HomeMy WebLinkAbout068-020-01268-02-12
ORGE & ALICE WHITE`
10 eesie Lane, Oroville
�f Permi M 70-83P,E (until, MH)
ELECTRIC -/Z `8� 'A -
GAS /-/Z -8 28 3/4'� LPy
SUPPORT STRUCTIIR REQ_
COMPACTION TEST RE
58-02'=12' .._
Contr; ,�,o'bile Home Center
Permit-#114-84MHI,.,-
I's-s-doe-d i - i 7- Vy I
68-02-12
r Permit#250-84B(new carport & cov decks/
MK) e44�j AZAda!�
068-02-0-012 92-0233
CROSS, TERRY
CONTR: OWNER
10 BESSIE LN, OROVILLE
DECK, COV AREA, SPA/MH
f
' h
i
Ctrl O
RESIDENTIAL
068-02-0-012 92-0233
CROSS, TERRY
CONTR: OWNER
10 BESSIE LN, OROVILLE
DECK, COV AREA, SPA/MH
JOB FINA
Signatui
J=OK
O = Not OK
Not
= Not Readyable MOBILE HOMES '
Date MOBILE HOME UTILITIES (Plans) OK except #'s I
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
MISCELLANEOUS
Date DECKS COVERS, CARPORTS, GARAGES, Plans OK except #'s
P11 -Zoning Requirements -Setbacks -Easements
2. Footi�!q$; Soils -Size -Depth -Spacing -Connectors -St
ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Do rs
lectric
8. Frmq; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date s Card B-1 Date Card B-1
Date.2. 21•-J2 Card B-1 Date Card B-1
Date POOLS (Plans) O except #'s
1. Setbacks -Easements
2, Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -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
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Nat. or/ /" L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS COVERS, CARPORTS, GARAGES, Plans OK except #'s
P11 -Zoning Requirements -Setbacks -Easements
2. Footi�!q$; Soils -Size -Depth -Spacing -Connectors -St
ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Do rs
lectric
8. Frmq; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date s Card B-1 Date Card B-1
Date.2. 21•-J2 Card B-1 Date Card B-1
Date POOLS (Plans) O except #'s
1. Setbacks -Easements
2, Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -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 (;
=
Date UNDERFLOOR (Plans) OK except N'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-Wra pped
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 #'s
16. Water Htr.: Vent -Access -Combustion Air -Baffle
--------- - -------------------------
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
--- ------------- - ------------------
19. Shower Pan; Test. First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date Card B-1 Date Card B-1
------------------ ----------------------- -- ---------- -----------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
------------- ----------- -----------------------------------------
24. Size Boxes & No. of Conductors -Stapled
- ---------------------------------
25 Romex Installed Close to Edge of Studs & C.J.
--------------------------- -------------------------------------------------
26. Equip. Ground made'up w!Mech. Fastners-Bond Gas & Water
----------- ---------------------------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
------------------------------ ---`-------------------------
28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size / / ga.
Cu or At
-------- -
-----------------------------------------------------------------------
29. Range Circ. / i ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
------------------------------------------- ------------------------- --- -- -
30. Service -Riser Conductors & Ground -Main Disconnect
-------------------------------------
31. Equip_Clearances Panels=Motors_Mech_ Equip_
----- --------
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
------------------------------------------------------ -------------
Date Card B-1 Date Card B-1
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. -.A. -C.- Ducts Insulation & Support
----------------- ------------- -------- -------- ---- --------------------------
35.
- - ------ - -- --- - -- --- ----
35. Vent Fan: Exhaust above insulation
---------------------------------------------------------------
36. Condensate Drain & Overflow: Size & Grade
----------------------- ----------
37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet
--------------------------------------------------------
38. Attic Access & Platform if Furnance in Attic
----------------------------------- ------ -------------------------------------
Date Card _B- 1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils. Proper Material & Anchors
------- ---------------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
--------------------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
--------------- --------------------------------------------------------------
42. Draft Stop in Walls (rat proof)
---------------------------------------------------------------------------------
----------- - 43.. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub
-------------------- -----------------------------------
44. Headers & Beam -Size & Bearing
jingle & Duplex)
Date FRAMING (Continued) „
45. Hangers -Post Caps -Anchors -Co'nnector's .
46. Cing. Joist-Rftr. ties: Purlin-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 W�Ilslls_Nailin Bolts
59. Insulation -Walls -Ceilings
-- - - -----------
60.
