HomeMy WebLinkAbout068-010-019`�68-01-19 92-2059 P, E
.`BRASS, Gary
• 45 Bessie'LN, Oroville 6/i/l
mh utility'es
GAS
COMPACTION TEST Rft
SUPPORT STRUCT RE
068-01-0— `_"— 5.! 9.3
g
_ -- 93-1590 MHI
BRASS, GAR
45 BESIR LN; OROVILLE
CONTR: MH CENTER'.
MHI
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V,wmv
,- RESIDENTIAL
68-01-19 92-2059 P,E
BRASS, Gary
45 Bessie LN, Oroville@
mh utilities
OFFICE COPY
Address
GAS
Meter By Date
ELECTRIC
Meter By Date
JOB FINALED (Date) _
Signature
J=OK
O=Not OK
=No peatlyable - MOBILE HOMES
Date M_PBfLE HOME UTILITIES (Plans) OK exceptg's
'1 ping Requirements -Setbacks -Easements
2. Soil a 'pecial MH Support Sketch
ewy,,'Location-Test-Fall-C/O Concrete
QX'a'ter; L cation -Test -Easement Needed (Sketch)
c ' y; Location-Clearences-Grnd- p -Concrete
b_ ����3 Gas; Location -Test -Wrap: / /"L"ft.
/ /" t. or/ /"L"ft:3ei'LPG
ell earance & Disconnect
lity Clearance
Date ` Card B-1 Date Card B-1 i
Date Card B-1 Date Card B-1
Date MOBJkE HOME INSTALLATION (Plans) OK except #'s
mg Requirements -Setbacks Easements
. F tings; Size -Spacing -Marriage Line
_42s; MH Test-Demand-Valve—Connector
ectricity; MH Test -Crossovers -Breakers -Clearances
Drain; MH Test -Fall -Flex Connector
tl8l_ er; MH Test -Regulator -Connector
Vater and Sewer Connected -C/O to Grade -HD Approval
,Gas and Electricity Tagged
Insp.-Sketch J
Cert. of Occupancy ,
Date ! / OCard B-14 ilk Date Card B-1
Date Card B-1 Date Card B-1 f
�%3
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except q's
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except If's
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.: Enclosures; Conduit Entries -Terminals -Listed
7. Elk.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (S
=
Date UNDERFLOOR (Plans) OK except k's
1! Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except rf's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
------------------ ----- -------------- ------- -----
17. Water Pipe; Test & Anchor -Nail Protection
--------------
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
--- --------- ---- - --------------------
19. Shower Pan: Test_ First Floor -Tub Access
------------
-- - _
20. Test Tub & Shower, Second Floor -Tub Access
--------------------------------------------
21. Gas Pipe: Size & Anchors
------------------------------------------------------------------------ -
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ft's
22. Fixture & Transformer Clearance -Ins. Protection
------------- - --- ---- ---------- --------- ----- ---------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
---------- ---------------------------------------------------- -------------
24. Size Boxes & No. of Conductors -Stapled
------------------------------- ------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
----------------------------------------------------------------- -
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
--------- - - ------------------------------------------
I27. 2 Appliance Circuts in Kitchen & Conductor SizerGFl
----------------------------------------------
28. Subfeed Wire Size i i ga. Cu or AI-A.C. Wire Size ga.
Cu or At
----------------------- - __----------------------------------- ----
. 29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral- 0 Yes- 0 No
- - -----------------------
30. Service -Riser Conductors &Ground -Main Disconnect
----------------------------------------------------------------
''31. Equip. Clearances Panels-Motors-Mech. Equip.
