HomeMy WebLinkAbout069-220-058` (o 7 --
Rosanna Fahl
-f�Vtd
1 57 Apache Circle,lot 151, KR#3, Oro. v,
Permit A642946P,E(util.,MH)
\ ELEC . S S
v GAS 1/7, e—
SUPPORT STRUCTURE REQ.
i G>1 PACTION TET REQ.
contra Gene Schmitt Mobile Homes,Chic
Permit #655,0-76f4l
lued -
contr :Holmes ,Sob.il�._Hom.e_S,eru.. ,Ban.gor'
Pmit_k4401=77B(new_deck/MH)
VIA
i� (P 69,zz—sem �F a
contr: Better Builders Const., Para.
Permit #1471-78B,E(new private
de.tached_Qarage, C
1 r 069-220-058 00-1199
ROUSSEVE, SUSAN
57 APACHE CIRCLE, OROVILLE „
CONTR: JAY CARTER
1 ADD'L OPEN DECK & REPAIRS
069=220=058 — '" 05=0269
ROUSSEUE,
57 APACHE CIRCLE, OROVILLE
CONT: SIERRA MOBILE SERVIC
fff! EX MIi PERM PND EX SITE
(4
N
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
Recorded
OfficialRecords
Count
BUTIf
E
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
11:15AM 24 -Feb -2005
REC FEE 10. Pio
CONFORM 1.00
COPIES 2.00
Andrew
Page 1 of 2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, �(
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
SUSAN M ROUSSEVE ETAL
REAL PROPERTY OWNER/LESSOR
57 APACHE CIRCLE
MAILING ADDRESS
OROVILLE BUTTE CA 95966
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME')
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
05-026 530 538-7541
BUILD PERMIT NO �TELEPHONENUMBE
S N E OF LOCAL AGENCY OFFICIAL DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
UNKNOWN
1977
UNKNOWN
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAME/NUMBER
CAFL3A/B/C650680117
60x24 20'X10'
CAL022373/74/75
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER AP#069-220-058
HCD FORM 433(A) REV. 8/91
WHITE- County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept.
E SCf09'6V O. 101273 -LC
Title; �er h 00101273
EXHIBIT ONE
PARCEL I:
Lot 151, as shown on that certain Map entitled, "KELLY RIDGE ESTATES UNIT NO. 3", filed in the Office of the
County Recorder of Butte County, California, on July 26, 1974, in Book 43, of Maps, at Page(s) 44, 45, 46, 47 and
48.
PARCEL II:
A right of way for road purposes over a strip of land 6.00 feet in width, lying Northerly of and adjacent to the following
described line:
BEGINNING at the Southwest corner of Lot 150, as shown on that certain Map entitled, "KELLY RIDGE ESTATES UNIT
NO. 3", filed in the Office of the County Recorder of Butte County, California, on JULY 26, 1974, in Book 43, of Maps,
at Page(s) 44, 45, 46, 47 and 48; thence South 710 39' 13" East along the South line of said Lot 150, a distance of
74.0 feet to the end of the herein described line.
IYECORDING REQUESTED BY:
-AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
24 -Feb -2005 2005-0010570
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
SUSAN M ROUSSEVE ETAL
REAL PROPERTY OWNER/LESSOR
57 APACHE CIRCLE
MAILING ADDRESS
OROVILLE BUTTE CA 95966
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
UNKNOWN
MAILING ADDRESS
DATE OF MANUFACTURE
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
05-026 530
538-7541
BUILD PERMIT NO. / TELEPHONE NUMBER
SP N RE OF LOCAL AGENCY OFFICIAL
DATE
NONE
DEALER NAME (if not a dealer sale. write "NONE")
NONE.
DEALER LICENSE NO.
UNKNOWN
1977
UNKNOWN
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAMEINUMBER
CAFL3A/B/C650680117
60'X24 20'X10'
CAL022373/74/75
SERIAL KUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
fft:0111177�77�ii7iT1�p
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER AP#069-220-058
HCD FORM 433(A) REV. 8/91
WHITE. County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept.
Escrow No. 101273 -LC
Title .'Order No. 00101273
EXHIBIT ONE
PARCEL I:
Lot 151, as shown on that certain Map entitled, "KELLY RIDGE ESTATES UNIT NO. 3", filed in the Office of the
County Recorder of Butte County, California, on July 26, 1974, in Book 43, of Maps, at Page(s) 44, 45, 46, 47 and
48.
PARCEL 11:
A right of way for road purposes over a strip of land 6.00 feet in width, lying Northerly of and adjacent to the following
described line:
BEGINNING at the Southwest corner of Lot 150, as shown on that certain Map entitled, "KELLY RIDGE ESTATES UNIT
NO. 3", filed in the Office of the County Recorder of Butte County, California, on JULY 26, 1974, in Book 43, of Maps,
at Page(s) 44, 45, 46, 47 and 48; thence South 71 ° 39"13" East along the South line of said Lot 150, a distance of
74.0 feet to the end of the herein described line.
R MRDING REQUESTED BY:
Fidelity National Title of California
Escrow No. 101273 -LC
Title Order No. 00101273
When Recorded Mail Document
Susan M. Rousseve &
Barbara Gianforte
3680 Vinton Ave.
Los Angeles, Ca., 90034
iilillliil�f!!ill{��flilfllifliil
2000-0005982
Recorded
Official Records
I REC FEE 10.00
I TAX 57.20
Count Of
!
BA
EGRUBBS
CANDACEUJ
!
Recorder
)
ROSEMARY DICKSON
I
Assistant
02:06M18 -Feb -2000
I Kristyy
I Page 1 of 2
GRANT DEED SPACE A
The undersigned grantor(s) declare(s) v
Documentary transfer tax is $57.20
[ X I computed on full value of property conveyed, or
[ I computed on full value less value of liens or encumbrances remaining at time of sale,
( X I Unincorporated Area City of
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Mary E. Robinson, . as her
Sole and Separate Property
USE
hereby GRANT(S) to Susan M. Rousseve, An Unmarried Woman and Barbara J. Gianforte, An Unmarried Woman,
as Joint Tenants.
the following described real property in the County of Butte, State of California:
SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF
DATED: February 8, 2000
STATE OF CALIFORNIA�-
COUNTY OF &✓TTI✓
ON��Cupe/ , Zcz o before me, Mary E. Robi on
'-OILSOti r-10,—AA--1 personally appeared
personally known to me (or proved to me on the basis
of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed the
same in his/her/their authorized capacity(ies), and that
by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
Witness my hand and official seal.
Signature
to: Susan Rousseve & Barbara Gianforte,
MAIL TAX STATEMENTS �$/����( 57 Apache Circle, Oroville
FD -213 (Rev 7196) GRANT DEED 6
Escrow No. 101273 -LC
Tide,Order No. 00101273
EXHIBIT ONE
PARCEL I:
Lot 151, as shown on that certain Map entitled, "KELLY RIDGE ESTATES UNIT NO. 3", filed in the Office of the
County Recorder of Butte County, California, on July 26, 1974, in Book 43, of Maps, at Page(s) 44, 45, 46, 47 and
48.
PARCEL II:
A right of way for road purposes over a strip of land 6.00 feet in width, lying Northerly of and adjacent to the following
described line:
BEGINNING at the Southwest corner of Lot 150, as shown on that certain Map entitled, "KELLY RIDGE ESTATES UNIT
NO. 3", filed in the Office of the County Recorder of Butte County, California, on JULY 26, 1974, in Book 43, of Maps,
at Page(s) 44, 45, 46, 47 and 48; thence South 711 39' 13" East along the South line of said Lot 150, a distance of
74.0 feet to the end of the herein described line.
