HomeMy WebLinkAbout072-062-00272-062-2
Rudolph G. Farwell
/S Mt.Ida Rd., app.4/10 mi.No.of
d Olive Hwy, Oroville
Pe mit #3366-80P,E(ut1-1.,MH)
LEC.
GAS cQ_.
SUPPO STRUCTURE REQ.
COMPACTI TEST REQ. !�(.
7 'X02
GERALD SMITH �" �j
7 Lost Lane, OR ille yl-]� 0�
Permit#927-88'g
piping/exist site)
I
72-062-2
t 7Permi�
om's Mobile & Motor
j
4-88MHI
Is3 V -�
I
72-062-2
( Contr: Cook & Son Bldrs
Permit#1723-88B(wheelchair ra 3�
i
I
k
4- j' 1
? PERMIT NO. 1723-88B
PERMIT EXPIRES ... V7
OWNER GERALD SMITH
CONTR. Cook & Son
ASSESSOR PARCEL 72-062-2
r .
LOCATION #7 Lost Lane, Oro.ville
3
F
i�
I
I.
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PGE
Temp. Gas Ser
Called PG1
JOB FINALED
Signature
t
= OK
0 = Not OK
= Not
Applicable
Not
ReMOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L"ft.
/ /"Nat. or/ PV ft./ /"LPG
7. Utility Clearance
Card -B1 Date Card -131 Date
Card -131 Date Card -81 Date
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card -B1 Date Card -131 Date
Card -131 Date Card -61 Date
MISCELLANEOUS
Date DE_VKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
ZorO4i'g Requirements -Setbacks -Easements
42-ro-otings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -B Dat / Card -61 Date
Card B1 Date Card -61 Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1 Date Card -81 Date
Card -B1 Date Card -B1 Date
= OK
0 = NotRESIDENTIAL (Single and Duplex)
- =Not Applicable •-
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
_
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel- Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -B1
Date Card -81 Date
Card -131
Date Card -61 Date
Card -131
Date Card -81 Date
Card -131
Date Card -131 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -131
Date Card -131 Date
67. Stairs &Rails
Card -131
Date Card -81 Date
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
Date
ELECTRICAL (Permit) OK except #'s
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
22. Fixture & Transformer Clearance -Ins. Protection
71. Elec. Outlets & Receptacles at Kit. Counter
23. Elec. Receptacles Spacing -Lights & Switches at Doors
72. Garage Fire Door; Swing -Landing -Closer
24. Size Boxes & No. of Conductors -Stapled
73. A.C. Duct in Garage -Damper
25. Romex Installed Close to Edge of Studs & C.J.
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
26. Equip. Ground made up w/Meeh. Fasteners -Bond Gas &Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
80. Following instld.; Drive ❑ Yes ❑ No; Walks 13Yes ❑ No;
Planters ❑Yes 13 No
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
81. Stucco; Brown -Finish
Card -B1
Date Card -131 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -61 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Card -81
Date Card -61 Date
92. Roofing Certificate
Card -B1
Date Card -81 Date
Card -131
Date Card -B1 Date
Card -131
Date Card -131 Date
Date
FRAMING (Plans) OK except #'s
Card -61
Date Card -131 Date
39. Sills, Proper Material & Anchors
Comments at Final:
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41• Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. /
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
. i APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBERZO
1-799- j
I
BUILDING PERMIT
OWNEIR I
t rnl
TELEPHONE
S0. T. OCC. BUILDING VALU TION
OWN E Al ING DRESS
1 , t
CO�TRACTO 'S ME
(J\pU�i it,
TELE PHM
CO R ��yjTOR' MA ING A ES !,
� (p I 1 � j to
Fireplace
CONSTRUCTION LENDERLei
UNKNOWN
Total Valuation $
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 ADDAess e_
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
ll�
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[] MobilehomeKOther
//�� SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW I
10-00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other,
Describe w�
�,te,� (
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service aOOV OR ESS
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
7' and Professions Code �and
" my license is in full force and effect.