---------60. Infiltration -Walls -Windows
-------------------------------
Date Card B-1 Date Card B-1
--- --------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
--------------
--- ---------------------
62. Smoke Detector
------------ -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
-------------------------------
64. Bedroom Exiting
---------------
65.--G.-F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
67. Stags -&-Rails
68. Fireplace or Stove: Clearances -Hearth
69. Elec. Outlets at Wood Panel: Int. & Ext.
- -_ - - -------------------- ----
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
---------------------- -
72. Garage Fire Door: Swing -Landing -Closer
--------------------------------- -- -
73. A.C._Duct in Garage-Damperp_
74. Wtr. Htr. Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb. Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
-- - - --- ---------------------------------------------
77. Insulation -Foam -Looked in Attic ❑ Yes
---------------------------
---78.-Guard-Rails & Deck -Const ruction- Post Caps
79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
----------------- Planters ❑------------Yes----❑ No---- - -
81. Stucco: Brown -Finish
-----------------------
82. A.C. Unit Disconnect. Electrical, Plumbing
- -- - -- ------------------ ' -- --
83. Vents Above Roof: Plb9 A lianPp ce-Firep lace. -Clearance to
Openings
84. Water Well: Disconnect, Electrical, Plumbing
...
--------------------
...... ---------------- P - --
85. - - Exterior-- -- Elec. Trim:-G.F.I. Rece tacle-Under9 round --------------------- --
86. Ventilation Throughout House
._ --- --------------------------
87.
-- --------------87. Glass Protection
88. Corrections from Previous Inspections
-- --- -----------------------------------------
89. Gas Test -Meters Tagged: Gas -Electric
-----------
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
------ I ------------------------------------- ---
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 - DEPARTMENT OF PUBLIC WORKS PERMIT NO,
7 County Center Drive - Orovllle, Callfornla 95965 - Telephone: 916,1638-7541
APPLICATION AND PERMIT
ASSItSfION PARCEL NUMUrN
068-020-012
ZONING
^e- I
BUILDING PERMIT
WN TE CROSS
589-4881
S0. FT. DCC. BUILDING VALUATION
300 C 3,900
OWNER'S MAILING ADDRESS
TEN BESSIE LANE OROVILLE
600 0 4,200
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
$, 1
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 90.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 45.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
10 BESSIE LANE OROVILLE
Permit fee
$ 150.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
7
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome[X Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation❑ Other
Describe work: DFCK AND COVERED AREA 2 SPA ELECTRIC •
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200ATO1000A)
37.50
CONTRACTORS LICENSE LAW
I declare underof perjury check one):
penalty p ' y ( )
® I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full grce and effect.
License No. ! �_M2/J Classification
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively coritracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.�
OR ADDNS. (ACC. BLDGS.
3.6Q sq.ft.
NO N•RESID R BRANCH CIRCTITS
@ 5•00
POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 @ 764
D APLN
Ex. Occup. OUTLETS P(RESI D.)REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. �yirin 9
15.00
SPA WATER15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Coolin 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 H bilities, judgments, costs, and expenses which may in any way accrue
against id County in cc equence of the granting of this permit.
X Z) <; ' Date 1121,
Si nature of Applicant — wner
g pp ❑ Contractor � Agent
An OSHA
ion of structures tover required
soin excavations over 5'0" deep and demolition or construct-
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE 180.00
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
PD
HD
(✓
ISSUE
✓ f
This permit is hereby issued under the
sions of the Butte County Code and/or
work ind a d abo or which fees
E OF PUBLIC
By
P &MIT EXPIRES Date Z --
applicable provi-
resolutions to do
have been paid.
WORKS
Date/Z_��L_ .
– 3
Receipt No. 109560
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
,� .-F�� t�"s�.'rri"`., lir r...rir.�n7y--'�qrt'*�.�!'nr'�►'�'wv+..c,;,,�j.7p¢X.+.�-4'rt'e•R^iu'."-R'T.,�s+w.-+..•�.�..^sn-.—•.r •-ywi',.qu+lKny't""' '_""ir ."'."t"ry4v'�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE:r OfiVILLE, (/,ALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT AYf'PLICAT.IDN.DATA SHEET
Permit No.
OWNER --i/�c CLC A P No.
Proposed Building Use ���e�.�G� Building Inspector Date �7 9Z'
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by lireparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions .................... ............................... .
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
3.c/�}o/o.� District fees paid ..............
14. Sanitation approval from K v Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
Certificate of Workmans Compensation Insurance ...........Aa.. Owner -Builder Verification (Given to owner ❑, Mail to ownea.
2 . Recorded copy of Agricultural Acknowledgment Statement .........
10 etter of signature authorization ...................................
M6.
27.
When u issue the permit, process as follows: Mail tq_owper. Mail to contractor.
Telephone: and hold for pickup at%�� (J office. Deliver w/inspector.
Other
Applican --e, Date / Z'
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—mall—counter by .date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date AIM3L, Plans approved by NJ Date 2 3 92
Sets of plans on hold in File cabinet AP folder
Copy—DPW :..
