HomeMy WebLinkAbout065-190-071u
65-19-71
TOM STEALEY ' '
•6555 Boulder Driva, M,ag.3tia •S/��Q�
Contr: Bruce Roberts V
Perm ,t� 298-85B(new private -garage)
.. iy..� r r • ..r�C.I ♦ ... ♦.. .. rc' e • ..a .�. rI. �...r4 1
• 65-19-71
Contr.: -gene s''limfCt., Vina
'Permit#3601785P,E(util31 MH) FTqj
'ELEC S Z A �//N /So - wFc1, AOA
GAS LPG
UPPORT-STRUCTURE- - - • -
COMPACTION TEST REQ !Vd a
_ ... _. 65 9 = 71,E �pY_
Contr: ,Bruce' Roberts
Permit#184-86E(ele/3298-85)garage
65-19-71
Contr; Gene '! chmit-I, Vina
.Permit#3621-85 I- /L
Issued_.
,w: _ - ti ...'. — ... /may'• �
65-19.71
-Permit//1189-86BTOpen decks/MH %%
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65-19-71
TOM STEALEY ' '
•6555 Boulder Driva, M,ag.3tia •S/��Q�
Contr: Bruce Roberts V
Perm ,t� 298-85B(new private -garage)
.. iy..� r r • ..r�C.I ♦ ... ♦.. .. rc' e • ..a .�. rI. �...r4 1
• 65-19-71
Contr.: -gene s''limfCt., Vina
'Permit#3601785P,E(util31 MH) FTqj
'ELEC S Z A �//N /So - wFc1, AOA
GAS LPG
UPPORT-STRUCTURE- - - • -
COMPACTION TEST REQ !Vd a
_ ... _. 65 9 = 71,E �pY_
Contr: ,Bruce' Roberts
Permit#184-86E(ele/3298-85)garage
65-19-71
Contr; Gene '! chmit-I, Vina
.Permit#3621-85 I- /L
Issued_.
,w: _ - ti ...'. — ... /may'• �
65-19.71
-Permit//1189-86BTOpen decks/MH %%
. s
v
�y`%• d'(
PERMIT NO. 3298-85B
PERMIT EXPIRES /4a0
OWNER TOM STEALEY
D r GtfCc/'- X14 5 CONTR
Bruce Roberts
A!D �,Id' j�/s ���� ASSESSOR PARCEL 65-19-71
U�/
LOCATION 6555 Boulder Dr, Maglia
c�G/4 9
l.yye;, w aid
Temp. Power Pole
Called PG&E 1
Temp. Elec. Service-
'Called
ervice
'Called PI
Temp. Gas Se
Cal led PC
JOB FINALEI
Signature
r
e COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
l
CORRECTION NOTICE
A routine inspection indicates that the following violations of, County Ordinance
exist at the/above address and should be corrected. Please notify this office
when coction of work is completed. If you have any questio
rrn pertaining to this
matter or need additional explanation, please contact thisloffice immediately.
Inspector_ ,. Date X
FA
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
*.,when correction of work is completed. If you have any question pertaining to this
matter, need additional explanation, please contact this office immediately`
r
N �L�'1CX 7�—TTviT�'
InspectorDate •�/_____.
r
-J OKE
O = Not OK
= Not Applicable MOB•IL'EHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's
1. Zoning Requirements -Setbacks -.Easements
2. Footings; Size -Depth -Spacing -Connectors
r
3. Sewer; Location -Test -Fall -C/O -Concrete
1 1
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
.
�
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beams- Rftrs.-Con nec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
POOLS (Plans) OK except H's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
1 Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
I I .
t
r
1 1
.
�
J = OK
O = Not OK
ot ApplReady able
Not Ready RESIDENTIAL (Single.and Duplex)
� = N - �
Date UNDERFLOOR P OK except #'s
Date FRAMING Continued
on'ng requirements-Setbads-Gaee+nent
firewall &Openings
fits -Steel -EIS d.- / /" Ftg. D p
. Ext. Doors -One 3' -Check -3rd-ctocy-2-exas
Garage; Soils -S - /" Ftg. Depth
Rise -Run -Landing -Fire Protection
ils-Steel- / /" Ftg. Depth
outs -Wrapped -Slab
5 od on Roof Overhang-Attic.Vents-'Rafte4_QutrtWers
,_Jdin -N*Krn-q_-Yeneeir-
ff_Z4emVV-afIs,
Garage; 5taei•-Blo s -Wrapped -Slabs
59. si creed-Fdn. Vents-Underfir. Access
7;
Riew el
-Test-2 way C/0 -Sewer Test
._-a azing Area -Glass Protection -Skylights -Plastic
89—Shear-WaNs; Nailing -Bolts
nchors- Reg ulator-Service Test
^^ce-Material-Support-Ins.
18
Gird&9 Bills 4nehep43rolts-Joists-Vents-Cripples
Card -BI Dat and -BI Date
p v
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
ate/j_,(_7_ --Card-BI Date
Date FINAL(Plans) OK except N's
Card -BI Date Card -BI Date
Date PLUMBING
(Permit)OK except q's
5 xt. Steps -Door & Sidelight Protection -Landings
37 s. �o_DPj,,,,tor
14.
Water Ht.; V t -Access -Combustion Air
-4 - 4weeee-.Vents-Clearance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; t & Anchors -Nail Protection
16.