License No._4/-567_&& /��✓ Classification b
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
` for this reason
NEW CONST. DWELLING Occup"' ,
OR ADDNS. ( ACC. BLDGS. 20SQft
NEW CONSTR. U I'DUTLET 2,50 ea
NON.RESID BRA CH CIRC ITS
/POWER APPARATUS &I
(SINGLE OUTLET CIR. I
Ex. OCCUp�OUTLETS OR FIXTURES SAL030
eAL930
Ex. Occup. OUTLETS FIXED P(RESID.)REA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
® I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
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, j dgments, costs"and expenses which may in any way accrue
against said�C my in c sequence of the granting of this permit.
X Date
Signature of Applicant - Owner ❑ Contractor Agent Elwork
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 $ �-
Oc Cu P.
CONST.TYPE
sc110OL
I FLOo
ARCS 'PD
ND I ASUE
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
REC PUBLIC
ByZ)(_
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/ /
Dae h-4- 38
Receipt No. t �
WNITE-O.P.W., YELLOW -Ase CSSOR. PINK -INSPECTOR. GOLDENROD-AP►LI CANT
COUNTY OF BUl`� E - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 Ab!TY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNERII e c ( ,-I. �k A. P. No. a =J
Proposed Btl:)lding Use `�`� e� ' Rb—f''.P On M� Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
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. - School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ , , , . , , ,
�,/9.- Letter of signature author'.. tion.,
�'�I'0. Sanitation approval from (� Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner❑ )
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Date)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement:
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check).
22.
When you issue the permit, pro ess as follows: Mail to owner, Mail to contractor.
Telephone S��i� �and hold for pickup at0(_0 ffice, Deliver w/inspector.
Other
Applicant Date `
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above). y
i
1. Index permit for above items No. .
2. Additional items required: '
Contractor, designer, owner, was advised of above required data by_phone___jnail—counter by—.date
Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date
Plans checked by Date Plans approved by_� _Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
(
OvIner. Lpcatio AP#
L. OST / 1 Z 6%
Plan Approved for.: Sewage Disposal _ Water Supply
Hold final for: Water Supply
ttnal clearance O.K. for: Water Supply
�(+.learance for — Other
r-7)
NOTE
f /
San r fan
-_,
I
h`• h with i CX✓" '% f
b� 36 in
►9
rail to ±
i ± i Top e
b
to not
intermediate rails
in. apart.
fj '
r
h
tv
te
BurrE CouwY !.
,
+
I
3366-80 attached
7.2-
Q77 Q4D/�L7L
PERMIT NO.
PERMIT EXPIRES
OWNER GERALD.SMITH
CONTR. owxeer
ASSESSOR PARCEL 72-062-02
LOCATION 7 T,pst Lane,ORoville
91
OFFICE COPY
Address
Temp. Power Pole,
GAS
Called PG&E + I Meter By Date
ELECT
R
Meter By Dat
Temp. Elec. Servic J— _
Called PG&E -
jTemp. Gas Q -1w.
{
+ Called PG!
JOB FINALED
Signature
= OK
0=Not OK
= Not Readyiable
MOBILE HOMES
Date' MOBILE HOME UTILITIES (Plans) OK except #'s
A. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketc
5. Electricity; Location-Clearances-Grnd.-/ / Ai
6. Gas; Locationjest-Wrap:
/ /"L"ft.
/ /"Nat. or /"L"ft./; 'LPG
7. Utilitv Clearance I
Card -81 Date % Card -B1 Date
Card -131 J Date Card -131 Date
Date MOBIAZAOME INSTALLATION. (Plans) OK except #'s
o g Requirements -Setbacks -Easements
(2. oo ' gs; Size -Spacing -Marriage Line
as' H Test -Demand -Valve -Connector
ilffe icity; MH Test -Crossovers -Breakers -Clearances
rai ;'MH Test -Fall -Flex Connector
r; MH Test -Regulator -Connector
r and Sewer Connected -C/O to Grade -HD Apprc
tl Electricity Tagged
s; Insp.-Sketch
Cert. of Occupancy
Card -B2 Date Card -131 Date
Card -Bi Date Card -61 Date
MISCELLANEOUS
Date , DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures.