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovliler California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
ASSESSOR gg..CEL NUMBER
rro — 'p % z
ZONING
BUILDING PERMIT
S
5y
SO. FT. OCC. BUILDING LUATION
_
WN R'S MAI LING_f�� /� � O/�� ����
��(J// .C/L7
D
CO TRA TOR' AME
(MAILING
TELEPHONE
CONTRACTOR'S ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 1.55,00
Permit Fee
$ ,
ARCHITECT OR ENGINEER
LICENSE NO..
Plan Checking Fee
$ .�
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS �J ��D A
(//) �/lvf4
Permit fee
$
ii�j
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECI FY
Gas piping system 1 - 5 outlets
EL H7.00US
Building sewer
15.00
Mobile Home I S I G JW I
@ 15.00
TYPE OF WORK
New ❑ Addition Remodel[-] Utilities[_Installation❑ Other
Describe work: LVS– /[ 61ID GOUE12–FD _
1412 EA E_L
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200V OR LESS
00AOR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I�
I 1 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
Main service 20CATo 1000A,
37.501
DWELLING OCCUP. �\
NEW CONST.OR ADDNS. 1 / ACC. BLOCS. I
3.6Q sq.ft.
NEW CONSTR. ULTI.OUTLET
NON-RESID. BRANCH CIRC ITS
@ 5.00
POW EP. APPARATUS e 1
SINGLE OUTLET CUR.
(
EX. Occup\OUTLETS OR FIXTURES
20 75d
AL- 490
FIXED APPLNS.
Ex. Occup. OUT ETS RESID IREA.)
3.00
Temporary service
15.00
Mobile Home Facilities
1 15.00
Misc. tiVirin 9
1 15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
9
Hood
6.50
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHA over 5'0" deep and demolition or construct-
ion of structures tover r3q,storiesoin height.
Mobile Home installation Fee S
Energy Inspection Fee $
occ CONST TYPE
TOTAL FEE $ �.
;7
OFEES
IMP
I FLOoo
I COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
f � 1
Receipt No.10n. I
'NNIre.o.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLD ENROO-APPLICANT
TO
FROM:
SUBJECT:
Buildinv Department
Environmental Health
Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewaqe Disposal Water Supply
Hold sinal for: Water Supply
^incl clearance O.K. for: Wa er Supply
Clearance for Othe� 2) L�
.�
C7 1-d(exA) 00c) C)
D e
Sanitarian
0-6
a
APPROVED
�Health ---- f�
AJOT4'
ALI, -ro ca1al.1
d Go,%,j Pir;--Ctlrai� AS PER Arr,4,114(b ZMk
CUE
(;js.set of plansi-arid specifi
�:,--tionic 4644
cil! firnes and it is unlawful to (07
ra, v
C!r.v clhanaes (21r r'... 110.15 on same W;thoui
pierm;csion Pram the Department of Public
ouriv of Buffe.
C2. 00. zo eQ 6,7
Q
Sp
BUTTE COUNTY
K
BUILDING DEPArATMENT
C)
ED
AppH,V
6005,f F7 b&k tlpw
C4 Roj4 v SAA 213 l 9'L
Q\ LF.
300
/ � o La PfO povoy Location of structures &
equipment sha!l be as shown
& clear of -all eassments.
10' 51 me -f ser&,Cts
4X� �
CROSS �ERQ
Cox a pee T.
.Z� 37x0
IL 4� 6 of N 2 vnAxspw=
24"ac mkx w _ gD
20010E "IMoDiEIO
osr CAp Cotimain ur., i� apt ca 0
brac".
Provide a ulite bmelmg.
¢ k posr r Q /0' <P/rlfR s
4 k 4 Pom @ � ' cr/uws
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
fit' SETC.CNnRs wE?' Se.T AkCI+„RS --v�r� posy �ftSE
porn lb
IZ"u�p be
�^ ASE • 1.J IZ” DEEp
t ,U rALN• (o�NfJE I
A wjc CpNC • n"00
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use r•`2pW so
P°sem'1p rtP �c�ocsrt� F°2 P-oaF
8
W =
12 ?ocs
U p1( rfi = 24�# °a . Posr
7 11-11 Tl n nl V1. IADP\ nn rVT'
W
f— CTUARPRAILF62 20oF
b"MAX. DE IJG `GIRDER
MIN. FOOT r NG
4"x V
C3J
FRMN G.
2' x 12" STAIR STRIIJGEiZ. 48'0.x. MAX.
-TP VIEW
HAUPUIL NOT SHOW FDR CLARITY.