D.W.V.; Test -F ngs & Anchors -Nail Protection
ming
17.
Shower Pan; T st, First Floor -Tub AccessFixtures
& Tub Access
18.
Test Tub &Ah wer, 2nd Floor -Tub Access
el; Breaker Sizes
19.
Gas PipK, Size & Anchors
arances-Hearth
anel; Int. & Ext.
Card -BI
Date Card -BI Date
e; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date ELECTRICAL
Date Card -BI Date
Permit OK except N's
tacles at Kit. Counter
Gw+t,-LmTdftnj--C loser
6 -Dam er
AQ'-Fi_&Wre
& Transformer Clearance -Ins. Protection
learance-Comb. Air-Connector-P.R.V.-
I rotection
E . Receptacles Spacing -Lights & Switches at Doors
ted for_L•oca '
Siz xes & No. of Conductors -Stapled
g nstalled Close to Edge Studs & C.J.
n Garage; Q. om
quip. Ground made uowtech. Fasteners -Bend -Gee -$-Water
ked in Attic [)Yes
a5_-2
f�pptianee Circuits in Kitchen & Conductor Sizeeck
Construction -Post Caps
I-A.C. Wire Size / / ga. Cu or AI
ens n F -Drainage arth Clearance
Lo
$7r-Renge-@tr
t^/ / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
5 ollowing instld.: Drive �❑Yes o; Walks ❑ Yes [�binf
Planters El Yes (;•Ivo
28.
Servi a -Riser Conductors & Gr -Main Disconnect
7
quip. Clearances; Panels-Motors-Mech. Equip.
cps-nce-Brkr. & Size-115V Outlet
�-CToset Light -Shower Light
epl.-Cond
ppliance-Firepl.-Clearance to Opngs.
7 ctrical, Plumbing
' , G.F.I. Receptacle -Underground
Card B-Iffl
Date ��Q��S�Card-BI Date
g�-throughout House
bion
Card B -I Date Card -BI Date
Date MECHANICAL (Perm6 OK except p's
revious Inspections
MeIere tric
31.
A.C. Ducts; Ir4ulation & Support
'-C/O to Grade -HD Approval
32.
Vent Fan; E haust above Insulation
ance Certificate -Other Certificates
33.
Condensate Drai & Overflow; Size & Grade
34.
Furnace-Vent/Access-Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI Date i .,J7 Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
-'
Card -BI Date Card -BI Date
Comments at Final:
Date FRAM G Plans OK except q's
Sill Proper Material & Anchors
alls; Studs -Nailing, Spacing & Bracing -P s -ftand
Girders & Floor Nailing
99"0r3it,6Fnp,in
Walls (rat proof)
rred Ceilings -Stairs -Chases -Tub
44,-'FTeader
& Beam -Size & Bearing
�1
gylcisf-Rft es-Prx+ie<R rac. -fees-S- g.-Rfmg/_
ype A Flue -Fireplace Throat
x Protection -Draft Stop -Ins. Baffles
ors -Sill Hgt. & Dimensions
(NOTE: Anentry must be made each time you visit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drj,ve.- Oroville. California 95965 - Telephone 916/534-4541
APPLICIITION'AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMB E ..-
ZO" f
BUILDING PERMIT
OWNER
S E4 L—
L PH E
_ M— 31
SO. FT. OCC. BUILDING VALUATION
OW /R`'S MAILING ADOZ554-
0
/ D VV V fc iq
CON TR CTOR'�Sr NAME p�
TELEP ON
CONTRACTOR'S MA ING ADDRESS
rp, CZ
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
$ Z,
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS -
Permit fee
$ 7
PLUMBING PERMIT
Filing Fee 10.00
L% 4=
Each Trap
2.00
Solar or heat liuTN water heater
20.00
L Crf NSUBDIVISION
NAME
t/
PARCEL MAP
Water piping
5.00
Each qas water hea er or vent
5.00
USE OF STRUCTU
SF ❑ Duplex❑ Mobilehome❑ Other �' / - �74��C>t
�- SPECIFY
Gas piping system I\- 5 outlets
5.00
Building sewer
5.00
Mobile Home I S11 G I W I
10.UOea
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: n- ��AQ� �6 _
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 de a under penalty of perjury (check one):
am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession de nd my license is in full rc and fleet.
�`
License No. "� Classification � 4 31T
F1 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NE w CONST. WELLING OCCUP.&
OR ACDNS. ( CC. BLDGS.
,
2/z¢sgft
NEW CONSTR. ULTI.OUTLET
NON-RESID B ANC. CIRC ITS
2,50 ea
P ER APPARATUS .&)
(SIN LE OUTLET CIR.
Ex. Occup(OUTLE S OR FIXTURES
20®SOt
BAL930
Ex. Occup. OUT E S (RESID )KEA.)
2.00
Temporary service
10.00
Mobile Home Faciliti s
15.00
Misc. �yirin 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
Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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 her y authorize representatives of the Countyot
Butte to enter upon the ab e -m n ioned roperty for inspection purposes.
I also a ree to save, ind nify an k harmless the County of Butte against
all ilities, judgments os , n e penses which may in any way accrue
sa' Cou o qu n o ranting of thisp�rmit
I '44115
Date
Agent ❑
Signature of Applicant — Owner ❑ ContraA'S4..p
An OSHA permit is required for excavations oveand demolition or construct-
ion of structures over 3 stories in height.
ti Mobile Home Installan Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ ^�
occuP.
