r, 9' �� i 7-p".4t
LOAD IN POUNDS
SOIL 1000
CAPACITY 1500
FOOTIBG 1 P000
SQ. IH. ( 2500
MULTI-MIOES"DBILE HOMES REQUIRE ADDITIONAL SUPPORTS AT BEAR1115
POINTS ALONG THE CENTERLINE. THE SUPPORTS (JACKS) MUST HAVE A
CAPACITY THAT WILL SUPPORT THE RIDGE BEAN LOADS.
THE CHART INDICATES THE RIDGE BEAM LOADS IN POUNDS. a THI LO-
CATIONS FOR FOOTINGS 6 SUPPORTS AT BEARING POINTS ALONG THE CEKIER-
LIKE. THE SIZE OF FOOTINGS ARE SHORN IN SQUARE INCHES FOR VARIOUS
SOIL CONDITIONS.
A SUPPORT PIER*SHDULD BE SELECTED FOR EACH LOCATION.INDICATEDFOR
• YOUR MODEL. THE CAPACITY OF THE.SUPPORT PIER SHALL BE EQUAL TO.
OR GREATER THAN THE POUNDS REQUIRED IN THE RIDGE BEAR LOADS COLUMN
OF THE CHART.
FOR ADDITIOWiL FOOTING REQUIREMENTS REFER TO THE HOME SYSTEMS INC.
HOME INSTALLATION MANUAL.
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91-45099
Return to DPW AGRICULTURAL STATEMENT OF aCICNOWLEDGL'1'1ENT
FOR RESIDENTIAL-DEVaOPMENT
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
91-045099
I Ree Fee
to land or included within an area zoned
5.00
for agricultural purposes, and residents
Recorded
I Check
I 5.00
of this property may be subject to incon-
0f ficial Records
ec
veniences or discomfort arising from the
County
use of agricultural chemicals, including,
But
t
Butte
I
but not limited to herbicides, pesticides,
Candace Grubbs
and fertilizers; and from the pursuit.
of agricultural operations including,
Recorder
corder
I
but not limited to cultivation, plowing,
2;Si25-Oct-91
I XX 1
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County
has established. agricul-
tural zones which have as a priority use for
productive agricultural
purposes, and re,;idents
within said zones and on adjacent property
should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real propertysituate in the County of Butte, State of California, described as
follows:
the feet pre VrtY in the C11Y 01 unicorporated area
County of sytta . State of Californie, deearibod u
The GOuth ttalt of I -Qt 405, as shown on that certain map entitled, 'PIR HAVEN
TIJADIVISYON", which map was filed in the office of the [ecarder of the county
Of Butte, State of California, May 19, 1955 in Book 21 of Maps, at pagos 31,
32, 33, 34 an0 35.
rACBPTING AND RERVING 4'dMrltfW all of tt,e ValuAblo minerals beneath the
"" ESsurf-Ice of tho said lands, with the rcight to mine and extract said minerals,
it lAi.ng agreed and understood that in all mining ope�ationf► the sutfaeo of
Gold lands will be protected 49ainat damage, and that all such migirg shell
be carried on from tunnels, shafts or drifts having their orifices outside
of the surface area of the above described realty, all as exceptod and
tanerved in that certain Used from the Magalir Mining Compan�f0 a Corporation,
to E. 0. 6torts, et ux, raeorded Septerber 4, 1957 in Book 42.3 of Butte
County Offioial Rreor4s, at page 385. ,
Date: PROPERTY OWNERS-
, '(D
WNERS:.'(D .
State of to ) On this the _4;�ay of &7_7L�V _, 19F5� before me, the
SS.
County of undersigned Notary Public, personally appeared
, J . ai -,, � -:�- 14,�� - - -7 /
)
n
OFFICIALSEAL Personally kown to me. Proved to me on the basis
°�w.. J(s,3Y BALDRY of satisfactory evidence.
®�- NOTARYPUB LIC•CALIFORNIA o be the person(s) whose name(s)
PLACER CCU'YTY
f4 C0"IN. Gr, April 29,1994 ubscribed to the within instrument and acknowledged that
executed the same for the purposes therein contained. IN WITiN'ESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.