BUILDING PERMIT NUMBER: 05-0269
Address or location of unit: 57 APACHE CIRCLE, OROVILLE CA 95966
Legal Description of Real Property: AP#: 069-220-058
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: SUSANA M ROUSSEVE ETAL
Owner's address: 57 APACHE CIRCLE, OROVILLE CA 95966
INSIGNIA OR HUD NUMBER: CAL022373/74/75
SERIAL NUMBER OR V.I.N.: CAFL3A/B/C650680117
MANUFACTURER'S NAME: UNKNOWN YEAR: 1977
OFFICIAL APPROVING INSTALLATION: K,:�c7-0n�ti�
DATE: Z—Z y-C.S-
PHONE: (530) 538-7541
H.C.D. 513C
STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ,)SING q�
• Division of Codes and Standards •�� �� O
O all ru Z
'tGl 1 u W
4.
Title Search3G�'T���0
Date Printed : 01/27/2005
DE
Decal #: LBA9049
Manufacturer:
Tradename: FESTIVAL
Model:
Manufactured Date: 00/00/1977
Registration Exp:
First Sold On: 02/15/1977
Serial Number
CAFL313650680117
CAFL3C650680117
CAFL3A650680117
Record Conditions:
Registered Owner:
HUD Label / Insignia
CAL022373
CAL022374
CAL022375
PPF Exempt
Voluntary Conversion to LPT
Use Code:
SFD
Original Price Code:
AHP
Rating Year:
1977
Tax Type:
LPT
Last ELT Amount:
Date ELT Fee Paid:
ELT Exemption:
NONE
Length. Width
60' 12'
20' 10'
60' 12'
SUSAN M ROUSSEVE
BARBARA J GIANFORTE (Joint Tenants with Right of Survivorship)
57 APACHE CIRCLE
OROVILLE, CA 95966
Last Title Date: 05/03/2000
Last Reg Card: 05/03/2000
Sale/Transfer Info: Price $32,000.00 Transferred on 02/18/2000
Situs Address:
57 APACHE CIR
OROVILLE, CA 95966
Situs County: BUTTE
Legal Owner:
HOMESIDE LENDING, INC
3333 N MAYFAIR ROAD #306
MILWAUKEE, WI 53222
Lien Perfected On: 02/28/2000 07:58:33
Inactive Decal/DMV:
DMV NF7346, DMV NF7347, DMV NF7348, DECAL ABD6337
* * * END OF TITLE SEARCH * * *
R�C'ORDING REQUESTED BY:
Fidelity National Title of California
Escrow No. 101273 -LC
Title Order No. 00101273
When Recorded Mail Document
Susan M. Rousseve &
Barbara Gianforte
3680 Vinton Ave.
Los Angeles, Ca., 90034
IfII III III I IIII I INl l 111 lI III III I!
21Z GD K2) 0059E1Ea.
Recorded
1 REC FEE 10.00
OfficialRecords
Records
I TAX 57,20
Of
CoBUTTE
I
CANDACE J. SRUBBS
I
Recorder
1
ROSEMARY DICKSON
I
Assistant
I Kristy
02:06M18 -Feb -2000
I Page 1 of 2
GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE
The undersigned grantor(s) declare(s)
Documentary transfer tax is $57.20
[ X ) computed on full value of property conveyed, or
[ ) computed on full value less value of liens or encumbrances remaining at time of sale,
( X 1 Unincorporated Area City of
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Mary E. Robinson, . as her
Sole and Separate Property
hereby GRANT(S) to Susan M. Rousseve, An Unmarried Woman and Barbara J. Gianforte, An Unmarried Woman,
as Joint Tenants.
the following described real property in the County of Butte, State of California:
SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF
DATED: February 8, 2000
STATE OF CALIFORNIA�-
COUNTY OF &✓7777-
ONF&ec, .2�/ iS<<L�3�� before me, Mary E, Rom ron
A/XAOa �: —)A( 60,l: y i.kJ%7�R�/ personally appeared
z4Qa-"d E'. �yB•,its7,�
personally known to me (or proved to me on the basis
of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed the
same in his/her/their authorized capacity(ies), and that
by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
Witness my hand and official seal.
Signature l
•� �M'�1
;'�►
to: Susan Rousseve & Barbara Gianforte,
MAIL TAX STATEMENTSA�I�ji�Xp��(f 57 Apache Circle, Or
%iQ16
FD -21 3 (Rev 7/96) GRANT DEED
Escrow No. 101273 -LC
Title .Order No. 001 O1 273
EXHIBIT ONE
PARCEL I:
Lot 151, as shown on that certain Map entitled, "KELLY RIDGE ESTATES UNIT NO. 3", filed in the Office of the
County Recorder of Butte County, California, on July 26, 1974, in Book 43, of Maps, at Page(s) 44, 45; 46, 47 and
48.
PARCEL II:
A right of way for road purposes over a strip of land 6.00 feet in width, lying Northerly of and adjacent to the following
described line:
BEGINNING at the Southwest corner of Lot 150, as shown on that certain Map entitled, "KELLY RIDGE ESTATES UNIT
NO. 3", filed in the Office of the County Recorder of Butte County, California, on JULY 26, 1974, in Book 43, of Maps,
at Page(s) 44, 45, 46, 47 and 48; thence South 710 39' 13" East along the South line of said Lot 150, a distance of
74.0 feet to the end of the herein described line.
NOTES
RESIDENTIAL
P . 069-220-058
PERMIT NC OS -02G9 s
ROUSSEUE,
57 APACHE CIRCLE, OROVILLE
CONT: SIERRA MOBI VIC
EX MH PERM FND EX
11 SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
44qC, -:Yq
JOB FINALED (Date)ooh
Signature C J
CHECKED
BY
J = ilK
0 = Not GK
. = NotReadyable
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except ff's
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except ff's
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ P' L'ft.
/ P Nat. or/ P' L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except ft
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
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.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify ff's with Office
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 ff's
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures-Panel boards -Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
Re RESIDENTIAL (Single & Duplex)
= Not Applicable
. = Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
49.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
52.
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Property Line Firewall & Openings
5.
Stemwalls, Main; Steel -Bloc kouts-Wrapped
55.
6.
Stemwalls, Garage; Steel- Blockouts-Wrapped
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
6a.
Hold Downs and Special Anchors
58.
7.
Slab, Steel -Wrapped
Glazing Area -Glass Protection -Skylights -Plastic
8.
Piers -Fireplace Ftg.-Steel
61.
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
_
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
77.
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
Date
78.
Card B-1 Date Card B-1
Date
79.
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Insulation -Foam -Looked in Attic
17.
Water Htr; Vent -Access -Combustion Air Baffle
_
18.
Water Pipe; Test & Anchor -Nail Protection
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Clearance Looked under Floor ❑ Yes
20.
Shower Pan; Test, First Floor -Tub Access
Following Instld./Drive ❑ Yes O No/Walks O Yes ❑ No/Planters O Yes O No
21.
Test Tub & Shower, Second Floor -Tub Access
Stucco Brown -Finish
22.
Gas Pipe; Sixe & Anchors
A.C. Unit Disconnect, Electrical -Plumbing
23.
Fire Sprinkler; Test
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
90.
24.
Fixture & Transformer Clearance -Ins. Protection
91.
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
92.
26.
Size Boxes & No. of Conductors Stapled
93.
27.
Romex Installed Close to Edge of Studs & C.J.
94.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
95.
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
96.
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36.
A.C. Ducts Insulation & Support
37.