AN, 3/SI BOLT
2"x4"
MOBILE HOME''
OR DECK
i
i
FRMU �_" -
IF (EA. RE
4'X (v"
I 4"x4" POST
*"ZDF
PECK
4'X 4" POST
--API-04TE' DIA60NAL
BRACING.
6.,
(2) 3/a" A
DOLTS
JTTE COUNTY
IJLOING DEPARTMENT
jWPROVED
9"MIN. N4
�4 Ir x Iz
II
P T . I rDW PAPS
` X
2'k4" PRESSURE'
TREATED OR
�P,EDWOOD PLATE -
6 -12 -90
E
6 -lay -90
T YPI CAL I FSl DENTIM ST�Ps
e✓OUNTY OF BUTTE — DEPARTMENT OF PUBLICIWU=KS
' 7 County Center Drive — Oroville, California 95965 111
I Telephone: moo -7r-Ll '
PERMIT NO. 250-84B
PERMIT EXPIRES LIS z
OWNER GEORGE OR ALICE WHITE
CONTR. Owner
ASSESSOR PARCEL 6802-12
LOCATION #10 Bessie Lane, Oroville _
Temp. Power Pole_
Called PG&E _
Temp. Elec. Service
Called PG&E_
Temp. Gas Sei
Cal led PG
JOB FINALE[
Signature
= OK
= Not OK
= Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
ung Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2 ngs: Size -Depth -Spacing -Connectors
3. Sewer; Location-Test-Fall-C/O-Concrete(�cks=Gird
-
rs and/or Joists-Decking-Bracing-Stairs=Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. o Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_
5. Electricity; Local ion-Clearances-Grnd.-/ / Amp -Concrete
_
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location. -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L" ft./ /"LPG
7. Utility Clearance
6:-9arp6T[9-,Windows-Doors_,
7. Elec. -
Car I
D .2j,/ Card -Bl Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date / Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
Date
_
POOLS (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
1, Setbacks -Easements
2., Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
2. Soils; Compaction -Structure Stability
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
B. Elect; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-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-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
V = OK
0 = Not 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.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
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 -81
Date Card -BI Date
Card -BI
Card -BI
Date
y Date Card -BI Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
14. Water Ht.: Vent -Access -Combustion Air
15. Water Pipe; Test.& Anchors -Nail Protection
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
58. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. 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
1_9.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
i
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
Date Card -BI Date
ELECTRICAL Permit OK except #'s
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
23.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. 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.
-
-
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes
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 At
-
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes El No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes p No;
Planters ❑Yes EJ_ 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.
79.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
_Date_ _
---_- --_ _
Card B -I Date Card -BI Date
Date
_--
MECHANICAL (Permit) OK except #'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.
Vent Fan; Exhaust above Insulation
Condensate Drain _& Overilow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Card -BI
-- - - ---- --- ---
_ Date ---- Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
.6.
Sills; Proper Material & Anchors
_
:7. --Walls;
28.
39.
Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing____
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
!!.__Header
42.
43.
44.
& Beam -Size & B_earing_
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rltr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfn.q
Fireplace Ties or Type A Flue -Fireplace Throat
_
45.
Attic Access: Size & Romex Protection -Draft Slop -Ins. Baffles
_
46.
47.
Bdrm._Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
{. APPLICATION AND PtRMIT
PERMIT NO. �y
—d
�l
-:, -SSS SSOR�A CEL NUMBER
,»
ZONING
BUILDING PERMIT
`, WN,. R
C
TELEPHONE
SO. FT. QCC. BUILDING VALUATI
OWNE4�MAILING RESS
O S I e. r -D
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS ��.•�{
�- IcJ�.sS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
NAME
PARCELMAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehomek�J" Other
SPECIFY
Building sewer
5.00
Mobile Home I S I GT—W
10.00 e
TYPE OF WORK
New F] Additio Remodel❑ U iliti*❑ Instal,lati ❑ O her ❑
Describe work: ®�–� �ZL
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10,00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2t/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
Icense No. Classification
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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CON5TR U TI.OUTLET 2.SOea
NON.RESID BRANCH CIRC ITS.
NEW CONSTR. POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR.
200500
Ex. Occup(o XTS DR FIXTURES BAL®30
FIXED APP LHS. OR
Ex. Occup. OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
"�❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby 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 Iia ities, judgments, c s , and expenses which may in any way accrue
again said County in ns of the granting of this permit.
,Q
Date %O-- v
Signature o 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 $
TOTAL PERMIT FEE $
OCCUP, GROUP
_ I
VYRE OF
I.VI
CONST.
F
PAR EL
9
V
N
t59�
This permit is hereby issued under
sions> of the Butte County Code and/or
work indicated above for which
DrIRT R OF PUBLIC
��
BY
P MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date ��
pyReceipt
�����
NO. ��%�6- �
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Ilepartment of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your nameand bearing
your signature.