--------------
-------------
----------- - -- --- ------------------- - - -- -- - -
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
-----------------------------------------------------------------------------------
Date -- ------Card - 1-------------DateCard B-1
--------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except n's
--------------
----- ------
-34. A. -C.- Ducts Insulation-- & - Support
--- ----------------------------------------
35. Vent Fan Exhaust above insulation
-------- -------------------------------- -------------------------- -----------
36. _Condensate Drain & Overflow: Size & Grade
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
----------- -----------------------------------------------------------------
38. Attic Access & Platform if Furnance in Attic
- - -- - -----------------------------------------------------------------------------------------------------------------
-
.------------------------------- -------------------------------------------------
DateCard -B-1--. Date Card -B-1 ----------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils. Proper Material & Anchors
------- ------------------------------------------------------ --------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
-------------- ---- -- ----------------------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
- - -------------------------------
42. Draft Stop in Walls (rat proof)
---- ----- ------------ --- ----------------------------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
--------------------------------------------------------------------------
44. Headers & Beam -Size & Bearing
t'
jingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Ritr. ties -Pu rlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. &Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
------------
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
----------- --54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
------ -----
55. Siding -Nailing Veneer
--------------------- --
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access }
57. Glazing Area -Glass Protection -Skylights -Plastic
------------ ----------
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
----------------------------- -
Date __Card B-1 Date _ Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
----------------------- --
62. Smoke Detector
--------------------- ____
63.
------------------------63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
--------- ------------------
64. Bedroom Exiting
---------------
65. G.F.I. & Bath Fixtures & Tub Access -Spa
----------- ----------------
66. Elec. Trim & Subp anel: Breaker Sizes & Labels
----------------
--------------
67. Stairs & Rails ------------
68. Fireplace or Stove: Clearances -Hearth
--------------------------------------- -
6J. Elec. Outlets at Wood Panel: Int. & Ext.
--------------------- - ------
----
70. Kit Fixt_& Appliance: Grnd.-Air Gap -Cooking Clearance
71. -Elec. -Outlets- & Receptacles at Kit. Counter r
---------------------- -----
72. Garage Fire Door: Swing -Landing -Closer
-.21--A.C.- Duct in -Garage -Damper -- --
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. .
In Garage: Above Floor-Mech. Protection
75. Plb. Elec. & Mech. Equip. Listed for Location
r
76. Elec_-Receptacles-in Garage: (G_F.I.)-Romex Protection
- --- -----
7i. Insulation -Foam -Looked in Attic 0 Yes }
-------------------------------------------- -- ---
78. Guard Rails & Deck Construction -Post Caps
-----------------------------------------
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor--- 0 Yes
80. Following instld.: Drive 0 Yes 0 No: Walks C1 Yes 0 No: !
- - ---- -
Planters--O-Yes --- 0 No
------------- --
81. Stucco: Brown -Finish
82. A.C. Unit: Disconnect. Electrical, Plumbing
------------ --- --------------------------- ---
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
- - - - - ----------- ---------------------
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
86. Ventilation Throughout House
-------------------------------- - -----------------------------
87. Glass Protection 1
-.. - _ _--------------------------------
8B.-Corrections
- - ------------------
88. Corrections from Previous Inspections f
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
- ...... - --9 - -- - -------------- ----
91. Ener Compliance Certificate -Other Certificates
- ----------------------------- ----
Date Card B-1 Date Card B-1
-
---------------------------------------------- --- --
Date Card B-1 Date Card B-1
-------------------------------------------- ---
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
BUILDING DIVISION -
DEPARTMENT OF DEVELOPMENT SERVICES -
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER ° PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is corr.pleted. If you have any questions pertaining to this matter, or need additional explanation,
please contaePts office immediately.
S'
r
�� 1 �4iJ� %.�� � L`' � l l%-1''� /✓lam !�
Date ~ /Z 7 4spector
REV 10W
COUNTY OF BUTTE
BUILDING DIVISION
DEPARMENT OF DEVELOPMENT SERVICES .
1469 Humboldt Road, Chico, CA.- (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Bliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
z3r'r--S !j 92 - 2 OS9
CNVNER ' PERMIT NO.
AoouCine ispectim indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
iiscon:plebedByouhave any questions pertaining to this matter, or need additional explanation,
place contact this office immediately.
Date / Inspector
RBf 10W
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
PERMIT N0.