Q,
otary Public LV
END OF DOCUMENT
� - �- �. sr _ ..
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OROVILLE, CALIFORNIA
CLAIM FOR PROFESSIONAL AND SPECIAL SERVICES
CLAIMANT: MiDBILEHOME CENTER
ADDRESS: 1225 B STREET
CITY & STATE: MARYSVILLE, CA 95901 IMPORTANT:
NOVEMBER 20, 1991 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
REFUND OF SHERIFF FEES PAID ON A.P. 025=1.60=030?. PROPERTY OWNER
ALFRED NAPHAN, RECEIPT #103034, DATED 11/1/91.
---------------------------$360.00
REFUND DUE ------------------------------------------- $360.00
$360.00
REFUND OF SHERIFF FEES PAID ON A.P. #_Q651174 013 PROPERTY OWNER
JOSEPH ALLARD RECEIPT #101496 DATED 11/5/91.
_
SHERIFF FEES PAID --------------------------- $360.00
REFUND DUE -------------------------------------------
TOTAL
$720
00
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
clslmletrue.and.correct.as•atated. ....
Dated this .�r4..1. day of .A).Y.Y.. 19,L.1.• at ,���f.C.CF Calif. � =`�"e� �"......... ......................
.. ��{{, rr ......,•.. qq/! ,. n.,..• ..............•
Signature t Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is.a Budget Appropriation❑ or Specific Board Approval (Check one) fo
I r sem
ti
Dated this............:f...�................ day of ...{.Ll.3I.!�............. 19/, I., at .1.. 1.J1�1.i.. .fir , Calif. ........ ... ....
Department Head or Authoi-tvdDeputy
Dept. 1001 cope F-1219 S RIFF' S FEES
.. .............................................................................»... PAY ABLE FROM............................................................................................ FUND
O OT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ.
SUB. OBJ. CLAIM NO.
INV. NO. INV. DATE
ENCUMB.
GROSS AMT.
A DECISION WAS MADE ON 11/8/91 BY THE COUNTY COUNSEL'S OFFICE OF
BUTTE COUNTY THAT SHERIFF FEES NEED NOT BE PAID FOR REPLACING
MOBILEHOMES ON EXISTING MOBILEHOME SITES. SINCE YOU PAID THESE
FEES YOU ARE AUTHORIZED A REFUND. PLEASE DATE AND SIGN THE
ATTACHED CLAIM FORM WHERE INDICATED AND RETURN TO THIS OFFICE.
4-5
_.-. � .^ryr.T^. , „�.+e ..t -w r. q•� ... „�T .-,;,�...r. .. .M.. NrR r..-.,.-• �.,'aTsyv::M-•y;�,y�jY..S�n.Srn.•y.....-.r.,,•-„ -".�
BUTTE COUNTY'SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per,Building)
A.P. Number �tpj "'�%% Building Department No.
School District Arad -1 S e City n County Jurisdiction
' Property Owner ! r t
Project Location/Address /QA
F.
Subdivision Lot Number
Residential Development:
a a Sq. Footage a &00
# of Living I Addition (Group R)
Units % (�PhieE5 fix; SI n
Commercial/Industrial: #� Sq. Footage
New Addition (Including Exterior
s
Roofed Areas) e
Building Deparilment Representative Date
k**�kyk***********"***yk*1ti�**********•*****yt***fit*********�1yF***************
(Floor''Plans reviewed by School District Personnel)
/.
District No. 174
T
School District certifies that
(Apgica Name) (Phone Number)
Lo •` eQ
( Str`eetY Address )
tI(City) (- ate )
t has complied with the requirements of Resolution No.
:vy the pay ent of $ �, representing
squ'are feet.. f
School District Representative Date
PAID BY C CK NO.
