HomeMy WebLinkAbout065-310-0480
1448 �ck Butala
Goldcone Drive, lot 104, PP#1,
Magalia
y contr: Phi Moore Const., Magalia
Permit #4873-R QP,MH)
ELEC./ !2o,4
GAS /0-/7-9-0-
SUPPORT
O-/ - 0SUPPORT STRUCTURE REQ. -
COMPACTION TEST REQ..
65-31�—
Contr: Ser s MH Seip', Pradise
Permit H'32-80MHI
I s s ue`d
contr: Powers Const., Magalia
Permit #39,6-81B,E new pri.garage)
65-31-48
Permit059-81B,E(new cabana &
covered deck/MEQ)
T;14 �0%a'1%isd-
TEX
10-048 04-1997
ALA, JACK
GOLDCONE DR, MAGC_J�Erl'.
H D CONST
H ON PERM FND
10-048 04-1998
BUTALA, JACK
14844 GOLDCONE DR, MAG
Cont:.H D CONSTRUCTION INALED
REROOF GARAGE --A -
n
P
cn Tom
Fc 10 L
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7.County Center Drive
Oroville, CA 95965
(530).538-.7601 Telephone
(530).538-2140 Facsimile
www.buffecounty.net/dds
www.butteaeneralplan. net*
Office flours 8AM-12PM; Mon -Fri.
And 1 PM-3PM by Appointment*, _
ADMINISTRATION''* BUILDING ` PLANNING
Please furnish :me with copies of documents.I have indicated for assessor's parcel number(s) and
address(s). listed below.
I understand there will be a fee of $:25 for the first page aind $.06 for each page thereafter payable at
the time fhe: copies are picked up. When we have completed .the request for copies we will contact
you by .phone for you to pick .up copies and pay the: fees.
I also understand. Butte County has 10 days to furnish these copies based on the California Public
Records Act 6250. .
Name of person requesting copies G�: ra :�Z U. L
7-7
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY #}
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title i25,*Chapter 5, permit
number --Z-I-N-2 P12 for the following locatIHEF
-P �zy-, �
Owner
Mobilehome Mfg. f j Model Yeai
Insignia No. Serial No...
It is herebertifie&for occupancy at the above described locationI and
may be occupied.
Director of Public Works
Date— By a,
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
r
NOTES
RESIDENTIAL
065-310-048 v 04 "1997
I.
BUTALA, JACK
N
14844 GOLbCONE DR, MAGALIA
Cont: H D CONST
EX MH ON PERM FND
,
it
J
THE HCD FORM 433A FOR THIS MH CANNOT BE
y
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
-
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
-i
(2 STATEMENT OF FACTS (ONLY ON NEW
MH' S).
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
J
SPECIAL CONDITIONS
CHECKED
BY
i
SRA
FLOOD CERTIFICATE REQ.
,S
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
1
CAL
c �e 2
ti
1
I tit
t
JOB FINALED (Date)
Signature
j4;
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
APPLICANT NAME
CONTRACTOR
Name
d 10 a�
Address
S 3P,Z
City, a
Y-�d s
St�te�
Zi
Phon
3
Fax e
E-mail
Map Book
Lic. #83 _
Classg
APPLICANT NAME
ARCHITECT/ENGINEER
Name
4
Address
Zip
City
Fax
State
Zip
Phone
Type Const.
Fax
E-mail
Map Book
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X ' O -
For office use only:
AP# D(.� '✓ / (/ J4Y_
Zoning
City
Gt �r
Flood Zone
SRA
Yes
No
Occ.
LENDING AGENCY
Type Const.
Subdivision Name
Map Book
Page 4.
Lot #
Planner
Date Approved:
PERMIT
NO.
BIN #
LOCATION
AP# D(.� '✓ / (/ J4Y_
Pr p rtyAd Address
City
Gt �r
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must he shown at the time of permit issuance.
LENDING AGENCY
Name
Address
fiDescrip ' n o o ofWork:
t —41 /,//W .4 W -
Sq. Footage S
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Rec ived by: Amount:
jReib)
ceipt M
3
OVER FOR SUBMITTAL REQUIREMENTS V
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
7
IP
Total
REV 6-16-04
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
OR 3 Sets Engineered plans (if required) with wet signature on plans -AND. 2 sets of stamped and signed
calculations.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter froni Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to
mobile or modular homes.)
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 8. Sanitation and site plan approval from the Environmental Health Department.
❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. ' . 2 Floor plans. .. `
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
1:17. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation (if required).
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet-signg_ ed by the engineer.
❑ 9. Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval. from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
APPLICANT NAME
OWNER
Last Nameame
D -n
J
Addre skyq
/
City
Y
Ste
Phone U
Phon
Fax
E-mail
E-mail
APPLICANT NAME
CONTRACTOR
Name
D -n
Address
>A5-,3 Z
City.
S
SM4
Zi
Phon
o 319ro
Fax g 7;I__
E-mail
Planner
Lic. #6,3 _
Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
city
Address
Zip
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
city
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property Address
Flood Zone
Cross Street
r
SRA
Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
BIN #
LOCATION
API
Property Address
City
Cross Street
r
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a cerdficate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
I _ , Descriptyon oy%o9,e of Vjlork_
Sq. Footage l3 SQ 5
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
" Re ire_ d by:
Receipt M
46�1(�-)
UVEB FUR SUBMITTAL REQUIREMENTS L
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
on
Amount: �1/0 Bldg
SRA
Sheriff
SMIP
Total
REV &16-04
-PERMIT NO. 4873-80P,E
PERMIT EXPIRES,
/O��/�I�
Jack Butala
OWNER
Phil Moore Const., Magalia
CONTR.
65-31-48
ASSESSOR PARCEL
14844 Goldcone, lotl04, PP#l, Maga.
LOCATION
.0
f.
ji
sy
Temp. Power Pole----.-_
Called PG&E
Temp. Elec.. Service/
Called P G & E f ej
Temp Gas ServiceCalledPG&E
j FINALED (Date)
Signature
4
J = OK
O = Not OK
= Not Applicable
* = Not Ready RESIDENTIAL"(Single and 'Duplex)
'
Date
UNDERFLOOR Plans OK except #'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.
Fig., 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 -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except p's
14. Water Ht.; Vent -Access -Combustion Air
57.
Smoke Detector
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.
63.
Stairs & Rails
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 p's
67.
Garage Fire Door; Swing -Landing -Closer
68.
69.
A.C. Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
20. Fixture & Transformer Clearance -Ins. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23.
Romex Installed Close to Edge of Studs & C.J.
72.
Insulation -Foam -Looked in Attic ❑Yes
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
73.
Guard Rails &Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
_ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27.
28.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes El No
Service -Riser Conductors & Ground -Main Disconnect
75,
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes []No;
Planters ❑Yes El No
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
78.
79.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Water Well; Disconnect, Electrical, Plumbing
30. Clothes Closet Light -Shower Light
- -
Card B-1
-
Date Card -BI Date
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
82.
Ventilation throughout House
Glass Protection
Card B-1
Date
_
Date Card -BI Date
MECHANICAL (Permit) OK except k's
31. A.C. Ducts; Insulation & Support
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
_
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86,
Energy Compliance Certificate -Other Certificates
Card -BI
Card -BI
34.
35.
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
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
36. Sills; Proper Material & Anchors
37. Walls: Studs -Nailing Spacing & Bracing -Plates_ -Sound
38. Bearing Walls over Girders & Floor Nailing_ _
39. Draft Stop in Walls (rat proof) _
40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Comments at Final:
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors _
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-'Truss-Shthnq.-Ring_
Fireplace Ties or Type A Flue -Fireplace Throat
_
45. Attic Access Size & Romex Protection -Draft Stop -Ins. Baffles
46.
47.
Bdrm. Windows or Exiting Doors -Sill Hqt. & Dimensions
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT NO.
7 County Center Drive - Oroville,'California 95965 - Telephone 916/534-45 _
APPLICATION AND PERMIT
ASSE SORPARCEL NUMBER
67�57—
Z ING
I- /
UILDING PEIRMITI
WNE
r.W
TELEPHONE
SO.FT. OCC. BUILDING VALUATION
ER' MAILING ADDRESS
CON ACTOR'S AME]TELEPHONE
CO R CTO 'S -AILING ADDRESS
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation1 $
LENDER'S MAILING ADDRESS
Permit Fee
$
.ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ C/ /lp
Penalty
$
'E
ARCHITECT O ENGINEERS MAILING ADDRESS
Permit fee
$
BU.ILDI A ESS
PLUMBING PERMIT
Filing Fee �.00.
_
-� C``� r7hi
• PERMIT NO. 1.059-81B,E
PERMIT EXPIRES
`OWNER .Tack Butala
owner
CONTR:
65-31-48
ASSESSOR PARCEL
LOCATION _
Y'
14844 Goklcone Dr., lot 104,
PP#l, Magalis
Temp. Power Pole
Called -PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
ii Cal led PG&E
JOB-FINALED (Date) w�11 i
y ..