CONST* ,rrPE
FL
PARCE
PD M
V/
1590E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECMOR OF PUBLIC
BY
PER EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date /%1
Receipt No. -
WHITE -D. P. 1Y., YELLOW -ASB 'OR, R, PINK -INSPECTOR, GOLDENROD -APPLICANT
- 1
1
COUNTY OF BUTTE -DEPARTMENT` QFL.pU;BLIC WORKS -BUILDING DIVISION
7 COUNTY CENTER DRIVE'- OROVILL.E, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 r
PERMIT APPLICATION DATA SHEET
/ Permit No. U
OWNER A. P..No. l! 19 -
Proposed Building Use v //�.JI_ /./o�nt�a17
®
Permit Fee Based Upon: Complete Contract Price
DPW Valuation
Other (Explpla.a•in)( -1 "D
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
andlor issuance: DATE RECEIVED. APPROVED
1. All items have been submitted. . . . . . . . . . . .
2.,, Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . .
4. Complete engineered plans and calcs. . . . . .. . . . .
5. Plans with Energy Design Compliance Statement. . . . .
6. State Energy Forms No. 1
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ e . . . . . .
eAt9—.Eetter of signature authorization.
Sanitation approval from -410-1-1A.-12 i' Health Dept.
1. Planning approval for (A) Use: r (B) Parking:
f''1"�Certificate of Workmen's Compensation Insurance. 20
13:/Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner El, MaiI to owner ❑ )
15. Improvements may be required. . . . . . . . . ...
16. Mobilehome Installation Data. . . . . . . .
•Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector (Date)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other
When you issue the permit, process as follows: Mail tt owner. Mail to contractor.
t'
VTelephone ���'/% S -r% and hold for pickup at '222 offic r1 Deliver w./inspector.
Other Y )
Appli
_ Date �U �^
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the -fol lowing data must be submitted prior to permit issuance. .
(For required items not checked above at tlrpe o. application, circle item.)
1. Index permit for above Items No.
2. Additional items required: .
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By P4 Date
r .
Plans checked by Date 0e, se
Plans approved by Date
Other: I0L/149_ /Al .I_AeA `,
Copy—DPW
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLIGATION AND PERMIT
PER IT NO..
a7 _n
ASSESS PARCEL NUMBER ZONING
BUILDING PERMIT
OWNE rr TELEPHONE
L/� rJJ
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADD�SS
JZ0
C N ACT R' NAME%j�' •� TELEPHONE
r
C-ONTRACTOR'S MA LING ADDRESS
(�
Fireplace
CONS RUCTI11LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS -
Permit Fee
$
ARCHITEE//CC�T OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$.
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS ,— ✓ �. e
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
5.00
Each qas water heater or vent
5.00
USE OF STRUCT E
SF [I Duplex❑ Mobilehome❑ Other Zeyjz
SPIfCI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New ❑ Addition`❑ Remodel Uti It' s [:1Installation❑ Other
Describe work: G/ �G/ zj�224 7%!� �,5�
ermit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service ;Doo V OR LE S
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 Professi s Code; nmy license IS In full force and .effect.
3
License No. Classification
Fl 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING ,
R
h�Sgft O
OR ADDNS. ACC. BLDG Q
NEW CONSTRMULTI-OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS 6
SINGLE OUTLET CIR.
Ex. Occu 20®s0e
p�OUT LETS OR FIXTURES aAL®30
FIXED APLNS
EX. QCCUp. OUTLETS P(RESID )REA.) 1 2.00
Temporary service 1 10.00
Mobile Home Facilities 15.00
Misc. byirin 15.00
9
Permit Fee. $ c�
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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 Countyot
enter upon the ve- ntioned property for inspection purposes.
I also ree to save, i de ify nd kee harmless the County of Butte against
II abilities, judgme ts, cost and enses which may in any way accrue
a asaid Cou segue e o ing of this permit.
X Date `G-(���
Signature of Applicant — Owner ❑ Contractor Agent El
An OSHA permit is required for excavations over 5'0 deep and demolition or construct-
ion of structures over 3 stories inheight.
Mobile Home,lnstallation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ v
O
OCCUP,
CONST.TYPC
1 Loop
PARCEL
PD
x
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indi ted above for which fees have been paid.
DI EC OR OF PUBLIC WORKS
7 0
B Date�''G �0 _
PER ate '� ✓
Receipt No.�i J
WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
,scyu-tso _ ,
184-86
1189-86B
PERMIT PERMIT NO..
PERMIT EXPIRES
OWNER TOM STEALEY
CONTR. owner
ASSESSOR PARCEL 65-19-71
t
LOCATION 6555 Boulder Drive, Magali6.
a
r
Temp. Power I
Called PC
Temp. Elec. S
Called PC
`
Temp. Gas Sei
i
Cal led PG
JOB FINALE(
i
Signature
F
}
7/
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when co rection of work is completed. If you have any question pertaining to this
matter or need additional explanation, please contact this office immediately.