Address or location of mobilehome 4fS
Owner's name \TL
Owner's address
Insignia or hud number
Manufacturer's name_
PC
Serial number of V.I.N. 417 5 % A J L3 Year of manufacture -
al'Apfroving Installation) ' / (6¢te)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION;
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE:
MOBILEHOME IS STA ED ON FOUNDATION SYSTEM.
D
0/0 0
;5138 iWhite. - Oy _r Yellow - Instdller, Pink D P.W. } �� .� aim
I .r s...._...:r.. ,..k_....,n. ,� .... r. �,..srer�...,.r...�._�,....�4ise•:dw'b;..�i'u.�` �'*.�?iiif�iLu..r� �''.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County C2nter Drive - Oroville, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
068-010-019
�Iceipt
ZONING
AR -1
BUILDING PERMIT
OWNER
Gary Brass 510
TELEPHONE
769-6002
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1777 Shoreline Alameda 94501
CONTRACTOR'S NAME
Mobile Home Center, Inc.
TELEPHONE
741-3818
CONTRACTOR'S MAILING ADDRESS
1225 B Street, Marysville
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 20.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 35.00
PLUMBING PERMIT
Filing Fee 15.00
45 Bessie Ave. Oroville
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each pas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome[; Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home is G W
@ 15.00
TYPE OF WORK rr�'.
New u Additioni_i RemodeIC Utilities❑ Installation�l Other❑
Describe work: 3 Bedroo... MHI_
_AZ
04
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600vOR LESS
200A OR LESS
18.50
Main service 200A TO 1000Al
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio s Coe and my license is in full force a effect.
/�o� W�
License ;Jo. Classification
17I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST./ DWELLING OCCUPM
OR ADONIS. ( ACC, BLDGS.
_37.50
3.64sq.ft.
NEW CONST FLULTI-OUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS .&)
(SINGLE OUTLET CIR.
Ex. Occup( OR FIXTURES
20 760
Ex. OCCUp. OUTTS P(RESIDFIXED IREA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
Contractor
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
g
LHood
6.50
I Ventilation
Permit Fee
$
I 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 co ction, and thorize representatives of the Countyot
Butte to er upo the ab a mention d property for inspection purposes.
I als agree to avtenify an eep harmless the County of Butte against
all iabilitie JU COSiS nd expenses which may In any way accrue
ainst s Co ts ence f the granting of this permit.
Date --3
gnature of Applicant — Owner ❑ Contractor Agent ❑
��/"""
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S 70.00
Ener Inspection Fee
9Y P
$
occ
CONST TYPE TOTAL FE 105.00
HA2
DFEE
IMP
�--
FLOOD DF
PARCEL P HD
ISSUa
This permit is hereby issued under the
sions of the B e Co nt ode and/or
work indi a r which fees
I OF PUBLIC
By
PORMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
O KS
Date
No. 143904
.ITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
f
•� � �� - . � ,.. ':.f. rye t)''� ,�, ti.-rY-'�Y,,_.r., . ,,,
COUNTYOF BUTTE - DEPARTMENT#GFbEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
.t.
PERMIT APPLICATION DATA SHEET
OWNER �>L}� �A -sS A. P. No. ®t'OB - 610 -O
Proposed Building Use Building Inspector 00 Date S 1.2# 93
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... .
3, Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ..............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
Feesf$ ................................... (�
1 1 Impact fees as shown on attached schedule. ............................. .
California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department .
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18, Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. . .
20. Pre -inspection for Pia"Ie-l-ns `eQ"�
required. . . to Bu;�d;ng inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _). ...........
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization..... .
26. Copy of recorded deed of parcel creation and 60 right of wa, I- o a public road. .... .
Letter of intent on building use..................�,
.. ....
28. Mobilehome utility clearance . ..................... ............... �... .
Documentation of legal access . ............... .. .
30. Documentation of 50% subdivision developed or (A) Ro'adimprovements completed
and (B) .Parcel meets zoning area and frontage requirements'`_..........,. -'.. .
31. Existing violations/expired permits . ...................................... .
32. Plan check list . .....................................................
33.
.34.
Whenyou issue the permit, process as follows: Mail to owner. ail torso tractor.
