HomeMy WebLinkAbout071-190-016r. '� ~-_-�-,-....� • 4- ,. - V .., i ,t � ,yi -� ''�yt�' �i ��"�9t"'W `•k' '^ - '*'' r �}7s�- , .ra..-..,--'
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RESIDENTIAL= SFD-Mobile Home PFS • ' '
.-;MI-I PERM FND 1152 SQ.FT. (REPLAC:
CEDAR TREE LN
.NEWSOX BRENDA-�...Y ,
'.B07-1774 "`i'' EY ' 071-190-016 '
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DEMO EX MH 720 SQ.FT /,YEAR BU11
21 CEDAR TREE LNC
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
} PROJECT.INFORMATION
_
Site Address: 21 CEDAR TREE LN
Owner:
Permit NO: B07-1773
APN: 071-190-016
NEWSON, BRENDA
Permit type: RESIDENTIAL
21 CEDAR TREE LN
Issued Date: 10/16/2007 By KEJ
Subtype: SFD-Mobile Home PFS
OROVILLE, CA 95966
Expiration Date: 10/15/2008
Description: MH PERM FND 1152 SQ.FT. (REPL.
(530) 589-5162
Occupancy: R-3 Zoning: FR5
Contractor
Applicant:
Square Footage:
NEWSON, BRENDA
GILBERT GLENN HOPFER
Building Garage Remdl/Addn
21 CEDAR TREE LN
1663 VECTCH ST
1,152
OROVILLE, CA 95966
OROVILLE, CA 95965
Other Porch/Patio Total
(530)589-5162
(530)990-1735
1,152
. t
FEE INFORMATION
k4
DBEH Building Review Fee
$75.70
DBF MH Plan Check
$233.56
DBFIRE Fire Inspection (SRA)
$102.70
DBFIRE Fire Inspection (SRA)
$102.70
DBFIRE SRA Fire Plan Review (S
$102.70
DBMSC Mobile Home Permit Fee.
$350.34
DBOMSCF Fire Safe Standards Re
$115.98
DBSMIP Residential
$7.49
Total Charged:
$1,091.17 Fees Paid: $1,091.17
--LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
NEWSON, BRENDA
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect. -
X 10/16/2007
Contractor's Signature Date
ra,�_'''WORKERS'�COMPENSATION DECLARATION
I 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 is issued.
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Cartier: Policy Number. Exp. Date:
(This section need not be completed if the permitis for or on�llars ($100) or less.)
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.
X� 10/16/2007
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
-CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address
City State Zip
Balance Due: $0.00 Receipt No: B4994
OWNER /,BUILDER DECLARATION, ,
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof 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 Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
❑ 1 AM EXEMPT under Section B. & P.C. for this
Owner's
10/16/2007
Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owner's behalf.
111, ,. _ , _ .- k. -_ - a: — --1 10/16/2007
Owner ❑ Contractor OR. Agent for Owner Agent for Contractor
FILE COPY
BUTTE COUNTY PERMIT
DEPARTMENT OF DEVELOPMENT SERVICES NO.
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 533-2140
A FEE WILL BEREQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds BIN #
Y' -PLEASE PRINT CLEARLY"'
OWNER INFORMATIOr
Last Name
First Name
Mailing Addressa C f 1 LC,
City
State _
Zip .96 1 6
Phonts O 585 s! a
Fax
E-mail
CONTRACTOR
Name
Address
City
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
Flood Zone
Address
Address —
City
City Q R�,�
o.,
State
Zip
Phone
Phon
Fax
E-mail
Sao -17
State License Number
APPLICANT INFORMATION
Name
s
Flood Zone
Address —
S
City Q R�,�
o.,
State
Zip
Phon
Fax
Sao -17
S
E-mail
APPLICANT
PROJECTLOCATION
API � 1�1 G0 d
Property Addressa'1
CityO -
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:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use).
For office use only:
Zoning
s
Flood Zone
I SRA es No
Occ.
Type Const. j/I
Von 0
BUTTE COUNTY FEE SUMMARY
Permit Number: B07-1773
7 County Center Drive
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Job Address: 21 CEDAR TREE LN
Contractor: NEWSON, BRENDA
21 CEDAR TREE LN OROVILLE, CA 95966
Printed: 08/20/2007
1:55 pm
Fee Description
Account Number
Fee Amount
Paid Date
Pmt Amt
DBEH Building Review Fee
0021-540013-4614901-1010
$75.70
08/20/2007
$75.70
DBFIRE Fire Inspection (SRA)
0100-450001-4617240-1010
$102.70
08/20/2007
$102.70
0100-450001-4617240-1010
$102.70
DBOMSCF Fire Safe Standards Re
0010-440001-4210500-1010
$115.98
DBFIRE SRA Fire Plan Review (S
0100-450001-4617240-1010
$102.70
08/20/2007
$102.70
DBMSC Mobile Home Permit Fee.
0010-440001-4210500-1010 $350.34
DBF MH Plan Check
0010-440001-4210500-1010 $233.56 08/20/2007 $233.56
DBSMIP Residential
1001-0-280-1011298 $7.49
Printed By: Tammie Powell
19091.17 $514.66
Balance Due: $576.51
At the time of permit application, I was advised the above fees are required prior to issuance of the
permit. Thing may a ring the plan checking process.
Signature: I I Date: 08/20/2007
Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days
from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments
for a protest are specified in Government Code Section 66020(a).
`�. t..- + +P .. � iib'•s'1&�--.jy"T:�.w,.�,:="'i.j-g �'��`=-C•+?f`„�w..+�.y;f''�.,t.;,js.dc�r�4i..£� y y.,�.���,,,.t.M'�I/,n;.{(.ir^r'iw�'%''��'�:.+ch.'�'ti^"�Yn.: �r-++=�`. 4�„!r
BUTTE COUNTY SCHOOLS IMPACT #FEE CERTIFICATION FORM
(One form per Building)
School District ����/Q%% Building Department No.
Tax Rate Area No.
A.P. Number 07��� (!J j Jurisdiction: = City County
Property Owner
Property Location/Address !'
Subdivision
0
I /
Lot No.
A.
Residential Development
®
.......................... ...................... _. _.................
Sq. Footage
No of Living
Mobile Home
Addition/ *Supplemental to
(Group R)
Units
Installation
Conversion Permit # Cr. Demo - (
)
*(No foundation inspection) € existing sq. ft.
see attached
Net total sq.. ft.
