HomeMy WebLinkAbout072-062-01972-0624**&Iq
JOHN GIPE
82-^�
.`•
to, , aJT�TCOUNTY DEVELOPMENT SERVICES
COMPLAINT FORM
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(2)
0/?0- 040a- o 11
Y
RECEIVED
OCT
OCT 01 1998
BUTTE COUNTY
- -
-BUILDING DIVISION
31VIA
-LI, ulll,,GL �_
CL luv
OWNER
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
0(02--0 1
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
0
8 1 At•� e
81t•�e CC ea deS 4 /9rj: Av0—6S
,
VIOLATION CHECK LIST
A. P. # "/- :Z — 6 62 – ddress v -e `i -n Q y1v
Owner Uel r v a J-- G,- 12e--)
Owner's Address
Owner's Phone No. Supervisoral District
Tenant's Name Phone No.
Type of Violation in Detail with Code Section Priority No.
Specific Plot Plan with C/V Noted _yes no Penalties Required
lst. Notice Sent 0 2nd. Notice Sent
ate Date
Comments and/or Determination
Disposition For Citation Citation
Date (Date)
Department Recommendation to Court
Court Action
NOLice of Violation Recorded
(Date)
Sharon L. Gipe
P.O. Box 1661
Oroville, CA 95965
RE: Code Violation
82 Carefree Lane, Oroville
Dear Ms. Gipe:
butte C
LAND OF NATURAL WEALTH AND BEAUTY
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: '(530) 538-2140
September 2, 1998
A.P. #072-05-2-011
This is a courtesy notice to notify you that you are in violation of the
Butte County Code, as follows, at the above -referenced location.
Failure to obtain the required permits, inspections and approvals from
this office for installation of a travel trailer. Occuping the travel
triler without required approvals.
SSince travel trailers are not permitted in the AR zone, the travel trailer
must be removed from the property or the occupancy and use must cease and
desist immediately and the travel trailer be placed in dead storage.
It is the County's goal to obtain voluntary compliance with the Butte County
Code. However, you should be advised that Butte County has an active Code
Enforcement Program which provides an effective means of enforcement if
voluntary compliance is not obtained. Enforcement may be pursued through
the issuance of citations, -fines and the recording of a Notice of Violation
including a description of the action necessary to abate the violation.
You have thirty 30 days to voluntarily comply with the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you. Should you have any questions concerning this matter,
please contact Scott Rutherford or Michael Vieira in this office at the
address or telephone number listed above.
MCV:dms
cc: Assessor
Sincerely,
Mic
r, Building Inspection
COUNTY OF BUTTE
' BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES �.
T 411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive •.Oroville, CA • (530) 538-7541
CORRECTION NOTICE
1AGLr0.J 9; A -e aaZ C6Ltr1hr.o2
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
�rA rpt ie0 CA
Re ljpi v.
Date 12— — 9F Inspector
REV 10/92
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72-062-1
Issued
COUNT BUTTE
BUILDIN IVISION
DEPARTMENT OF DEVELOPMENT SERVICES -
411 Main Street • Chico, CA • (530) 891-2751!5, ,,.
County Center Drive • Oroville, CA • (530) 538-7541
\ CORRECTION NOTICE A -P h�
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
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Date ' l Z "�g Inspector Ek.5 S e // a
REV 10/92
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t PERMIT NO. 2Y- (MH)
PERMIT EXPIRES
• f ,OWNER JOHN GIPE
CONTR.. owner
,ASSESSOR PARCEL 72-062-11 r
LOCATION 82 CarefreeWay, Oroville
t
OFFICE COPY
Address" T �'
r GAS -.-
Meter By` _ 'Date a
' >ELEC
,Meter By Date
OFFICE COPY
t
Temp. Power P�_;w 3
Address—
.
Called PGI'
GAS ate !
Temp. Elec. Se ,.� Meter By 664_
ELECTRIC Date.
Meter By
Called PGB !2. _ ...... -. _.10� 4- -...