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -131 Date Card -131 Date
Card -81 Date Card -131 Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131 Date Card -81 Date
Card -131 Date Card -131 Date
= OK
= NotOK
RESIDENTIAL (Single and Duplex)
= Not Applicable
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
46. Fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
54. Siding -Nailing Veneer
12. Electric; Underground
55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
56. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15. Insulation
58. Insulation-Walls-Clg.
59. Infiltration-Walls-Wndws
Card -B1
Date Card -81 Date
Card -131
Date Card -131 Date
Card -131
Date Card -B1 Date
Card -B1
Date Card -131 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
60. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
61. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
20. Test Tub & Shower, tnd Floor -Tub Access
21. Gas Pipe; Size & Anchors
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -131
Date Card -131 Date
66. Stairs &Rails
Card -B1
Date Card -81 Date
67. Fireplace or Stove; Clearances -Hearth
68. Elec. Outlets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
71. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
72• A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuits in Kitchen &Conductor Size
74. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or At
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
76. Insulation -Foam -Looked in Attic O Yes
77. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor O Ye s
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
79. Following in Drive O Yes O No; Walks O Yes O No;
Planters O Yes ❑ No
Yes
80. Stucco; Brown -Finish
Card -131
Date Card -B1 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -131
Date Card -81 Date
82. Vents Above Roof; PIbg.-Appliance-Firep I. -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 -131
Date Card -81 Date
Card -131
Date Card -131 Date
Card -131
Date Card -81 Date
Card -131
Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
38. Sills, Proper Material & Anchors
Card -131
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)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico- Phorie: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
RMIT NO.
ASSESSOR PARCEL NUMBER
7Z- Qp 1
ZONING
BUILDING PERMIT
OWNER
�7�K L
TELEPHONE
S ,
SO. FT. OCC. BUILDING VALUATION
010ER'S MAILING ADDRESS po
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
La L�}a7E
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
�fL
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 Mester or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomeph Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S W I
0.00ea
TYPE OF WORK
New ❑ AdditionElRemodel ❑ Utilities ❑ Installation❑ Other
Describe work: 5
MIAI. t_'IF' tirr • !s'�
Perrnit Fee
S ���
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V 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.
License 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. DWELLING OCCUP.d , lz1tsgft
New DONS. A
UC•TB OUTLET
NO N.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
SINGLE OUTLETCIR. I
EX, Occup(OUTLETS OR FIXTURES eALO 30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee S
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
=
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains said Count in cons�,uethe granting of this permit.
X,= Date ?— Z 9 _,PP
Signature of Applica? Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-REC
ion of structures over 33sstories in height.
Mobile Home Installation Fee =
Energy Inspection Fee $
oa
TOTAL PERMIT FEE $ Z5�
Occup.
CON3T*TYPEJ
ISCHOOLIFLOO-11"'k-CELI
PD
I NO
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
PUBLIC
By
Z15Receipt
PERMIT EXPIRES Date 3
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
No. J���
WHITE-D.P.W.. YELLOW-A3e63SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
u
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. a
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) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons,to provide the work indicated:
Name Address . Phone Type of Work
Signed: ,�,
Property Owner oz%f7 �
Social Security Number
Date 25'1�
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 per-
mitted to issue the permit.