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/Industrial
Q
Sq. Footage
New
Addition
(Including Exterior
Areas)
(Roofed
Building Department Representative
Date
District Identification No.
ovk\�Sl
(Street Address)
School District certifies that
(Payor)
(City) (State)
M CA
iS ,V"'A
(Zip Code)
SV) -516 -a -
(Phone Number)
has complied with the requirements of Resolution No. _ l rJ O by payment of $
representing 11.0 square feet. B 2926 $
FULL MITIGATION $ +
School District Representative Date
Paid by Check # Remarks:
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm
BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
li'<ATHER RIVER RECREATION AND PARK DISTRICT (FRRPD)
❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD)
❑ PARADISE RECREATION AND PARK DISTRICT (PRPD)
❑ DURHAM RECREATION AND PARK DISTRICT (DRPD)
Assessor Parcel Number (s) Q 21 "` 91�) 7'0l& Building Permit Number
Property Owner (s) NeztJSGn
Project Location /Address P�Ia r
Subdivision Name
Assessable Sq. Ftge If .5 Z
Type of Residential Development (check one)
New Development Single Family -Detached
Alteration/Addition(s) Non -Residential to Residential
_Mobile home ?/Mobile home replacement
Demo Permit (date issued
Comments:
Single Family -Attached
Multi -Family Dwelling
verified by Assessor Department
/verified by Building Department
, _I /, A,
❑ FRRPD ❑ CARD ❑ PRPD ❑ DRPD certifies that:
Applicant Name
Mailing Address
Phone Number
City
State
Has complied with requirements of the Butte County Board of Supervisors Resolution No.
by Payment of:
Dwelling Units @ $
Square Feet @ $
Remarks:
Paid by Check No:
and Park District
Paid by Cash:
per unit for a total of $
per sq foot for a total of $
Receipt No:
Zip
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
PERMIT APPLICATION DATA SHEET
Reference Number:
B07-1773
Date:
08/20/2007
Location:
21 CEDAR TREE LN
By:
TMP
Parcel Number:
071-190-016
Sub Type:
SFD-Mobile Home PI
Owner Name:
NEWSON, BRENDA
Phone:
(530) 589-5162
Description:
MH PERM FND 1152 SQ.FT. (REPLACEMENT)
The above permit application has the following Clearances required prior to permit issuance. Please contact each department
indicated below regarding specific requirements pertaining to your permit application.
Yes No DRAINAGE DISTRICTS
Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740
LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000
City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675
Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723
Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000
Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105
Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
OTHER
Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
Other:
Other:
Other:
Signature of Property Owner: ' Date: 08/20/2007
FILE
PARKS & RECREATION DISTRICTS
Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
E]
❑
Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921
03im
Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011
Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393
SCHOOL DISTRICTS
Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281
Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006
Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675
Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723
Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000
Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105
Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
OTHER
Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
Other:
Other:
Other:
Signature of Property Owner: ' Date: 08/20/2007
FILE
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
'PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
.PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
I PERSONALLY PLS TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT OR NO)
2. C J VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
NAME_
ADDRESS
CITY
PHONE CONTRACTORS LICENSE NO.
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
PHONE
CITY
CONTRACTORS LICENSE NO
5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: MH PERM FND 1152 SQ.FT. (REPLACEMENT)
Reference Number: B07-1773 /—/97-//
Applicant Name: GILBERT GLENN HOPFER
Owner's Name: NEWSON, BRENDA AP #
Signature of Property Owner'� Date:
071-190-016
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Telephone
(530)538-7171 Fax
www.buttecounty.net/dds
0
0
O
0
0
4k.(c
National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
[LESS THAN 1 ACRE 1
Reference Number:
B07-1773
Date:
08/20/2007
Location:
21 CEDAR TREE LN
By:
TMP
Parcel Number:
071-190-016
Sub Type:
SFD-Mobile Home PI
Owner Name:
NEWSON, BRENDA
Phone:
(530) 589-5162
Description:
MH PERM FND 1152 SQ.FT. (REPLACEMENT)
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed: ,
Title: A
FILE
Date: 08/20/2007
California Department of Forestry and Fire Protection
Butte County Fire Department
Fire Prevention Bureau
176 Nelson Avenue, Oroville CA 95965
(530) 538-7888 Office, (530) 538-2105 Fax
Reference Number:
B07-1773
Date:
08/20/2007
Location:
21 CEDAR TREE LN
By:
TMP
Parcel Number:
071-190-016
Sub Type:
SFD-Mobile Home PI
Owner Name:
NEWSON, BRENDA
Phone:
(530) 589-5162
Description:
MH PERM FND 1152 SQ.FT. (REPLACEMENT)
To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County
requires a pre -construction inspection to pro -actively provide the below building and site requirements to the
property owner.
Your property is located within the State Responsibility Area (SRA) of Butte County. All development within the
SRA is required to meet the below requirements:
✓ Public Resources Code 4290
✓ Public Resources Code 4291
✓ California Building Code, Chapter 7A
✓ Butte County Improvement Standards
Requirements prior to scheduling the pre -inspection:
✓ Full plan submittal to Butte County Development Services -Building Division
✓ Driveway and building pad must be identified on site
✓ Structure location must be staked out on the building site
Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention
Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on, enter the
extension number).
For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction
site with two hard copies of the site plan.
I have read and understand the above pre -inspection requirements.
08/20/2007 '
Date Signature
All of the Fire Safe Requirements are posted on the Butte County Fire Department website at
http://buttefire.org/Fireprevention/protplan/protplan.html
Rev'd 5/7/07
FILE
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications
(not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are
for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of
$54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration
of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any
refund amount) to determine no work was done.
Fee/refund information can be read on-line at http:Hmunicipalcodes.lexisnexis.com/codes/butteco/
Reference Number: B07-1773
Location: 21 CEDAR TREE LN
Parcel Number: 071-190-016
Date: 08/20/2007
Owner Name: NEWSON, BRENDA Phone: (530) 589-5162
Description: MH PERM FND 1152 SQ.FT. (REPLACEMENT)
Signature of Property Owner.L` Date: 08/20/2007
FILE
f
Butte County Building Division
MANUFACTURED HOME SUPPORT DATA
Owner's name: j?�r�,� ���, /��e,u sew, A.P.# 0-21 -\90 - Q1�
Home Manufacturer:_ C Aa.,-, \ ni n-. Manufacture Year: \OAQ,
Model Number/ Name: Sbt\ (z
Width: qS (ft.) Length: oZ y' (ft.)
FOOTINGS: Wood - pressure treated or foundation grade{] Other:[ ]
SUPPORTS: Concrete block'X] Other:[ ]
Provide manufacturer's installation manual, support blocking requirements and state
approved or engineered foundation or tie down system specifications.
Pier Footing Sizes and Locations
SINGLE WIDE MULTI -WIDE
Line1 ♦--------------------------------------------------------------- Line 1
Line 2 Section 1 Line 2
Line1��--------------------------------------------------------------,-, Line 3
Section 2
Line 2
--------------------------------------------------•------------Line 4 (triple wide only)
---------------------------------------------------------------
Section 3 Line 2
Line 1 Piers: Snow Load: aC) psf
Minimum size piers: [ y ] X [ Zy ] 'Snow Load requirements may be o ined at
Spacing maximum: O hftp://www.upstate-ca.com/ utte_county/
From ends maximum: j O " Insert AP #, view sno ad in lower right corner.
Line 2 Piers: Line 1 O in s: W
Minimum size piers: I,-,- ] X [ 1-I ] Min' - m size pier: [ iL] X [Z I l
Spacing maximum: to " ,uired at each side of openings over
From ends maximum: to1AD "wide.
...:
Line 3 Roof Loads:
Minimum size piers: -7 x LL- L o 43 "'.A.�Z, %►
Location (from front):
Minimum size piers:
Location (continued):
Line 4 Roof Loads—
Minimum size piers:
Location (from front):
Minimum size piers:
Location (continued):
MOBILEHOME SUPP.OF3T–DATA_
If other than single wide,
Mobilehome Mfr., /Q _,furnish Setup Model No. ' C•Year_�Z
Width,'v(ft.) Box Lent (ft-) Tagalong or Expando Size ft. x—�ft.