Signature -
'f
f�Z COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK PERMIT NO./,,/
7 County Center Drive - Oroville, California 95965 -'telephone 916/53 541
• APPLICATIONAND PERMIT
ASSE OR PARCEL NUMBER
•
ZONING 'r
BUILDING PER
OWNEECi i4 •f 13 `ice j� V >`1 •
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
%�' (�
0 /.`p^' "'
rOWNE 'S MAILING ADDRESS 016: //J,J,
in
e 0
COTRA�AME
VELEPHONE
el, q
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER - ,.
Alt-rIx 14
UNKNOWN
Total Valuation is
'
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ C_J
AR HIS TELT OR ENGINEER
r(�HI
LICENSE NO.
Plan Checking Fee
$ 2
Penalty
$
ARCHITECT
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING A7gp
���bJJ[[ co C+ IZ
PLUMBING PERMIT
Filing Fee 10.00
�o,'
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME - PARCEL MAP
FAI •
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF F-1Duplex[]Mobilehome Other
SPECIFY
Building sewer
Lawn sprinkler system
I 5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work:
CA 3,R6,\ a ve%&
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR01V OR LESS5.00
Main service EA. ADD'L 100 AMP
2;50
NEW CONST. ( DWELLING O C P.Ei\
OR ADDNS. ACC. BLDG /
20 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness
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) 1
❑ 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 CON5TR (MULTI -OUTLET 2,50 ea
NON.RES[D BRANCH CIRC TS
NEW CONSTR( POWER APPARATUS 6J
NON.RESID. SINGLE OUTLET CIR.
EX. Occup OUTLETS OR FIXTURES BAL01
IXED APPLNS. OR
Ex. Occup.(ouTLE TS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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.
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
pfrovisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
td 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 said County in cons quence of the granting of this ermit.
r 3 fj - /
X ` Date
of Applicant — Owner ❑ Contractor ❑ Agent ❑
SitSHA
Anpermit is required for excavations over 5'0" deep and demolition or construct-
of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ �0
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
P11
ND SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Ll—F—tL=—
[ion
Receipt No. 6-0 f a Z
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
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BUTTE COUNTY
DEPARTMENT OF DEVLLOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.net\dds
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
License Class: g License
y�Number: 8,32 5—QS-
Date: 7- ` O N Contractor. �/ l/ ems&
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑- I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy
PERMIT NO.
I/BP041998
Issued Date: 07/07/2004 APN: 065-310-048-000
Site Address: 14844 GOLDCONE DR MAG
Map Index:
Description: RE -ROOF GARAGE (15 SQ.)
Owner: BUTALA JACK E & GLORIA E JT
14844 GOLDCONE DRIVE
MAGALIA, CA
95954
Applicant: BUTALA JACK E & GLORIA E JT
Contractor:. H D CONSTRUCTION
7253 PENTZ ROAD
PARADISE, CA 95969
530-872-8604
License #: 837545
Architect:
Engineer:
Total Square Ft:
Valuation:
Ce1 certify that in the performance of the work for which this permit is Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY 1 This -permit is
I hereby affirm that there is a construction lending agency for the Resolutions tr
performance of the work for which this permit is issued (Sec 3097 Civ.)
o.
PERMIT EXPIRES ON:
Address:
0 S. F.
$0.00
provisions of the Butte County Code and/or
fees have been paid.
Date: �^
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposeq.
Print Name: f'7t� �b! �/ /Y 0 6tl D Signature: �
Date: 2 • V % D C
❑ Owner
❑ Contractor
❑ Agent for Owner
❑ Agent for Contractor
" PERMIT NO. 396-8.1B,E
PERMIT EXPIRES q!�
OWNER Jack Butala
Powers Const., Ngalia
CONTR.
65-31-48
ASSESSOR PARCEL
14844 Goldcone Dr.., lot 104,PP#l,
LOCATION
Magalia
' Temp. Power Pole_
a'
Called PG&E _
r
Temp. Elec. Service
Called PG&E_
k
i Temp. Gas Service _
Called PG&E
JOB FINALED 5 ate) k')
Signature
V = OK
0 =, Not OK
= Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -.Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ P'L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N'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
,1
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
O = Not OK
= Not Applicable RESIDENTIAL g pSin le and Du lex
� Not Ready �
Date
UNDERFLOOR Plans OK except #'s .
Date
FjAAMING Continued
1. Z requirements -Se s-Ea4wwrifs
481
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" F,g. Depth
4
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
ar -Steel- / /" Ftg. Depth
5
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Fig., Porches & Decks; Soils -Steel- / /" Ftc. Depth
5
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
5t.
Siding -Nailing -Veneer
6. St& wdls, age; Steel-Blockouts-Wrapped-Slab
51.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall-Fittings-Test-2"way C/O -Sewer Test
5
Glazing Area -Glass Protection -Skylights -Plastic
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 I Card -BI Date
A
&y I r U
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
nr
Date Cf Card -BI Date
Date
IFINAL (Plans) OK except q's
Card BI bate Card -BI Date
Date
PLUMBING (Permit) OK except q's
6.
Ext. Steps -Door & Sidelight Protection -Landings
47.
Smoke Detector
4.
Water Ht.; Vent -Access -Combustion Air
8.
I
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
5. Water Pipe; Test & Anchors -Nail Protection
6.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
f9.
Bedroom Exiting
7.
Shower Pan; Test, First Floor -Tub Access
bO.
G.F.I. & Bath Fixtures & Tub Access
8.
Test Tub & Shower, 2nd Floor -Tub Access
1.
Elec. Trim & Subpanel; Breaker Sizes -Labels
9.
Gas Pipe; Size & Anchors
2.
Stairs & Rails
3.
Fireplace or Stove; Clearances -Hearth
4.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
5.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
6.
Elec. Outlets & Receptacles at Kit. Counter
Date
LECTRICAL Permit OK except k's
7.
Garage Fire Door; Swing -Landing -Closer
8.
A.C. Duct in Garage -Damper
0.
Fixture & Transformer Clearance -Ins. Protection
.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
1. Elec. Receptacles Spacing -Lights &Switches at Doors
2.
Size Boxes & No. of Conductors -Stapled
0.
Plb., Elec. &Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
1.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2.
Insulation -Foam -Looked in Attic E) Yes
25.
2 Appliance Circuits in Kitchen &Conductor Size
Guard Rails & Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
7 .
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / 7-ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes 0 N
7 .
Following instld.: Drive E] Yes E] No: Walks El Yes ❑ No;
Planters ❑Yes 0 N
28.
Service -Riser Conductors & Ground -Main Disconnect
74.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
7P.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
8.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
9.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B-1
Date Card -BI Date
1.
Ventilation throughout House
Card B-1
Date Card -BI Date
2.
Glass Protection
Date
CHANICAL (Perrr,it) OK except k's
Corrections from Previous Inspections
8 .
Gas Test -Meters Tagged; Gas -Electric
3A
A.C. Ducts; Insulation & Support
8A.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Vttic Access & Platform if Furnace in Attic
Card -BI
OU
Date d'i'K Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
IDate Card -BI Date
Card -BI
Date Card -BI Date
Date
FR MING(Plans) OK except q's
Conrents
at Mal:
36
Sills; Proper Material & Anchors
A-
_ 31. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
____38.
_Bearing Walls over Girders & Floor Nailing
39.
40.
41.
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
Ow
42.
43.
44.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Ring.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_-
46.
47.
Bdrm. Windows or Exiting Doors -Sill Hgt..& Dimensions
Garage Fire Protection Framing
(NOTE: Anentry must be nade each time you visit job site)
COUNTY OF BOTTE-v DEPARTMENT OF PUBLIC WORKS PERMIT N
• 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 y
APPLICATION' ARD PERMIT
ASSESSOR PARCEL NUMBER
rj 1— 4 q
ZONING
IZi ( •
BUILDING PE
i /O
O NER ^
'j� 0.
TELEPHONE
SQ.FT. OCC. RI -111 VVI
00 OV
t
...-
OWNER'S MAILING ADDRESS
COTRACTOR'S NAME
c r
TELEPHONE
*973-1'*?3o
CONTRACTOR'S MAILING ADDRESS
CL C1 57q,5-1
CONSTRUCTION LENDER UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$ —
ARCHITECT OR ENGINEER
VL, ,
LICENSE NO.