Vent Fan, Exhaust above insulation
38.
Condensate Drain & Overflow, Size & Grade
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41.
Sills Proper Materials & Anchors
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
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
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83.
Following Instld./Drive ❑ Yes O No/Walks O Yes ❑ No/Planters O Yes O No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
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:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BPO50269
b. U. Culluing rum nl v i- i IVH 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 02/16/2005 APN: 069-220-058-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License tuber: i 7o 3�G
Site Address: 57 APACHE CIR ORO
Date: 2 4 contractor:
Map Index:
Description: ex mh, ex site, prm fnd
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: ROUSSEVE SUSAN M ETAL
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
57 APACHE CIR
signed statement that he or she is licensed pursuant to the provisions of
OROVILLE, CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95966
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant•' SIERRA MOBILE SERVICE
Code: The Contractors' State License Law does not apply to an
BILL REID
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
466 CIRCLE DRIVE
provided that such improvements are not intended or offered for
OROVILLE CA 95966
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
530-534-0599
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor: SIERRA MOBILE SERVICE
not apply to an owner of property who builds or improves thereon,
BILL REID
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
466 CIRCLE DRIVE
❑ I am Exempt under Article 3 of the Business and Professions Code
OROVILLE, CA 95966
530-534-0599
Date: Owner:
License #: 470386
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
Engineer:
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: 57,7;n F,��"
Total Square Ft: 0 S. F.
Valuation: $0.00
C(2- S7
Policy #:
Census Code:
❑ 1 certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of'California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Failure to- secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and oner/
hundred thousand dollars ($100,000), in addition to the cost of
I ��c /�%5\3�7 Z �GG7� L � C'I
compensation, damages as provided for in Section 3706 of the Labor
f
�l 1 U
code, interest, and attorney's fees.
--
'r
CONSTRUCTION LENDING AGENCY
This permit is hereby issued u the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolution to do worl�indic ed bove for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
/ Date:
By
Name:
1
PERMIT EXPIRES ON:
Address:
(Date)
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
Cl Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives ofBut County to enter upon the above mentioned property for inspection purposes. ,
Print Name: F (D Signature:
Date: :� l ( 7
❑ OwnerQ ntractor El Agent for Owner ❑ Agent for Contractor
b. U. Culluing rum nl v i- i IVH 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541
PERMIT NO.
BP050269
B. C. Building Permit 01-16-04 pq 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 02/16/2005 APN: 069-220-058-000
the Business and Professions Code, and my license is in full force and
effect. ( a 3 eC
License Class : License�mbbeer: 7
Site Address: 57 APACHE CIR ORO
Date: 2 N'/0 contractor: 4-J
Map Index:
Description: ex mh, ex site, prm fnd
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: ROUSSEVE SUSAN M ETAL
to its issuance, also requires the applicant for such permit to file a
57 APACHE CIR
signed statement that he or she is licensed pursuant to the provisions of
OROVILLE, CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95966
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: SIERRA MOBILE SERVICE
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
BILL REID
such work himself or herself or through his or her own employees,
466 CIRCLE DRIVE
provided that such improvements are not intended or offered for
OROVILLE CA 95966
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
530-534-0599
proving that he or she did not build or improve for the purpose of
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor: SIERRA MOBILE SERVICE
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
BILL REID
pursuant to the Contractors' State License Law.).
466 CIRCLE DRIVE
❑ 1 am Exempt under Article 3 of the Business and Professions Code
OROVILLE, CA 95966
530-534-0599
Date: Owner:
License #: 470386
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
Engineer:
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
F�
Carrier
Total Square Ft: 0 S. F.
Policy M C(Z s7
Valuation: $0.00
Census Code:
❑ I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant: /
WARNING: Failure to- secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
r
dh
v �/ mevnl— (Q
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
q
CONSTRUCTION LENDING AGENCY
This permit is hereby issued u r the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolution to do work,indic ed bove for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
_ l I _ -t/i L'
I
Name:
BY Date: !moi9 (J (1��
/ (O
Address:
PERMIT EXPIRES ON:
(Dale)
Cl I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any officialform or document of Butte County. I hereby
authorize representatives of B/ County to enter upon the above mentioned property for inspection purpose.
Print Name: F (D Signature: /[�
�
Date: ) / 7(c
(
O Owner ontractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pq 1
r�z__
1//�iG:
\0U
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
**PLEASE PRINT CLEARLY**
APPLICANT SIGNATURE
r
X
For office use only:
OWNER
Last Name/
��f7L'SS�rrt
(s/l+U � vsti'T E
First Name
Address 6_7 11PACHO E ei,roc ct
City D,QOvi,ci.F
No
State C�
zip fSYGc
Phone
DS9 9
Fax
E-mail
S 3 q OS -6 C
APPLICANT SIGNATURE
r
X
For office use only:
CONTRACTOR
Name
Flood Zone
Address
y66
City
No
State u�
Zip 9.Si E b
Phone SI y
DS9 9
Fax
E-mail
S 3 q OS -6 C
Lic. # y7�} �,�
Class
APPLICANT SIGNATURE
r
X
For office use only:
ARCHITECT/ENGINEER
Name
Flood Zone
Address
Address
City
No
Stale
Zip
Phone
State d
Fax
E-mail
S 3 q OS -6 C
State License Number
APPLICANT SIGNATURE
r
X
For office use only:
APPLICANT NAME
Name
Flood Zone
Address
Yes
No
City
i✓�
Subdivision Name
State d
Zip
Phone
S 3 q OS -6 C
Date Approved:
Fax
E-mail
APPLICANT SIGNATURE
r
X
For office use only:
Zoning
Property Address
S 7 %�f,OCliit Ci'c't F
Flood Zone
I
SRA
Yes
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
BIN #
LOCATION
AP# 06 9 v os8
Property Address
S 7 %�f,OCliit Ci'c't F
City
OKeY AILC
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
r0111--4--
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after.the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for 'work plan checked and other department costs are not
refundable.
Receiy� C Amount: '� Bldg SRA
Receipt #:- Sheriff
u ��9
1 / SMIP
Dat ' Other
O � / Total
• COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: �d V L ✓. ` ASSESSOR PARCEL NUMBER Ob 9 _ 22 C-)- O S
Proposed Building Use:yU �%� 5 t 7�s /"�L2�( ounter Technician: c r Date: 2 -
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
h� 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. �-�
�
8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or' nd plans ans, allVn
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico O Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
❑ / 20. Erosion Control Plan Required
tY 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit........................................................................
❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: .............
❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check:
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
❑ 26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization....................................................................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
El 34. Manufactured home utility clearance...............................................................
❑ 35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
f y�i 37. 'Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other:
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: �, ~ Date: G
1. Index permit application for the above items numbered: Ian Check Letter
2. ieq I items required e[
ont designer, owner, was advised of the above data by C1phone, mail, ❑ counter, by Date: l5
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ co to , by Date:
Plans reviewed by: Date: Plans approved by: Date
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER ( 0 U S�
PROPROSED BUILDING USE 1 rrls�j RIM
1. BUILDING PERMIT FEES
---Balance Due ..................... $
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $
A.P. it ®V G�✓r �.J-`�
DATE 2— 3_6) J
RECEIPT # DATE REC.
2. SCHOOL DISTRICT FEES
(paid at School District Office) (form available after Plan Check) _
3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$ _
Units
Commercial (sq. ftg.)..... X $0.03
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $ _
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Ftg. Amt.
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the #an checking process.