.On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one)Wood-pressure treated or foundation-grade.2. Other (specify)'
.SUPPORTS (check one)1. Concrete block. 2. Other -,(specify)
Pier. Footing Sizes. and .Locations �
'S'INCCL'F.-WI MULTI-WIDH
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ne
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Lineal Piera: ]tine 1 Openings:
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Ane 2 Piers:
Line 3 Piers: (Under Bearing Well Only)
Size -Min------------- , Size -Min.
Spacing -Max. 6 -------------
- Spacing -Max.. ,
From Ends -Max.- , -----. ---- „
from Ends -Max-
Lin • 3 Roof Loada
Size -Min.------------
Lncation (From Front)
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Spacing -Max---------- ,
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Page 1 of 8
Chateau 2700
I
1.620 SQUARE FEET * 4 BEDROOM. NOOK 2 BATH -
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MODEL
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BUTTE COUNTY
NTY
B IL®INO DIVISION
PPROVED
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' BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 21 CEDAR TREE LN
Owner:
Permit No: B07-1774
APN: 071-190-016
NEWSON, BRENDA
Issued Date: 08/20/2007 By TMP
Permit type: MISCELLANEOUS
21 CEDAR TREE LN
Subtype: Demolition
OROVILLE, CA 95966
Expiration Date: 08/19/2008
Description: DEMO EX MH 720 SQ.FT. /YEAR B
(530) 589-5162
Occupancy: Zoning: FR5
Contractor
Applicant:
Square Footage:
NEWSON, BRENDA
GILBERT GLENN HOPFER
Building Garage Remdl/Addn
21 CEDAR TREE LN
1663 VEATCH ST
OROVILLE, CA 95966
OROVILLE, CA 95965
Other Porch/Patio Total
(530)589-5162
(530)990-1735
FEE INFORMATION
_ -
DBMSC Demolition $58.00
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
NEWSON, BRENDA
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 08/20/2007
Contractors Signature Date
WORKERS' COMPENSATION DECLARATION =x
I 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 is issued.
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Cartier. Policy Number: Exp. Dale:
(This section need not be completed if the permit is or one hundred dollars ($100) or less.)
IU1 I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
621'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.
X 08/20/2007
Signature vDate
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION'LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lenders Address
City
State Zip
r
Total Charged: $58.00 Fees Paid: $58.00
Balance Due: $0.00 Receipt No: B4295
OWNER / BUILDER DECLARATION•
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
�I I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof 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 Provessions Code:
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
❑ I AM EXEMPT under Section B. & P.C. for this reason:
b'd 08/20/2007
Owners Signature Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owners behalf.
, ;_K lL ..-n (' r 08/20/2007
Owner Contractor OR.Agent for Owner Agent for Contractor
'FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE i#: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIAYIE OFAPPLICATION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY*"
OWNER INFORMATION
Last Name
-c w So
First Name
e.
Mailing Address a 1 C
CityState
�ZcD13'
Zip
Zip
6t 9 S &�
Phone ' 30 T�'— S) 6a
Fax
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
City Q 2 � \{
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City Q 2 � \{
Addtess
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address' 6 G3 v �—S >
City Q 2 � \{
State
Zip
Ph e
Sao 9 0-
Fax
E -mail
I �4'
PERMIT
NO.
�01(7- 1 `'
BIN # .
PROJECT LOCATION
AP# 0 S 0 \(b` uvp
Property Address
City
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:
Sq FT- Living `� j a Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use).-
For
se):
4
For office use only:
Zoning -S Flood ZoneSRA
res
No
Occ.
Type Const. ,�
w
i
DEMOLITTO'4 PERMIT
ASBESTOS NOTIFICATION STATEMENT
Pursuant to section 19827.5 of the California Health and Safety Code, all demolition
permit applicants are required to fill out this form_
"19827.5 A demolition permit shall not be issued by any city, county, city- and county, or
state or local agency which is authorized to issue demolition permits as to any building or
other structure except upon the receipt from the permit applicant of a copy of each
written asbestos notification regarding the building that has been required to be submitted
to the United States 1?nvironmental Protection Agency or to a designated state agency, or
both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor
to that part. The permit may be issued without the applicant submitting a copy of the
wTitten notification if the applicant declares that the notification is not applicable to the
scheduled demolition project. The permitting agency may require the applicant to make
the declaration in writing, or it may incorporate the applicants response on the
demolition permit application. Compliance with this section shall not he deemed to
supersede any requirement of federal law."
Attached is a copy of the Asbestos NESHAP Notification of Demolition and
Renovation form for the project located at
(Address) (City) (Zip Code)
Assessor's Parcel Number
Date
Signature of Applicant
I hereby declare that a written asbestos notification to the United States
Environmental Agency is not applicable to this demolition project located at
(Address) (City) (Zip Code)
Date cQ O ,lac., a 00 -3 -
Signature of Applicant
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(630) 538-7601 Telephone
(530) 538-7785 Facsimile
www. b uttec o u ntv. netld ds
www.butteoeneralplan.net
ADMINISTRATION' BUILDING' PLANNING
IMPORTANT INFORMATION ON DEMOLITIONS AND
ASBESTOS!
Nklien preparing to demolish any building or portion thereof, the Iollowing pages need to be
reviewed carefully to determine whether you need to contact the California Environmental Agency
Air Resources Board.
You will be required at the time of your building permit application to declare whether you needed
to complete an Ashes los Notification form. If you are required to complete an Asbestos Notification
form per the following pages, you will be required to furnish us with a completed copy of the
Asbestos Notification form to include with your building permit application.
The "Asbestos It ESHAP Notification of Demolition and Renovation" form and instructions on how
to complete the form is available at our office at 7 County Center Drive; OroWle CA. Or you may
request it directly from the California Air Resources Board whose contact information is located on
the following pages.
If you have any questions please feel free to contact the California Air Resources Board directly or
our office during regular business hours 7:3 Warn — 4:30pm Monday — friday.
California Environmental Protection Agency
aAir Resources Board
Enforcement Division
imumour 4"
Advisory
ASBESTOS
NESHAP REGULATION
Asbestos NESHAP Advisory
for Demolitions and Renovations
March 2006
The California Air Resources Board's (CARB) Enforcement Division is responsible for enforcing the
Asbestos National Emission Standards for Hazardous Air Pollutants (NESHAP) regulation under Title
40 CFR Part 61, Subpart M, implemented by the Health and Safety Code Section 39658(b)(1) for the
16 California non -delegated air districts. A copy of the regulation can be downloaded at
hfto.-IAtvww.arb.ca.gov/enf/asbcfr.htm
CARB assists the United States Environmental Protection Agency (USEPA) in enforcing the
Asbestos NESHAP. CARB staff conducts inspections, investigates complaints, collects asbestos
samples, issues notice of violations and collects demolition/renovation data from the non -delegated
air districts. See map at http://www.arb.ca.cov/enf/asbmap.htm
The Asbestos NESHAP requires that a thorough inspection of the facility, by an accredited inspector,
be conducted for all renovations and all demolitions,
The Asbestos NESHAP regulations must be followed, in the non -delegated air districts, for all
demolition/renovation of facilities with at least: 260 linear feet of regulated asbestos -containing
materials (RACM) on pipes, or at least 160 square feet of RACM on other facility components, or 35
cubic feet on facility components where the amount of RACM previously removed from pipes and
other facility components could not be measured before stripping.