Plan Checking Fee
$ � •—
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING AD E S
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
tiILA
SUBDIVISION NAME
V r 1p1 n L S
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1- 5 outlets
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome ❑ Other CQ n -•Y -11A
5 IQVClFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ R model EJ lities El Installation Other ❑
Describe work: 3 a
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee fci.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING 0 CUP. &�
OR ADONS. ACC. BLDGS o
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
n—yt
`Lots '� 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__At 3
❑ I, as the ownef3,16rWe ployees 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
NON.RESID R BRANCH CIRCUITS
2.50 ea
NEW CONSTR. POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 50@�
BAL�10Q
Ex. Occup.(FIXED Te PLINIS )REA,� 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor Z11L&m" n 'Ik� A,eC�-r "
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
Lreo 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
FiIingFee 3.00
Heating
Cooling
Hood
2.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against wid C my in c9 uence of the granting of this permit.
X W�}�.L v�J q-5_, � �
` 01-, � Date
Signature of Applicant — Owner❑ Contractor'Z 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 $
Land Development Fee $
,�
TOTAL PERMIT FEE $(! °—
OCCUP. GROUP
I TYPE OF CO ST.
PARC E
PD
L VD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
D) CTOR OPUBLIC
l•�
By 4Date
PERMIT EXPIRES Date®`
the applicable provi-
resolutions to do
fees have been paid.
WORKS
C;�' t_
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP041997
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 07/15/2004 APN• 065-310-048-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: J3 License Number: ��% S S�
Site Address: 14844 GOLDCONE DR MAG
Date: 7 / S� a9 . Contractor: � b i!f8*�
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: EX MH PERM FND EX SITE (1440)
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: BUTALA JACK E & GLORIA E JT
to its issuance, also requires the applicant for such permit to file a
14844 GOLDCONE DRIVE
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
MAGALIA, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95954
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: BUTALA JACK E & GLORIA E JT
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, . as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor: H D CONSTRUCTION
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
7253 PENTZ ROAD
❑ 1 am Exempt under Article 3 of the Business and Professions Code
PARADISE, .CA 95969
530-872-8604
Date: Owner:
License #: 837545
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of pedury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
I certify that in the performance of the work for which this permit is
Census Code:
issued. I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith those provisions.
/comply
�lwith
Date: / 6 7 - [/,�y�10
•�tv��l ,/�w,�_
Applicant:
WARNING: Failure to secure. workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
VIN
) „
hundred thousand dollars ($100,000), in addition to the cost of
damages as for in Section 3706 of the Labor
compensation, provided
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
Thispermitis hle(aIby issued under the applicable provisions of the Btitte County CodR anrUor
I hereby affirm that there is a construction lending agency for the
Resolutionsndicat d above for which fees have been paid.
5'
performance of the work for which this permit is issued (Sec 3097 Civ.)
)
Name:
By: Dattel: -
v
Address:
PERMIT EXPIRES O •
Date '
❑ 1 hereby certify that the use of this facility shall comply with_Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification=forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte CJountty� to enter upon the above mentioned property for inspection purposes.
' syn o }� y//►
Signature:
Print Name:
Date:
0 Owner ®'C.ontractor 0 Agent for Owner ❑ Agent for Contractor
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: -ASSESSOR PARCEL NUMBER
Proposed Building Use: �% Y ► Counter Technician: Date:
hems required in order to apply for a permit! All boxes , UST be checked OR marked NA in order to apply. r
�j 1. Site plans, 3 or 4 sets, signed by the preparer of the plans..
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxesl `
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. `
Y 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate, All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate '
❑ 11a Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16! Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑. 19. Soils Report and/or Engineered Foundation required ........................................... ........
20. Erosion Control Plan Required.......................................................................
a, 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
;;;E''OR::'• 22,. City of Chico Plumbing permit........................
................................................
23. California Department of Forestry plan approval ❑ paid. Sent by:
0 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check:
❑ 25. Contact Land Development about _ Improvements, Drainage .........................
❑ 26. NPDES Form.......
............
EXIn 27. Encroachment Zrmit or d ive a'�ro b i r e
y Q
28. Pre -Inspection f lrequir� -
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization......................................:.............................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
El 34. Manufactured home utility clearance...............................................................
❑ 35l Existing violations and/or expired permits.........................................................
❑ 36. D Restrictio
t� 37. rant Deed. Title/Statement of Facts,.Ar from Legal Owner, beck to H.C.D. $ a
❑ 3. Other:
❑ 39. Other:
When issued Telephone 0 and hold for pickup.
I have been informed of the above
above items, and requirements for obtaining a building permit.
Applicant: �b���!G'" alt% �..
i' Date:
1. Index permit application for the above items nu Bred: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, ova rr wadvised of the ve d to by phone, ❑ mail, ❑ counte b Date:
Plans reviewed by: Y l.0 Date: �� ' fl Plans approved by: E, Date*:-
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division '
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
J
1
SCHEDULE OF RECEIPT OF FEES
OWNER
A. P. # 1
PROPROSED BUILDING USE YW DATE
' RECEIPT # DATE_Vj(�'!C.
UILDING PERMIT FEES � %� ,
-- Balance Due ..................... $ /
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES
(paid at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division).
Residential............ X $360.00 =$
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4.. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5 RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.06 (paid at Building Division)
T. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #.
$200.06 (paid. at Building Division)
S. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Fig. Amt.
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
maybe changed during the plan checking process.
A _
APPLICANT
DATE % - % -O�(
i
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
Building Permit Number: O q - 1 9 q %
Owner Name: Owala
Residential Construction Requirements
IMPORTANT
This set of plans and specifications MUST be kept on the job site at all times and it is
unlawful to make any changes or alterations on same without written permission from the
Building Division, County of Butte.
All materials and workmanship shall be in accordance with recognized good practices
and of a quality prescribed for the specific use in the. 2001 California Building Code
(2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California
Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.)
COMPLY WITH ITEMS CHECKED BELOW
Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical,
H.V.A.C. equipment and services shall be a minimum of one foot above the elevation
shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate
will also be required
Note: We will normally accept the following as compliance with the flood elevation
requirements:
1. Building is anchored to concrete stemwall system with conventional anchor bolts.
2. Building plate on top of stemwall to be one foot or more above the 100 -year flood
elevation. (Plate height less than 24" above grade, or engineered design required).
3. Electrical, heating, ventilation, plumbing and air conditioning equipment and
facilities located above the plate.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total
net area of not less than 1 square inch for every square foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit
automatic entry and exit of floodwater.
Page 2of 2
Building Permit Number:
Owner Name: 6LA-WICL
a- Parcel lies within the State Responsibility Area (SRA). Comply with attached
requirements.
0 Fire sprinklers are required in this structure.
The following parcel map requirements shall be met:
All structures and equipment including overhangs shall be clear of all easements.
A setback of aS�{eet from the side anc��,45�'" `%et from the rear property lines and 20
feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of
structures and equipment except for a 2 foot overhang.
Expansive soil may be encountered on this site. This condition may require the
foundation to be designed by a California registered engineer or licensed architect.
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:
service? ---------------------------------------------------
Yes / / No
3.
Is the site currently under permit? Yes /;K/
No
What
is. the mobil,ehome site gas pipe size.
( If yes, furnish permit number
) OR
What
is the type of gas service? =----------------------------
Is the site an existing site? Yes / /
No /X /
What
is the gas pipe length from meter or tank to
(If yes, furnish two (2) plot plans.)
12,
What
4.
Will the mobilehome be located at least 5 ft. away
from septic tank
and leach fields and
(This -information -not required if pipe length
clear of all setbacks and easements? Yes //
No
or less than 50 ft. on LPG.)
(If no, clarify
)
(. .•
)
5.
What is°the mobilehome electrical rating? -----------------------
`O,Q Amps
6.
What is the mobilehome site service rating? ---------------------
Z Amps
7.
What is,the mobilehome site circuit breaker rating?
-------------
lip 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) -}- (Amps)
9.
What
is. the mobil,ehome site gas pipe size.
--------------
10.
What
is the type of gas service? =----------------------------
/ '
Natural / / LPG .4L.
11.
What
is the gas pipe length from meter or tank to
the mobilehome?
12,
What
is the mobilehome gas demand? ------------------=-----------
zCd�, (BTU)
(This -information -not required if pipe length
less than 6 ft. on natural gas= _
or less than 50 ft. on LPG.)
MOBILEHOME SUPPORT DATA
Mobilehame Mfr. Setup Model No. Year
Width. (ft.) Length /,e? (.ft.) . Expando Size a-ft.x _�ft.
(Draw 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).
1m- . - S
i
Center
Center Support
Supports (check one
Support
Footing Sizes
Locations
(in.) ,
Y
1.
. _ in.
X6-
(l�jl ln•�
�
b
2.
Concrete piers
i
ft -in�
3.
Steel piers
(in.)(in.)
4.
Other, specify
in.
i
Ft�.in.)
vif center piers are other thaTagawn above,
locations , s iznens ions .
Footings -(check one'
1. Wood. either
pressure treated or
fdn. grade.
f,l
2. -Concrete pad.
3. Other,. specify
5.3-3Z OCA
BUTTE COUNTY
`PF ARTMENT
P A VE
Supports (check one
1.