APPLICANT zi DATE Z �57_
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
NOTES RESIDENTIAL
t069-220-058 a 00-1199
I: PERMIT NWROUSSEVE,,SUSAN _
57 APACHE CIRCLE , OROVIL__LE
f CONTR: JAY CARTER
(ADD'L OPEN DECK & REPAIRS f;
t
i
a
11 SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
CHECKED
BY
1
• r
JOB FINALED (Date) O
Signature
.,'= OK
0 = Not OK F
- = Not Applicable MOBILE -HOMES
= Not Readv
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
E ARPORTS GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
Zoning ' ements-Setbacks-Easements
2.
Soils; Special MH Support Sketch
oot" ; Soils -Size -D th-Spacing-C nnectors-Steel
3.
Sewer; Location -Test -Fall -C/O -Concrete
ecks; Gird and�sts- ing-Br cing-&aics..Raila~
Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors
Shthg.-Frg-Bracing
4.
Water; Location -Test -Easement Needed (Sketch)
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Carports; Windows -Doors
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ /'LPG
Electric
7.
Well Clearance 8 Disconnect
Frmg.; Sills-Anchors-Studs-Rttrs-Trusses
8.
Utility Clearance
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Date
Card B-1 Date Card B-1
Date
Da
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
FINKL (Plans) OK except #'s
2.
Footings; Size -Spacing -Marriage Line
Setbacks -Easements
3.
Gas; MH Test -Demand -Valve -Connector
Soils; Compaction -Structure Stability
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
5.
Drain; MH Test -Fall -Flex Connector
Elec.; Receptacles and Lighting, Distance-GFI
6.
Water; MH Test -Regulator -Connector
Elec.; Pool Lighting; 15 Volts-GFI
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Elec.; Enclosures; Conduit Entries -Terminals -Listed
8.
Gas and Electricity Tagged
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
9.
Tie Downs -Type -Installation Cert.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 1
10.
Exits; Insp.-Sketch
Health Department Approval
11.
Cert. of Occupancy
Plumb.; Cir. Test -Water Supply Test
12.
Permanent Foundation Only; License Decal
Light Niche
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
MISCELLANEOUS
Date
DEC
E ARPORTS GARAGES (Plans) OK except #'s
Zoning ' ements-Setbacks-Easements
oot" ; Soils -Size -D th-Spacing-C nnectors-Steel
4.
ecks; Gird and�sts- ing-Br cing-&aics..Raila~
Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rttrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Da
Card B-1 Date Card B-1'
Dat
Card B-1 Date Card B-1
Date
FINKL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 1
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J = OK
0 = Not OK
- = Not Applicable = Not Ready
RESIDENTIAL (:
Date
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
7.
Slab, Steel -Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
Siding -Nailing Veneer
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Glazing Area -Glass Protection -Skylights -Plastic
12.
Electric Underground
Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings
15.
Access & Ventilation
Infiltration -Walls -Windows
16.
Insulation
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
EM. Steps -Door & Sidelight Protection -Landings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
72.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes O No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Water Well, Disconnect, Electrical, Plumbing
MECHANICAL (Permit) OK except #'s
87.
35.
A.C. Ducts Insulation & Support
88.
36.
Vent Fan, Exhaust above insulation
89.
37.
Condensate Drain & Overflow, Size & Grade
90.
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
91.
39.
Attic Access & Platform if Furnace in Attic
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Permit) OK except #'s
Date
40.
Sits Proper Materials & Anchors
Card B-1 Date Card B-1
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
'ingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
EM. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
82.
Following Instld./Drive D Yes ] NoMalks ] Yes ] No/Planters ] Yes ] No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
will 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 1 PE�MIT NO.
(Rev.12/96) APPLICATION,AND PERMIT M y�
ASSESSOR PARCEL NUMBER
069-220-058
ZONING
BUILDING PERMIT
OWNER
SUSAN ROUSSEVE
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
57 AP CHE CIRCLE OROVILLE CA 95966
90 OPEN 560.
EST 200
CONTRACTO NAME
JAY TER
TELEPHONE
533-919
CONTRACT04S MAILING ADDRESS
PO BOY, 884 OROVILLE CA 95965
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation $ 760
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 21.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
57 APACHE CIRCLE OROVI=
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome)a Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ADD'L OPEN DECK AREA & REPAIR EX DECK
P
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I s I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoOA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is In full force and effect.
License Class /T 3 Lic. No. 33 fo 937
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages astheir sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00NEW
CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLDS.
so
3.5¢Fr.
No RESDT MULTI-OUTLEr
U.
97,50
POWER
AUTPPARATUS
8 SINGLE .01 ETCTR.
Ex. Occup. OUTLET OR FIXTURES
j 20
BAL @';50
Ex. Occup. oFUr rIXEDAPP
.=.) EE
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
�f one hundred dollars ($100) or less.)
0' I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compens 'on provisions of section 3700 of the Labor Code, I shall
forth . comply . ith those provisions.
�A
Date —3,0 Z;rvo _
nat r pplicant - ❑Owner Contractor ❑ Aged
An OSHA pbrmit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ t ov
HAZ. p. FEES IMP FLOOD CDF PARC
PD
HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated abov for which fees have
By
PERMIT EXPIR N
applicable provisions
Resolutions to do work
been paid.
Date and
d
to
Receipt No.
WHITE-D.D.S.-B.D. CANA Y -ASS 96SOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California. 95965 • Telephone (530) 538-7541 PERMIT No
(Rev.;2/56) APPLICATION AND PERMIT
AaSESSORFARCel raJr6� D
a0"NO
BUILDING PERMIT
OwN<R
,
TmfON 37
SO. FT. OCC.MBUILDING
O
ow►ers Aoo�tss
V .
v
�
00
Tps►gN.
00
00N11M)CMI ll►091
Fire lace
k1mu s WJtVo AooREs
Total Valuation = o
ARO MCT OR ¢NOI/aJM
UCOiE NO.
Fifina Fee S
20.00i
Permit Fee t r
ARasT= oR oaNEE#a WAUNo ADCRFss
Plan Checking Fee
aUapgADORZSS
Energy Plan Checking Fee i
PERMIT FEE :
1DTN0
•U°D11t1ON1
P� MAP
PLUMBING PERMIT Fling Fee
20.00
Each Tr 7.00
SF O Duplex O Mobilehom•
USEOFSTRUCTURE
Other
k
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New O Addition O Remodel O Utilities O Installation O
Describe Wo :
Other f�l
\
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W I@20.00
PERMIT FEEIF t
ELECTRICAL PERMIT Filin Fee
20.00
Main Service sOOVo„ OOR L.ss 23.00
Main Service soon TO IOWA 4e.00
New COMT. owEllw octan. 9.SCS
OR ADDNS. a ACC. RDs.
NON•Re a 'muoi-ounv @7.50
Fr= AnnARATus
a srrolE ovntT aR
20
Ex. Occup. arnET OR FWTUREe e?
6AL .90
Ex. Occup. .70n 6�c.�EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Wsc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee
20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt f
Mobile Home Installation Fee =
Energy Inspection' Fee i
occ
CON4T. "PC TOTAL FEE _•'6
NAL.
0. FEES IY►
I F=D
a)/
PARCEL
I n0
I ND I =6(
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By
PERMIT EXPIRES ON
Date
4 .