r•
COUNTY OF BUTTE - UE RTMENT OF PUBLIC WORKS MIT o.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45
APPLICATION AND PERMIT
ASSESSOR7nr,R0%;2� ¢@.�R
LL �J�cC ��JJ ��
ZONING
BUILD ERMIT
OWNER
GERALD SMITH
TELEPHONE
89_2356
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
#7 LOST LANE OROVILLE, CA 95966
CONTRACTOR'S NAMETELEPHONE
TOS MOBILE & MOTOR 5
3-9117
CONTRACTOR'S MAILING ADDRESS
6366 LINCOLN BLVD OROVILLE,CA 95966
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
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 OU
Permit fee
$ a
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
0 rD
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 [I Duplex❑ Mobilehome® Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
10.00ea
TYPE OF WORK rra�hh
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationu Other ❑
Describe work: INSTALL M O B I L E H O M E _
:10 e e) IPIkli
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
l
1 STfw7 G t+UaC
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 Profession ode and my license is in full force and effect.
7023 C47
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.a ,hOsgft
New CONSTR.(AMULTI-OUTLET
NON•RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS .&)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20®501
DAL93O
Ex. Occup. OUED P
TLETS (RESID )LNS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. byirin 15.00
g
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
X❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code,.you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless County of Butte against
all liabilities, judgments, Cos s, and expenses w is may in any way accrue
against said County i e ce of t granti g this permit.
X Date 3�22�88
Signature of Applic t — Owner ❑ Contractor [)� Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in heigh .
Mobile Home Installation Fee $ 4-500
Energy Inspection Fee $
TOTAL PERMIT FEE $ 170. 06
OCCUP.
CONST.TTPC
F
PA PD
ND
I Su
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR O PUBLIC
By
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date��JJ7�
'J�•-
Receipt No. J �.2
WNITC-D.P.W.. TELLO W -A 8[SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
M
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
.f
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 =TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER j('t' A. P. No. 7v~
Proposed Building Use Y?�7 Building Inspector %l -r Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/Or issuance: DATE RECEIVED APPROVED
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. - School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ , , , , , , ,
A. 9. Letter of signature authorization. //��
—6 '0 . Sanitation approval from 0y*' 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 owner ❑•)
_15. Improvements may be required. . . . . , , , , , , ,
16. Mobilehome Installation Data. . . . . . . . . Pre-Inspec. request to.
17. Pre -Inspection for Required. Building Inspecto (Date)
Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses'in duplicate (required prior to plan check).
22.
/
"hen you issue the permit, process as�ollows: Mail to owner, Mail to contractor.
IW
lephone and hold for pickup at office, - Deliver w/inspector.
Other
Applicant /�-�''�����% , ate .3- Z .--8p
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone_-nail counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l_count date
Plans checked by Date Plans approved by Date 3`
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Buildinq Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Ownet Location AP#
Plan Approved for:
Hold final for:
Sewage Disposal
Water Supply 6/ Cf
Water Supply
Final clearance O.K. for: Water Supply
Clearance for _ bedroom mobile home. Other
NOTE * * *
Sanitarian �--
DAte
Ile; ut n Lo DPW AGRICULTURAL STATEMENT OF ACKNOWLEDCEMI
NT
FOR RESIDENTIAL, DULLOPMI NT
RECORDED BUTTE COUNT;
�SiE ci.or- 26-8.1- of the Butte County Code
OFFICIAL RECORDS By
r.equi.res this acknowledgement be recorded
�r�r$Fio
prior. to L.ssuance of a building permit.
WN
The property described herein is adjacent
88 NAR 29 AWN: 27
Lo ]and or included within an area zoned
CANt ACE J CROUBBS
l'or agricultural purposes, and residents
of Lhis property may be subject to incon—
CLERK -RECORDER FEE,
veniences or discomfort arising from the
88- 982
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit
agriculturalof operations including,
OROGINAQI -PARz
but not lim .tedt o cultivation, plowing,
QCV'A��N�%
spraying, pruning,
f Y g. P g, and harvesting which
r
occasionally generale dust, smoke, noise, and odor. Butte County has established agricul--
Lural zones which have as a priority use for productive agricultural. purposes, and resid(,nis
w -i Lhin said zones and on adjacent property should be prepared to accept such hiconveii i rn(-c
or disconform from normal, necessary farm operations.