Concrete block
2.
Concrete piers
3.
Steel piers
4.
Other, specify
i
X2
in.)
Typical Support
Footing Size
i
i
i.n.
Max. Pier
Spacing
_
Max.
Overhang
5.3-3Z OCA
BUTTE COUNTY
`PF ARTMENT
P A VE
m
W
(D
a
CL
V
Z
H
O
U7
W
Q
r -
(s) m
N
M
co
m
Lo
m
L0
N
W
m
N
N
L0
m
2"x 2"x 3/15"
STEEL ANGLE
DETAIL "A"
CHASSJS FRAME
1/4" GRIPPER PLATE
(2) REQUIP.ED
1 /4�,GRIPPER BASE
S
1/2113UNC-A307 x 4"
:.BOLT WITH. HUTS
3(4) REQUIRED
01 1/2" .SCH 40 PIPE' RISER WITF.
01/2" ADJUSTER HOLES AVD 3/8'
THICK TOP PLATE
02' SCH 40 PIPE STAND WITH TWO
01/2" ADJUSTER HOLES
&ESCO ABS PAD #503
STEEL FPAME-L-\
IT
-Pit-Mip mo -go
3/8" CAD PLA -ED BOLT, NUT & WASHER
COUNTER BORED. FLUSH WITH 30TTOW
AT e" D.C. (8) REQUIRED
1/4- STAND BASE
, ,— ABESCO ARS PAD #503
36 MAX
TO BOTTOM
OF PAD
01/2"x 3 C.R-
LOCK FIN WITH
01/8" BRIDGE
PIN
COACH "C" FRAME
2" CHANNEL
S/4"xI-1/4"-
TEX STS
(2) REQUIRED
1/4." GRIFPER
BASE
1/2' A307 BOLI
(2) REQUIRED
3/8"x 6'x 6"
STEEL PLATE
1/2" A307 BOLT
(2) REQUIRED
10.00
09/16 HOLE (TYP)
STAND RASE
TO P Vi EW
97918
Alt
pj4� C
OF
TUF--1 PERMANENT
FOUNDATION SYSTEM
AERRCO-GUS GUARD COMPANY
5851 FWRIN - PERKINS ROAD
SACRAMWFO, CA 95823
PH: (800) 382-8831
FAX: (916) 383-5207
1/4 "
/4" GRIPPER
PLATE
C—BEAM
ATTACHMENT
COACH "J" FRAME
1/4tl1-1-1/4"
TEK STS
(4) REQUIRED
m .
J—BEAM
ATTACHM NT
1/4' GRIPPER
BASE
1/2" A307 BOLT
(4) REQUIRED
$ 4 $
DIA. HOLE (8) PLACES
r 30` —
STEEL FRAME
TOF VIEW
STS
mALumm &1t ff OODIs,>18CI>l�f lIIIIA
Art&"=
�t1l�.TZIOOOIt1IatCtJ011iM0I1si
• f±.' �AV�VRK�a�
•. GR iDBVtJInM I!)RM SOV
•> `!lJl�Afiifti176LIF,fLi®�itll��
- &F **"*
WAYNE 7. POLVA00, PE—LISTING NO. F94249 SHEET i or 3
GENERAL NOTES GUS GUARD TUF-1
DESIGN WADS: LIVE LOAD - 30 LB.
FLOOR LIVE LOAD - 49 PSF
WIND LOAD - 80 MPH EXPOSURE 'C"
SEISMIC ZONE '4"
*SNOW LOAD 100 PSF (SEE: NOTE i15)
2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CCMSTRUCTED ON
A FA RLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS.
3. CHASSIS BEAU SUPPOETS SHALL BE L0,",ATI D AND SIZED FOR THE LOADS
AS SHOWN IN THE 'MOBILE NOME INSTALLATION INSTRUCTIONS'.
IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR,
MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEE•S I/4",
OW WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT.
5. CARRY ALL FOOTINGS DOWN TO FIRM. UNDISTURBED SOIL FOOTINGS
ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, ARID
SHALL BE CORPATTBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND
MAY BE USED TO FILL LOCAL VOIDS UNDER PADS.
E. STRUCTURAL STEEL: FABRICATED ACCORDING TO A1SC SPECIFICATION.
WELD ACCORDING TO ASIS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM
A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725.
7. THE *CUS GUARD ASSEMBUES SHOWN ON THIS PAGE SHALL BF TJSIEO AND
LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS:
AMOWABTE LOADS: HORIZONTAL VERTICAL
G`JS GUARD TUF-1 2200'# 6000#
GUS GUARD MGP PAD 22001 6000#
GUS GUARD E -Z TIE PAD 22001 60001
S. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAI
MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION.
S. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES VY
INSTALLING GUS GUARD TUF-1 LNITS AS SHOWN ON' THIS PAGE OF TYPICAL
FOUNDATION 'TANS.
10 THE GUS GUARD TUF-I SYSTEMS ARE SAFE FOR IHSTAUA71ON IN FLOOD
PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT
• OF THREE FEET.
tti.. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED
�% UIE NUMBER OF TUE-1 UNITS UNDER EACH UNIT IS
-vpE SAME AS SHOWN REQUIRED PER EACH UNIT.
?� �1 GLE-TYIDE UNITS REQUIRE ADDITIONAL RESTRAINT. * (SEE SHEET j3)..8
I3M METAL COMPONENTS UM ATTACHMENTS RENS SHALL BE PPOTECIIVE OOATED.
Qs
PER CONCRETE -SLAB IS IN E{ISTANCE, PAD IS NDT
16. FOUNDATION FLOCKS I6'x 16"A2' POUPEO IN PLACE AT GROUND LEVEL WAY
BE USED AT IIISTAtLERS DISCRETION ALTERNATIVE TO PADS.
SIYGLE WIDE COACHES DOUBLE/MULTIPLE COACHES
E= 2' MIN. / 8' MAX. £= 2' MIN. I V MAX.
S= 6` MN. /16' MAX. S= 6' NIN. / 22* MAX.
PARIES 10'-70' (SEE TABLE ON SHEET #3)
E +— S --0.1.0 -- S t S E
'6. 1=918 x
Exp'
�Tqr£ FICA Ed��`�
UIRED. ANCHOR STAND TO CONCRETE SLAB WITH
"p -:UF-1 PERMANENT
F�DIJR (4) 1/2"x 3 lj2' EXPANSION ANCHORS. FOUNDATION SYSTEM
i GGG GUARD TUF-1 FOUNDATION SYSTEM PROVIDES
A�WABLE SNOW LOA[ TO 101 PSF WHEN INSTALLED ABFSCO-GUS GUARD COMPANY
WITH EXISTING STANDARDS REQUIRED BY COACH 5S51 FLORIM - PEI?.KWS ROAD
MiZFACTURER OR REPLACE THEM ON A ONE TO
M ONE BASIS. SACRAMEM. CA 95823
STATE APPROVAL
MANL'FACTRJRDD ROMEJMOBTTA gW"
FOUNDATION SYSTHAT
HBALT RAND SAvrry OOD6.8Ei'rm im
APPROVED
8UBJBCF 770 COEBTICrX= NCMD
AM(YVAL DOES NOTAUTBORIZ6 Q11:A"RMIN ANY
OMISSIONS OR DEVIATION FROM RB 17 (W
APPLICABLE! STATE LAWS AND gXlgU A7=
State prewfimb
oiAoo:iaE+adCpta>�B�p� - - .
CODES AND BTAIMAZ U/
Tl is Plan AvumvmI FsnT.
WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 of 3
RIDGE BEAM SUPPORT AS
REQUIRED BY MANUFACTURER
❑ a
(TYPICAL) a I—Ip 94
a 1:1-T ❑ ❑ ❑ a
8' NOM.
❑ ❑
2' NOM.
PADS IN ANY PAR MAY BE f STANDA;D M.H. FOUNDATION
ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES
OFFSET TO OTHER SIDE TO WE MANUFACTURER OR THE SUPPORT
AVOID CLEARANCE PROF -EMS- ENGINEER. TYPi_AL THROUGHOUT PAD TPP)
'6. 1=918 x
Exp'
�Tqr£ FICA Ed��`�
UIRED. ANCHOR STAND TO CONCRETE SLAB WITH
"p -:UF-1 PERMANENT
F�DIJR (4) 1/2"x 3 lj2' EXPANSION ANCHORS. FOUNDATION SYSTEM
i GGG GUARD TUF-1 FOUNDATION SYSTEM PROVIDES
A�WABLE SNOW LOA[ TO 101 PSF WHEN INSTALLED ABFSCO-GUS GUARD COMPANY
WITH EXISTING STANDARDS REQUIRED BY COACH 5S51 FLORIM - PEI?.KWS ROAD
MiZFACTURER OR REPLACE THEM ON A ONE TO
M ONE BASIS. SACRAMEM. CA 95823
STATE APPROVAL
MANL'FACTRJRDD ROMEJMOBTTA gW"
FOUNDATION SYSTHAT
HBALT RAND SAvrry OOD6.8Ei'rm im
APPROVED
8UBJBCF 770 COEBTICrX= NCMD
AM(YVAL DOES NOTAUTBORIZ6 Q11:A"RMIN ANY
OMISSIONS OR DEVIATION FROM RB 17 (W
APPLICABLE! STATE LAWS AND gXlgU A7=
State prewfimb
oiAoo:iaE+adCpta>�B�p� - - .