Inspector
Date
J — OK- -
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
D OVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
lvzoninquirements—Set6a*c�ks—EasewwAs--
2. Soils; Special MH Support—Sketch
oo ' s; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete
cYi
ecks; Girders and/or Joists—peoRing— ing—S 6 rs
4. Water; Location—Test—Easement Needed (Sketch)
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concretelumns—Connections—Splice—Decal—Enclosures
os s—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
_.S.--6erports-Windows—Doors
7. Utility Clearance
T" 1eec
Card -BI
Date Card -BI Date
Card -BI
Dat 2z �fr%G Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Datef Zli Card -BI Date .
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1.. Zoning Requirements—Setbacks—Easements
Date
POOLS (Plans) OK except k's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4, Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
B. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
V = OK
0 =`Not- O'K-
- = Not Applicable RESIDENTIAL (Single -and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK except H's
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall &.-Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49..
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; W idth-Headroom-R i se -R un- Land i ng=F4 re Protection
4.
Ftg., Porches & Decks; Soils -Steel -J... /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Ven..s-Underfir. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
_
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date - Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except H's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except p's
57.
Smoke Detector
_
14.
Water Ht.; Vent -Access -Combustion Air
58.
59.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
_
17.
Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
_Shower
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
_
19_.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
_
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
_
21.
22.
Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas'& Water
72.
Insulation -Foam -Looked in Attic ED Yes
73.
Guard Rails & Deck Construction -Post Caps
25.
26.
2 Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
_28_.
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral -Yes ❑No
Service -Riser Conductors & Ground -Main Disconnect
75.
76.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
Stucco; Brown -Finish
-- -
Card B -I
Card B -I
_
29.
30.
Equip. Clearances; Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light
- -----------
--- --
Date _ Card -BI Date
Date Card -BI Date
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
79.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
82.
Ventilation throughout House
Glass Protection
Date
MECHANICAL (Permit) OK except q's
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
_
Card -BI_
Card -BI
31,
32.
33.
34.
35.
A.C. Ducts_ Insulation & Support
Vent Fan, -Exhaust above Insulation _ - - _- _
Condensate Drain & Overflow; Size & Grade
Furnace-Vent_Access-Comb. Air -Return Air Vent_ -_115V outlet
Attic Access & Platform if Furnace in Attic
---- - - -
Date Card -Bl-- _ Date
Date Card -BI Date
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86,
Energy Compliance Certificate -Other Certificates
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Cate Card -BI Date
Date Card -BI Date
Date
FRAMING Plans OK except q's
Comments at Final:
_
3_6.
37.
38.
39.
40.
Sills; Proper Material & Anchors__ _
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing__
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
41
42.
43.
44.
45.
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiling Doors -Sill Hgl. & Dimensions
Garage Fire Protection Framing
_
_
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville;L"dlifornia 95965 - Telephone 916/534-4541
APPLICATION.AN® PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
S0. FT. OCC. BUILDING
VALUATION
WNER' MAILING ADDRESS
rC
ON RAC TOR 'SON AME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ O
�-
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
r
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
5.00
Each qas water heater or ven
5.00
USE OF STRUCTURE Q
SF ❑ Duplex❑ Mobilehome�Other� �e
SPECIFY
Gas piping system 1 - 5 outlet
5.00
Building sewer
5.00
Mobile Home S I G JW I
10.00ea
TYPE OF WORK
Nev Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORLESS10.00
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. Classification
LpI, 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)
ElI, as the owner, am exclusively contracting with licensed contra
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWE. LING OCCUR.& ,
OR ADDNS. ACCBLDGS. /4sgft
NEW CONSTR UL I. OUT LET
NON-RESID BRA CH CIRC ITS 2.50 ea
/POWE APPARATUS IN
151NGL OUTLET CIR.
Ex. OCcu1.111150C
p OUTLETS OR FIXTURES AL@30
FIXED A PLNS. OR
EX. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00ct-
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
Filing Fee 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.
1 also agree to save, indemnify and keep harmless the County of Butte against.
all liabilities, judgments, costs, and expenses which may in any way accrue
against aid Count in consequence of the granting of this permit.
Date
Signature of Applicant — Owe ❑ 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 $
TOTAL PERMIT FEE $
OCCUP.
CON5T.TYPc
I FLOOD
P RCEL
PD
HD IsS
li
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTORPUBLIC
BY
PERM EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date J i����b
Receipt No.
WNITE-D.P.W., YEL LO -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
. r
�y fi
COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-45411
PERMIT A.PPCIC NN DATA SHEET
Permit No.
OWNER A. P. No. 1415" ?
Proposed Building Use—
Building
se
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Building Inspector
Date 1S ""i��
At time of pe�rmit application, I was advised the following data must be submitted prior to permit processing
and:/or issu8ike: DATE RECEIVED. APPROVED
IVAII items have been submitted. . . . . . . . . . . .
2.. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ , . . . , , , ,
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. .. .
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.)
15. Improvements may be required. . . . . . . . . . .
16. Mobi lehome Installation Data. . . . . . . .
•Pre-Inspec.
request to
17. Pre -Inspection for Required. Building Inspector (Dote)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other
` k
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 `
tt. Q
Appl icanf �/� v, ��t"o�Y_,_ _ Date s �7
Copy of plans sent Health Dept., Fire Dept., Other U Date
During the plan checce
king pross, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle .item.)
1. Index permit for above Items No:
2. Additional items required:
yr
A
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
f.
_
F
By �' Date
r
Plans checked by Date,;i
Plans approved by Date
Other: 4el
Copy—DPW
.Awe.