Please complete and return this information in the envelope provided at your ~
earliest opportunity to avoid unnecessary delay in processing and.issuing your build-
ing permit. No building permit will be issued until this verification -is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed prope ty improvement (yes or no).
2. I (have/have not) signed an application for a building
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address. City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owne
Social Security .numb rZ., 7
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed_ and returned to our office before we are
permitted to issue the permit.
X G
DOTE .AH Materials &Workmanship •Shall Be in` This set.of plans and specifications MUST be
Accordance.:wifih:Recognized Good -Practices 'and kept on the job at "a11 ti►x�es and it is unlawful tc
of a quality prescribed for the Specified use 'in:the.. make any changes or alfera:fions ori seriie with=
Uni#orm Building; PIum-6ing & Mecchenical Codes out -written permission from the Department of
and the :National Public Works, County of Butte.
M
e
(A�
To BE
BUTTE CO
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BUILDING DEPARTMO,
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4.
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To BE
BUTTE CO
- • AC
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PERMIT NO. _ 7
370- 3P 2 E
%/
PERMIT EXPIRES ` / V Y
OWNER GEORGE & ALICE WHITE
CONTR. OWNER
ASSESSOR PARCEL 68-02-12
LOCATION 10 Bessie Ln, Oroville
4
e
}
Temp. Power Pole"'""-'
OFF16E
Called PG&E_ COPY-,.'
Temp. Elec. Service ; Address
•FIs,
j Called PG&E_ GAS e ' tai
Date
r Meter.. y .w.�.
..LECTRIC
Ei Dated`
Temp. Gas Service
Wefer BY ,•,. ��,
Called PG&E—T-.
JOB FINALE[
Signature
J = OK . '
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date MOBILEHO E UTILITIES (Plans) OK except H's
oning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
i s; S Sketch
2. Footings; Size—Depth—Spacing—Connectors
ewer; Location—Test—Fall-C/0—Concrete
_
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
er; 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
as rrTest—Wrap:/ /"L"ft./ /"Nat. or L"ft./ LPG
6. Carports: Windows—Doors
tility Clearance
7. Elec.
C I ate/2 Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Date MOBIL"OME INSTALLATION (Plans) OK except N's
Zon' g'Aequirements—Setbacks—Easements
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except N's
1. Setbacks—Easements
ootings• 'ze—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability,
M Test—Demand—Valve—Connector
3. Pool Structure: Steel—Connections—Thickness—Dead Men—Lining
4 ectriS • MH Test—Crossovers—Breakers—Clearances
.4. Elec.; Receptacles and Lighting; Distances—GFI
ain; MH Test—Fall—Flex Connector
jatef�*MH Test—Regulator—Connector
6,f V
5. Elec.; Pool Lighting; 15 volts—GFI
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7 W Mme -mer- ted—C/O to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8 nn tricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip. -Pool Lghtg. —
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9, its; I AprSketch
10>—GVT"cf Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Cak -I Card -BI Date
Card BI
Date Card -BI Date
Card B-1 Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR (Plans) OK exce t#'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
____5.
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
Stemwalls, Main; Steel -Blackouts -Wrapped -Slab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
51.
52.
53.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
B.
Piers -Fireplace Ftg.-Steel
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
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
Date Card -BI Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
_
Date Card -BI Date
PLUMBING (Permit) OK except #'s
_14. Water Ht.; Vent -Access -Combustion Air
57.
Smoke Detector
58.
.59.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. 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
1.9.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
_
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date Y
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 #'s
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
---
20.
21.
Fixture & Transformer Clearance -Ins. Protection
Elec. _Receptacles Spacing -Lights & Switches at Doors
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
23.
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
71.
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
73.
Guard Rails & Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen & Conductor Size
-
26.
S_ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
-
27.
28.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,75.
�
Insulated Neutral -_.Yes ❑No
Service -Riser Conductors & Ground -Main Disconnect
Following instld.: Drive Yes No; Walks
g ' ❑ ❑ ❑Yes ❑ No;
Planters ❑Yes ❑No
76.
Stucco; Brown -Finish
______29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_
--- -
Card B_I
Card B -I
_30.
------------------
--_-
Clothes Closet Light -Shower Light -
------- --
Date -_- Card -BI _ Date -_--
Date Card -BI Date
78,
79.
80.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
Date
-
Card -BI
Card -BI
MECHANICAL (Permit) OK except #'s
31: A.C. Ducts; Insulation &Support - -
32. Vent Fan: Exhaust above Insulation __ - ---
33. _Condensate _Drain _& Overilow; Size & Grade
34. Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
--_- ----- - - ---- _- - -- ----------__---
Date __Card -BI Date
Date Card -BI Date
83.