CODES AND BTAIMAZ U/
Tl is Plan AvumvmI FsnT.
WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 of 3
r`
m
N
In
m
m
m
LO
oi
I
m
m
N
N
LL
CD
3/4" DIA. x 18" l.G.
8" LONG (4) REQUIRED
EXPANSION ANCHOR ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT & WASHER
kr4) REQUIRED (4) RECUIRED
COUNTER BORED FLUSH WITH GOT -OM
AT B" O.C. (8) REQUIRED
CONCRETE PAD INSTALDMON - ''`'
CHASSIS FRAME
1/4" GRIPPER. PLATE
(2) REQUIRED
1/4" GRIPPER BASE
1/2-13UNC-A307 x 4'
BOLT WITH NUTS
(4) REQUIRED
ski 1/2" SCH 40 PIPE RISER WITH
01/2" ADJJSTER HOLES AND 3/8"
THICK TOP PLATE
02" SCH 40 PIPE STAND . WITH TWO
0./2" ADJUSTER 14OLES
14
ABESCO ABS PAG #503
STEEL FRAME -1
POURED IN PLACE 16xl6xl2 MNCRETE
IN
FOUNDATIONtlCt=ti>3c5'i�'-tG�ci1r:un�tilL�11.c
LIGH- HEAVY—WEIGHT
PLASTIC PAD INSTALLATION
36" MAX
.'U. 3cllc�� Lir c71
BOTTOMTO
fit- u I 'i� n iOF PAD
LENGTH OF
HOL1E
24
TH OF HOPE
2 28 44
UP TO 44
6
8 I 8 I12
"-1' to o6'
11
12 1 12 1 8
6i'-1 • to an
2t
20 1 20 I 24
01/2"x 3" CJLi
LOCK PIN WITH
01/8" BRIDGE
PIN
i
f
J
IENGTH
HOME 1
10
WIDTH OF HONE
12 14r 16
UP TO
6
1 6 1 6 1 $
S4 -1 to 66-1
8
8 8 I 8
dC-t' - 84
10
t 0 f.. 10
NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRD
1OIL SINGLE NIDE UNRS REQLERE (4) E -Z TL= PADS. GUS OUARD T11F-1 PIERS ARE
TO BE PLACED AT APPROMATELY EQUAL WTERYA1S ALONG EACH FRAME RAI.
791
STATE APPROVAL
FCUNDAInOW SYS"1 JBM
AHC SAFETY CODB, 36C"iM W111
APPRDS w
SUBJECT TO 003tRBIMOPB NOnW
APPROVAL. DOES NOT A07HOR= DR APMOVE ANY
C' DMISSIOMS OR DEVIATION FROM RSQUIREMENTS 03
AFMCABLE:TATE LAWS ANDBEGULATMNS
San of CI1lifotda'
1? aad
Es AND STA3M /
M
SPA1i0.
77ds F1snApproval Expbu
WAYNE T. POLVADO, PE—'_ISTING NO. F94249 SHEET 3 of 3
PRE-INSP
1., a„
ECTION REPORT
OWNER: / (/0, , DATE:
LOCATION: D �. I&Xhd.A)P. # 6053J—M
CONTRACTOR: i ZO G:
REASON FOR PRE -INSPECTION
DATE TO INSPECTOR: / PERMIT HISTORY ( )kNONE VSEE ATTACBED
BUILDING INSPECTOR'S REPORT
Building Description:
•B
Commercial/Usage: I ,
Residential # of Units: CAH C --
Currently Occupied L: `(� es ( ) No
Abandoned/Vacant:
Electric:
Electric Currently (—o6n ( ) Off
Condition of Electric C"
Gas:
Currently ( ) On
Condition
Sanitation:
Plumbing Worldng (`/Yes
Obvious Sewage Problems ( ) Yes
ACTION RECOMMENDED:
Hold for permits or verify: _
ISSUE
( ) Off
Mobile home # of Units:'✓�—
( ) No
Inspector: Date:
7���
[lTY-Vn Tl7TT "YTTT 7lT1LT!'4[1 111LT 71TtT171l0311 A 1LTT% T1Arr%ird- A TLS T !1/, A TTlIAT llxT r7]l1TT11TxT
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQ UIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
APPLICANT NAME
OWNER
Last NameB
irst dame
Far
Addie s
/
!
City Y
ad L S Cz
St
Zip
Phone U
, 31 �.D
Fax
E-mail
Planner
APPLICANT NAME
CONTRACTOR
Nameil
6 �-,
Address
5-'3
City.
ad L S Cz
Sed
Zi
Phone
, 31 �.D
Fax e
E-mail
Planner
Lic. #F3 _
Classg
APPLICANT NAME
ARCHITECT/ENGINEER
Name
41 14
Address
Zip
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X Z� � 4
For office use only:
Zoning
Property Address
I " .k6
Flood Zone
Cross Street
0
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
BIN #
LOCATION
AP# D /„ G� - a/ (� /, —�)4Y
Property Address
I " .k6
City
147�r
Cross Street
0
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must he shown at the time of permit issuance.
LENDING AGENCY
Name
Address
LW AescriDtio VM
Sq. Footage S
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
r,ived by:
Receipt #:
Amount:
OVER FOR SUBMITTAL REQUIREMENTS InTyd v vl / I Total
KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 6-16-04
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COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7,County Center Drive, OroviIle— Phone:`534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector Date
• COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS.,
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector � � + �-� ��� � =� Date
y
S� �
t�
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530
County Center Drive • Oroville, C(- (530) 53$- 41
CORRECTION NOTICE
U L) t2 L/�.
OWNER
PERMIT NO.
' e
A routine inspection indicateftat th following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions'pertaining to this matter, or need additional explanation,
please dpnlaci this office immediately.
146 P a. CA t- P7!L 171
Date ` Inspector
REV 10/92
`1 r COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 591-2751
7 County Center Drive - Oroville, CA* (530) 538-7541
r
CORRECTION NOTICE
I --\ 0 L4 - "--n"""
R PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date Inspector F
r
REV 10/92 �,
V=OK
0 = Not OK
- = Not Applicable
• = Not Ready .
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Zoning Requirerrlents-Setbacks-Easements
1.
Zoning Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
2.
Soils; Special MH Support Sketch
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
3.
Sewer; Location -Test -Fall -C/O -Concrete
Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
4.
Water; Location -Test -Easement Needed (Sketch)
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Carports; Windows -Doors
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ PLPG
Electric
7.
Well Clearance & Disconnect
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
8.
Utility Clearance
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
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
1.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
2.
5.
Drain; MH Test -Fall -Flex Connector
3.
6.
Water; MH Test -Regulator -Connector
4.
7.
Water and Sewer Connected -C/O to Grade -HD Approval
5.
8.
Gas and Electricity Tagged
6.
9.
Tie Downs -Type -Installation Cert.
7.
10.
Exits; Insp.-Sketch
8.
11.
Cert. of Occupancy
9.
12.
Permanent Foundation Only; License Decal
10_
Plumb.; Cir. Test -Water Supply Test
Date -
Light Niche
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS GARAS.,ES (Plans) OK except #'s
1.
Zoning Requirerrlents-Setbacks-Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (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, Distance-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
.11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
V=OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single & Duplex)
= Not Ready
Date Underfloor (Plans) OK except #'s I Date FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Ring.
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. G=.nd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ f' Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ f' 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 -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
Date
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
63.
Card B-1 Date Card B-1
Date
64.
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
71.
Elec. Outlets at Wood Panel, Int. & Ext.
Date
72.
Card B-1 Date Card B-1
Date
73.
Card B-1 Date Card B-1
Date
74.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes ❑ No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
86.
Water Well, Disconnect, Electrical, Plumbing
Date
87.
Card B-1 Date Card B-1
Date
88.
Card B-1 Date Card B-1
Date
89.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82.
Following Inslld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No
83.
Stucco Brown -Finish
e4.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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:
OFFIC:Ai_ RwL'��itJS
AND WHEN RECORDED MAIL TO
BUT -(E COU[+TY-0A IF-
RECOR
Name M/M JACK E. - BUTAIA ISUT[�E� T11co T00 ITLE Ai�1979
Street 24365 .Hartland Street _1
Address Canoga Park, California .