AL1 Lhat real property situate in the County of Butte, StaLe of Californi.a, described ;is
CoLlows: AP No. 72 062 002
Date: MaFch 7, 1988
Slate of Calif. )
) SS.
County of Butte' )
On
the
PROPERTY OWNERS:
Gerald,G. Smith
Mildred J. Smit
this the 7th day of March , 19 88 , before mc,
undersigned Notary Public, personally appeared
Gerald G. Smith and Mildred J. Smith
Personally known to me. ® Proved to me on the basis
of satisfactory evidence.
PAMFAA J ESU MTS o .be the person(s) whose name(s) are
_o .OTARymiu �A�LFMA ubscribed to the within instrument and acknowledged that
Mycommisslon�xPi . executed the same for the purposes therein contained. IN Wl' 1;55
SePt7,1991 HEREOF, I hereunto set my hand and official seal.
Present A. P, No:
t.ary Public
DESCRIPTION
All that certain real property situate in the County of Butte,
State of California, described as follows:
PARCEL 1:
A portion of Lot 151, as shown on that certain Map entitled,
"Official Map of Oroville-Wyandotte Fruit Lands Unit No. 5", which
Map was filed in the office of the Recorder of the County of
Butte, State of California, on July 20, 1928 in Book 8 of Maps, at
pages 37A and 38A, more particularly described as follows:
COMMENCING at the Northeast corner of said Lot 151, being also a
point in the centerlineof Mt. Ida Road; thence Southwesterly along
the centerline of said road, on a curve to the left, having a
radius of 1200 feet, a distance of 130 feet to the true point of
beginning for this description; thence from said true point of
beginning, Southeasterly along said road centerline, a distance of
142.46 feet to the Northeasterly corner of that certain real pro-
perty conveyed by Harold Bruner, et ux, to Carol C: Gage, et ux,
by ,Deed recorded April 20, 1964 in Book 1309 of Official Records,
at page 135; thence westerly along the Northerly line of said Gage
parcel, 350 feet to a point in the West line of that certain par-
cel of land described in Deed to Harold D. Bruner, et ux, recorded
August 22, 1963 in Book,1263 of Official Records, at page 389;
thence Northerly along the West line to a point which bears West
of the point of beginning; thence Easterly 350 feet to the point
of beginning.
PARCEL 2:
A -portion of Lot 151, as shown on that certain Map entitled, '
"Official Map of Oroville-Wyandotte Fruit Lands Unit No. 5", which
Map was filed in the office of the Recorder of the County of
Butte, State of California, on July 20, 1928 in Book 8 of Maps, at
pages 37A and 38A, more particularly described as follows:
COMMENCING at the Northeast corner of said Lot 151, said point
being in the centerline of Mt. Ida Road; thence Southerly along
the centerline -being along a 1200 foot radius curve concave to the
East through a central angle of 14022'36" an arc distance of
301.10 feet; thence.continuing along said centerline, South 00°11'
East a distance of 71.36 feet to the true point of beginning for
this description; thence from said.true point of beginning, along
said centerline North 00011' West 71.36.feet; thence Northerly
along said centerline, being a 1200 foot radius curve to the
right, an arc distance of.28.64 feet; thence West 350 feet, more
or less,.to a -point in the West line of that certain parcel of
land described' -in Deed to Harold D.: Brunner,. et- ux.,.recorded'
August_ 12, 1963 in- Book. 1263 -•.of. Official. Records, -at page. 389;
..thence. -Southerly. along -said -West line to the Southwest corner:"of
.-..,said'. *-Bruner -parcel; :--thence East:: 350.: 0.. .
feet ::to 'the'true .point . of
be ronin ... �, ::-:•r:�,:�:� _ --
k. ,W
_ y
..a r ... ...v .. ._ .::..r:..... :v ;_._.,r..;r•y...,c�-w:'. •:._ �. rkw.•a•._: "�~ }� •..'1.`i: _�•w-..i�.� �'G\:15"�.'!."`.�Vtis ..S''♦f xr..