A written notification is required to USEPA and CARB at least 10 working days prior to
demo litionlrenovation activities that are located in non -delegated air districts. Instructions and
notification forms can be downloaded at http:/Awww.arb,ca,aov/enf/asbestosform.htm
Failure to meet these requirements by the owner or operator will result in the issuance of a Notice of
Violation to owner or operator that may result in monetary penalties, or in serious cases, in civil or
criminal prosecution. The maximum penalty is $50,000 per day per violation.
For questions regarding this advisory, please contact Ahmad Najjar at 916-322-8036. You may also
view this advisory and all other Enforcement Advisories at htto:llwww.arb.ca.gov/enfladvs/advilst.htm
James R. Ryden, Chief
Enforcement Division
PO Box 2815
Sacramento, CA 95812
-3
Air Resources Board �.
Robert F. Sawyer, Ph.D., Chair
Alan C. Lloyd, Ph.D, 1001 1 Street • P.O. Box 2815 Arnold SchwarzenEgger
Agency Secrerary Sacramento, California 95812 - www.arb.ca.gov Govemor
March 1, 2006
Dear Building Departments,
The enclosed advisory for the Asbestos National Emission Standards for Hazardous Air
Pollutants (NESHAP) is being sent to you for your information and to provide you with a
document for posting in your office and distributing to persons seeking demolition
renovation permits.
Under State law, Assembly Bill 2791 (Demolition Permits), local agencies may not issue
permits to demolish until the applicant has demonstrated exemption or compliance with
the notification requirements of the Asbestos NESHAP, Part 61 of Title 40 of the Code
of Federal Regulations.
The Asbestos NESHAP Notification of Demolition and Renovation Form is generally not
applicable to a demolition project if the structure is a single-family dwelling (e.g. a
single-family private residence or mobile home used as a single-family dwelling), or a
residential structure having four or fewer dwelling units (e.g. an apartment building with
4 units or less).
However, notification is required even 'f no asbestos is present, if
• the structure is to be utilized for fire training purposes
• the structure is a former residence currently being used for commercial purposes
and not as a dwelling
• the structure is being demolished as part of a commercial or public project (e.g.,
as part of an urban renewal project, a highway construction project, a shopping
mall project, an industrial facility project, or a private development project.
If you have any questions about this advisory, please contact Mr. Ahmad Najjar at
916-322-6036.
Si ,
,lames R. Ryd , Chief
Enfor7cemAnt Division
California Air Resources Board
Enclosure
The energy challenge racing California is real, Every Californian needs to take immediate action to reduce energy consumption.
For a list 0simple ways you can reduce demand and cut your enorgy costs, bee our websko 1 :::,vv_;.alb ca.ao
California Environmental Protection Agency
= OK }
'0 =Not OK
Not Applicable
MOBILE HOMES MISCELLANEOUS
Data MOW &", OME UTILITIES Plans OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
r oning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
- 1S S 4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts_Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5.. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
1,6-11'es; Location - t -Wrap: / "L"ft.
/ /"Nat. or/ 'L"ft./ &-/"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows=Doors
7. Utility Clearancd
7. Elec.
8. Frmg;,Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1 r,� Dat!U!Z9 Card -B1 Date
10. Roof; Shthg-Roofing
Card -B1 Date Card -B1. Date
11. Ext.; Steps -Doors -Landings
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
'
1. Zgef&g Requirements -Setbacks -Easements
= Card -B1
Date Card -B1 Date
. Fo " gs; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
MH Test -Demand -Valve -Connector
ZktlepKicity; MH Test -Crossovers -Breakers -Clearances
I Date
POOLS (Plans) OK except #'s
n• MH Test -Fall -Flex Connector
{
1. Setbacks -Easements
er; MH Test -Regulator -Connector
}
2. Soils; Compaction -Structure Stability
'Wale,r and Sewer Connected -C/O to Grade -HD Approval
i
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
d Electricity Tagged
s; Insp.-Sketch
I
4. Elec.; Receptacles and Lighting, Distances-GFI
Cert. of Occupancy
f
5. Elec.; Pool Lighting; 15 volts-GFI
l
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating, Equip. -Heater
}
f
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes- Enc losures- Panel board s -Ins. to Main in Conduit
Card -B1 m DateCard-B1 Date
Card -B1 Date Card -B1 Date
f
9. Health Department Approval
n�
}
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
'A
= OK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable
Nob Ready
UNDERFLOOR (Plans) OK except #'s
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance- Material -Su pprt- Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -B1 Date Card -B1 Date
Card -131 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -B1 Date Card -131 Date
Card -B1 Date Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mach. Fasteners -Bond Gas & Water
27. 2 Appliance Circuits in Kitchen & Conductor Size
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31 E ui Clearances Panels-Motors-Mech E ui
Date FRAMING (Continued)
44. Hangers -Post Caps -Anchors -Connectors
45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
46. Fireplace Ties or Type A Flue -Fireplace Throat
47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
49. Garage Fire Protection Framing
50. Property Line Firewall & Openings
51. Ext. Doors -One T -Check Garage -3rd story, 2 exits
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
54. Siding -Nailing Veneer
55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
56. Glazing Area -Glass Protection -Skylights -Plastic
57. Shear Walls; Nailing -Bolts
58. Insulation -Wal Is-Clg.
59. Infiltration-Walls-Wndws
,Card -B1 Date Card -131 Date
Card -B1 Date Card -B1 Date
Date FINAL (Plans) OK except #'s
60. Ext. Steps -Door & Sidelight Protection -Landings
61. Smoke Detector
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
66. Stairs & Rails
67. Fireplace or Stove; Clearances -Hearth
68. Elec. Outlets at Wood Panel; Int. & Ext.
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
70. Elec. Outlets & Receptacles at Kit. Counter
71. Garage Fire Door; Swing -Landing -Closer
72. A.C. Duct in Garage -Damper
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Mach. Protection
74. Plb., Elec. & Mech. Equip. Listed for Location
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
76. Insulation -Foam -Looked in Attic ❑ Yes
77. Guard Rails & Deck Construction -Post Caps
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
(NOTE: An entry must be made each time you visit job site)
q t, q F.
32. Clothes Closet Light -Shower Light -Spa Light
79. Following instld.; Drive ❑ Yes ❑ No; Walks 13 Yes ❑ No;
Planters ❑ Yes ❑ No
80. Stucco; Brown -Finish
Card -B1
Date Card -B1 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -B1 Date
82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
83. Water Well; Disconnect, Electrical, Plumbing
33. A.C. Ducts Insulation & Support
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
34. Vent Fan; Exhaust above insulation
85. Ventilation throughout House
35. Condensate Drain & Overflow; Size & Grade
86. Glass Protection
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Corrections from Previous Inpections
37. Attic Access & Platform if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date
FRAMING (Plans) OK except #'s
Card -B1 Date Card -131 Date
38. Sills, Proper Material & Anchors
Card -B1 Date Card -B1 Date
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rat proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT N0.
Address or location of mobilehome
Owner's name
Owner's addressr <
4 y
Insignia or hud number =
Manufacturer's name
Serial number of V.I.N._ A Year of.manufacture
(Official Approving Installation) ,(Date)
G
IF THE IUOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
E
5138 White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2731
7 County Center Drive, OroviIle — Phone:. 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
C
OWNE
�e_' ---1 —
PERMIT -6
A routine inspdction indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
C
Inspector;! Date
.COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2761
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road; Paradise— Phone: 872-6307
CORE ION NOTICE
NE ER NO.