CLARLC H. Ivt L .0ld
City s CLERK -RECORDER _
Stats L FEE
Name
MAIL TAX STATEMENTS TO
4586
ad above... e
Street
.. • .. a'.
Address
'
Clty 6
State L
`
Change of Owner-
ship Sia'iairent IhJ.1
SPACE ABOVE THIS LINE FOR RECORDE.R'S USE
Filed (S c.-4~3;1 R & T ;
to n:a ling
oddi -Gsson document, %
III
Grant
p
Deed
THIS FORM FURNISHED BY COMMONWEALTH LAND TITLE COMPANY
1KA
The undersigned grantor(s) declares 44,k P4
Documentary transfer tax is $ 14. ����
( X ) computed on full value of property conveyed, or
( ) computed on full value less value of liens and encumbrances remaining at time of sale.
( X ) Unincorporated area: ( ) City of and
FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
JAMES Re BUTALA and EMMA R. BUTALA, husband and wife
hereby GRANT(S) to
JACK E. BUTALA and GLORIA E. BUTALA, husband and wife as joint tenants
the following described real property in the Unincorporated Area
County of Butte , State of California:
Lot 104 as shown on that certain map entitled Paradise Pines Mobile
Estates, Unit #1, recorded 4-10-70 in Map Book 35, Pages 65,66,67 & 68
of Maps, in the office of the County Recorder of Butte County,
Dated- November 14. 19,707
STATE OF CALIFORNIA,
COUNTY OF Butte SS.
On ' Nov. 15, 1979 before me, the under-
signed,.a Notary Public in and for said State, personally appeared
James R. Butala and Emma R. Butala
known to me
to be the person A' whose name fl aMubscribed to the within
instrument and acknowledged that their executed the same.
WITNESS my hand and official seal.
Signature d: f 2L n
Jacquet e Grandstaff
Name '(Typed or Printed)
JAMES Re BUTALA
MMA R. BUTALA
GbRANDSTAFF —W
ars' NOTARY PUBLIC
411
Buftle County � -
Stato or California
X.f
tty Coirlit;S-i�� c;;;si� �, ri�tii �3, i 7C3
(This area for official notarial seal)
'Title Order No. Excrow or Loan No.
CLT -026 I5-771 MAIL TAX STATEMENTS AS DIRECTED ABOVE
END OF DOCWIEN'
co
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
C CIRY of Document Recorded
30 -Jul -21804 2004-0046440
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL, COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
JACK E. BUTALA AND GLORIA E. BUTALA
REAL PROPERTY OWNER/LESSOR
14844 GOLDCONE DRIVE
MAILING ADDRESS
MAGALIA BUTTE CA 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME .
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also Property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE -
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
0-4-1997 530 538-7541
P TO. PHO)JER
ID4
LUX 0
SIG ATURE OF LO L AGENCY FFICIAL DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO
UNKNOWN 1980 CYPSO
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
CA52918A/B 24'X 66' CAL192174/5
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
QFF ATTAC14FT)
AsSEsSOR'SPARCELNUMBER 065-310-048
OFFICIAL RECORDS
AND WHEN RECORDED MAIL TO BUTTE COW4T'( CG(_IF.
RI�COFtDS REeU�':''�=•I? By
BUTT CO.U.NTY TITLE COe
Name 'E. BUTALA I V. 1
979M/ACK
Street 24365 Hartland Street
Ad°`°°° Canoga Park, California CLARK H. tac..t SONWFE
city aCLERK-RECORDState L E
MAIL TAX STATEMENTS TO
Name F 45864
Street .....ad above. • . • . e '
Address -
City &
State
Change of Owner-
. �
ship s;j.'al:ent NIOT SPACE ABOVE THIS LINE FOR RECORDER'S USE
Nod. (Sec. 433 R & T t
Couo) ;::,I to 111a1ing
addr:;ss on document.
Grant Deed
THIS FORM FURNISHED BY COMMONWEALTH LAND TITLE COMPANY
The undersigned grantor(s) declare(s)): %
Documentary transfer tax is v 14.85 F�ll4�
( X ) computed on full value of property conveyed, or
( ) computed on full value less value of liens and encumbrances remaining at time of sale.
( X ) Unincorporated area: ( ) City of , and
FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
JAMES R. BUTALA and EMMA Re BUTALA, husband and wife
hereby GRANT(S) to
JACK E. BUTALA and GLORIA E. BUTALA, husband and wife as joint tenants
the following described real property in the Unincorporated Area
County of Butte , State of California:
Lot 104 as shown on that certain map entitled Paradise Pines Mobile
Estates, Unit #1, recorded 4-10-70 in Map Book 35, Pages.65,66,67 & 68
of Maps, in the office of the County Recorder of Butte County.
Dated' November 14, 1979
STATE OF CALIFORNIA,
COLNTY OF
Butte SS.
On Nov. 15, 1979 before me, the under-
signed, a Notary Public in and for said State, personally appeared
James Re Butala and Emma R. Butala
known to me
to be the person A whose name B arftubscribed to the within
instrument and acknowledged that they executed the same.
WITNESS my hand and official seal.
Signature
Jac e' li a Grandstaff
Name (Typed or Printed)
JAMES R . BUTALA
MMA R. BUTALA
cm
cm
0
=OR
-e gq::;: E.,. ,nn jju�nn:;; A
13 ;
NOTARY PUBLIC
BUi 0 County
Stote of California n"
t1y Aatii 3, 1,703 7'•
(Thu arca for official notarial seal)
I 'Title Order No. Excrow or Loan No. I
et.T-Dae (e-:.,) MAIL TAX STATEMENTS AS DIRECTED ABOVE
CND OF DOCUMLt�l
rw. r � �.:# Jsta � 1 - � � ,,v^• x - ro��pp.,.rf '#' <s.� .1�f --ke .3,`"'S-.
.�. � n
,•FO.: �, �NDATION SYSTEM�,��N?�r
CERTIFICATE OF OCCUPANCY
BUILDING PERMIT NUMBER:04-1997
Address or location of unit: 14844 GOLDCONE DRIVE, MAGALIA
LegalDescription of Real Property: AP# 065-310-0248
SEE ATTACHED
(x) Mobilehome/Manufactured Home
O Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: JACK E BUTALA AND GLORIA E BUTALA
Owner's address: 14844 GOLDCONE DRIVE MAGALIA
INSIGNIA OR HUD NUMBER: CAL192174/5
7 SERIAL NUMBER OR V.I.N.: CA52918A/B
MANUFACTURER'S NAME: UNKNOWN YEAR: 1 0
OFFICIAL APPROVING INSTALLATION:
DATE:
PHONE: (530) 538-7541
H.C.D. 513C
c�
FH
C.
r
CYPSO
ILT EXEMPTION
RECEIPT DATE
UNKNOWN
DATE FI RST SOLD NEW
DATE OF MANU►ACTU RE CALIF. DEALER LICENSE NUMBER
DATE OF TRANSFER TO DEALER FROM
MANUFACTURER (IF KNOWN)
ONLY
(IF KNOWN)
STATE OF CALIFORNIA
DEPARTMENT 1iSE ONLY
FIRST
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
OWNERS) D BUTALA
ap`d^o
OF CODES AND STANDARDS
COLLECTION REPORT NO.DIVISION
5`I fii �. �,
MANUFACTURED HOUSING SECTION
LENGTH WIDTH.
(INCHES) (INCISES)
WEIGHT.-
(POUNDS)
DATE FIRST SOLD NEW
(IF DIFFERENT THAN ABOVE)
AMOUNT
��"'"F
APPLICATION FOR REGISTRATION OF NEW, USED,
NAME(S)l (2),
LAST
FIRST
OR EXEMIPT MOBILEHOME, COMMERCIAL
TRAN CODE
NONRESIDENT
UNKNOWN
.720
COACH, FLOATING ROME OR TRUCK CAMPER
SITUS CC
130 YE
HCO 680.5 IREV. 7/86)
NAME OF MANUFACTURER
MAILING
MANUFACTURER I.D. NUMEER
(IF KNOWN)
MANUFAC'
NEW DECAL NO.
)
ILT STICKER NO.
LOT Q. ILT
I,, ILT
UNKNOWN
FH
C.
RECEIPT NO.
CYPSO
ILT EXEMPTION
RECEIPT DATE
UNKNOWN
DATE FI RST SOLD NEW
DATE OF MANU►ACTU RE CALIF. DEALER LICENSE NUMBER
DATE OF TRANSFER TO DEALER FROM
MANUFACTURER (IF KNOWN)
ONLY
(IF KNOWN)
oa-oo-Bo
FIRST
MIDDLE
OWNERS) D BUTALA
JACK
00-00=$0
UNIT
UNIT OLD DECAL
MANUFACTURER SERIAL NUMBERIS)
HUD LABEL OR MCD INSIGNIA NO -(S)
LENGTH WIDTH.