_
Corrections from Previous Inspections
84.
85.
Gas Test -Meters Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
86,
Energy Compliance Certificate -Other Certificates
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date _
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
36.
37.
38.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
Sills; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders &_Floo_r Nailing__
Draft Stop in Walls (rat proof) _
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthnq.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or_Exit ing Doors -Sill Hgl. & Dimensions____
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7�COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY',
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5; under permit
"number /14=yi for the following location:
4e L
Owner
Owner's Address
Mobilehome Mfg:=l��f� �� u� `++ /Nk.Model w -- Year -
f .
Insignia No. _F� 7/% 'Serial No.
Itis hereby certified for occupancy'at the above.desc�ibed location and,
may be occupied.
Director of Public Works
Date / By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED .
White- Owner, Yellow- Installer, Pink'- D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chicc) — Phone: 891-2751
7 County Center Drive, Oroville — Rhone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
397A -
OWNER - PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
ev
r
(a f �2 f -i .0 c o / 17i/ r✓
Inspector4'.
X,/
- �.� Date .eri _ / _ (/ V
f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovl°Ile, Cal°fornia 95965 -Telephone 916/534-4541
APPLICATION ANDi'PERINIT
PERMIT NO.
ASSESSOR P RC L NUMBER
Z -BUILDING
ZONING
PERMI
OWN C/ �6E P I%E
L
TELEPHONE
SQ. FT. OCC. BUILDING VALUATI N
OWNER'S MAILING ADDR SS
CO 708R',S J;{�ME
/���
C T A¢�'T�K✓OK✓R(///`r L�{N,�y/A D SS /� 0�3
/ V
Fireplace
CONSTRUCTION LEN/'D71
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGIN10
LICENSE No.
Plan Checking Fee
$ 5-0-0
Penalty
$
ARCHITECT OR ENGIN.EER'S MAILING ADDRESS
Permit fee
$
BUIL lJ y�IG ADDR �, ^�
L17
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
D
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomega"'Other
SPECIFY
Building sewer
5.00
Mobile Home I S I G JW 1
4— 10.00e
TYPE OF WORK
New ❑ Addition Remodel [I Uti�jities ❑ to atio�} Other E]
Describe work: '%/�- / e" # 7/ d 81
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
NEW CONST.// DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
1
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
7* ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and cense is in full rce pnd effect.
/-
License No. -4-19 /afgoc{ Classification - ��—
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U TI.OUTLET 2.50 ea
NO N.RESID BRANCH CIRC TS
NEW CONSTF;L ( POWER APPARATUS &1
NON-RESID, SINGLE OUTLET CIR. /
Ex. Occu- TS OR FIXTURES BAL®30
2ALO30
FIXED
Ex. Occup. OUTLETS P(RESID,)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under enalty of perjury (check one):
❑ ThWlsermit is for $100.00 (valuation) or less.
X have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby 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
'D
all I' ilities, judgments, costs, and expenses which may in any way accrue
agas id County in nsequence of a gr nting of this permit.
X 'ate
Signature of Applicant - Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 0,
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
II
P
ND
SS E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIROR OF PUBLIC
B y,
RMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/—/ -
Receipt No. `/ s/
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPAR TMENT'bF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,•CALIFORNIA'365 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
OWNER (__ 2Z6 (ALJ H. T-�
Proposed Building,Use._
Permit No.
`A. P. No.
Permit Fee Based Upo' Complete Contract Price `� DPW Valuation
OtherjExplain)
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 APPROVED
_i/i . All items have been submitted. . . . . . . . . . .
2. Plot plans in duplicate./triplicate. . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of.lntent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . .
9. Letter of signature authorization. . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner, Mail to ownerE])
15. Improvements may be required. . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . ...
request to Dote
17. Pre -Inspection for Required. Building Inspector (Date)
18. Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
r�Telephoneand old or pickup at_office. Deliver w/inspector.
Other I-,,-i�
of
Applicant// ,/ 4 /(I i�//�A,i -- Date
plans sent Health Dept., Fire/Dept., 0,.fier Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked -above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:,
(Contractor, Desig
s advised of above required data by
By
.Telephone Mail
Plans checked by 1A I Date
Plans approved by Date
Other:
Copy—DPW
Date
Other
r.
AP #
OWNER
PERMIT `#
MH UTIL.CL NCE DATE —
INSPECTOR '
ELECTRIC
GAS.
Support
Struc.
Compaction
Test Req_
Service
Size
Other.
Load
Type
Pipe
Size
Length
YES N01
YES NO
0
r ,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive-.Oroville, California.95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PER IT NO,,,—,,2�
1171
AS SSOR PARCEL NUMBER
_ a _ O/ 2,BUILDING
ZONI G
PERMIT
OWNER
coe e f 4��� G�J�►%fie.