Aroutine inspection indicates that -the following violations of County Ordinance
exist at the above.address and should be corrected. Please notify this office
f'�
when correction•of work is completed. If you have any question pertaining to this
matter, or additional e�lanation, please contact this office immediately.
V r �OUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS A PERMIT NO. /
7 County Center Drive - Oroville, CWifornia,95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT o
ASSESSOR P EL NU BER
71-
ZONING
BUILDING PERMIT
O ER
2 a—
TELEPHONE
SO. FT, OCC. BUILDING
VALUATION
OWNER'S MAILING nADDR SS
`{
CON ACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
G
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PERMIT
Filing Fee 10.00
S3SPLUMBING
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
Other
SF ❑ Duplex[]MobilehomeA, SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10ov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS
and Professions Code and my license is in full force and effect.
LI ense No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLINGoCCUP.8i\/2QSgft
OR ADDNS, t ACC. BLOGS. //
NEW CONSTR.U TI.OUTLET
NO N•RESID BRANCH CIRCUITS)
2,50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR,
EX. OccupOUTLETS OR FIXTURES
z0050t
BALD 30
EX. Occup. OUTLETS ((RESID )FIXED APPLN5 REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
nsent to Self -Insure.
Ts�hall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again�icoun co equence of the granting of this permit.
X Date ^-�—
Signature of Applicant - Ow r ontractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE
occu P. CONST.Tr PE I I FLO
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
DIRECTO OF PUBLIC
By
PE IT EXPIRES Date
x $
PA(/ gC,� -D N 1
the applicable p d
resolutions
fees have been
WORKS l
Date
i
Receipt No. i5
WHITE-D.P.W.• YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT,,OF. PUBLIC WORKS - BUILDING DIVISION
r 7 COUNTY CENTER DRIVE - OROVILLE, fAf I -t _RiVIA 95965 - TELEPHONE: 916/534-4541
IV
1.
jr PERMIT APPLICATION DATA SHEET
Permit No.
OWNER�52Q��-[-a' _ A: P. No,T
Proposed Building Use T•I + ,9 Building Inspector Date � a
At time of permit application, I was advised the following data must be submitted prior to permit processing
and1or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate, signed by preparer of plans. .
3. Complete plans in duplicate./triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fee's Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. j
X10. Sanitation approval from Q►�u'Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif+)
14. Owner -Builder Verification (Given to owner❑, Mail to ownerAk
❑ ),
lmrovements may be required. . . . . . . _
Mobi lehome Installation Data. . . . . . . . . b
Pre-Inspec. request to
1-7. Pre -Inspection for Required. Building Inspect 7. °°te
1,8. Recorded copy of Agricultural Acknowledgment Statement. �
9. Driveway Permit.
20. Plot plan approval from city of
21.
22. � ,r
When you issue the permit, process as follows: ?Mail to owner, Mail to contractor.
Telephone and hold for pickup at—off ice, Deliver w/inspector.
Other
` - Applicant �C� � = ate 5 8 7
Copy of plans sent Health Dept,, Fire Dept., Other Date
The following data must be submitted pri o per suance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_mail—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter b�yQ date
Plans checked by OLDate 1' - Plans approved by---- e `7-3
Sets of plans on hold in File cabinet AP folder
— Flours: 10:00 a.m. - 3:00 p.m.
Copy—DPW
t TO. Building Department • 1 .
FR6m: Environmental Health
SUBJECT: Sanitation Clearance
&V-iS-6-3 ' u �_
Owner -non AP#
Plan Approved for: Sewage Dis osal
P _. Water Supply
Hold final for: Water Supply
,. .
Final clearancce�O.R for: Water Supply
Clearance forA. bedroom mobile home. Other
Sanitarian
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive,.Oroville, CA 95965 Phone: 916-538=7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit.
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) L�c7
2. I (have/have--Tt&t-) e> signed, an application for a building it
f r the proposed w rk.
3. I ha contracted with the following person.(firm) to prow' the proposed-
constr tion:
Name
.Address City
Phone Contractors Lic se No.
4.. I plan to provid portions of this wo
to coordinate, sup vise, and prow' e
Name
e. but I have hired the following person
the major work:
Address City
Phone Contractors License No.
5. I will provide some f the wor:but I have contracted (hired) the following
persons to provi the work indic ed:
Name Address Phone Type of Work
J
1
Signed:
'Property Owner
Social Security Number �
Date ,! r%
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are pe:K-
mitted to issue the permit.
!_St ME
do DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT �ETMM I `I E COUNTY.
FOR RESIDENTIAL DEVELOPMENT OFFICIAL RECORDS BY
Section 26-8.1 of the Butte County Code requires this acknowledgement PARTY SHOWN
be recorded prior to issuance of a building permit.
87-20554 1981 JUN -S PA 3. 08
The property described herein is adjacent to land or included CANDACE J.GRUBBS
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from CLERK -RECORDER FEE_
.L__V
the use of agricultural chemicals, including, but not.limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows: -
Sri L.F6AZ- - DCSc,eI P7 IV AI�E� �r-i -1 -o
Date:
PROPERTY OWNERS:
State of On this the S day of J O N L— 19f—?-, before
SS. me, the undersigned Notary Public, personally appeared
County of 20zeK)
RO8E-PI- Z�__. SPZ-eRV A -(V1) JDVCC-_ != SPE,eA-9
®®er■nia■®Ia■m®■■emlaa®■■v®>A■� . / Personally known to me. _/y/ Proved to me on the basis
. ■,
® GERUGUAYLE ® of satisfactory evidence.
NOTARY PUBLIC•CAUFORNIA to be the person(s) whose names) +P subscribed to
BL County ■ the within instrument and acknowledged that I E
mi
■ My Comssion Expires OCL 23,1989 ■
■ executed the same for the purposes therein contained
■ ■■■v■■■a��e�■■.�■■■e■■■■■,0 IN WITNESS WHEREOF, I hereunto set my hand and official seal.
tary l is
Present A.P. No.
'3e 4pl
Order No. 27075
DESCRIPTION
All that certain real property situate in the County of Butt,ey
State of California, described as follows:.
55:4
A portion of the Southwest quarter of Section 29, Township 20;
North, Range 6 East, M.D.-B. & M., described as follows:
i
r
COMMENCING at a point in the North line .of the Southwest quarter
of said Section 29, from which point the Northeast corner of 'said
Southwest quarter bears North 89° 32' 37" East, 594.0 feet,:said
point being also the Northwest corner of that certain parcel of
land described in Deed to E. R. Cook, recorded February 20,:1956,
in Book 814 of Official Records, at,page 341, records of Butte
County, California thence along the West line of said Cook.
Parcel, South 0° 36' 21" East, 549.02 feet to a point in the
centerline of Lumpkin Road; thence leaving •said Cook parcel line,
and along said road centerline, South 28° 12' West, 131.88 feet
to a tangent curve, concave to the Northwest, having a radius of
120 feet; thence along said curve, through a central angle of, 36°
.47' (the long chord bears South 46° 35' 30" West, 75..72 feet)',
for a distance of 77.04 feet; thence South 64° 59' West, 53.1'7
feet to a tangent curve, concave to the Southeast, having a i
radius of 150 feet; thence along said. curve, through a central
angle of 21° 44' (the long chord bears South 54° 07' West, 56.56
feet), for a distance of 56.90 feet; thence South 43° 15' West,
67.0 feet to the true point of beginning for the parcel of..land
herein described; thence leaving said Lumpkin Road centerline
North 39° 01' West, a distance of 203.61 feet; thence South -89
23' 16" West, a distance of 354.63 feet; thence South 0" 27'!50"
East, a distance of 645.43 feet to the centerline of Lumpkin'
Road; thence Northeasterly -along the centerline of said Lumpkin
Road to the true point of beginning. I
EXCEPTING THEREFROM an undivided 1/2 interest in all mineral,
rights, as contained in Deed from Louis W. Hengel, et al, to
William C. Denton, et ux, recorded May 2, 1968 in Book 1515. of
Official Records, at page 564, records of Butte County,
California.
i
END OF DOCUMENT
0
660'
UtiN
4 ft.