1� Telephone Z4V-.3e1& and hold for pickup at A:>LjjjF office. J Deliver with inspector.
Other
Parcel Creation
Acreage Applicanf XDate
Copy of Haz-Mat form sent Health Dept. Fire Dept. , ( Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mai C r by _ Date
Plans checked by Date Plans approved by Datp
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
f
r r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNER �A rq, A.P. NO. 068-010 -ol°I
U 5_12F
PROPOSED BUILDING USE DATE
REC. # DATE REC
`1. School District Fees ��L �C 6 , ( /^
(paid at District Office) ........................
2. Sheriff Fees
(paid at Building Department)
06
Residential X =$
unit amt.
Commercial(per sq.ft.) X =$
sq.ft. amt.
3. Urban Area Fees
(paid at Building Department
Residential (per unit) X _$
# units amt.
Commerical(per sq.ft.) X =$
sq.ft. amt.
4. Recreation District Fees
(paid at District Office) ..........................
5. Drainage District Fees
(Contact Land Development) .........................
6. Other
7. Other
At time of permit ap cation, was advised the above fees are required to be paid prior
to issuance of the ape it. ��
APPLICANT
DATE S 1281 -13
COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
�� /
OWNER
ZONING
,�? /
t
BUILDING PERMIT
^ jHO E
_
O N R'S MAIL G DRESS S
Ae Qyso/
CONT AC
SO, FT. OCC. 'BUILDING VALUATION
TEL HO E
v
�
�NTRACTORy�S MAIL NG/�DDRESS {�/J //
�,r��� �—�//�%��/s�/l�-C,'�
Fireplace
CON
CONSTRUCTION LENDER /
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee $ 15.00
Permit Fee $ o•o
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
Energy Plan Checking Fee $
Penalty $
Permit fee $ s ��
PLUMBING PERMIT Filing Fee 15.00
LOT NO. SUBDIVISION NAMEPARCEL MAP
Each Trap 5.00
Solar or heat pump water heater 20.00
water piping 7.00
Each Qas water heater or vent 7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S G W 15.00
TYPE OF WORK
New ❑ Addition ❑ Re iodel [I. Ut, lit, s ❑ Installatiory Other ❑
Describe work: %Z
_
Permit Fee $
Contractor
ELECTRICAL PERMIT FilingFee 15.00
Main service 200A OR LESS 18.50
CONTRACTORS LICENSE LAW
I declare un 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 �ffce �annd�r effect.
License No.27 Classification C�-L//
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, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec.—_, Business and Professions Code
for this reason
Main service 200ATO1000A) 37.50
NEW CONST. DWELLING OCCUP.y 3.60 sq.ft.
OR ADDNS. ACC. SLOGS.
NEW CONSTR.OU LET
NON-RESID BRA C I S @ 5.00
POWER APPARATUS .&)
SINGLE OUTLET CIR.
Ex. OCCUp OUTLETS OR FIXTURES 20 1 7
VMXED❑ S, OR
Ex. Occup. OUTLETTSS (RERESID.) EA. 3.00
OUTLETS
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring '15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
Z ❑ The permit Is for 5100.00 (valuation) or less.
--have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after snaking this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FllingFee 15.00
Heating
Cooling
Hood 6.50
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree comply to a I aunty Ordinances and State Laws relating
to building const u Ion, and hereby uthorize representatives of the County of
Butte to enter upo the above -menti ed property for inspection purposes.
I also agree to ve, i erRn fy an keep harmless th o nu ty of Butte against
all liabilities udgm s, c sts and a pense Ich may in any way accrue
agai si said o itty ' Icor qu c t nting of this permit.
X G Date �� O
Si of Applicant - oW
PP f� Contractor Agent ❑
An OSHA permit is required for excavations over 5'0'& deep and demolition or construct•
ion of structures over 3 stories in height.
Mobile Home Installation Fee S 7C�
Energy Inspection Fee $
occ
CONSTTVPE
TOTAL FEE $—�`�^N-��
HAZ
DFEES
IMP
F1000
CDF
PARCEL
PD
Mp
IssuE
This permit is hereby issued under the applicable provi-
sions of the Butte Count Code and/or resolutions to do
y
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No.