TO: Building-, Deporhilc..,nt
.7 1
From: -.jivironmenta]. ;Ie_nth
nitation Cleararcc
ILI /f-7
-4 -Val 111W
0!\rrer Location
Plan Approved for:
vaster r�umply
Hold final for:
Final clearance O.K. 'LO,),:
Clearance for bearoov', wobile homle..
A
I
!:later ;;apply
v.;ater supply
Dat(,
FIN
it
S $et 6f plans and I i
a4t on the job at all t; ` MUST bs
e env e6n es and rF is wdowf W 1 '
`!'ritfen 9es °r alterations an s
+Ilf f ^ permission from the p �ne-witl�oq
_A„ ^� R,ras�, ePartrhent of Puiilie
.v ' I E:—All �; aterials & Workmanship Shall 16 -
Ac Unliordance with Recognized Good Practices and
of quality prescribed for the Specified
$e NationalBuildElectrrical Plumbing & Pvlachanical C®d� the
Code.
and
CU
r.
SUE CO
UNC
®INN ®EPA6MENI
��R0VD
1
A setback of 5 ft. from the
";�'(4property hos and a setback
of 50ft. frorrI the road
centerline shall be clear of
structures or Pquipment except
r a ? ft. Pay e overhang.
PERMIT NO. 3601-85P,E(MH)
PERMIT EXPIRES 1/52 AF7
OWNER TOM STEALEY
CONTR. Gene Schmitt, Vina
ASSESSOR PARCEL 65-19-71
LOCATION 6555 Boulder Drive, Magalia
OFFICE .COPY
Address
GAS
Meter Dafe��`—�
ELECT.
Meter
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG& E
MOWLEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
'
_DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT
N 0.
Address or location of mobi lehome
Owner's name
Owner's addressz�
Insignia or hud n -umber. ;7
Manufacturer's name 9,J
vf Serial number of-4.I.N. ,976 /Year of manufacture/5"7/
I
(Official Appro-vin, Installation) (Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION'
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B White - Owner, Yellow - Installer, Pink - D.P.W. -tV
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 53413541
Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57
CORRECTION NOTICE
VNFR . ooh
A routine inspection indicates that the following violations of County 'Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
I
Inspect - Date_ X27 --
t:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
MIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspect ;' l��C__ Date
0)
OK
O = Not OK
– = Not Applicable
= Not Ready
r
it
Date MOBILEH
MOBILEHOMES MISCELLANEOUS
. � r
64
Ole
r.
7-F 37 2 7 C13 x j
4�77/
f
t
KOME UTILITIES (Plans) Oxcept H's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
oning Requirements–Set–Easam"s
1. Zoning Requirements–Setbacks–Easements
oils; Speer&i-faMt$opport–Uetch
2. Footings; Size–Depth–Spacing–Connectors
ewerQ.d=ion–Taet–"Fallon
3. Decks; Girders and/or Joists–Decking–Bracing–Stairs–Rails
r; Lwalton– a Facamant ntee4ed (S tch)
4, Wood Awn.; Posts–Beams–Rftrs.–Connec.–Shthg.–Rfg.–Bracing
lectricity; LO .. –Clearances –'*&6/ Amp on
5. Alum. Awn.; Columns–Connections–Splice-Decal–Enclosures
—
601k1les,; Lo4jj;xnl-':�!/ "L' ' orq//"L"ft."LPG
6. Carports; Windows–Doors
� jr
41ity Clearance
7. Elec.
Card -BI
Date %T,d'�. Card -BI Date fp
Card -BI
Date Card -BI 'Date
Card -BI
Dat, Card -BI Date
Card -BI
Date Card=Bl Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
oning Requirements–Set s–Easemuffi•-
Date
POOLS (Plans) OK except N's'
1. Setbacks–Easements
ootings=Mardiage-tine
2. Soils; Compaction–Structure Stability
3._Ges MH lgelr--Denjapd--ysllve="Conoeetor
3. Pool Structure; Steel–Connections– Thickness–Dead.Men-Lining,
C-Efectricity; MH –Cro rs–Br rs–Clearataees
4, Elec.; Receptacles and Lighting; Distances–GFI
rain; MH t–F&l,–Flex ector
5. Elec.; Pool Lighting; 15 volts–GFI
er; MH Test–Reg –Con c
6. Elec.; Enclosure's; Conduit Entries–Terminals–Listed
mer and Sewer Connected–C/Oade–HD Approval
7, Elec.; Bonding; Metal w/5'–Circulating Equipment–Heat&
as and Electricity Tagged
8. Elec.; Ground ing;.Equip.w/5'–Circuiatin§ Equip.=Pdol Lghtg.
Boxes–Enclosures–Panel boards–Ins. to Main in Conduit
xits• Insp.–Sk4teh
ert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test–Water Supply Test
Card B-I?35
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
. � r
64
Ole
r.
7-F 37 2 7 C13 x j
4�77/
f
t
V = OK
0 = Not OK ,
- =
Not ApplicabIa RESIDENTIAL (Single and Duplex)
Not Ready
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regulator-Seryice Test
11.
Electric; Underground
_
12.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except H's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
57.
Smoke Detector
_
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
_
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
-
21.
22.
Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72,
Insulation -Foam -Looked in Attic [I Yes
73.
Guard Rails & Deck Construction -Post Caps
- ----
_28.
25.
26.
27.
_
29.