This -set of plans and specifications MUST be
kept on the iob at .all times and it is unlawful to
make any changes or alterations on same without
wmitten permission from the Department of Public
Wal`16, CAatV of Butte.
354 '
.� 4 CI — 6.
wEL L _-
----
7-
03, 03,
R
nections shall be with n 65'r
-mobilehome, either h
:hincl or within the rear �_ o
•) of the
me.
�5 c�4 I
q�
NOTE:—All Materials & Workmanship ,hall Lie it,
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Machanical Codn4 and
M1% National Electrical Code.
HOME
tA
C,4ar a< . To
�o"CIO
17
A setback Of* ft. from the
Property lines and a setback
of 50ft. from the road
Centerline shall be clear of
strUctures or equipment except
for a 2 ft. eave overhang.
NOT TO SCRLE
RLL DIMS. fiFFROX .
®l -I C
ILDING DEPARTMENT
�/z
i
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS y
7 County Center Drive, Oroville, CA
PHONE: 534-4541
MOBILEHOME INSTALIATION SHEET
1. Owner's Name.: ��/Jed ��� Yl' e So- _-
2. Installer's Name: +t2 y
3. Is the site currently under permit? Yes No
_ (If yes, furnish permit number K7 -,21-5S,5 ) OR
.Is the site an existing site? Yes No
(If yes, furnish two plot plans.)
r
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 INo F
:(If no, clarify.
5.
What
is the
mobilehome electrical rating? -------
� Z`S Amps
6.
What
is the
mobilehome site
service rating? --- -----.-----
Amps
7.
What
is the
mobilehome 'site
circuit breaker rating?
Amps
8.
Is there any other electric
load to/ served by the
site
/be
1/�1 L _
-
Yes No
mobilehome
service. ---
_ _G,�
--- - -- ---- ------
(If yes, identify the
load and size: (Load) (Amps)
{{
9.
What
is the
mobilehome site
gas pipe size? --------------
/ (in.)
10.
What
is the
type of service?
-------------------,Natural
LPG
gas
11.
What
is the
gas pipe length
from meter or tank to the-.
mobilehome?
* 12.
What
is the
mobilehome gas
demand? ----------------------
(BTU)
*(This
information not
required if pipe length less
than 6 ft. on
..natural gas or less
than'.50 ft. on LPG.)
MOBILEHOME SUPPORT DATA
ar i
/ //1r GtIf other than single wide,
Mobilehome Mfr. 6'd Idz/--r5'fi furnish Setup Model No. Year
!Z 6a
Width(ft.) Box Lengthe (ft.) Tagalong or Expando Size ft. x ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one) 1. Wood -pressure treated or foundation grade.F� 2. Other (specify)
SUPPORTS (check one) N1. Concrete block.0 2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE
Line 1 Piers:
Size-Min.------------
Spacing-Max -
-----------Spacing-Max. ---------
From Ends -Max. -------
Line 2 Piers:
Size -Min .------------
Spacing -Max ----------
From
---------From Ends -Max.-------
Line 3 Roof Loads:
Size -Min. ----------
Location (From Front)
Line 1
bine 1 Openings:
Size -Min. ------------------
�� n
Each Side of Openings
With Width Over--------- ��
Line 3 Piers: (Under Bearing Wall.Only)
Size -Min .------------------ k
Spacing -Max.--------------- n
From Ends -Max .-------------
e v riers•
Size -Min .------------
i� u
Spacing -Max.--------- ,
From Ends -Max .-------
Line 5 Roof Leads:
Size -Min -------------
Location (From Front)
Size -Min .------------------
i� n
Spacing -Max -----------------
From
------ ------From Ends -Max .-------------
t
COUNTY OF BUTTE - DEr_,., OF PUBLIC WORKS
7 County Center Drive - Oroville, Cah inial - Telephone: 916/538-7541
APPLICATION AND PERMIT
PE_iM1T NO.
ASSESSOR PAR UUMBE
ZONIN 5
BUILDING PERMIT
O Ef
r
TELEPHONE
—
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADD E
I
CONTRACTOR'S NAME
TELEPHO
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ .
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
`753 �Lc; `/�/
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00ea
i
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work' _
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check -one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business'
and Professions Code and my license is in full force and effect.
License No. Classification
Q� as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.N) YzQsgft
OR ADONS. ACC. BLDGS. /
NEW CONSTR. MULTI -OUTLET 2.50 ea,
NO RES BRANCH CIRC ITS
(POWER APPARATUS 9�
SINGLE OUTLET CIR.
zo®aoe
Ex. Occup OUTLETS OR FIXTURES .ALO 30
FIXED
Ex. QCCUp. P
OUTLETS (RESID )REA.1 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
5.^A?D
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
�shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
againstAaid,4County in co equence of the granting of this permit.
c
X Date 0/'— .5 �7
Signature of Applicant — Owner anrracror ❑ Agent F1work
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile dome Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
occUP.
CONST.TYPEJ
I
IFWOIIIPARCFL_l
PD
ND
39UE
This permit is hereby issued under
sions of the Butte County. Code and/or
indicated above for which
DIRECTO OF PUBLIC
-
By
PERMIT EXPIR Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date ?C
'✓`
Receipt No.—S %&_ c__�__�
WHITE-D.P.W.. YELLOW-A99E990R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County -Center Drive, Oroville, CA 95965 Phone: 916 538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is ,received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes'or no)
2. I (have/have not) Izes signed an application for a building permit
for the proposed wo .
3. I have contracted with the following person (firm) to provide the proposed -
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide tions of this work, but I have hired t following person
to coordinate, superyis and provide the major work:
Name
Address City
Phone Contra ors L' nse No.
5. I will provide some of the work.bu have trac ted (hired) the following
persons to provide the work in ated:
Name Address Phone Type of Work
Sdgned;
Property Owner
Social Securit Number —
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are pe:�.
mitted to issue the permit.
'PERMIT
NO. 2133-80P,E
PERMIT_EXPIRES / 3rM/
TOWNER
Roger Curtis
owner,
CONTR.
71-19-16
kLOCATION (A.P.
NW/S Lumpkin Rd., app. NE of Gold
Bar, Feather Falls FL�KC
r
,
Y
.
' l
'
1
Temp. PowezPole
Called G&E
Temp. Efec. Serv.
PG&E
CaJtled
TemP/ Gas Serv.