IfNIT[•D.P,W„ TfI LOW•ASa(9eOR, PiNK•INSPCCTOR, GOLD CNROD-APPLICANT
1;;:�t:^,vq'S$v-r.-r�—^'�:;vn-•qo : -11&
r
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building). �
School District L� Building Department No.
A.P. Number D(p�'- 0 /D • d / `� Jurisdiction 0 City � County
Property Owner
Property Location/Address
Subdivison
' Residential Development. 0 . f Sq. Footage % Z Z'Z__
No. of Wing MHI Addition (Group R)
Units ,. • '
:x
Commercial/Industrial 0 Sq. Footage
'New Addition -'(Including Exterior
' Roofed Areas)
..Building Deoaftmd,nt.Aer6sentdtive '. Date
(Floor Plans reviewed by School District Personnel) r
No.
M
to
I
District Identification No.
€ i
Sch of District certifies that
' (Applicant)
I�
(Stet Address] (Phone Number)
0
(City) (State)
ihas complied with the requirements of Resolution No.�J�-�J�
representing
142.1
square feet.
241
School District Representative
Paid by Check Number
Bank Number _
Paid by Cash _
(Zip Code)
by payment of $ r--2016.,-30
Remarks:
�-r
W/- �7-93
Date
12
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project �}
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to,
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
AP #
OWNER
PERMIT'V cj�- 1G�S'7
MH UTI . L . CLEARAN DATE
INSPECTOR
ELECTRIC
GAS
Support Compaction
Struc. Test -Req.
Service
Size
OtherPipe
Load
T e
Size
Length
YES NO YES NO
•
r
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 1 PERMIT
NO
7 County Center Drive - WoVille. California 95965 - Telephone: 916.'538-754 �'f
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
68-010-019
ZONING
AR 1
BUILDING PERMIT
OWNER
GARY BRASS 510
TELEPHONE
535-2671
SO. FT. OCC. BUILDIN A4f AT
OWNER'S MAILING ADDRESS
1434 56TH AVE OAKLAND 94621
CONTRACTOR'S NAME
UNKNOWN
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee
$
Permit Fee
$ 20.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
45 BESSIE LANE VILLE
Permit fee
$ 20.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
.SUBDIVISION NAME
0 �.�� -
PARCEL MAP
✓ J_ Z
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeX Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home G
615-00 45.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities4 Installation❑ Other ❑
Describe work: ME 11 IST BE APUD APPROVED 9 RnRM _
1
Permit Fee
$ iso -on
Contractor
ELECTRICAL PERMIT
Filing Fee
Main service 600V OR LESS
200A OR LESS
p15.00
18.50 18. 0
Main service 200ATO1000A)
37.50
CONTRACTORS LICENSE LAW
I declare under enact of perjury check one):
penalty P i Y( )� -
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
` License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
d -,/for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST.DWELLING OCCUP.�
oR ACDNS. (ACC. BLDGS.
3.6Q sq.ft.
NEW CONSTR MULTI.OUTLET
NON-RESIDv BRANCH CIRCU ITS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
24 76
LNS. OR\\
Ex. Occup. OUTLETS ED APPIRESID.1 A./
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00 15.00
Misc. Wiring
g
15.00
Permit Fee
: 48.50
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.Contractor
Contractor
MECHANICAL PERMIT
FiIingFee 1 15.00
Heating
Cooling
g
LHood
6.50
Ventilation
Permit Fee
$
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also gree to save, indemnify and keep harmless the County of Butte against
all Iia0lities, judgmen s, costs, and expenses which may in any way accrue
agai st s 'd County i onsequence of the granting of this permit. �I
X Date Ifs^ ��'7�
si_g ure of ppli Ont — Owner Contractor ❑ Agent ❑
An OSHA rmit s required for excavations over 5'0" deep and demolition or construct-
ion of stru tures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 128.jo�
HAz 10 FEES
IMP
FLOOD
—'�-
CDF
`
PARCELS
Z
PD
�--
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicaWafor which fees
OF PUBLIC
By
PERMIT EXPIRES Date 7—
applicable provi-
resolutions to do
have been paid.