6%
. C�
CQUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL ER:
Pr ' osed Building Use: Building Inspector: Date:
At a of permit applica on, I was idi6 ed the following data must be submitted prior to pe proce sing and/or issuance:
Date Received By
❑ 1. iiems have been submitted --------------------------------------------------------------------------------------
02. Plot plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------
03. Complete plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
❑ 6. Energy Design Compliance and supporting documentation. -------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------
❑ 8. Hazardous Material Form.---------------------------------------------------------------------------------
❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ----------
0 10. Fees of $----------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -------------------------------------------------------
❑ 12. California Department of Forestry plan approval/fees --------------------------------------------------
0 13. Flood elevation certificate.-------------------------------------------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department.
❑ 15. City of Chico plumbing permit. ---------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs.
❑ 17. Planning approval for (A) Use
(B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---.
C3 20. Pre -inspection for
required Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification).
El 22. Workers' Compensation carrier and policy number. -----------------------
E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). --
❑24. Letter of signature authorization. --------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------
❑26. Letter of intent on building use. ----------------------------------------------
027. Manufactured Home utility clearance. ---------------------------------------
❑ 28. Existing violations and/or expired permits. ---------------------------------
❑29. 0433 A, OGrant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor.
❑ Telephone
and hold for pickup at
office. ❑ Deliver with inspector.
(Date)
Applicant: Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division. ` >i
�L"I
PERMIT NO. 4401-77B
PERMIT EXPIRES
.OWNER Rosanna Fahl
CONTR. Holmes Mobile Home Service, Bangor
LOCATION (A.P. 34-74-.58
57 Apache Cir, lot 151, KRYk3, Oroville
Temp. �Power Pole
Called PG&E
Temp Elec. Serv.
Called PG&E
Tmp. Gas Serv.
Called PG&E
JOe
B
FINALED
/' (o
(D to
r
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows �,
3rd Floor
Stemwall
Sidina
To out
Slab
Roof Sheathing
Water Pi in
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwa l l
Insulation
Heaters
Slab 0
Carport
Footings
Prov. for physically f
handicaplied
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final �t�---
Sanitation
Patio
FIREPLACE
Final
Footings
Masonry Walls
Relnf. Steel
Footing ELECTRICAL
Throat Rough /
Final Fixtures
FIRE' RIN ERS Motors
Test Water Htr.
Stucco
Final
Subpanels
Mesh
M11fCHAN L
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground V
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOMEUTILITIES ------------- ---
Elec_ Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
-Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AMD PERMIT t/
aUU IV116G 1CPICOVrli au vaa UI UIC 1JUU11LY UI DUt(C LU enter Upon ine
above-mentioned property for inspection purposes.
X Ja2) P,2 yam._ Date 1 I I
Signature of//Peermitee or Agent
Receipt No. Aa ^� �
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have bees Id.
DIRECTOR PUBLIC WORKS
BY Date_T-1-77
Builing permit expires Date
BUILDING
Owner H L
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor O, q— Ruj •
Total Valuation
Mailing Address
Permit Fee
PI an Checking Fee &/or Penalty
elephone Ny. '
F�
Permit Fee $ c�
ra o
Sr
Building Addressy
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
KI Ll
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. --� _
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
W. on
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma 60' R/W
P
Im Improvements
P
Lawn sprinkler system 2.00
Bldg. Pl4flecd
Parcel A oval
PI Approval
Permit Fee $
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
V OR LES
SLESS 5.00
Main service 100 AMP ORS
Main service EA. ADD'L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS CCUP. &) 2¢sq ft
NEW CONSTR. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS) 12.50ea
NEW CONSTR. POWER APPARATUS &
(
NON-RESID, I SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
Sty Of: f,
't) t(,T;Elporary
Ex. Occup(OUTLETS OR FIXTURES)50 @25a
BAL@104
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA) 2.00
service 10.00
Mobile Home Facilities 15.00
License No.,3Z1 "'Sit— Classification p
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
W� Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FE E
$
aUU IV116G 1CPICOVrli au vaa UI UIC 1JUU11LY UI DUt(C LU enter Upon ine
above-mentioned property for inspection purposes.
X Ja2) P,2 yam._ Date 1 I I
Signature of//Peermitee or Agent
Receipt No. Aa ^� �
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have bees Id.
DIRECTOR PUBLIC WORKS
BY Date_T-1-77
Builing permit expires Date
PERMIT NO. 1471-78B Ell
f PERMIT EXPIRES�y
Rosanna Fahl.
OWNER
`s CONTR. Better B1drs.Const., Paradise
s
LOCATION (A.P. 34-74-58
57 Apache Cir., lot 151, KR#3, Oroville
i
s ,
ti
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
T 711
FINALED
' (Date
� r
'
e
v
(Signature)
pp
f
u
.
Motors
�W.
Stucco
COUNTY OF BUTTE "— 'DEPARTMENT OF. PUBLIC WORKS=
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Scratch
Firewall
Soil Piping
Forms
Cooling
Parapets
1st Floor
Main Bldg.
Under ound
Restroom Finish
2nd Floor
Footings
Door Closer
Windows
3rd Floor
Stemwal I
Elec: Pedestal
Siding a
To out .
Slab
OBILEH )ME INSTALLATION
Roof Sheathing
Water Piping
Piers
Drainage
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings -
Stemwal I
t9 C,
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
�,
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances/
Gas Pi in &Test
Temp. G
Slab
Final
Sanitati n
Patio
FIREPLACE
Final
Footings
Footin
ELECTRIC4(L
Masonry Walls
Throat
Rou h —7
Reinf. Steel
I Final
ei..s...e�
Motors
�W.
Stucco
Final V
Subpanels i
Mesh V
MECHANkAL
Gird. Fault Prot
Scratch
Heating
Service
Brown
Cooling
Temp. P e
Finish
Ducts
Under ound
Interior Lath
Ventilation
Pe nent
Door Closer
Final
Fin
MOBILEHOMEU ILITIES ------------------ Elec" Service
Elec: Pedestal
Water Piping I
Sewer
Gas Piping .
OBILEH )ME INSTALLATION
- - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE, — DEPARTMENT OF PUBLIC WORKS
7 C6unty enter Drive - Orovi Ile, California 95965 1�171
Telephone: 534-4541
APPLICATION AND PERMIT t;'9
Cc
BUILDING
Owner /
Mailing Address.
SO. FT. OCC. BUILDING VALUATION
8 0v
Telephone No.
Contractor j C
Mailing Address -1:"e/l
U
Fireplace
Total Valuation �
Telephone No.
Permit Fee QCT
Building Address
Plan Checking Fee &/or Penalty
Permit Fee 0 Q
lcG�
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
3 _ 7
A. P. No. /
Zoning &Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
Sarti-1ativn
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map1
-1 60' R/W
Improvers
Each additional outlet .30
Building sewer 5.00
BI fans Recd
Parcel A rovalioo'
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 800V OR LESS
100 AMP LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ® �
Main service E4. ADD -L 100 AMP 2.50
A
N a
Main service R 600V
1100EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST ACCLBLD L NG 1') 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of: ^
Y '/���� / // /�f /
��JG fs 1 VJr/ w C/ 'A'Ot 7i.
T
NEW RESID,CONST(MULTI-OUTLET
NON-RESID. � BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS B
NON.RESID. SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTIIRES 5 ®�
Ex. OCCU FIXED APPLNS. OR
P• OUTLETS (RESID) EA) 2.00
Temporary service 10.00
�r
Mobile Home Facilities 15.00
/
�S ofewedtaJ
License No.Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
01 ❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X X Date 3 -2 9- 7 B
Signature of ,Permitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF LIC WORKS
Y
9 -4 -f -7E
BDate
Bu ding permit expires Date _ ci— L(—
p ? I
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 for the following location:
Owner
Owner's Address
Mobilehome Mfg. Model Year...