Called PG&E
JOB s ��
FINALED -
(Date) D
(Signatur
r
�► �1. 'MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1.- Is the mobilehome located wit required separation from lot -lines and buildings and generally
conform to plot plan? Yes No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yest", No
3. Ate footings and supports properly sized, spaced, and braced as per,approved plans? (Note
possible variation•at spring shackles.) (Sec. 5082 & 5083.) Yes_,__�o-
4. Is the mobilehome level? (Sec. 5088) YesNo-
5. If mo than a single unit, are crossover connections properly'installed? (Sec. 5088) .
Yes No
6. Water
A. Is fle bile connector of adequate size and properly installed (1/2" •ID min.)? (Sec. 5566)'
Yes_'.N0
B. Test -,Does water piping withstand working pressure or 50 lbs. air test? Yes No
C. Backflow - If coach is not State of Cali rnia approved, does station have backflow device
and 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 c/ 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- llons of water through each
fixture including washing machine standpipe? .Yes_ No
If coach is not State of California approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
r
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connecnot more than 6 ft, long? Note: All piping is to be at -least as
large as the mobito ome gas line inlet without reductions other than the mobilehome
connector, Yes— No
B. Test OK as per following procedure? YesNo-
1, Open all appliance connector valves.
C.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments.. Test for 10 min. without
drop. •
4, Connect gas meter to mobilehome with connector, turn on gas, test connections with
soapy water.
Are all appliance vents properly installed?- Yes No
9. Electrical
A. Is service large enough to provide adequate amperage -to mobile1lome (must equal rating
mobilehome with a minimum of 10• amp) and other facilities oxi lot, i.e., water pun{ps
garage, cabana, etc.? Yes..e/No_
B. Is there proper clearances around panels? Yes'_ No_
C. Is power supply cord or feeder assembly properly fused? Yes �No_
D. Is continuity test satisfactory as per the following procedure? Yes �o
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of.the electrical tests, the lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle
Length r f Width
Vehicle Serial No.
State Identification No.
Additional Information or Comments:
-,,kc'q-Z 2 I 't i --'70
County of Butte
DEPARTMENT OF V-UBLIS WORKS
695 Oleander Ave., Chico •— 343-4211, Ext. 70
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd., Paradise — 877-3435
CORRECTION NOTICE
Building or Property Address
A routine inspection indicates that the following
violations of County Ordinance exist at the above
address and should be corrected. Please notify this
office when correction of work is completed. If you
have any question pertaining to this matter, or need
additional explanation, please contact this office
immediately.
..........�................. .....................................................................
... f�
9 fJ
Date.....c...` ....: Inspector ......:...............................................
Do Not Remove This Tag
(400-4)
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:
err �
Owiter �l - ✓�_a
5 "
Owner's Address•
Mobilehome Mfg. Model Year
Insignia No. / � 7 > � = `F ` � Serial No. � �
�O
It is hereby certified for occupancy at the above described location and
may be occupied.
Director -of Public Works T
Date ! 1 { By
! f
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
�Y `BUILDING INSPECTION --RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Se ack FI wall S I Piping
FoAW Par ets 1 Floor
Ma Bldg. Restr m Finish 2nXF1oor
Window
Siding
Roof Sheaking
Roofing
Fdn. Vents
Garage Vents
Insulation
Prov. for physicall,
handicaooed
Conformance of ex.
E
F
3rd Npor
To out
Water Pi I
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final
EL
Motors
mesh MECHANICAL Grd. Failit Prot.
Scra h Heati Servic
B n
X Co ng
T p. Pole
F ish
D is
der round
In rior Lath
entilation
Permanent
door Closer
Final
final
MOBILEHOME UTILITIES
------------------ Elec_ Service p O3yj.`/
lec . Pedestal
Water Piping
Sewer
Gas Piping �7'
BI EHOM
NSTALL
ION 4 - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Z t6 Drainage
Gas Piping
DATE 6_/3-'Y
C>REMARKS
OR CORRECTIONS
��a �Do� ,.�� p � � �
y,[() -nto sU,P
v C, .
� � �/y y_L
(NOTE: An entry must be made on this form each time you visit the job site.)
• ,COUNTY OF BUTTE — QEPArRTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date 3 D
Signature f Permitee or A ent
Receipt No. 37 3 79
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
abo r which fees have been paid.
JUSLEOTOR OF P BLIC WORKS
Date"' / 'O U
Building permit expires Date .S q—
�l
. BUILDING
Owner
SO. FT. OCC. BUILDING VALUA
Mailing Address
Telephone No.
Contractorv
n
Mailing Address 0 cu J
Fireplace
Total Valuation
0AA
Tele hone No.
j
Permit Fee
Buildin Address
9 /(/ SID1 L��P/ JAI �]�•
Plan Checking Fee &/or Penalty
-
Permit Fee
9 0 i C`Al i_Q-')9R-1 -C 6
PLUMBING No. @ FEE
6e/ D 41 •
PERMIT FILING FEE $3.00
Each Trap 1.50
ACA 7 *Fe )CA -W
Repair drainage or vent piping 1.50
A. P. No. %� - /`j-�
�n �j
fo,,,n,L'y g'Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
-Semtativrr
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plan
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. P ans Recd
Parcel A 4 royalane
Approval
Lawn sprinkler system 2.00
NEW ❑ ❑ UTILITIES ❑ OTHER Q___
Permit Fee $
$
/ADDDIITION
AMI Ur�� Py r a133�
f' I�
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
V OR 5.00
Main service 80000 AMP ORSL=SS
Single Family ❑ Duplex ❑ Mobil Home Q�. Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER e00V 25,00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( DWELING
OR ADDNS. ACCLBLDGS.CCUP. S) 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: ,/ �J
% &A1/f, AMC, l�iAIrrm
NEW RESID.CONSTBRANCH CIR T
NON.R ESI D, � BRANCH CIRCUITS) 12.50ea
NEW CONSTR. POWER APPARATUS 8
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUP(OUTLETS OR FIXTURES B L@;
FIXED APLINIS
Ex. Occup., OUTLETS P(RESID )REA) 2.00
Temporary service 10.00
_Z1C__-
Mobile Home Facilities 15.00
n �.
License No.tZ190S Classification C��
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ F_EE
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
o Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
iWorkmen's Compensation Insurance.
iecertify 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.
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 buildinq construction, and hereby
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
and D 14
$
$
TOTAL PERMIT FEE
$ 03
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date 3 D
Signature f Permitee or A ent
Receipt No. 37 3 79
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
abo r which fees have been paid.
JUSLEOTOR OF P BLIC WORKS
Date"' / 'O U
Building permit expires Date .S q—
�l
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ,
7 County Center Drive, Oroville, Ck.
PHONE: 534-4541
MOBUEHOME INSTALLATION SHEET
1. Owner's name:
2. Installer's name: / ),073t,/E
3., Is the site currently under permit? Yes /�/` No
(If yes, furnish permit number ) OR
Is.the site\an existing site? Yes / / No
(If• yes,. furnish• two (2) plot plans.)
4.. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and
clear of -all setbacks and easements? Yes /cif N� o•/ /
(If no, clarify )
5. What is the mobilehome electrical rating? ----------------------- Amps
6. What is, the mobilehome site service rating? --------------------- �00Ampa
7. What is the mobilehome site circuit breaker:rating? ------ 14z) Amps
8. Is there any other electric load to be served by the.mobilehome
site servicer ------------------4--------------------------------- Yes /—�/ No / /
(If yes, identify the load and size: (Load) �Q (Amps)
9. What is the mobilehome site gas pipe size? --
--=----------------- 7. (in.)
10.. What is.the typeof gas service? ----------------------------- ra. / LPG / �7
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.)