'=:,'/: •�.'"-.� �-- u�=J^`• _�„'=...• `n'. '�o •:. `:;a.-,�� ..wig �•.:i, a,.._.: .i
i
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. CHAMP 1 ON furnish Setup Model No.
Width 14 (ft.) Box Length! _(ft.) Tagalong or Expando Size
Year -1gg(;
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) a 1. Wood -pressure treated.or,foundation grade. 2. Other (specify)
SUPPORTS (check one) RX
Concrete block. •❑ 2. Other (specify) 11
.Pier'Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
Line 1
— _ — -link-1
Main Beams
Linc 2 _ , — — _ — _ — — — — — — — — _ Line 2
Main Beams
---'—-------
---
Tag or Triple
Line. i Piers-
Size-Min.------------
Spacing-Max - ---------
Fr,nn Ends -Max. -------
Line 2 Piers:
Size-Mln.------------
S pac ],.g -Max ----------
From Ends -Max. -------
Line 3 i4,oi loads:
Size -Min .------------
Line 1 Openings:
Size-Min.------------------�
Each Side of Openings
With Width Over ---------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min .------------------ „
x
'Spacing -Max---------------- „
From Ends -Max .------------- „
"x ' "','x . S "x "xI 1"x1."x 1. "x I x
Location (Prom Front) _ 1. 1- _ _ _ _ �_ _ 1.
ISI— 4 Pies: Li is r Be r n Walls On
-t C(�J fv 1 g y
Siz:-Mfn.----------- u' n Size -Min.--- -----------
x au��. i�&a�_Cn pTmr „
Syaciug-Max.--------- „
From Enda-Max.------- ,_ n From Ends -Max.--------- "
I_inu_5_Ftuof loads: APPROVE___
Size -Min. ------------
Location (From Front)
„x'
„x ,.x nx
nx „x „x
--•
--_"x.—
-
,
�Zr�w� zlv
1. Owner's Name:
2. Installer's Name:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541
MOBILEHOME INSTALLATION SHEET
GERALD SMITH
TOM'S MOBILE & MOTOR
3. Is the site currently under permit?
(If yes, furnish permit number
Is the site an existing site?
Yes F] No
) OR
Yes I—XI No 1-1
.j
(If yes, furnish two plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach
fields and clear of all setbacks and easements? Yes ❑X No
(If no, clarify
5.
What
is the mobilehome electrical rating? --------------- 50
Amps
6.
What
is the mobilehome site service rating? ------------- 200
Amps
7.
What
is the mobilehome site circuit breaker rating? ----- 200
Amps
8.
Is there any other electric load to be served by the
Fx]
F]
mobilehome site service? -------------------------------- Yes
No
(If yes, identify the load and size: WATER P U (Mad ) 20
—(Amps)
9.
What
is the mobilehome site gas pipe size?/ - -ItIrC9411
(in.)
FXJ
10.
What
is the type of gas service? ------------------- Natural
LPG
11. What is the gas pipe length from meter or tank to the
mobilehome?--------------------------------------------- (ft.)
' 12. What is the mobilehome gas demand? ---------------------- (BTU)
*(This information not required if pipe length less than 6 ft. on
natural gas or less than 50 ft. on LPG.)
'P 3366-8OP,E
i
PERMIT EXPIRES 7�/
`OWNER Rudolph G. Farwell
CONTR. owner
i
`LOCATION (A.P. 72-062-2 )
W/S Mt.Ida Rd., app.4/10 mi.N.of.Old Olive
;. Hwy, Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
T
COUNTY OF -BUTTE — DEPARTMENT -OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
a toacK
F ewall
Skil Piping
FdXms
Par ets
t Floor
in Bldg.