BANK NO ,
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
RESIDENTIAL
65-174-13 1558-9.OB
UllA" D,# Joseph
14606 Wood, Magal;ia
(addition/garage)
=OK
= Not OK
=Not Applicable
= Not Ready MOBILE HOMES
Date - MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sket.:h
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Net. or/ P L" ft./ /"LPG
Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-Demand-Valve—Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fell -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANECIUS
Date DECK COVERS CARPORTS Plans OK except #'s
oni g Requirements -Setbacks -Easements
,?,,Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs: Coonectors
Shthg: Rfg.-Bracing
5: Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
B. Fes; Sils-Anchors-Studs-Rftrs-Trusses
Date 7 Card B-1 Date Card
Date:2 —% Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V OK
O = Not OK
- = Not Applicable
Not Ready RESIDENTIAL (Single & Duplex)
' =
Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. tips-Purlin-roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date Card B-1 Date • Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B -1 -
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral O Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic.
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. 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
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive O Yes 11 No; Walks 0 Yes I7 No;
Planters 11 Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. 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:
(NOTE: An entry must be made each time you visit job site)
'a
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
1558-90 i
ASSESSOR PARC ,L NUMBER
74-11"R1.11 _TRTIA
'
ZONI G65-1 W
BUILDING PERMIT
OWNER -_
TELEPHON
�~
SQ. FT. OCC. BUILDING VALUATION
332.5 M 4,669
NS MAILING ADDRESS
OWS '
P-0- Box 1067
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
'
Fireplace
CONSTRUCTION LENDER
UNKNOWN
1
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 25-25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 14606 Wood
Permit fee
$ 85.75
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome K Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New❑ Addition❑ Remodel[] Utilities[] Installation❑ Other El
Describe work: add to garage _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1001 oR LESS
100 AMP OR LESS
10.00
Main service EA. AOO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
,
2/20sgft
NEW CONSTR. ULTI.OUTLET
IRC ITS
NON.R E SID BRANCH CIRCUIT S
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20®10¢
eALO30
FIXED
Ex. Occup. OUTLETS P(RESID ILNS KEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, expenses which may in any way accrue
against said County in c nsequen e o the granting of this per mi
Date bo
gno,u,. of Applicant — Owner Contractor ❑ Agent
An OSHA permit is required for excavations ver 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
85 75
HAZ
i
CUA
PARK
/
SCHL
/'
P r
7�DIS:1
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTO OF PUBLIC
By
PER T EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
%1�G- �C o
((J —4,— . �_
Receipt No. E
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -IN CTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541
APPLICATION -AND PERMIT
PERMIT NO.
��g-9�p
ASSESSOR PAfgCEL NUMBER ,
65— _ _ /3
ZONING
BUILDING PERMIT
OWN Et�Q // r
Se_ XDOWNER'S
T LEPHONE
FT. OCC. BUILDING VALUATION
?O� 4/6 6
[?SO.
MAILING ADD ESS
(Foo. 13,0 6
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00LENDER'S
MAILING ADDRESS
Permit Fee
$ ,$—U r=
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ S
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$ ,
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
y
Solar or heat pump water he r
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water h er or vent
5.00
USE O STRUCTURE
SF ❑ Duplex❑ Mobile homl Other
SPECIFY
Gas pipings em 1 - 5 outlets
5.00
Building wer
5.00
Mobi ome S I G I W I
1 110-00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: _
pfp(
Permit Fee
$
Contractor
ELECTR,,1CAL PERMIT
Filing Fee 00
Main service 1$ AMP ORSLESS 1
10.00
Main service EA. D'L too A'MP
2
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑NON.RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST- DWELC. L NG O)CCUP.&
DDNS. 0 DGS. '
OR AACNEW
htsgft 4�
CONSTR. ULTI.O TLET
BRANCH IRC ITS
2,50 ea
POWER APPA ATOS
SINGLE OUTL cl .
(
Ex. OCCup\OUTLETS OR FI RES
DA @30
°"`eao
FIXED APPOR
Ex. Occup. oUTLETs 1L SID.) EA.
2.00
Temporary service X
10.00
Mobile Home Fa flies
15.00
Misc. Wiring
1 00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
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 ol. the granting of this permit.