TELEPHONE
/
SO. FT. OCC. BUILDING VA U ION
OWNER'S MA LING ADDRESS
d�bv,' Ile -
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
-
Plan Checking Fee
$ BBQ
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ lsi�
BUILDING ADDRESS -
e55%� a
PLUMBING PERMIT
FiIin Fee 10.00
9
D�0 V//4 ewl e- 6
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
dQ,4,,7 e 2>9/e Su ,sgb /
PARCEL MAP
..3/ -0?3 ,
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
—2!2—
USE OF STRUCTURE
S ❑ Duplex❑ Mobilehome� Other
F
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑
Describe work: —
Permit Fee
$ rem
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
60
Main service EA. ADD'L 100 AMP
2.50 SO
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
t
2/20sgff
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions 'Code and my license is in full force and effect.
cense No. Classification
LX , 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-
ls. (Sec. 7044)
am exempt under Sec. , Business and Professions Code
for this reason
NEw CONSTR ULTI.OUTLET 2.50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR (POWER APPARATUS &1
NON-RESID. SINGLE OUTLET CIR. 1
Ex. OCCUp(OUTLETS OR FIXTURES a0 eaoQ
FIXED APPLNS. OR
Ex. OCCUp- OUTLETS (RESID.) EA.� 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ S®
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and -hereby 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 Hab'lities, judgments, Wsts, and expenses which may in any way accrueJ��J
agains said County in con nce of the granting of this permit.
y�This
Date l -
�/ - P:5--Contractor
--I`
Signature Applicant — Ownerontractor ❑ Agent tj
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
$
TOTAL PERMIT FEE $ 2,
occuP. GRouP
I TYPE OF CONST.
PARCE
PDJ
HD
ISSUE
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
BY
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/`��-5���
//1'U�
Receipt No. �`73[�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
r 1 . `rJ .::� - .:T. ..:'"` A .:'•':} i'', ^; r�,l+i,i. ++ { �, �y' •` • .. ..,,* ^"i"t /r + .•+:,:..., j� 'r /'-, .f. , Iwj
w ..6 COUNTY OF BUTTE - DEPARTMtNL_OF PUBLIC WORKS - BUILDING DIVISION /
7--7 COUNTY CENTER DRIVE - OROVILLE� PALI`f:&NIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
• �; Permit No.
OWNER 4e-E_(7,PPF' /,l2#17E ' A. P. No. 6;9 -0r --/-Z_
Proposed Building Use �&Al a,
Permit Fee Based Upon: Complete Contract Price. DPW Valuation
Other -(Explain)
Building Inspector c ,u 4&j Date 1� �
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
r 7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . .
x 9. Letter of signature authorization. . . . . . . . . . .
' 10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
r 13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
17. S request toPre-Inspection for Required- Inspector (Dote)
Y1 7 -Other Q 0 3
When you issue the permit, process as follows: -Mai l to owner. Mail to contractor. t�
f Telepho a and hold for pickup at office. Deliver w/inspector.
Other
ZApplic / .J. Gtr , Y_ Date/ -
Copy of plans sent Health Dept., Fire Dept., Other Date
During. the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
I 2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
Plans
Plans
Other
, Copy—DPW--
To: 3uiiding, Department
From: :,nvil ronmencel Health
S bliZct: Sanitation Clearances
l r
Location ;r
Plan _!,)proved tor: Sewa-e disposal r dater supply
Hold final for:' viater supply ,
Final clearance O.K. for:
Clearance for bedroom mobile home. Other
L,;ater supply .
O
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Orovilie, CA. 95965 Phones, 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name 'and bearing
your signature.
Please complete and return this information in the envplope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this.verif ication i,s received.
1. 'I personally,plan to provide the major labor and'materials for construction
of the proposed property improvement (yes or no) �.
2: I (have/have not) signed an application for a building
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address. City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some'of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed: � .
Property Owner L(/
Social Security number(/— 7
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
�tCf)FD`
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT '.:" , 0 �%'Y-D
FOR RESIDENTIAL_ DEVELOPMENT `; .i.:ui'i r)' t'' ``' ��-aTED B BY
PARTY SHOWN_
s q:• .
Section 26-8.1of the Butte County Code requires this acknowledge
be recorded prior to issuance of a building permit.
tLEANOi{ M. FE.CKER
The property described herein is adjacent to land or includeLF RK - RECDRDcR F
within an area zoned for agricultural purposes, and residents of
this property may be subject to inconveniences or discomfort arising 83-36013
from the use of agricultural chemicals, including, but not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor, Butte County has established -agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to -accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
Lot 29, as shown on that certain Map entitled, "ORANGEDALE SUBDIVISION UNIT NO.111
,
which Map was 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 pages 23 and 24.