ResAqom Finish2n
Floor
ootin s
Wlndo
3rd loor
St mwall
SidingTo
out
SIa ,, -
Roof Shelghing
Water PiNg
Pierh
Roofing
Sewer
Garage \
Fdn. Vents
Fixtures
Footin
StemwaII
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport X
Footings
Prov. for ph sic -all.
handicaped
Conformance of'ex.
structure
A liances
Gas Pi in &Test
Temp. Gas
Slab
Final
Sanitation
Patio
IR LACE
Final
Footings
Footing
I EACTRICAA.
Reinf.
Bond I
T
mes MECHANICAL Gird. Fa t Prot.
Scr tch I Heati Servic
ollown coo ng Te p. Pole
finish D is der round
Idlerlor Lath ntilation enmanent
oor Closer Anal anal
MOBILEHOME ILITIE ------=- Elec- Serv' L-c;0-� Elec- Pedestal
7
Water PipingSewer Gas Piping
E ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
�.Qe�_
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE = DEPARTMENT,OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454'
APPLICATION AND PERMIT
PERMIT NO. ��11
.A
ASSYSOR PAR C�EeL_NUMB E R�
ZZ s
ZONING ,
- BUILDING PERMIT
E ,�
OINK, '0 DOLP9
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
�o� aF
OWNR '/MAI L,LNGq ADDRESS
Lf /1 IS bEs,f-/'-`(�19,P-M/�Z - (�SS3
CONTRACTOR'S NAME - TELEPHONE
CONTRACTOR'S MAI I G ADDRESS
CONSTRUCTION LEND R
UNKNOWN
Fireplace
Total Valuation $
-LENDER'S MAILING ADDRESS - ,
Permit Fee
$
ARCHITECT OR ENG EER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
B 1 NG ADDRESS
s T 1 DA i0Z) /O tf
PLUMBING PERMIT
FiIingFee 3.00
!� ?/� t Y
V Y.
Al. OF OLD 61-1V6
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
14
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets •
USE OF STRUCTURE
SF [:1Duplex❑ Mobilehome Other
SPECIFY
Building sewer
�v()
Lawn sprinkler system
2.00
TYPE OF WORk
New ❑ Addition ❑ Remodel ❑ ,--,� Utilities � Installation ❑ Other ❑
Describe work:
Permit Fee
$- ," �3�Q®
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP ORV OR LESS5.00
,00
Main service EA. ADD'L 100 AMP
2.50 2Sc
NEW CONST. DWELING
OR ADDNS. ( ACCLBL GS.CCUP,&)
20 sq ft
-
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
I, as,the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI.OUTLET 2.50 ea
N.RBRANCH
NOESI D, CIRCUITS)
CONSTR.POWER APPARATUS &\
NON.RESID, (SINGLE OUTLET CIR. /
Ex. Occup(ouTLErs OR FIXTURES 50@25c
BAL@ICC
FIXED APP LNS, OR
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 -Ua
Misc. Wiring 6.25
Permit Fee
$ 0
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 3.00
Heating
Cooling
Hood
2.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives -of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liab� •ties, judgments, costs, and expenses which may in any way accrue
againstai Coun y in consequ of the granting of this permit.
X Date G �o �� .
Signature of pplicant - OwnerA Contractor ❑ -Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $ ZS—CJ 0
TOTAL PERMIT FEE ��
OCCUP. GROUP
I TYPE OF CONST.
PARC L
PD
✓
SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECR OF PUBLIC
By
RMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 7--
Receipt No. 3 IFY24
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
a ..3 COUNTY OF BUTTE — DEPARTMENT OF PUB•Lle WORKS — BUILDING DIVISION
7 County Center Drive — Or'oville, California 95965 — Telephone: 534-4541
�PERMIT APPLICATION DATA SHEET
Permit No.
OWNER -°"lJ�oLPy f� . A.P. No. %2-0E`2 2_
Proposed Building Use f �—
Permit fee baseduponil ;; f� Complete Contract Price / vDPW Valuation
th�r (explain) /
Building Inspector I Date 6 'Fel
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or
issuance: DATE RECEIVED APPROVED
Allitems have been submitted.— ................................................................