X 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 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ CONST TYPE
I FEE $
HAz CUA ' PARK TOTAL ALS FLD PAR Po Ho ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work Indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT 'EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
//3
Receipt No. G 6 I
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK-INSPECTOR.'COLOENROD-APPLICANT
COUNTY OF BUTTE - DEPARTIMENT.,OF PUBLIC WORKS - BUILDING DIVISION\
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLI'CATIONDATA SHEET
• I Permit No.
OWNER Rd., A. P. No. 6-T_-C?4 -13
Proposed Building Use � .tJn� Building Inspector �%d• Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ........................ .........
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans . .
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. chool District fees paid ..............
Sanitation approval from Health Departments-
,LIK
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..........
Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 30 90_ kT
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone /4q`i and hold for pickup at office. Deliver w./inspector.
Other
Applicant Date
- r
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. _Fire Dept. Other Date By.
The following data must be submitted prior to
1. Index permit for above items No.
2. Additional items required:
ssuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone—ter by date
Plans checked by Date Plans approved bymail_co Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Building Devartm�re�
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewaqe Disposal Water Supply
Hold final for: Water Supply
Final clearance O.K. for: Water Supply
clearance for bedroom mobile home. Other
NOTE * * *
------------
Date
Sanitarian
al
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive; OrovIl.le, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
,t
Attention Property Owner:
An 'owner -builder" building permit has'been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement '(yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
3 I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5 I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and
19832 of the California Health and Safety Code.
This verification must be completed and.returned to our office before we are per-
mitted to issue the permit.
114
,— — —
'ice
I I Q
I n
I
.6
..D
This set of -plans and specifications MUST be
kept on the job at all times and it is unlawful to
make any changes or alterations on same with-
out written permission from the Department of
Public Works, County of Butte.
NOTE—AQ Materials & Workmanship Shall Be ,in
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified'use in the
.Uniform Building, Plumbing & Mechanical Codes and
the National 8ectrical Code.
Star p6ute 2 .
132
i5S3-q'0
BUTTE COUNTY
BUILAINti DEPARTMENT .
APPROVED
wv 6/-:Z4%0
�I�
A so t& of 5 ft. from the
property.fines and a setback of
50 ft. from the road
centerline shall be clear of
Mures or equipment exoept _.
br a 21ft. save ovedwV. 91- ecb,�z
DT- At4_ C-ASF.�tE�)j�
IIt ,
This set of -plans and specifications MUST be
kept on the job at all times and it is unlawful to
make any changes or alterations on same with-
out written permission from the Department of
Public Works, County of Butte.
NOTE—AQ Materials & Workmanship Shall Be ,in
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified'use in the
.Uniform Building, Plumbing & Mechanical Codes and
the National 8ectrical Code.
Star p6ute 2 .
132
i5S3-q'0
BUTTE COUNTY
BUILAINti DEPARTMENT .
APPROVED
wv 6/-:Z4%0
�I�
PERMIT NO. 6687-�7.6P,E
PERMIT EXPIRES iia ,asp 7
OWNER Gerald Cross
ICONTR. ffudobbM owner
i LOCATION (A.P. 65-174-13
f: NE cor.of Wood Dr. & Woodward Ave., lot 405,
y
I
Fir Havien Sub, Magalia
yl,
•1f
u p
• f
�i
i +c
Temp. Power Pole
Called PG8,E*
1 ; Temp. Elee'!rserv.
c
Cabled PG&E
Temp. Gas Serv.
VCalled PG&E
JOB
FINALED /7,7
(Date)
(Signal )
. v
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS '
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setbac Firewal Soil Piping
Forms Parapet 1st Floor
Main dg. Restroom Finish 2nd Floor
Footi gs Windows 3rd Floor
Stemw I I Sidinq I To out .
Slab Roof SheatAing Water Piping
Piers Roofing Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
Stemwa l l Insulation Heaters
Slab Prov. for physi ally Appliances
handica ed
Carport Conformance of X. Gas Piping & Test
Footings structure Temp. Gas
Slab Final Sanitation
Patio kFIREPLACE Final
Footings Footing ELECtAICAL
MasonryWalls Throat Rou h '
Reinf. Steel Final Fixtures
Bond Beam FIRE RINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECAANICAL. Grd. Fault Prot.