WORKS
Date ?-17-9z
17-173
Receipt No. 117149
WNITE-D.P.W., YELLOW-A59[9SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUN tY' OF BUTTE ' PARTMENT OF PUBLIC WOIT BUCYNG DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER Arc
r P. No.
Proposed Building Use Building Inspector Date /
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted. .
2. Plot plans,Q/4 sets, signed by preparer of plans. ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans. ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. .............
5. Hazardous Material Form.............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non-Heated and A/C Buildings. ..................... .
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees
of :.........................
11. Impact fees as shown on attached schedule. ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year floobv �)� rnia Engineer. .
14. Sanitation and plot plan approval ��t'i Health Department . ............ ,7 /Y-�%�E G
15. City of Chico plumbing permit. .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........ _
18. Contact Land Development about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). .. ... ...
Pre-Inspection r6*que
20. Pre-inspection for required. .toBuilding lnspector (Da;)
21. Contractor's license information. (No., Name Style, Classification). ..............
22. Certificate of Workmans Compensation Insurance. ......................... .
23. Owner-Builder Verification (Given to owner Mail to owner )............
24. Recorded copy of Agricultural Acknowledgement Statement. ..................
25. Letter of signature authorization.........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use......................................... .
28. Mobilehome utility clearance...........................................
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements. ...............
31. Existing violations/expired permits.......................................
32. Plan check list . .....................................................
33.
34.
Whenyou issue the permit, process as follows: Mail to owner. Mail to contractor.
V Tele
ph a and hold for pickup at office. Deliver with inspectorl, -
Other .61 - 26 7/*
Parcel Creatio
Acreage ApplicantDate
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air ollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted rior per iLn Nuance: (Circle new item not checked ab v2el4i
. 1. Index permit for above items No. L�I�
2. Additional items required:
Contractor, designer, o er, was advised of above required data by _ phone rTiail Counter by/1 Date �� Z
Contractor, designer, owner, was advised of above required data by _ phone _ m2,ajt- Counter by _ Date
Plans checked by Date Plans approved by Date 7' L
Sets of plans on hold in File cabinet - AP folder
Copy - Department of Public Works
TO: Building Department
FROM: Encroachment Permit Section ,.
RE: Driveway Clearance
Ole —elo
owner location AP # eti
Driveway permit l 0 7 has been issued for the above property.
All
si ature date
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
_dA tjs t�.� �a �_�_ '_- � /
Owner Location AP#
Plan Approved for: Sewage Disposal Water SupplyC.&=,
Hold final for:
Water Supply
Final clearance O.R. for: Water Supply
Clearance for -j�2— bedroom mobile home. Other
NOTE
a t e
Sanitarian
° COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
f • 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER k67® _
�-
ZONING
BUILDING PERMIT
OWNER
5. SI d
TELEPHONE
-535—Z-6'71
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING D �S�� 1/6 n AT-//6�1
CONTRACT[/OR'5KNAME
� A
T LEPHONE
CONT ACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ �15a80�
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS �
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
S
Each Trap
5.001
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome'w Other
v-- SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
1 15.00
Mobile Home n VON
0 ,62�
TYPE OF'WORK
New ❑ Addition E]� Remo'd/el ❑ U''tti^ilities)�K Installation❑ Other ❑
Describe work: ///T(' V N!� b�–
c7(/>!�
n
Permit Fee
$ Q
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 2A OR LESS
60000A OR LESS
18.50 �D
Main service 200A TO IOOOA1
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1-1I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.( DWELLING OCCUP.&\
OR ACDNS. ACC. BLDGS. I
3.64 sq.ft.