2 Appliance Circuits in Kitchen & Conductor Size
Subfeed_Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated_Neutral _,Yes No
-
Service -Riser Conductors & Ground -Main Disconnect__
Equip. Clearances: Panels-Motors-Mech. Equip.
74.
Fdn. Vents & Crawl dole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75,
Following instld.: Drive ❑ Yes []No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
76.
Stucco; Brown -Finish
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Card B -I
Card B -I
30.
Clothes Closet Light -Shower Light _
__-
Date _ Card -BI _ Date
Date Card -BI Date
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
Date
MECHANICAL (Perrr,it) OK except q's
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
Card -BI
Card -BI
31.
32.
33.
34.
35,
A.C. Ducts: Insulation & Support -
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow: Size & Grade
Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Date Card -BI _ Date _
Date Card -BI Date
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86.
Energy Compliance Certificate -Other Certificates
-
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date _ -
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
Sills; Proper Material & Ancho_rs
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing_
Draft Stop in Walls (rat -proof)
Fire Stops: Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
_
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95665 _-Telephone 916/534-4541 �D�^
APPLICATION AND PERMIT
ASSESSOR PA�E UMBERNG
ZOf —f
BUILDING PERMIT
OWN
TELEPHONE
SQ. FT. OCC.1 BUILDING•VALUATION
OWN R'S M (LIN@G� )ADDR S P --
W � C
CONT ACCTLTwwO''R'S NAME
'JGN� rfr
TELEPHONE
CONTRACTOR'S MAILING ADDRESS ,
}!�/a/A � 2
Fireplace
CONSTRUCTION LENC&R
UNKNOWN
Total Valuation Is
Filing Fee
$'
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ /SOS
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAIL G ADDRESS
Penalty
$
BUILDING ADDRESS
CiV L E .
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
a
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
VIS`
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome Other
X SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home
10.00 ea ?
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti litiesN Installation❑ Other ❑
Describe work: _
Permit Fee
$ o�
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
00V OR
Main service 100 AMP ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50 Z_
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
E9/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. f )� 3 Classification e—
El 1, as the owner, or my employees With wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. - ,,.Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.8d
OR ADDNS. ( ACC. BLDGS. 2/20sgft
NEW CONSTR ULTI.OUT LET
NON-RESID BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20®50S
FIXED APPLNS. OReAL030
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. 6yirin 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
�f Consent to Self -Insure.
L� ' 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
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.
1 also agree to save, indemnif and keep harmless the County of Butte against
all liabiliti s,udgments, c s s, an expenses which may in any way accrue
against sa' ounty in cons enc f th granting of this permit.
X Date /� �(l • '9
Signature of Applicant — Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST.TYPEJ
PLo
PARC L
11;y
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By.
PER T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
DateyJZ-,P,6
—247
Receipt No. 419vV
WNIT!-D.P.W.. YELLOW-A56E990R. P K -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUB�.I�� WORKS -BUILDING DIVISION /
7 COUNTY CENTER DRIVE'° OROVILLE, CALIFORNIA'95965 - TELEPHONE: 916/'5 34-4541
PERMIT APPLICATION DATA SHEET
+1
Permit No.
OWNERA. P. No.
Proposed Building Use
x
Permit Fee Based Upon: Complete Contract Price.a;�, _DPW Valuation
,Other V(Explain)
Building Inspector. Date !7-43o
At time of permit application, I was advised the following data must be submitted prior to permit processing
andlor issuance: DATE RECEIVED. APPROVED
1. All items have been submitted. . . . . . . . . . . _
It plans in duplicate triplicate. . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $
9. Letter of signature authorization. . . . . . . . .
- anitation approval from YC5
11. Planning approval .for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation 'Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner, Mail to ownern)
15. Improvements may be required... . . . , . . ,
16. Mobilehome Installation Data. . . . . . . .
•.
17. Pre -Inspection for Pre-Inspec. request to
Required, Building Inspector (Date)
Recorded copy of Agricultural Acknowledgment Statement.
19. 0t herRl EU Ay 4!7 -?0 4p,,geoi/,e-1AF_t;I fP_Fb ARtne --m drru6eeAlCV
When you issue the permit, process as follows: Mail ,owner. Mail to contractor.
_Telephone and hold for pickup at office. Deliver w.
/inspector.
Other
Applicant r� Date
Copy of plans sent Health Dept,.., Fir6 Dept., Other Date
During the plan checking process,' .-the fol lowing data must be submitted prior to permit issuance.
(For required items not checked -above at time of application, circle .item.)
1. Index permit for above 'Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
r.
Plans checked by _
Plans approved by
Other:
Copy—DPW
kms.
-•- Date
TO.: Building Department.
FROM: Environmental Health
SUBJECT: SANITATION CLEARANCE
OWNER
Plans approved for:
Hold final for:
7 --.
Jj
LOCATION AP #
Sewage Disposal 4 Water Supply
Water Supply
Final Clearance O.K. for: Water Supply
Z -b 2 f )(6o l
Clearance for edroom mobile home. �-
Clearance for addition of
Not
r
Return to. DPW '.