Scratch Heatina Service -7
Brown Cooling Temp. Pole
Finish Ducts Underground ?7
Interior Lath Ventilation Permanent
Door Closer Final Final
DATE REMARKS OR CORRECTIONS `
77 04-F
G✓.oT� v- No v C'�� it P T Al -e i �✓' ( 'li
`' t
F
(NOTE: An entry must be made on this form each time you visit the job site.)
9, Electrical
A Is service large enoogh to provide adequar_e amperage to mobilehome (Waist equal rating of
mobi_lehome;w,ith a. srin.u:um of 100 amp) and other facilitL!s on lot, i.e.,, water pumps,
g.:rat,e, caDaTia, etc.? YesNo�
1;. Is there. proper clearances around panels? Yes2sNo_
C. Is power supply cord or feeder as embly,properly fused? Yes-]�No_
D. Is continuity test satisfactory as per the following procedure? YesNo_
1. De -energize electrical �ii.ring syster,, of the mobilehome at the pedestal,
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, havee been disconnected,
3. Switch all breakers and switches i.n the mobilehome to the "on" position.
4. Connect one load of a test instrument to the mobilehome grounding conductor and.
ch niub rne stiPily curiuiictor, including neuLral.
apply tile other ealcauto
5., All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line) , including fixtures and appliances, shall be tested for continuity from,
such egt:ipment and the grounding conductor.
6. Upon completion of: the above procedure, the power supply cord or feeder assembly
conductors shall. be connected to theJsite service equipment. A.further continuity
te-t shall then be n.ade between the grounding electrode and the chassis of the
mobilehome, Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved 'for energizing.
Is job card sined by Health Departmeat for water and 'sanitation?
il. Ii everything cJkay, sign off card and tar, services.
MOBILEi!O 1E DATA (' n
Manufacturer and/or Narnestyle
Length Width 7
Vehicle Serial No. �V �7 �t 00 3`9 2 b Sy y
I
State Identif.icatl.on.'Ivo.
Adeiutional Information or Comments:
'M0}31i"'r.l'tOiiE INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome locatedX'�_h required separation from lot lines and buildings and generall.;,
conform to plot plan? Yc:3� No
2. Does the> mc,bil.ehome Piave required clearances above ground? (Sec.5085) Y . No
3. Are footin,s and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) YesNo_
4. Is the mobilehome level.? (Sec. 5088) Yes No
5. If mop than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
a. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes No
B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No
C. Backflow - If coach ist State of California approved, does station have backflow device
and pressure -relief valv � es_ No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Ye No
B. Does it have minimum ," per foot slope and is it properly supported? YesX No—
C' .
or:. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes_ No�
D. If coach i in t State of California approved, -does station have required trap and vent?
Yes No
8... Gas Piping and as Vents
A. Connector- Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as
large as the mobi�ehome gas line inlet without reductions other than the mobilehome
connector. Yes(; No
B. Test OK as per following procedure? YesXNo_
1. Open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes No
COUNTY OF.BUTTE
DEPA„ ENT 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 California Administrative Code, Title 25, Chapter 51 under permit
number!.. Z -;',—for the following location:
Owner F � a
Owner's Address -J Ji% �,. y G Hyi « e 4
Mobilehome Mfg. Model Y Year
Insignia No. r °5' % �� �/�% Serial No. 1 - 7
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date / ti' B
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
• - ... 7 County Center Drive — `0'roville, California 95965 ge-77 Telephone: 534,4541
APPLICATION AND PERMIT -
authorize representatives of the County of Butte to enter upon the
above-mentioned property for --inspection purposes.
Date ; ;7,7
Signature of Permitee or Agent
Receipt No. L5 e<,2 ZZ
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
DIRECTOR OXALIC WORKS
BY Date.
uilding permit expires Date
BUILDING
Owner p�7 � - � oGJ{�tPl—
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor p
Total Valuation
Mailing Address C
Permit Fee
Plan Checking Fee&/or Penalty
�� a—S
Telephone No.
Permit Fee $
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
,{� / j
/V � p�cf_ f— Q oC��t
Each Trap 1 1.50
erRepair
c� `i ear
drainage or vent piping 1.50
Q
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No—
S7 _/�
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C.