Date: November 1;-1983
gu
orge T. White
PROPERTY OWNERS:
Alice M. White
State of Californi,`a ) On this the 1st. day of November , 19_x9
Butte ) SS. before me, the undersigned Notary Public, personally
County of ) appeared
.. v �;..�.:: •..:f�Fa
e:,rel;te:ilr�: d,�tti�.!'� �:i:3'�:.. ..''u>.= ''._. '
s• F .? :i.�
NOTARY P"' IC.CAt.IFOV-<!A i
6utie County
\� Aly
Commission Expires March 2; 1496
Present A.P. NO,�
***George T. White and Alice M. White********
proved to me on - the basis of satisfactory evidence to be
�E the person(s) whose name(s) are
subscribed to the within instrument and acknowledged
that they executed the same for the purposes
therein contained, -
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Notary lic
/, ^263 Povaf OaIt. `.)rivr„ tir.vli:2 Cid. 9�')
,�e55•�"e L' �i�e
�J
°►'permit will be required for
installation of the mobilehor
A
`Ilk F
V _
Gg- tea-
/yx 6 y
a_
/, Ar) C
eetback of m t
omparty II and -a sefibal&
of 50f ro the road
centerline shall be clear of
structuTeS or equipment excep°t
for a 2 ft. eave overhang.
i
Utility connections shall be I d 3770-8�
within
4 ft, of the mobilehome, eitherlh C(,-)UNW. �
directly behind or within the rear UIL&G DEPARTME66
half of the roadside (left) of the i I ti
mobilehome. P 0 Y
t
I
j
1 his set of plans and specifications MIDST be
kep on the job at all times and it is unlawful to
ma,e any changes or alterations on same without /71�tr ��✓`
wri ten permission from f�he Department of Public
W rks, County of Butte. ( ALAMO t
W
NO�l. 'LD
4-� h hlo►yCS
v
�qF�-11 Materlals & Workmanship Shall $e iH
Accordance with Recognized GooJ Pra;,tices and
of a quality prescribed for the Specified use in the
Uniform Building i "Plumbing & Machanical Codes -,and
the National Electrical Codeb
MOB ILEHOME�SUPPOmRT DATA, �4Y
If 'other than single wide,
Mob ilehome Mfr.11/,c'/fs g a,kl low a -f°ish Setup Model No. �— Year
Width--1�(ft.) Box LengfhT(ft.) Tagalong or Expando Sizet`r ft. x ft.
(SHOW SUPPORT DETAILS BELOW~
I On all mobilehames manufactured after October 7,•1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
. l
Footings (check one)
Singe
1 -1011-1 ,
Wood either
i.
pressure treated or
�•-
x r
foundation grade.-
(ft.)(in:)
(in.) (in.)
2.
Other: (specify)
Center support
locations*
Center support
footing sizes
Supporta (check one)
Typical Support
(in.)
�
LS a`
Concrete block.
Footing Size
X
E] .2:
Other. ( specify)
(ft.)(in.)
(i�-n-.) (in.)
(in.) (in.)
4 _ --
l� Tagalong or Expando,'
f.
show support details.
(ft.)(in.)
(in.) (in.)
r
IL X9 --
Typical Support
(in. (in.)
t
Footing Size
' (ft.)(in.)
(in.) (in.)
4 _ --
Max. Pier Spacing
(ft.)(in.)
Max. Overhang
(ft.)I (in.)
r
(in.) (in.)
1144=�
BUTTE COUNTY
BUILDING DEPARTMENT
APP.ROVF D_
*If
drawn above,
r
center piers are
other than
y
draw in. -locations,
spacing,, and dimensions.
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS,.
7 County Center Drive, Oroville,yCA:
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: G'D�2 e ,'
2. Installer's name:
3. Is the site currently under permit? Yes / / No
i
(If yes, furnish permit number ) OR
Is the site an existing site? Yes'/ / No M/
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of. all setbacks.and easements? Yes / / No
( If no, clarify
5. •What is the mobilehome electrical rating? ----------------- IOU Amps
6. What is the mobilehome site service rating? ?'O ° APs
7.. What is the mobilehome site circuit breaker rating? ------------- 1,00 Amps
8. Is there any other electric load to be served by the mobilehome
siteservice? --------------------------------------------------- Yes No
(If .yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? ------------
10. What is the type of gas service? ----------------------------- Natural -7-7 LPG
11. What is the gas pipe length from meter or tank to the mobilehome? U (ft.)
12. What is the mobilehome gas demand? ------------------------------ (BTU).
(This information not required- if pipe length less than 6 ft. on natural gas .
or less than 50 ft. on LPG.)