Insignia No. Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date By
i
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
PERMIT_ NO. 6.429-76P,E
i
PERMIT EXPIRES
OWNER Rosanna Fahl
I
CONTR.- owner
LOCATION (A.P. 34-74-58
57 Apache Circle, lot 151,.KR#3, Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.-
Called PG&E.s
Temp�,q�' Serv.
Called PG&E '
/FOIN
ALED
(Date) C. .
00009
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont,'d) PLUMBING
Setback -�, - FI a all Sit P'
Forms f
r w
Parapets
o aping
1st Floor
,Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3,rd Floor
StemwalI
Siding
To out
Slab
Roof Sheathing
Water Pi in
—1d
Piers
Roofing
Sewer
Garage' ,
Fdn.. Vents
Fixtures
Footings
Stemwa l l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings ._
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances.
Gas Piping
Temp. Gas
&Test
Slab.
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
Relnf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINK ERS
Motors
Framing
Test
Water Htr.
1
Stucco Final Subpanels
Mesh ME ANI L Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Under round
Interior Lath ventilation Permanent _f?—/O "
Door Closer Final Final
DATE !'-� REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
9. Electrical
A Is service large. en.o�rglk to provide adequait,e amperage to mobilehome (must equal rating of
mobilehome ivitii a-.-in.u::um of 1 amp) and other faciliti_as on lot, i.e., water pumps,
g..zrat,e, cabana, etc.' YeC�_
li. Is ther,-� prop r. clearances around panels? Yes -t- No_
C. Is power supply cord or feeder assembly properly fused? Ye No_
11. Isc ntinuity test satisfactory as per the following procedure.? Yes C/ No
De -energize electrical -•Tiring systeri of the mobilehome at the pedestal,
lake sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have+ been disconnected.
Switch all breakers and switches in the mobilehome to the "on" position:
-4 �onnectt. one 1�-.id of a test instrument to the mobilehome grounding conductor and
apply t1'ie oL,11.e LC�a-d tu- eauii CODUL1elrUllltl Siippiy coIIuucto'r, includlYig neoLral.
/f
5. 11 nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line,
iter line), including fixtures and appliances, shall be tested for continuity from
such e-ud:pment and the grounding conductor.
pon co�ipleticn of iaie above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
te::-L shall then be made between the grounding electrode and the chassis of the
11101)ilehome. Unon satisfactory completion of the electrical tests, the lot or site
service_ equipment may be approvedfor energizing.
b card si-ned by health Departmeat for"water and sanitation?
l.l. f everything ol:ay, sign off card and tar, services.
MOBTLEi OML_DATA
Manufacturer andi or 4;. .eSAJ&
Length_ % `1/ Width
Vehicle Serial No. Bit 1(2-
State Identification 0. 1. ��ac3� dA L- ocAa 3
A i;.tional Informat-jon or Cornments:
• 'NOBI F110.tG INSTALLA'FER4 INSPECTION CHECK LIST
1. Is the mobileh.omt located
wi.il er�duired separation from lot lines and buildings and generally
conform to plot plan? Yc�:s;/ No
?. Doe:, the' mobilehome have required clearances above ground? (Sec.5085) Yes L---N-'o
3. Are foot:in�s and supports properly sized, spaced, and braced as per approved plans?' (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes__ No -
4. Is the mobilehome level.? (Sec. 5088) Yesv No�
5. If mor than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes ' No
5: Water
A. Is flexirble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes_ZNo
B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes- No
4 ckfl.ow•- If coach is not State of California approved, does station have backflow device
d pressure -relief valve? Yes_ No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes L - No_
B. Does it have minimum" per foot slope and is it properly supported? Yes No
C. Are any leaks detected in drainage system after running 3-Ilons of water through each
fixture including washing machine standpipe? Yes No v
If coach is not State of California approved, does station have required trap and vent?
��Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to t e' gas supply with an approved 3/4" minimum
mobilehome conned -Nor not more than 6 ft long? Note: All piping is to be at least as
large as the mobil home gas line inlet without reductions other than the mobilehome
connector. Yes ��o
B. fest OK as per folloing procedure? Yes_ No
1. Open all appliance connector alves.
Z. Shut off applianceyr-
d pilot valves.
3. Air test. with manom0"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.)ed in tenth pound increments. Test for 10 min. without
drop.4. Connect: gas meter torae with connector, turn, on gas, test connections with
soapy water.
C. Are all appliance vent/ properIX installed? Yes_ No
COUNTY OF BUTTE —`w DEPARTMENT OF PUBLIC WORKS
7 County Center Drive —,. UrovilLe, California 95965
Telephone: 534-4541
APPLICATION -AND PERMIT
(,hya9-7=
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
.07
Dat d
SignatureofPerCmitee/or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OFA PUBLIC WORKS
BY Date_1�_�0_ 7�
B . ding permit expires Date //�`3J" 27
BUILDING
Owner ��
SQ. FT. OCC. BUILDING VALUATION
v
Mai I i ng Address 61A e Cr 41
el p e P4 o.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 3-
% > ea- l
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.a0j)
A. P. No. p3 - �f y s ing 8 Planning
Each gas water heater or vent 1.50
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Building sewer 5-% e10.0
Fe
W
/V•
S
Fire Dept.
FireZ Use Permit
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Rec'd K 4-.rcel Approval
PI A pproval
Permit Fee $ Zja
$ Z3
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3 '�
Main service 1000V OR LE 0 AMP ORLESS5.00 S 0
Main service EA. ADD'L 100 AMP 2.50OVER
Single Family ❑ Duplex ❑ Mobil Home Others ❑
600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
��/y�0 S
�- -.Q' FT. MINIMUM
NEW CONS.
OR ADDNST ( ACCLBLDGS.LING CCUP. &) 2,tsg ft
NFW CONSTR. ( BRANCH CIRCUITS) 2.50ea
NON•RESI D.
EOR MOBILES
NEW CONSTR (POWER APPARATUS &
NON•RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
St le Of:
Y
Ex. Occup(OUTLETS OR FIXTURES)@L @2
BAL�1
FIXED APP LNS. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Licens o. Classification
Misc. Wiring 6.25
D-rla'm exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ 1Z 17i�
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I ha placed on file with the County of Butte a certificate of
kmen's Compensation Insurance.
rtify that in the performance of the work for which thisVentilation
W=t
pis issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTALPERMIT FEE
$ L
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
.07
Dat d
SignatureofPerCmitee/or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OFA PUBLIC WORKS
BY Date_1�_�0_ 7�
B . ding permit expires Date //�`3J" 27
i s Ni1.iST 6e
is set of plans
kir'} on i.!,��;�,�, ,�} ill tirn?s rnd �t is unlawful to
i r cltcrationss on some without _
LOT .151
UNIT 3
make any chars s o
written permis on fromBttehe Department of Pub �t
Coun of FG ETw000
Works,
NO Materials & Workmanship"SYnaM
A/1' C �/ C/� 'e C..IAordance ' with Recognized Good Practices and
of a quajity. prescribed for -the Specified use in the
E Uniform Building, Plumbing & Mechanical Codes and
w the National Electrical Code' "
r5E.7-7 BA Cf<f.., ....
N 7j o
oY
r II..�
.W.
h
E7--B� �- �V
EASE-/viE/\/T
All utility Connections shab
located within 4 ft, outside the rear
N 05T- .1 H third section of the mobile home
05�/� 20 C'0�_5 .. "" on the left (road) side of the mobile
home.
The : Setback shaft be 5 ft. from the
side property line and 50 ft. from the BUTTE cou
centerline of the road, permitting a maxi-
mum of a 2 ft. eave overhang but entirely BUILDING DEPARTMENT
out of all easements.