NEWCONSTR � ULT LOUT LET
NON -REST D• BRANCH CIRC ITS
` 5•00
POWER APPARATUS e
(SINGLE OUTLET CIR. I
Ex. Occup( OUTLETS OR FIXTURESR
20 76d
Ex. Occup. OUTLETS FIXED PRESID )LNS.REA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$ 49.56
—
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
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Si nature of Applicant - Owner
g pp ❑ Contractor ❑ Agent ❑
An OSHA permit is required For excavations over 5'0" deep and demolition or construct•
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
DCC CONST TYPE
I TOTAL FEE $
rA2 1 0FEES I
I
IMP
I FL000
.f
I COF
PARCEL
PO
H
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.y7
WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
U tk
//, /L //' f
,010
i
K�--
Return to DPW AGRICULTURAL STATEMENT OF AC.NOTdLEDGE` ENT 92-36788
FOR RESIDENTIAL DEVELOPIMNT
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
The property described herein is adjacent 92-0367881 Rec Fee 5. 00
to land or included within an area zoned I Cash 5.00
for agricultural purposes, and residents
Recorded I
of this property may be subject to incon-
Official Records I
veniences or discomfort arising from the
County of I
use of agricultural chemicals, including,
Butte 1
but not limited to herbicides, pesticides,
Candace J. Grubbs I
and fertilizers; and from the pursuit
Recorder I
of agricultural operations including,
11:42am 17 -Aug -92 I PUBL XX 1
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for
productive agricultural purposes, and residents
within said zones and on adjacent property
should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All ttrat real. property.' situate in the County of Butte, State of California, described as
follows:
1 `Lot 25, as shown on that certain Map entitled, "OR7 aMNZ SUBDMsrm WrT No. 1",
which Map filed in the office of the Recorder of the County of Butte, State of
California, on February 19, 1964, in•Book 31 of Maps, at page 23 and 24.
L
Date: 00— /.7—/ -
State of ) On this the _ day of ! 19 before me, the
���-- SS. undersigned Notary Public, p 'onally appeared
County of ) /W _ "'�e e�%
E] Personally known to me.Proved to me on the basis
14 of satisfactory evidence.
PATSY L. CARTER t be the person(s) whose name(s)
Not"PJPJftC s scribed to the within instrument and acknowledged that
-` WM COuNry e cuted the same for the purposes therein contained. IN WITNESS
co"V, MA »•1REOF, I hereunto set my hand and official seal.
Present A.P. No. y/ p—Q( ,x_07
No y Public
END OF DOCUMENT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Centex Drive, Oroville, CA 95965 PHONE: 916-538-7541
DATE 6-23-92
GARY BRASS RE: 92-2059
1434 56TH STREET
OAKLAND CA 94621 A.P. #68-010-19
With reference to the above subject:
/ / Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and.calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets o•f'p.lans in accordance with the changes marked in red.
X Sanitation approval from .Butte County Health Department at:.
1469 Humboldt Road, Chico
X 7 -County Center -Dr Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
.Oroville, for
Completed Ownerr-Builder Verification form.
Recorded copy of deed showing
X Recorded copy of agricultural acknowledgement statement.
:OTHER 1. NEED ONE PLOT PLAN WITH HEALTH DEPT. STAMP ON -IT..
Should you have any questions concerning the above, please contact TOM MAY
of this office. BETWEEN 3 P.M. & 5 P.M.
Yours very -truly,
William Cheff
Director of Public Works
<��
Glander
JFG/aj
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
"4 >01e 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
' s DATE
A.P. # 4pf--o/6
With reference to the above subject:
Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner-Builder.Verification Form List of Codes Enforced
OTH
We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check -.exemption statement.
Complete plans in including plot plans._
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
St et and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in'accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
69 Humboldt Road, Chico
?/ 7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County'Center Drive,
Oroville, for
CopnAeted Owner -Builder Verification form.
--R'e'corded copy of'deed showing
Recorded copy of agricultural- acknowledgement statement.
HER �����
Should you have any questions concerning the above, please contact
of. this office._
_ Yours very truly,
William Chaff
Director of Public Works
F. Glander
JFG/aj //
Ac =dance wiil'i Recognized Good Practices and
of i qualNy prescribed for the Specified use in the
Un form Building, Plumbing & Mechanical Codes and
th National Electrical Code.