(INCHES) (INCISES)
WEIGHT.-
(POUNDS)
DATE FIRST SOLD NEW
(IF DIFFERENT THAN ABOVE)
(PRINTTRUE
BUTALA
GLORIA
ELIZABET
NAME(S)l (2),
LAST
FIRST
MIDDLE
(3)
UNKNOWN
.720
144
ONE FOLLOWING:
130 YE
CA52918A
MAILING
N ,��
M ZIP
ADDRE S
CITY
MAGALIA
UNKNOWN
720
144
bTREET
N / A
� Q'" U A/
4
NEW (FUTURE)
CA529183
CITY
STATEIIP CODE
ADDRESS
STREET�y
LOCATION
SAME
L
ADDRESS.
VSE CODE EXPIRATION DATE TAX'TYPE ORIM COST/PRIGS ` CODE , YR. f CURR. SALE PRICE
I ILT — I Un PPT I F IRIF
DEPT.
USE
FH
C.
RECEIPT NO.
RECEIPT DATE
CLERK
SALE DATE
ONLY
I,q
FIRST
MIDDLE
OWNERS) D BUTALA
JACK
EDWARD
(1)
LAST
FIRST
MIDDLE
(PRINTTRUE
BUTALA
GLORIA
ELIZABET
NAME(S)l (2),
LAST
FIRST
MIDDLE
(3)
IF PLICAEBLE, CHECK
❑ TENCOM OR
❑ JTRS ❑
TENCOM AND ❑ COMPRO
ONE FOLLOWING:
CURRENT
STREET
14844 GOLD'COVE
MAILING
N ,��
M ZIP
ADDRE S
CITY
MAGALIA
`�
CAA 95954-D9:
bTREET
N / A
� Q'" U A/
4
NEW (FUTURE)
MAILING
CITY
STATEIIP CODE
ADDRESS
STREET�y
LOCATION
SAME
L
ADDRESS.
ct7r
Uij
O
STATE ZIP CODE
OF UNIT
�.
LEGAL OWNER
(PRINTTRUE NAMEY
IF APPLICABLE.
CHECK
❑TENCOM OR
❑ JTRS
❑
TENCOM AND
❑ COMPRO
ONE OF.TH"E FOLLOWING:
STATEzlP Coi
STREET
CITY
MAILING ADDRESS
FIRST JUNIOR
LIENHOLDER
(PRINT TRUE NAME)
IF APPLICABLE, CHECK ❑ TENCOM OR
❑, JTRS ❑
TENCOM AND ❑ COMPRO
ONE OF THE FOLLOWING:
STATE ZIP COI
STREET
CITY
MAILING ADDRESS
ADD JL -® NOTE: APPLICANT PLEASE COMPLETE THE REGISTRATION QUESTIONNAIRE ON THE REVERSE SIDE
Tl We certify under penalty of perjury that the statements made in this application are true and correct.
-4 - �, — 9�
�Ji�AAid,�t
CA
at
EXCCU(cd On (DATE)
(CRY)
(STAT
c)
SIGNATURE(5)
OF ABOVE• 2
REGISTERED
OWNER(S) (3
NJ
DATE STAMP AREA
RECORDING REQUESTEb'B$:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
IIII�'III'IIII'I'II"II"IIII�f"I -
20�4-1004644(a
Recorded
I REC FEE 10.00
Official Records
I CONFORM 1.00
County Of •
I PENALTY 6.00
BUTTE
24'X 66'
CANDACE J. GRUBBS
1
Recorder
I
ROSEMARY DICKSON
I
Assistant
I Mark
11:35AM 30 -Jul -2004
1 Page 1 of 2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
JACK E. BUTALA AND GLORIA E. BUTALA BUTTE COUNTY BUILDING DIVISION
REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
14844 GOLDCONE DRIVE
MAILING ADDRESS
MAGALIA BUTTE CA 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
0,4-1997 530 538-7541
I P IT 0. LEPHONE N14MBER
7,q 164
SIG ATUREOF.O LAGENCY FFICIAL DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE") .
NONE
DEALER LICENSE NO.
UNKNOWN
1980
CYPSO
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAME/NUMBER
CA52918A/B
24'X 66'
CAL192174/5
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
ASSESSOR'S PARCEL NUMBER '065-3 10-048
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept.
AND WHEN RECORDED MAIL TO
Name F M/M JACK E. BUTALA
Street 24365 Hartland Street
Address Canoga Park, California
City 6
Siete
OFFIG!AL R'E"CORDS
BUTTE COUt�T'('-OA! IF.
RItiC0RDS RF Q: J E`:' :=.i). BY
ISurrCOU
13 jo o GQ
All, 1979
CLARK A. P4iEL'S0N
CLERK -RECORDER .
J s� FEE
Nerve
MAIL TAX STATEMENTS TO
4586 •'��L�Q$
above......
slreei
• ,.,..ad
Address
City 6
Stele L
Nk
.
Change of Owner -
ship ti:7'iament 1,10T
SPACE ABOVE THIS LINE FOR RECORDER'S USE .
Filed. (Sec. 43.0 R & T i
Co,,c) :.t to mailing
,addre;ss on document.
Grant.
Deed
THIS FORM FURNISHED BY COMMONWEALTH LAND TITLE COMPANY
The undersigned grantor(s) declare(s): 7 NSF 17
Documentary transfer tax is $ 14.85 �/llp
( X ) computed on full value of property conveyed, or
( ) computed on full value less value of liens and encumbrances remaining at time 'of sale.
( X. ) Unincorporated area: ( ) City of and
FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
JAMES R. BUTALA and EMMA R. BUTALA, husband and wife
hereby GRANTS) to
JACK E..BUTALA and GLORIA E. BUTALA, husband and wife as joint tenants
the following described real property in the Unincorporated Area
County of Butte State of California:
Lot 10.4 as shown on that certain map entitled Paradise Pines Mobile
Estates, Unit #1, recorded 4-10-70 in Map Book 35, Pages 65,66,67 & 68
of Maps, in the office of the County Recorder of Butte County.
Dated November 14, 1979
STATE OF CALIFORNIA,
• SS.
COUNTY•OF. Butte
On Nov. 15, 1979 before me, the under-
signed, a Notary Public. in and for said State, personally appeared
James R. Butala and Emma R. Butala
known to me
to be the person .whose name 8 arftubscribed to the within
instrument and acknowledged that their executed the same.
WITNESS my hand and official seal.
•t
Signature / ''
Jacquelile Grandstaff J
Name (Typed or Printed)
JAMES R. BUTALA
MMA R. BUTALA
NOTARY PUBLIC
Bufle County
Stta Of California
X. Lly Coirzts_�aa ; in s 11�n4i 8, i �u3
*%kms-k:{:::I::;:i: Ji::�:J, (Jl: :Sl:il::�J�::,_:j::k.�..L.�, �:�:IC;n:k 7(•
(This area for official notarial seal)
I 'Title Order No. Excrow or Loan No. I
CLT -026 (e-771 MAIL TAX -STATEMENTS AS DIRECTED' ABOVE
8ND OF DOCUMENT
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net%dds
PERMIT NO.
BP041998
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 07/07/2004 APN' 065-310-048-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number: $ 3 Says
Site Address: 14844 GOLDCONE DR.AAAG- -'
Date: 7- �? - oq Contractor: I/ //
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: RE -ROOF GARAGE (15 SQ.)
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: BUTALA JACK E & GLORIA E JT
to its issuance, also requires the applicant for such permit to file a
14844 GOLDCONE DRIVE
signed statement that he or she is licensed pursuant to the provisions of
the Contractors State License Law (Chapter 9 commencing with Section
MAGALIA, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95954
she is exempt. therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: BUTALA JACK E & GLORIA E JT
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Prcfessions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:. H D CONSTRUCTION
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
7253 PENTZ ROAD
O 1 am Exempt under Article 3 of the Business and Professions Code
PARADISE, CA 95969
530-872-8604
Date: Owner:
License #: 837545
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect'
is issued.
'
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #n:
Valuation: $0.00
Census Code:
a, I certify that in the performance of the work for which this permit is
issued, 1 shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
``
Date: �- / ^ t7 `f
Applicant: A�
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
interest, fees.
code, and attorney's
-CONSTRUCTION LENDING AGENCY
This permit is here y issu d under the applicable"provisions of the Butte County Coda e.nd/or
I hereby affirm that there is a construction lending agency for the
Resolutions to o dicated bove for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
By: Date:
PERMIT EXPIRES ON:
Address:
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ ,Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose
Y�
Print Name: N�(r7 Signature:
Date: ! • - L� �(
O Owner 13 Contractor 0 Agent for Owner 0 Agent for Contractor
l COUNTY OF BUTTE - DEPART,MtNT OF PUBLIC WORKSPERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541/4-
�a' APPLICATION AND. PERMIT
ASSESSOR ARC L UM ER
— �i g
ZONING
_
BUILDING PE
MITL 01'
O E
LEPHONE
SQ. FT. OCC.1 BUILD NG VALUATION
OWNER'S MAILING ADDRESS
NT RACTOR'S NAME TELEPHONE
r S I S rul c 77-e a
CONTRACTOR'S MAIL I G DDRE S
S F
"CONSTRUCTION
LE DER
e
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty'
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING I?DRESS //��JJ//
PLUMBING PERMIT
Filing Fee
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME
ARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OFSRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Mmodela Utilities[] Installation Other ❑
Describe work: i'0%34i:'0
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service sooV OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONSDWELLING
OR ADDNST ( ACC. BLDGOCCUP,&)
20 sq ft
CONTRACTORS LICENSE LAW
I declare der 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 fore and effect.