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EOA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W Im prove ents
Lawn sprinkler system 2.00
Bldg. PI ns Recd
Parcel Appovgj,
ans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
IL
Main service 8000V OR 0 AMP ORLESS5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex 1:1Mobil Home Pi Others ❑
Main service VEAMP OR LESS 25.0
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING OCCUP. &
OR ADDNS. ACC. BLDGS. ) 2¢sgft
NEW CONSTR. MULTI -OUTLET
NON•RESIO. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
ZE-4 S .l1//��,�, �2�Z, c.��
Ex. Occup(OUTLETS OR FIXTURES)@25¢
BAL@log
Ex. Occup. FIXED APPLNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
cl/Mobile
Home Facilities 15.00
-
License No.� Classification
Misc. Wiring 6.25
❑-i am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
✓
3��
TOTAL PERMIT FEE
authorize representatives of the County of Butte to enter upon the
above-mentioned property for --inspection purposes.
Date ; ;7,7
Signature of Permitee or Agent
Receipt No. L5 e<,2 ZZ
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
DIRECTOR OXALIC WORKS
BY Date.
uilding permit expires Date
MOBILE_HOME SUPPORT DATA
Mobilehame Mfr. Setup Model No. Year -_21:_
Width ,f (ft.) Length oL (ft.) Ekpando Size OP ft.x ft.
TT, (Draw support details below)
On all -mobil ehomes manufactured after October 7,-1973, furnish manufacturer's installation
nual did stru aural setup sheets. (if, not" .on .file with the County of Butte) .
VW .Ar ; P
,. .... ,. - Sin le --®1 Footings -(check, one)
im /27-1. Wood. either
pressure treated or
Center Center Support fdn.. grade.
Suppor Footing Sizes
Locati Msq (in.) Ll 2. Concrete pad.
Piini.Tj�
x-3 o / /'3. Other,:specify
tt.)( A (in.
- _ Supports (check one)
4�1. Concrete block
CZ x-3 o / / 2. Concrete piers
Wtn -(in:)(in.) .
Ll 3. Steel piers
Other, specify
.� Typical Support
�x•� Footing Size
rn,
(in.)(in.)
Max. Pier
/ + �•) Spacing
,ft. in.) in. n.)Y. I
i
V
(in.)(.)
Overhang
.-fit X5=1
rIf center piers are other than drawn above, BUTTE COUNT`
draw in locations, spacing', and dimensions. � BUILDING DEPARTiVI'
APPROVE
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: Z-- e -L-
3. Is the site currently under permit? Yes / No
( If yes, furnish permit number C_ �C.. B` 7-C OR
Is the site an existing site? Yes / / No 77
(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?
/ o
Amps
6.
What
is
the mobilehome
site service rating? ----------
=-��-Z.
Amps
7.
What
is
the mobilehome
site circuit breaker rating?
-------------
Amps
8.
Is there
any other electric load to be served by the
mobilehome
site
service? ---------------------------------------------------
Yes No
(If
yes, identify
the load and size:
(Load) Z-
(Amps)
9.
What
is
the mobilehome
site gas pipe size? ----------------------
10.
What
is
the type of gas
service? -----------------------------
Natural / / LPG
/cam
11. What is the gas pipe length from meter or tank to the mobilehome? - Z,5 ---- (ft.)
12. What is the mobilehome gas demand? ------------------------------ (BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less -than 50 ft. on LPG.)
�d
COUNTY OF BUTTE - DtPA,?3'MENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the county of Butte to enter upon the
above-mentioned property r insp tion purposes.
4
6"
X Date A;
Signal a of Permitee or Agent
Receipt No. /Jr`93 6—
White-D.P.W.
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 PUBLIC WORKS
By Date
ilding permit expires Date / L- Z
BUILDING
OwnerZ
' 6rria d �✓o S S
SQ. FT. OCC. BUILDING VALUATION
Mailing Address -:5- —709 ✓ �p
A-4 L I 0t7
Telephone No.