. Plot plans in duplica a/tri hCate?............................................................
3. Complete plans in duplicate/triplicate.................. ..............................
4. Complete engineered plans and calcs.....................................................
5. Plans with Energy Design Compliance Statement ............................
6. State Energy Forms No. ....................
7. Statement of Intent for Non -Heated & AC Buildings ...................
8. Fees of $
9: Letter of signature authoriza. tjon.............................................................
^- Sanitation approval from R_t�tJ Health Dept.... 90
11. Planning appfoval for
.............
_Oa•2. rti i�e�p ork e4' Compensation Insurance
'a3. -Cantractorr ieense IriJormation (no., name style,
classification) ............................... %
14. Improvements may be required. Contact Land ,
Development Section of Dept. Public Works (see 1
addressbelow)..................................................................................................
15. Pre -inspection for required. Pre•inspec. request to
bldg.•inspedtor date
16. Other /
When you issue the permit, process as follows: Mail to owner t Mail to contractor. ,
Telephone and hold for pick-up at _ office. Deliver w/inspection.
�OtherXe&L 70.' PNSCGIP eAf?TE-,e. X /603 640 1lea/4 _
Applicant Date 6h 0%
_
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone
Mail
Other
By Date
flans checked bY; s,
Plans approved by
OTHER:
Copy/DPW
Date
Date a— z7_
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your nameand bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no) S
2. I (have/Datta--not) f'A 1�F signed an application for a building
pem►it for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name b YJ r
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated: .
Name Address Phone Type of Work
Signed: �/
Property OwnerXLRC1
Social Secrity n mber /,
Date 3 o D
— 1 �.�
NOTE This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
F V
614X-1) 4
Utility connections shall be within
1
_
4 ft. of the mobilehome, either
directly behind or within the 'rear
I
half of the_ roadside (left) of the
1
mobilehome.
_ - - -
-�
_ :•"
"-A perhiif: will be required for the.
insolation of Jhe mobilehome.
,t
i
I
i
r
I
II
I
,
NOTE: --All Materials & Workman'
Accordance with Recognized Good .
ec
of a quality Pres Pl
Uniform Building, um ingr &hMote cha;
the National Electrical Code.
i
. I
- - - - — - - - - — This set of plans and- spec
kept on the iob• at all times c
makA anv chrynges or alterotit
wriittca permission from the D
Work-, Ccc:.1y of Butte.
x:11-
- — - — -- — ' - •- -- - --- --" --- I ' .
----___ - - -_-- 1 __
.I
Shall Be in
- - All Materials 7 -
Workmanship a .tice; and
H011'-- (',c,,.crnized Cool P-
i , !�,r re W:.� P Specific�'^�aso in the
cc clan+ t,M al Codes and
-I o a c,�a% :c t;' Flea, ;f���:g E, eci�anic
Utility connections shall be within ZINGII,OnadlC",
. 4 ft. of the mobilehome, either - _ - — _ _ J
ctrical Code -
directly behind or within the rear
half of the. roadside (left) .of the
mobilehome.
A permit will k�e required for the
p, setback of 5 ft. from the instf9ation of the mobilehome.
property lines and a setbac
of 50ft. from the road ,� �4 {ADD AI /1/11 �le
centerline shall be clear of
structures or equipment ex,epi J
z
fora 2 ft. eave overhang-� z
Usk
1onS o ` U`
spec{wa } iS u��°'d{ houi 3 I .
1o�s aid es and • C,Me ��
S SO dt P °,� 0\1 }' Proa;®ns onsev%N P e
on tie �` as or a,} the Dep
ve ake any °�' Sgon {rO'� e,
°{ U �a
wrtEn PG°arty 8 y
M1OAS �
A setback
property li
of 50ft. frc
Icenterline ,
BUTTE structures c
COUNTY for a 2 ft. E
'IPA JR . S
�d�eR Mor J,0/9