Temp. Gas Service
Cal led PG&E
JOB FINAL ED (Date)
Signature
J = OK
0 = Not OK '' j'
= Not Applicable MOBILEHOMES _ I MISCELLANEOUS
= Not Ready
Date MOBI OME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. ng Requirements—Setbacks—Easements tr 1. Zoning Requirements—Setbacks—.Easements
Soils; Special MH Support—Sk h 2. Footings; Size—Depth—Spacing—Connectors
er; Location—Test—F-C/0—Concrete I 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
Wa ; Location—Test—Easement Needed (Sketch) i' 4. Wood Awn.; Posts-Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
I tricity; Location—Clearances—Grnd.—/ / Amp—Concrete �: 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG ;! 6. Carports; Windows—Doors
tility Clearance 7. Elec.
Card -BI Dat — Card -BI Date
_Card -BI Date Card -BI Date
Date B L E INSTALLATION (Plans) OK except IL's
y 1. o ' g Requirements—Setbacks—Easements
2. �gs; Size—Spacing—Marriage Line
3 H est—Demand—Valve—Connector
EI icity; MH Test—Crossovers—Breakers—Clearances
ra' , H "st—Fall—Flex Connector
6 ate, H Test—Regulator—Connector
r ater and Sewer Connected—C/0 to Grade—HD Approval
s and Electricity Tagged
its; Insp.—Sketch
1 C rt. of Occupancy
Card B -I Date and -BI Date
Card B -I a Date ,!Ti and -BI Date
1
i
f
+Card -BI Date Card -BI Date
jCard-BI Date Card -BI Date
Date POOLS (Plans) OK except q's
1. Setbacks—Easements
2. Soils; Compact ion—Structure"Stability
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lini
4, Elec.; Receptacles and Lighting; Distances—GFI•
I, 5. Elec.; Pool Lighting; 15 volts—GFI
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
tBoxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Health Department Approval
' 10. Plumb; Cir. Test—Water Supply Test
I
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
a
r +
I
(
S '
r
f
I '
= OK
= Not OK, _
= Notytable
Read
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except #'s
D`dte
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
54. Glazing Area -Glass Protection -Skylights -Plastic
55. Shear Walls; Nailing -Bolts
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except k's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fdreplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except p's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights & Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71. 'Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72,: Insulation -Foam -Looked in Attic El Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
Guard Rails & Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
74,
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral []Yes❑No
75.
Following instld.: Drive E] Yes ❑ No; Walks E] Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B-1
Date Card -BI Date
81.• Ventilation throughout House
82. 'Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except q's
31. A.C. Ducts; Insulation & Support
83.
Crorrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/0 to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
35.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING Plans OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
39.
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
45.
Cing. Joist-Rftr. Ties-Purlin- Roof _Brac.-Truss-Shthng.-Rfn_q_.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
47.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time you visit jobsite)
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
OERMIT NO. -2 3
Address or location of mobi lehome Clz, v p Q y—
Owner's name
Owner's addre
Insignia or hud number
Manufacturer's name
Serial number of V.
icial—Approving IA�tcllation)
Y ear of manufacture
(Date
IF THE MOBILEHOME 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.
513B Wh it, Yellow Installer, Pink
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT NO.
Address or location of mobilehome
Owner's name—
Owner's address
Insignia or hud number
Manufacturer's name
Serial number of V.I.N. 2 Year of manufacture
(Official Approving Installation) (Do'.)
IF THE MOBILEHOME 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.
513B White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
` DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico —.Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
RRECTION 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.
I,
Inspector_ �� Date -4<3 y
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
R
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 a¢diVonal explanation, please contact this office immediately.
WA
Inspector Date �y `✓
r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
f
ASS' SOR PARCNUM ER
ZON
BUILDING PERMIT
OWNE
TELEPH NE
So. FT. OCC. BUILDING VALUATION
OWN'KR—. MAI ING 5
g110F
O T CTOR'S NA E
TELEPHONE
ON ACTOR'S MAILING ADDRESS
Fireplace
CONS7PUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$--
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHIT CT OR ENGINEER
X
LICENSE NO.