APPROVED;:.
-. /✓!o tic E f/ DOED 7/9-76 ?sal-;
MOBILEHOME SUPPORT DATA
Mob ilehome Mfr.. % iii _k_%_ 'vi J n'Setup Model No. JAZ Year JL
Width 3 (ft.) Length (ft.) --Expanido `Size ft.x ft.
(Draw support details below) .
0�n all mobilehomp�s manufactured after October 7, 1973, furnish manufacturer's installation
ma"%ual and structural setup sheets ..(if. not .on file with the County of Butte) .
* V X 00'
Center
Suppor
Locati
S., le � Footings--(check.one)
V a /-44.1. Wood :either .
pressure treated or
Center Support " .:. :. fdn. grade.:
Footing Sizes
(in.) ....... .. jj. 2. :Concrete pad.
x.
11 3.:Other,--specify
Supports (check one)
/✓%^ 1. Concrete block
2. Concrete piers
77 3. Steel piers
............
Other, specify ?:
.....
O
(in.) (in.) ................• ...... .
Typical Support
Footing 'Size'
in. In.
Pier.
+� ? ine a in
x 30 f�— —
(in.) (in.) Max.
_ f .) Overhang
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
e
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville,.CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: i U.5 A IVAa
2. Installer's name: 6,oC' NoC S C /J/yJ / i ` % !n 00/4 4 A1010_!Lc 5 L
3. Is the site currently under permit? Yes No —L
(If yes, furnish permit number ) OR
Is the site an existing.site? Yes / / No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes 1.4 No
(If no, clarify )
5. What is the mobilehome electrical rating? ----------------------- .6200 Amps
6. What is the mobilehome site service rating? _____________________ pi G D Amps
7. What is the mobilehome site circuit breaker rating? ------------- Amps
8, Is there any other electric load to be served by the mobilehome
site service? --------------------------------------------------- Yes / / No / NT
(If yes, identify the load and size:
(Load)
(Amps)
9. What is the mobilehome site gas pipe size? ______________________ V� (in.)
------------------------ ~
10. What is the type of gas service? ----- Natural LPG
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 natural gas
or'less than 50 ft. on LPG.)
ASSOCIATES ENGINEERING CONSULTANTS
2060; PARK AVENUE
• OROVI.LLE. CALIFORNIA 95965 -
PHONE (916) 533.6457
December 22,.1976
James Glandes
Department of Public Works
7 County Center Drive
Oroville, California 95965
Re: 76551
Dear Jim:
Comoaction test results are enclosed for mobile home site
preparation at Kelly Ridge Estates for:
Crouch KRE Unit 3 Lot 161
McCarthy KRE Unit 3 Lot 109 `3`a
Fahl KRE Unit 3 Lot 151 y -7
Harris KRE Unit 3 Lot 106
ReF;resentative tests indicate that the 90% relative.compaction
requirement has been satisfied.
A location map is attached.
Very.truly yours,
COOK ASSOCIATES
Alan G. Brown
Civil Engineer
Client Fahl
COO SSOC)ATES Project KR E Unit 3 Lot 151
ENGINEERING CONSULTANTS NUCiear in-Place • Job No. 76551
V
Moisture DensitY Test Kimbrell
5ENUE 965 Operator
OROVILLE CALIFORNIA
,
( 916 533 —6457 1976
TEST NUMBER
1
2
3
4
5
6
7
8
9
10
TEST DATE
11-23
1st Lift
TEST
5. Cor.
LOCATION
2.5fill
FINAL
MODE 8 DEPTH
611 DT
MOISTURE
COUNT
1122
MOISTURE
COUNT RATIO
.789
MOISTURE
7.50/
PCF
20.00
DENSITY COUNT
285
DENSITY COUNT
1.059
RATIO
WET DENSITY
PCF
127.5
DRY DENSITY
120.0/
PCF
107.5
% MOISTURE
6.1/
18.60
OPTIMUM DRY
133.0
DENSITY PCF
% OPTIMUM
12.0
MOISTURE
% RELATIVE
90/
COMPACTION
81
DAILY
STANDARD
COUNT
COMMENT:
DATE
MOISTURE
DENSITY
11-23
1421
269
COUNTY OF BUTTE — DtP'AF,1-TMENT OF PUBLIC WORKS /
y 7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 KKKJJJ
APPLICATIOWAND' PERMIT
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above-mentioned property for inspection purposes.
X raLDate/,2 — 76
01
' naturC/�� e of Permitee Or
Agent 1�
Receipt No. `7
White-D.P.W. — Yellow -Assessor — Pink inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF rUA�LIC WORKS
BY � Date %' � —
wilding permit expires Date—Z6 -7
BUILDING
Owner
se V1 0
SQ. FT. OCC. BUILDING VALUATION
-
Mailing Address
Telephone No.
Fireplace
Contractor S
al Valuation
Mailing Address136 114S
Permit Fee
Plan Checking Fee&/or Penalty
Telephon No.
Permit Fee $
Building Address S C
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
0 ro U ( L
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. N o
3 - -
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F s
.C.
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
PPlans s
Declaration
I Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Ad oval I
Pla pproval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
U01 -I'm °,
Main service 100 AMP ORV OR LESS5.00
Main service EA. ADD'L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
0 OEAMP OR LESS 25.00
Main service 1
Main service EA. ADD'L too AMP 1.00
NEW LING O
OR ADDNST ( ACCLBL GS.CCUP. &) 20sgft
NEW CONSTRMULTI-OUTLET
NON.RESID. BRANCH CIRCUITS) '2.50ea
NEW CONSTPOWER APPARATUS &)
NON- R RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
�� S�C�����7J_L?f %� l� ►f -
Ex. Occup(OUTLETS OR FIXTURES)@250
BAL@t
Ex. Occu FIXED APPLNS. OR
OUTLETS (RESID.1 EA)
p'( 2.00
Temporary service 10.00
T
Mobile Home Facilities 15.00
License No. __3z21_3d_3Classification �' �%
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authnri o ..♦I:..�n ..t ♦1 n...._.
fl 2
3Q 00
TOTAL PERMIT FEE Is
30 O
-- ...r.�....a:i��u�,vco ui lUe liUUilly Vi OULte to eritur Upon Ine
above-mentioned property for inspection purposes.
X raLDate/,2 — 76
01
' naturC/�� e of Permitee Or
Agent 1�
Receipt No. `7
White-D.P.W. — Yellow -Assessor — Pink inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF rUA�LIC WORKS
BY � Date %' � —
wilding permit expires Date—Z6 -7
vector Dynamics
Foundation .system
INSTALLATION 'INSTRUCTIONS
for the State of California
Version 9/212003
SECTION
INTRODUCTION
GENERAL INSTALLATION
PARTS LIST
LONGITUDINAL DEVICES
PIER HEIGHTS
SET-UP INSTRUCTIONS
INDEX
PAGE
NUMBER
2
3
4&5
6
7
8
RELEASE Approval
DATE MANUFACTURED HOMElMOBILE HOME
FOUNDATION SYSTEM
HEALTH AND SAFETY CODE, SECTION 18551
APPROVED
9/2/03
9/2/03
9/2/03
9/2/03
9/2/03
9/2/03
SPA
FOOTER SIZES
WIND ZONE I - SINGLE
9
9/2/03
- TRIPLE
11
9/2/03
- HIGH PIER
12
9/2/03
WIND ZONE II - SINGLE
13
9/2/03
- DOUBLE
14
9/2/03
- TRIPLE
15
9/2/03
V -DRIVE & PIER SYSTEMS
16
9/2/03
SOIL CLASSIFICATION
17
9/2/03
CONCRETE INSTALLATION
18 & 19
9/2/03
COMPONENT PARTS AVAILABLE UPON REQUEST
SUBJECT TO CORRECTIONS NOTED
WVAL DOES NOT AUTHORIZE OR APPROVE ANY
1SSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULATIONS
oto of California
=ent PHouein and Community Devdvpmatj
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(sipsturo)
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Tie Down Engineering, Inc.
VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
Introduction
These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer
to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun-
dation system.
General
The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning
movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a
specified wind zone when the system is used as described in these instructions. Please verify state or local wind
load requirements prior to installation of the home.
The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the
two longitudinal main rails. The system is approved to be used on single or multi section homes:
Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater
on center; multi section main rail spacing of 75 inches or greater on center.
Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less.
Maximum roof slope of 20 degrees (4.4" in 12" slope).
Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II
Maximum pier height under main rails -see page 7.
The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con-
sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area.
To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other
widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down
Engineering, Inc. at 1-800-241-1806.
The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500
feet of the coastline.
Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer.
These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates.
Page 2 California 9/2/0
GENERAL INSTALLATION INSTRUCTIONS
SITE PREPARATION
It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or
flowing beneath the home.
FOOTINGS AND FROST LINES
The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured
concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see
pages 20 & 2.1) to comply with local requirements for footer depth.
FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS
Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square
feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the
home. For pier locations in between the Vector Systems, use the normal foundation pads.
LUMBER/MOISTURE TERMITE SHIELD
To cut PVC or lumber (2 - 2x4's,1 - 4x4 or 1 adjustable steel commpression member per Vector system) for the
center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis-
tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16".
ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED .
Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the
same, the pre-cut boards will also be the same length in each Vector set-up.
STRAP INSTALLATION
All frame ties and diagonal straps must go from the anchor to
the top of the I -Beam. See illustration below.
1. Attach frame hook to top inboard
location of "I" beam. (Frame hook must be
attached to frame at points closest to floor support.)
2. Keeping in line with the hook, wrap galvanized
strap completely around "I" beam.
3. Pull strap past anchor head approximately ten inches
before cutting to allow enough strap to give a minimum
of five turns around the slotted anchor bolt.
4. Thread loose end through slotted bolt so that the strap is
flush with the other side of the bolt.
5. Tighten slotted tensioning bolt a minimum of five full turns.
491�/2/03
Page 3 California
I'm
Longitudinal Stabilizer Devices
The use of LSD systems on a single or multi section home replaces longitudinal anchors,
stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector
Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The
number of LSD required is shown on pages 10-13.
C2
1. Longitudinal Foundation Pad
2. Beam Clamp (2 per system)
3. Longitudinal Strut (2 per system)
4. Tie Bracket (2 per system)
Nc
Ca
op
Examples of P000ibie Placement:
(Contact TIE DOWN for placment in other Wind Zones)
Wind Zone
I
Single Section
I
00 I
I�
I I .
I I
I I
I I
I 1
I I
I I
I I
I I
I
I
I o0
.18 Ft. Max.
Wind Zone
I
Double Section
32 Ft. Max. ` -
Forgreater widths use
triple section design.
Page 6
Combine Vector Dynamics
& LSD
Wind Zone
I
Triple Section
Wind Zone
' I
Tag Section
48 Ft. Max.
California \�
OUL.-
9/2/03
50 in
max.
Maximum Pier Height
Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier
heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or
both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height
exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used
at each Vector System location with pier heights above 46" with the following exception: double section homes
that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for
double section home high pier set instructions.
50 it
max.
Unequal Pier Heights
Aaximum
Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier
and the shorter pier cannot exceed 26".
OPK�1
Page 7 California 9/2/03
C
Set -Up Instructions for
Vector System #59018
11mirs;W11
Long U -Bolts
W
1. Set Vector Pads
Clear all vegatation where pads will rest. Place
a long U -bolt in pad as shown. Press or ham-
mer pad into the ground.
2. Set Block or piers on pads.
Center foundation blocks or piers on pads. Place
pre-cut center compression member between
blocks, resting on pads, centers between U -bolts
as shown.
3. Outside Tension Bracket
Attach outside tension bracket as shown to out-
side of pads.
Page 8
4. Inside brackets & straps
Attach the inside tie brackets to the U -bolts over
the compresion member. Attach a strap w/hook
or swivel strap w/nut & bolt. Place other end of
the strap over opposite I-beam & down to out-
side tension bracket. Cut strap 12 - 15 inches
past bracket. Attach strap & slotted bolt in
bracket. Tighten strap until tight with 4-5 wraps
around bolt. Repeat with opposite strap.
Califor
w —c6
9/2/03
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2.1
to
WIND ZONE I, SEISMIC ZONE 4
Vector Dynamics Systems Required for
Double Section Homes .y"� \
(Materials Required) _ - - sec
t1On h°
te I • I
\I �
douOe
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Ze
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\ ,. R' ,.L' c } ' t cry, � � ♦.� R a- ♦ \ 1
NOTE: Vector Systems should be spaced as
symmetrically as possible along the length o
home. Pier spacing must be consistent with
manufacturers' instructions and/or state requirements.
No anchors required. For
pier heights up to 46" for WIND ZONE
28'-36' wide,
38" for 24' wide.
See Pg 12 for high pier
instructions.
2 sq. ft. pad
Soil Classifications: 2, 3, 4A, & 4B
Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required*: None (`Marriage wall anchors may be required by home manufacturer)
Home Length
Vector Systems
Required
Anchors Required
Per Side
L.S.D.
0to40'
2
0
2
41' to 66'
3
0
3
67' to 84'
4
0
4
85' to 90'
5
0
4
Each Vector System requires one of the following:
1-4x4 or 2-2x4's pressure treated wood compression member,
Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list)
Note: L.S.D.=
Longitudinal
Stabilization
Device
See Page 6.
VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as
described in the table below:
SOIL CLASSIFICATIONS
Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1)
D2586) Torque Value (2)
1 Sound hard rock...... NA NA
Very dense and/or 40 -up More than 550 lbs - in.
cemented sands, coarse
2 gravel and cobbles,
preloaded silts, clays,
and corals
Medium -dense coarse 24-39 350-549 lbs - in.
3 sands, sandy gravels, very
stiff silts and clays
4A Loose to medium dense 14-23 275-349 lbs - in.
sands, firm to stiff clays
46 and silts, alluvian fill 175-275 lbs - in
Peat, organic silts, 0-44 175 lbs - in.
5 inundated silts, loose fine and lower
sand, alluvium, loess,
varied clays, fill, fly ash.
(1) The purpose of the soil test probe is to gauge the strength of the soil below the surface
and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration
(flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The
overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.;
the pitch is 1.75 in. The shaft must be of suitable length for anchor depth.
(2) A measure synonymous with moment of a force when distributed around the shaft of the
test probe.
Vector Foundation Pads Equivalent to Footer Pads*
Footer Size: Footer Size: _
16x16 = 256 sq. in. - - 20x20 = 400 sq. in. _ -
or 16x18 = 288 sq. in. -= or 17x25=425 sq. in. --
EQUALS ;- EQUALS
2 -Vector Pads # 59275 --- 1 -Vector Pad # 59271 -
288 sq.. in. or 432 sq. in.
1 Vector Pad # 59130
Vector Pad(s) exceed the surface area required when used as the equivalent /iste bove.
'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in r � tar with site
conditons ` -
Page 17 California 912103
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UILDING DEP
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