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. l3 ±w s furnish Setup Model No. kl6 4 Year. 590
Width_,,12_!j (ft.) Box Length (ft.) Tagalong or Expando Size ---tet. x r ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on f ile with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
Single
!9 - v AV x 3o
(ft.)(in:) (in.) (in.)
Center support Center support
locations* footing sizes
. (in.)
14, o" 34x3a
(ft.)(in.) (in.) (in.)
33 ' f
(ft.)(in.) (in.) (in.)
o p a x 30
(ft.)(in.) (in.) (in.)
x
(ft.)l n.) (in. (in.)
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
-, Footings (check one)
1. Wood either
pressure treated or
foundation grade.
U `• 0 her (specify)
Supports (check one)
L�J ": Concrete block.
2. Other (specify)
—Tagalong or Expando,'
show support details.
P11r); A'1gf Typical Support
in.) (in.) Footing Size
Max. Pier Spacing
ft.)(in.)
/, Ok -- Max. Overhang
(ft.)(in.)
iLITTE COUNI't
dUILDING DEPARTM
.APPROVED
%a-
AP #- �J7 -121 S -
OWNER
PERMIT #
MH UT IL . CLEA CE DATE S-/3- iPl
INSPECTOR
ELE TRIC
GAS Support
Pipe Str c.
Compaction
Test Req.
Service
Other
YES
NO
Size
Load
Tvpe Size Length YES NO
/7
pl s�
wow
' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
f�. 7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for ins p tion purposes.
X - Date LZ .489.1780
Si ature of Permittee or Agent
Receipt No. bl 11!�V r2
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Be County Code and/or resolutions to do work indicated
abo f r wh'ch fees ve been paid.
J OFP LIC WORKS
'^ A
Date /
Building permit expires Date S S ��/
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing Address tf
X
Telephone No.
Y/
Contractor IwIL •
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Addressy
e_lm 00Permit
Plan Checking Fee&/or Penalty
Fee
��td�' - Giy !�- ✓lam
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. — _
Doing 8 Planning
Water piping 1.50
Each gas water heater or vent 1.50
FW I
MFG
Sa on
FireDept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EGA
Parking arcel
Plans Declaration
Parcel Map
60' R/W
Improvem is
Each additional outlet .30
Building sewer 5.00
Bldg. P ns Recd
Parcel kpprovol
Plans Approval
Lawn sprinkler system2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
1
Permit Fee $ 4 3,0®
•$
ELECTRICAL No. @ FEE
.
PERMIT FILING FEE $3.00 3,0
00V OR LE
Main service 100 AMP ORSLESS 5.00 1 V
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50 `
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( DWELING
OR ADDNS. ACCLBLDGSCCUP. S) 22sq ft
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:
NEW CONSTR MULTI H CIRCUITS)
NON.RESID. ( BRANCH CRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &
NON -RES ID. SINGLE OUTLET CIR.
Ex. OCcur)(OUTLETS OR FIXTIIRES BAL@l
� BAL@
FIXED ALNS
Ex. OCCup. ( OUT ETS P(RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 —
License No. Classification
Misc. Wiring 6.25
WP_/ IVP
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ 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
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.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood rT-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 relatinq to buildinq construction, and hereby
Land Development Fee
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for ins p tion purposes.
X - Date LZ .489.1780
Si ature of Permittee or Agent
Receipt No. bl 11!�V r2
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Be County Code and/or resolutions to do work indicated
abo f r wh'ch fees ve been paid.
J OFP LIC WORKS
'^ A
Date /
Building permit expires Date S S ��/
This set of plans and specifications MIST be
kept on the job at all times and it is unlawful t,
'make any changes or alterations on same with-
out written permission from the Department of
Public Works, County of Butte.
354 ' --
9 CCFss
•� "I AD ��
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660'
Ex
1
o3,
/O FT, .IAJ F,eS
A setback of from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. •eave overhang.
-6
® MOBILE
A permit will be required for the 65�HOME
installati n ol the mobilehome.
44gialttc- lDOmnp.
Pocwec Alc ,
C�Owe TD ROO IMv .,S;w
7-ctly
P/'noections shall be within
obilehome, either
s ind or within the rear
�,/SESoadside (left) of the
.
NOTE:—All Materials'& Workmanship Shall Be in
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Codes
and the National Electrical Code.
NOT TO SCRLE
RLL DIMS, MPROX,
2133--��
BUTTE COUNTY
BUILDING DEPARTMENT
%APPROVED ���
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NOTE
SITE CONDITIONS
ENGINEERING MAY BE REQUIRED IF ANY OF THE FOLLOWING SITE
CONDITIONS ARE OBSERVED AND NOT SHOWN ON THE APPROVED
PLANS:
• EXCESSIVE SLOPES
• EXPANSIVE SOILS
• EXCESSIVE CUTS OR FILLS
• ALTERATIONS TO NATURAL DRAINAGE
• OTHER UNUSUAL SOIL OR GEOGRAPHICAL
CONDITIONS
CDF/Butte County Fire
All new bw'IdkW in SRA are m4dred to have:
Fully enclosed noncombustible eaves on entire struchn
Gutter screens to prevent accuna tion of leavestdebds
Corrosion resistant, noncombustible, 1/a" maximurn0" rg
roof and attic vents
' NOTE•
Property owner is responsible for determining
locations of property lines and easements and
I maintaining required setbacks from property
lines and easements. A survey may be
required if determined necessary by the
' building official.
This project is required to meet the
same practical effect guidelines
outlined in the attached PRC4290
RequiremeWs.
PLANNING DIVISION - BUILDING PLAN APPROVAL
Use:12— bate: t0)
Parking:'" Landscaping:
Other.. C' - I \ 1'
Signature:
APS O�►-tea-oto-000 -
PROVIDE MINIMUM DISTANCE
FROM Fnr-ITING OF STPUCTURF_
o�\ C.5-pAk "TP.S_ 1_ ' LPrN 1. OF 5 FT FROM ALL PORTIONS
r OF PRIVATE SEWAGE DEPOSAL
0Q0 -011 -LS CA, 3516(a �6 10 ��j^ 5I (�Q SYSTEM INCUDING SEPTIC
^ TANK. LEACH AREA AND PITS
6i
BCMC. CPC.
C S Q3 A?, -T t� � — _
THE 2001 CC, --F. LA``J
2004 CEC, AND 2005
CALIFORNIA ENERGY STANDARDS
AS AMENDED BY THE
JURISDICTION APPLY TO THIS WELL I `i
PROJECT. Iva , I '
e P6\2
CS
Ile
LANDING AT EXTERIORI '
DOORS SHALL COMPLY i ���`�'1--�ow.e.
WITH CBC SECTIONS
1003.3 & 1003.3.1.7
1PLANS AND ,�rm %
APPROVEDI(6O - I
PERMIT SHALL BE ON .IL
SITE FOR ALL '
INSPECTIONS
CALIFORNIA CODE OF
REGULATIONS TITLE 25
REQUIREMENTS AS AMENDED
BY THE JURISDICTION APPLY
TO THIS PROJECT
Z.
ALL COVERED DECKS AND
OPEN DECKS EXCEEDING 36
SQUARE FEET IN AREA WILL
REQUIRE A BUILDING PERMIT
BUILDING
PERMIT# (77-073
ASSESSOR'S
PARCEL#
BUTTE COUNTY
....BUILDING -'Ili t ;
/APPROVED'
'�•
FILE COPY
it
MLE Copy
.
OWNER �D D BP#Q7 L773
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