"�'IORODTM�fFlCLRECCRD�+
MECOUNTj
AGRICULTURAL STATE -[ENT OF ACIG�IOWLEDGE`iEIN
FOR RESIOENTLAL DEVELOPIMENT CEgUTTE ATTHEREdUESI'QERRIA
.Y
ARTY SH"
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit. ,gatJ NOV ib � ion 41
Ilk
j
The property described herein is adjacent to land or includ
within an area zoned for agricultural �EAF10R M. t3ECER"
g purposes, and residents o`CtERK=RECORDER �" FEE .
this. property may be subject to. inconveniences or discomfort arising 85••3FQ��_-" :'
from the use of agricultural chemicals, including, but not limited to•herbicides,.i;,�,
pesticides, and fertilizers; and from the pursuit of agricultural operations includin
but not limited to cultivation plowing, s p gs
p g, ra p ying, pruning,. and harvesting which�occa.=,�P�
sionally generate •dust,• smoke, noise, and odor. Butte County has established. agricui_=�_111
tural zones which have as a priority use for productive-agricultufalpurposes"and`'"�
residents within said. zones and on adjacent property should be prepared toaccept such
inconvenience.or.discomfort from normal, necessary. farm operations...- N:
All' that real property situate in the County of Butte, State of California,
described as follows: =
The Southerly half of Lot 426, as shown on that certain `Map 4entitled ,FIR
HAVEN. _SUBDIVISION!',_ which_ Map ..was. filed - in the Of f ices cif- the-- Recor--d-er- -o f ---
the County of Butte, State of California, on May 19, 1955, in Book 21 of
Maps, at Pages 31, 32,`33, 34 and 35.
EXCEPTING THEREFROM all of the valuable minerals beneath the surface
of the said lands with the right to mine and extract said minerals, it
being agreed and understood that in all mining operations t/he surface of
said land will be protected against damage and that all -succi mining shall
be carried on from tunnels, shafts or. drifts having their orifices outside
of the surface area of the above described realty, as excepted or reserved
in the Deed from Magalia Mining Company, a corporation to E. D. Storts,—et
ux recorded September_4., , 194.7,.. -in Book -423; o'f -Bufte County Official
Records; at'Page 385.
Date; 'Nov 1_'2,. 1985
State'of calif : )
County of Bute
PROPERTY OWNERS:
On this the 12th day of - Nov ����w�`' 19 85
before me, the undersigned Notary Public jpersonally
appeared Tom Stealev and Ida May Stealey
M
®�oemmm�ae®o���ornaeoa®®a®® known to me 6o be the- person(s) whose name(s) _
®
CAROL L. ®ORD m gl sub:,eribed to the within instrument and acknowledged
NOTARY PUBLIC -CALIFORNIA a Hilt executed- tate same for the 'purposes
ro Butte County a therein c ntaincd.
My Commission Expires SW. 16,1 Ru a
m e IN WITNESS rWHERFOC, I Hereunto set my hand and official
Jones 608m®os.V1 Seal. .
Present A.P. ;;o._443 — c -,2 v
a
Notary Public
END OF -DOCUMENT
p
AIVII311J.).YTi;U0o ::T TUJ
T4
.01H ctij
I] J,
la
SPP it Al_'.
COUNTY OF BUTTE - DEPARTMENT. OF PUBLIC WORKS
^ 7 County Center Drive - Oroville, California 95265 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N0. ``_�
ASSESSOR PARCEL N BER
--/ l
ZON)
BUILDING PERMIT
OWNERZ7,v" - C—���
TEL Ho y`
7'
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING RE v
�/4`�
CONTR C OR'S NAMEe/4 17
T - EP i"
Lgta��
CONTRACT;'S MAILING ADDRESS /
//v* _<74 09�L
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 1,500
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 66_55� C )L L D_' \ �Zl
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
L
L% 6
SUBDIVISION NAME
F/ 2 /�/'>�-(J fi-A/
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF El Duplex[] MobilehomelK 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 ❑ Installationg Other ❑
Describe work:
0/ J-5✓
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
600V OR LESS
Main service 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):
10/1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.SINGLE
License No. /� a Classification C- y�
❑ 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
DWELLING OCCUP.,
� ) hQsgft
NEW CONST. ACC
New CONSTR.(
A MULTI -OUTLET
NO N.R ESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES 20050t
DAL030
FIXED PR
Ex. Occup. OUTLETS (RESID )EA.� 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �Yirin 15.00
9
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
I Consent to Self -Insure.
II 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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indempify andkeep harmless the County of Butte against
penses which may in any way accrue
against sai County in cogranting of this permit.
all liabilities, judgmentsI&e
X Date L? ' 3 /?
Signature of Applicant — Owner ❑ Contractor ZZ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 storiesinheight.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 000
Occup.
C.oNST,TYPEJ
FLOOD
PARCEL
PD
I ND
1 ISsu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT7 OF PUBLIC
ByBY
PETO EXPIRES Date_
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date S^�
3. 3— I�-87-87
Receipt No.
WNIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
OWNER
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIV'ISION
7 COUNTY CENTER DRIVE - OROVILLE;tCALIFORNIA 95965 - TELEPHONE: 916/534-4541'
PERMIT APPLICATION DATA SHEET
Permit No.
A. P. No.
Proposed Building Use �� r
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explain)
Building Inspector _Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
andor issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2.. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval .for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
1.4. Owner -Builder Verification (Given to owner❑, Mail to owner ❑.)
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . .
•Pre-Inspec. request to (Dote)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other DRIVEWAY PERMIT & CONSTRUCTION APPROVAL REQUIRED PRIOR To OCCUPANCY
!henyo'i ssue the permit, process as follows: Mail to -.owner. Mail to contractor.