/ %
License No.�G/ Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sa'ion, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULT' -OUTLET 2,50 ea
NON.RE BRANCH CIRC ITS
NEW CONSTR.(POWER APPARATUS &
NON•RESID. SINGLE OUTLET CIR.
so @ z5e
Ex. Occup(OUTLETS OR FIXTURES BAL@10C
FIXED APPLNS, OR ``
Ex. Occup.(OUTLETS (RESID,) EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
[6-1 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.
❑ 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 3.00
Heating
Cooling
Hood
2.00
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, , nd expenses which may in any way accrue
again id Coun i o ue a of the granting of this permit. 1107)
X Date �0l��
Signature of Applica - Owner❑ Contractor [I`Agent ❑
An OSHA permit is r uired for excavations over 5'0" deep and demolition or construct-
ion of structures ove[rr3 stories in height.
Mobile Home Installation Fee $ 8 -oo
Land Development Fee $
TOTAL PERMIT FEE $ �I�
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE R OF PUBLIC
By
P IT EXPIRES Date--------------------------
the applicable
resolutions to do
to do
fees have been paid.
WORKS
Date 1d-�7-c�2
�5sa�'��
Receipt No. �I"b T d
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
MOB ILEHOME SUPPORT DATA
Mobilehamia Mfr. Setup Model No. Year'
Width .2 (ft.) Length �j :. (.ft.) . . •Ekpando .Size ft.x _�ft.
'% (Draw 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)
-
Single Footings- (check..one)
Center Support
Footing Sizes
(in.)
X�
lIl . j l•
152,
(in.) (in.)
I�
(in.) (in.) �.
f center piers are other thaTlkawn above,
Wr:j,j�ocations,
s imensions.
1. Wood. either :
pressure treated or
fdn. grade.
L;1. 2.. Concrete pad.
3. Other,:specify
Supports (check one)
1. Concrete block
2. Concrete piers
3. Steel piers
4. Other, specify
c, Typical Support
liX Footing Size
in
in.j .)
Max. Pier
.�_ Spacing
Max.
l Overhang
3 3 Z—fid
BC�TTE COUNTY'
BUILDING DEPARTMENT
APPROVED'.
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name:
2. Installer's name:
3.
Is the site currently under permit? Yes.//
No
Yes / / No /
(If yes, furnish permit number
)
OR
9.
Is the site an existing site? Yes / /
No /X /
''- (in.)
10.
(If yes, furnish two (2) plot plans.)
is the type of gas service? ------------------
Natural / / LPG / eL'
4.
Will the mobilehome be located at least 5 ft. away
from septic
tank and leach fields and
12..
M
clear of all setbacks and easements? Yes / /
No
�_�,j (BTU)
( If no, clarify
(This information not required if pipe length
)
or less than 50 ft,. on LPG.) '
�1 1.
5.
What is the mobilehome electrical rating? -----------------------
Amps
6.
What is the mobilehome site service rating? ---------------------
z Amps'
7.
What is the mobilehome site circuit breaker rating?
-------------
lip 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) -�- (Amps)
9.
What
is the mobilehome site gas pipe size? ----------------------
''- (in.)
10.
What
is the type of gas service? ------------------
Natural / / LPG / eL'
11.
What
is the gas'pipe length from meter or tank to
the mobilehome? /gip �t.).
12..
.What
is the mobilehome gas demand? ------------------=-----------
�_�,j (BTU)
(This information not required if pipe length
less than 6 ft. on natural gas
or less than 50 ft,. on LPG.) '
�1 1.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 110
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
`•i f N S i. NOTICE-
BUILDING
.f
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinande
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.
X. C 0.yj-�-�0
S Til , `
�� t -) ; ke ��7� •N
01 1
e-, �M 17-'5
Inspector Date At" d
V = OK
0 = Not OK.
—
K-
- =.Not Applicable MOBILEHOMES -t
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except k's
1. Zoning Requirements—Setbacks—Easements
--2---&9*I&,4pecia1 MH Support—Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
2. Footings; Size—Depth—Spacing—Connectors
)Qo 3. Sewer; Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
Water; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.-Connec.—Shthg.—Rig.—Bracing
110
a Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
---4-.,CasrLocation—Test—Wrap:/ /"L"ft./ /,'Nat. or/ /"L"ft./ /"LPG
61 Carports; Windows—Doors
Q.,/
tility Clearance
7. Elec.
"`Card -BI
( Date B Card -BI Date
Card BI
Date Card -BI Date
div Card -B I'
Date/d./7,,9z) Card -BI Date
Card -BI
Date Card -BI Date
F • Y
MOBILEHOMEINSTALLATION (Plans) OK a sept q's
Date
POOLS (Plans) OK except it's
Y^{,'
1. Zon Re irements—S s—E ants
1. Setbacks—Easements
1t-
2. Fo s; Size—Sp —Ma a Line
2. Soils; Compaction—Structure Stability
3. or
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
j
4. ,Ele icity; M st—Pros Bre learances
4. Elec.; Receptacles and Lighting; Distances—GFI
i'
S. 0 est— all— x Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6.ter; Mwfestzaegu tor—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. W&1:6 and Sewe nnected—C/ o Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. &JT—an�, ct iEity T r
8. Elect; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. E p�ce c
10. Ceff.of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date and -BI Date
^Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date _11Card-BI
Date Card -BI Date
1
1.
1.
t
7aoAW.F� "`'/zoo A
a 14
Oar a
a
J
=--,OK
0 = Not OK
= Notvable
Read
= Not Readv RESIDENTIAL (Single and Duplex) '
�
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1. Zoning req uire ments-Setbacks-Easementsthe
tr wall & Openings
2. Ftg., Main; S6ils-Steel-Elec. Grnd.- / /" Ftg. Depth
Ext. oors-One 3' -Check Garage=3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
S trs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
Plywood on Root Overhang -Attic Vents -Rafter Outriggers
'
S. Stemwalls, Main; Steel -Blackouts -Wrapped -Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
ailing -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-Anc or Bolts -Joists -Vents -Cripples
Card -BI
Date -Z Card -BI Date
Card -BI
Date Card -BI Date
r
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except q'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.
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. 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
L- AL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20. a &Transformer Clearance -Ins. Protection
21. Elec. Receptacles Spacing -Lights & Switches at Doors
22. Size Boxes & No. of Conductors -Stapled
23. Ramex Installed Close to Edge of Studs & C.J.
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70.
71.
Plb., Elec. &Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E) Yes
25. 2 Appliance Circuits in Kitchen &Conductor Size
Guard Rails & Deck Construction -Post Caps
_
26. 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
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
'nsulated Neutral ❑Yes El No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes [I No;
Planters El Yes E) No
28. Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29. Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30. Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
-jj
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
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81.
Ventilation throughout House
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Date 3,f. 41'Card-BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except q's
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approy4l
_
32. Vent Fan; Exhaust above Insulation
86,
Energy. Compliance C tificate-Other CertificaAsly
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33. condensate Drain & Overflow; Size & Grade
Lo X
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
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at Card -BI Date
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Date
FRA G Plans OK except q's
Comments at Final:
4.2.
, Sills; Proper Material & Anchors
37. alls; Studs -Nailing, Spacing & Bracing -Plates -Sound
i3eBearing Walls over Girders & Floor Nailing
_
38:/Draft Stop in Walls (rat proof)
Qf'54rb Stops; Furred Ceilings -Stairs -Chases -Tub
er & Beam -size & Bearing
�Hep
a2!,>I`angers7Post Caps -Anchors -Connectors
6e Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. _
ies or Type A Flue -Fireplace Throat
_ Size & Romex Protection -Draft Stop -Ins. Baffles
46,--BAr+artl dows or Exiting Doors -Sill Hgt. & Dimensions
.47 G-,aq., cz_e Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
J=OK"
0 = Not OK
- = Not„Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
Date
DECKS, COVE g, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
1. Z Rirements-S -'Eaencs
2. Soils; Special MH Support -Sketch
_
2. Foo ngs; Size- h-Sp4DW§-Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
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.
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Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except a's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'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
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
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