...„ oluz W1 Malls Zulu speciucavons MUST be
kept on the job at all times and it is unlawful to
make any changes or alterations on same without
written permission from the Department of Public
Works, County of Butte.
MOBILE HOME [MUST
GEAR H.U.U. LABELS
Location of structures A =
equipment shall be as shown
& clear of all easements.
✓
ct/
SD ilo
C-
ALL STRUCTURES AND EQUIPMENT INCLUDING
OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS.
A SET BACK OF _d FT. FROM THE SIDE AND
/d FT. FROM THE REAR PROPERTY LINES AND
-5;;J1 FT. FROM THE ROAD CENTERLINE SHALL. BE
CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT
FOR A 2 FT. EAVE OVERHANG.
cn ala, Z oS-y vT•/
BUTTE COUNTY
BUILDING DEPARTMENT
A P P R O V E D
3�r
M06
�66 � �u
zeac� r
• �
1 I
DATA
If other than single- wide, 2
Mobilehome Mfr. m /(vim furnish Setup Model No. 3 Year 6
Width r L (ft.) Box Length�(ft.) Tagalong or Expando Size X-114. . x ft..; '
,J
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).
FOOTINGS•(check one) '1. Wood -pressure treated or foundation grade.. 2. Other (specify)
SUPPORTS (check one) 1. Concrete block. 2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
Line 1
LSai2....
Main Beams
:nae ° — — — — — — — — — — — — 1. int 2
Main Beams—� — — —
.JLine
ine I
ne
Tag or Triple
Line
Line I Piers: Ltas 1 ooeninaa:
,A
Sig* -Min.
ON
Spacing -Max. •'------- Each Side of Openings
From Ends -Max -------- With Width Over ---'
Line 2 Piers:
Size -Min.--..........
Spacing -Max. .........
t� From Ends -Max. - -----
Line 3 Rout Loads:
Size -Min, -------•----
Location (From Front)
e Ram. MMP_
Line 4 Piers:
size -Min -------------
Spacing-Max ----------
From
------------
Spacing-Max.---------
From Enda-Max..
Line S Roof Loads:
Size -Min -------------x
Location (Prom Front) ,- „
Fa w
I. nI , -
Line 3 Piers: (Under Bearing Wall Only)
Site -Min...................
,
"x
Spaeing-Max.................
:M1
Prom Enda-Mac. ••........•
e S Piers: (Under Bearing Wells Only)
Siss-Min...................
Spacing -Max. -•-----•-•---
From Ends -Max.•- ...... •.•.. „
'.�i� 0_
APPROVED
^';
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541
4pl,:
MOB-ILEHOME INSTALLATION SHEET
1. Owner's Name:
r r d C-1
a
2. Installer's Name: VC
� 075 c /� l�G�- �o £/� �s
3. Is the site currently under permit? Yes No
(If yes, furnish permit number ) OR
_.,.._Is.. the site .an .existing, site?._:,._..... ..__ Yes No
(If yes, furnish two plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach
fields.and clear of all setbacks and *easements? Yes No �. a
(If no, clarify
5. What is the mobilehome electrical rating? --------------- ��� Amps
<r 6. What is the mobilehome site service rating? ------------- Amps
7. What is the mobilehome site circuit breaker rating? ----- �C3'�r Amps
8. Is there any other electric load to be served by the
--------------------------------
.;•:; .: mobilehome site service? _ Yea a No •: ,
(If yes, identify the load and sizer (Load) (Amps)'
9. What is the mobilehome site gas pipe size? -------------- / (in.)
10. What is the type of gas service? ------------------- Natural LP5e]
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............
11. What is the gas pipe length'from'meter or' -tank to the
mobilehome? --------------------------------------------- (ft.)
* 12. What is the mobilehome gas demand? ---------------------- (BTU)
*(This information not required if pipe length less than 6 ft. on
..r d natural gas or less than 50 ft. on LPG.)
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