Tee hone15J %�°?
p and hold for pickup at officer. � Deliver w.
/inspector.
Other 11
Applicant Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle .item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
BUTTE COUNTY.DEPARTNIENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: '7�D /?
2. Installer's name: GC,UG �S Gh�h/ 1
3. Is the site currently under permit? Yes / / No ,
(If yes, furnish permit number ) OR
Is the site an existing site? Yes / / No
(If -yes, furnish two (2) plot plans.)
4. Will the mobilehome,be located at least 5 ft. away from septic tank and leach fielda and
clear of all setbacks and easements? Yes /L71 No
(If no; clarify )
5. What is the mobilehome electrical.rating?----------------------- /S10 Amps
6. What is the mobilehome site service rating? - �Z o 6 Amps
7.. What is the mobilehome site circuit breaker rating? ------------- 1 S G Amps
8. Is there any other electric load to be'served by the mobilehome
siteservice? --------------------------------------------------- Yes 77 No
(If yes, identify the load and size:
(Load) (Amps) .
9. What is the mobilehome site gas pipe size? ----------------
10. What is the type of gas service? ------- Natural 7-7 LPG
11. What is the gas pipe length from meter or tank to the mobilehome?
12. What is the mobilehome gas demand? ------------------------------ (BTU)
(This information not required if pipe length less than 6 ft. on natural gas .
or less than 50 ft. on,LPG.)
1' 1 4i
Al
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. b UA k ttj 11),6 - furnish Setup Model No. Year /q P/
Fidth A y�_ (ft.) Box Length �e'O , (ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified. .
Single
(ft.) (in.)
Center support V
locations* 1
D
(ft.)(in.)
II
(ft.)(in.)
II
(ft.)(in.)
II
(ft.) (in.)
Footings (check one)
[a-1'. Wood either
pressure treated or
foundation grade.
2. Other: (specify)
Supports .(check one)
V1: Concrete block.
.2. Other. (specify)
Tagalong or Expando,'
show support details.
I
-- Typical Support
.) Footing Size
-- Max. Pier Spacing
-- Max. Overhang
G.4:20 Z / _e
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
AP # 60 7
OWNER
PERmrr
MH UTIL.CLEA
INSPECTOR
ELECTRIC
GAS --Support
Pipe Struc. —Test
Compaction
.Req..
iervice
Other
YES NO.
;ize
Load
Type Size LenRth YES! NO
r
OTE.—AA Materials & Workmanship Shall Be In
ccordance with. Recognized Good Practices and
a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Codes and
1 e. National Electrical Colo.
-
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 without
written permission from the Department of Public
Works, County of Butte.
so fl- c
Utility connections sh i
4 ft. of the mobileho e, either
directly behind or wi hin the rear
half of the
mobilehome.
s '
• L l
r
s
A s tback of 5 t. from th®
pro erty lines nd a setback
of 5 ft. from th road
cen cline shall clear -of
ries or pt
*w 2 ft. eaw 6ve4Wn @-
10 Sp. FT. M{NflNUM
EOR MOBILES
N
. � /_ ��'•`�� /.� -f. t -, '„ �F µ,jt �p. j� _ .. }/�� .. ..
a BUTTE COUNTY
F
BUILDING DEPARTMENT
.,_. ,. APPROVED
0�
E�Ecf�c
aoX
D1 S�a,v�60
G
so
10 Sp. FT. M{NflNUM
EOR MOBILES
N
. � /_ ��'•`�� /.� -f. t -, '„ �F µ,jt �p. j� _ .. }/�� .. ..
a BUTTE COUNTY
F
BUILDING DEPARTMENT
.,_. ,. APPROVED
Contractor
Job Address
ESTIMATE
Owner
Date
QUANTITY
MATERIAL DESCRIPTION
MATERIAL
COST.
Sit fl
LABOR
OPSE RATION
'D I T°I1fiwrtorr-itaw
HOURS.
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AICO FORM NO. 55-147 PRINTED IN DSA
Alp
,cot
A setback of 5 ft. fro
Property lines and a
of 50ft. from the roar
centerline shall be cl(
structures or equipmi
for a 2 ft. eave overh
tAPJA)T*IIJ R6`¢
WMA4As F
This set of plans and specificetibns MUST be
kept on the job at all times and it 6 unlawful to
Mahe nnv chrvnges or alterations on dame without
written permission from the Department of Public
Works, County of Butte.
i
NOTE -.--AD Materiak & Workmanship Shall Be in.
Accordance with Recognized Good Practices and
of a quality prescribed for the SpQcified use in the
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Coda.
i D'
�' DO
'�5 P -T- I cif 2
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
i3 \7
:31a, S I, S. 7
s\a LES
A S
0
14 -<:I--
.o
5/8"x 4"n8�� �F
?5 PL O'C
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s
Provide /s" x 10" anchor bolts' (ZCI"wz 0 U r
@ 6' O.C. max. and within nr Cv ,
12" of ioin%
OL
- . 0) t,
'BUTTE COUNTY
G BUILDING DEPARTMEIV. o r
sial 2
APPROVED
ON 5TRt�j C-Ti_oNDETA11
SG C- 7-(0 N
G
6 C , IMR mR5, To V1 5.TC: A�'CY