Fireplace
Contractor
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
, //��Od
Building Address r �✓2✓ la
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 3,d0
q v d q 4 6 .9 L i
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping tw /0 .00
�-
A v e,,I t.� 6 .[vTyp $o4,-fh 642L)=
Each gas water heater or vent 1.50
A. P. - ']
F s C. Sa i ion Fire Dept. FireZone
Zo /. '" -
Use Permit n
Gas piping system 1 - 5 outlets ts� /0-00
-Each additional outlet .30
Building sewer >0 /D• 00
EQA
Parking Parcel60'
Plans Declaration
R/W
Im r
p ovements
Lawn sprinkler system 2.00
Bldg. Mons Recd
I V Parcel Approval
`Plans Approval
Permit Fee $ 33.00
$ OG
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 31
Main service 100 AMP OR00V OR LESS5.00 S•O
Main service EA. ADD'L 100 AMP 2.50 '24
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service 1100EAMP oR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
SOL -
FOR MOBILES
NEW
OR ADDNSCONST. ACCLBLDGS.LING CCUP. &) 20sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
NEW
NON-RESID R (SINGLE OUTLETTCIRPOWER APPARAS&
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) BAL 21
Ex. Occup.FIXED AS LNS. OR
(OUTLETS (RESID.1 EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ C
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
AAAA. evc Lo eiv��C
j • O<
TOTAL PERMIT FEE
$ 5 C
authorize representatives of the county of Butte to enter upon the
above-mentioned property r insp tion purposes.
4
6"
X Date A;
Signal a of Permitee or Agent
Receipt No. /Jr`93 6—
White-D.P.W.
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 PUBLIC WORKS
By Date
ilding permit expires Date / L- Z
This sqt of plans alo Pj%9WA@w MUST be
- - -
------kept-on-the-job�-at-all trmesi-and-ivis unlawfurto-
____.___._—_. _. __make. _any .changes_or_.alterati.ons-.on-same-without -
-- written permisson from the Department: of pubs:
Works, County of Butte.l —j - --- `—!
--AII
NOTE: - � ' ' • '
_ ._Materials-& Worktrmanship. Shall Be .in
Accordance wifh ' Recogni7ed__600d_.Practices :and
---of qualify -prescribed for 4he Specified use in- the
¢uild
_Uni(orm_ing,_Plumb ing-& {�eci5anical Codes and
the National t=lectrical Code. , `
- The -:-5 et ac s : a e fit: from the -
-Proper#'ir�imund:;i
centerline ofiihe roam, arm rtir�. j. ;Septic system ,- {
_ p•
_a!_maxi-
_
mum;ofq 2__ff: eave ver'hang tilt chtlroly 1 _ - --- ---
{ to i be
t as !'
s,- i -pet
_mut �# -all Easet a - , ----'tette-_ ,
{ ' ea
{ i t,4Ra
- i l quirements.
SFX
----- ---- —
J
2
40 -fo
.7 J#•
10 1
Ov
_
'11!11 7 (_
-__-_
- , E--i`••� _. 1- t
�_14�lr -7N
all -' -- ,--- i - --- •�_-i! - •;-
Te—
In-ons
jlocated with4 ft: out irlo '
th th
me--rear- --
;on 'the_mobile '
_— !left (r�,a home—_ -- --- _----
omeS;� O
-kz—
t . C mo iIP
-{- _.i , �-F-----'-- •
' y jj
fi�t• _
- 4 }_
BU DIN PAMEW
d.' rte_ i
tr
14-460,1
4V(D oD at Wo oD L -114R -D
Stora 9 e_ (Ni Tl
SPECIAL ROOF COVERING REOLM%D.
Provide W" x 10" anchor balk
6 6' O.0 max. and within
.12" of foints.,
2x 4"a vt c,rs
O�L V2, end -2)(6 (1--
6 0
BUTTE COUNTY
BUILDJNG DEPARTMENT
APPROVED
-i g.. G a r a g e -J?
NOT
56ALE
TO
IF
1 1I!! 1�11�
1 .. .. � F, 17, M
6�1
.............. ...... ............. ..... .......... . . ...
7- .Side