Plan Checking Fee
$ 0
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty-
$
BUILDING ADDRESS IV/Q
Y �
Permit fee'
$ /3100
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Q�
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[] MobilehomeV Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home
10.00 ea
TYPE OF WORK
New❑ Addition Bepiodel❑ Utilities Installation❑ Other ❑
Describe work: 16l11 I I
< <
Permit Fee
$ L
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service j00 AMP OR00V OR LESS10.00
Main service EA. ADD'L too 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
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
Wor 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
GOCCUP.eI\ 2+/zQsgft -
oR ADDNST \ DWEACCLLING
S.I
NEW CONSTR ULT'.OUTLET
NO N.RESID BRANCH CIRCUITS) 12.50ea
(POWER APPARATUS .&)
SINGLE OUTLET C'R.
20®O
Ex. Occup(OUTLETS OR FIXTURES eAL030
FIXED
EX. Occup. OU LETS PRES'D )LINIS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or .a Certificate
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.
Contractor
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agaipaflsid County in consequence of the granting of this permit.
X Date �j �6P
Sinature of Applicant — Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE - $
OCCu P.
CONST,TYPEJ
PLOD
PARCE
PD HD IS
-1 411
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Receipt No. y�/:l5
ReceiD.P.W.,
YELLOW -ASSES SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
OWNER
COUNTY OF BUTTE - DEPARTMENT OF 'PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLFij,CAL3IFORNIA 95965 - TELEPHONE: 916/,534-4541
3 I I
PERMIT APPLICATION DATA SHEET
t Permit No.
lJ�4 ti (� �ll� A. P. No.
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other ((Exlain),.
Building Inspector 46Z ) .� Date 5
At time of permit application, I was advised the following data must be submitted prior to permit processing
andJor issuance: DATE RECEIVED APPROVED
1�All items have been submitted..
te6.. Plot plans in duplicate./triplicate. . . . . . . . . . . n�
�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 and AC Buildings.
8. Fees of $
9/ Letter of signature authorization. %I . . . . . .
Zw..Sanitation approval from (%y4�21) 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
Pre -Inspection for Required. Bu;Idi, I s ector x (Dote)
Recorded copy of Agricultural Acknowledgment Stateme
4t�91 Other t /,L�sity - -A -- - I L0,_1
men you issue the permit, process as follows: 610' Mail to owner. _
Telephone �� �' X7 and hold for pickup at Adm office.
Other i
Mail to contractor.
_Deliver w.
/inspector.
Applicant _ ( /-' Date�-
,/ r
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 ap li tion, circle item.)
1. Index permit for above Items No. \10
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by
By
Plans checked by
Plans approved b,
Other:
Copy—DPW
Telephone
,Mail
Date
Date-'
D t _/->--J3
Copy—DPW
/->--
Other
To:' Building Department,
From:snvironmental Health _
Sub'ect: Sanitation Clearance
22-0
Oti%mer Location
Plan Approved for: Sewage disposal _ water supply
Hold final for: water supply
Final clearance O.K. for:
Clearance for. bedro m mobil omeo
NOTE
Sanitarian
Other
water supply
AP #
OWNER //
PERMIT
MH UTIL. CLEARANCE DATE
A
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compaction
Test Req.,
,ervice
;ize
Other
Load
Type
Pipe
Size
Length
YES NO
ES NO
Tu V�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSES OR PARCEL NUM ER
-06 a-
ZONI
BUILDING PERMIT
OWNER
TELEPHONE
S k
,SQ. FT. OCC, BUILDING VALUATION
OWN S AILING RESS
Ile 4 rc t) `Ile
CONTRAC OR.:S NAM p
`` ,,
TELEPHONE
CON A`OR'S MA L 1NG
u �D V,.�=
Fireplace
CONSTF;TION LENDER f f
UNKNOWN
Total Valuation Is
-Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 115_cD
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ B
PLUMBING PERMIT
Filing Fee 10.00
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(y Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW I
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationv Other ❑
Describe work:
r
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service DOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'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
ElI, 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
-,�f r sale. (Sec. 7044)
Iy1 I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am ekempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.E( ,
OR ADDNS. ( ACC. BLDGS. /20sgft
NEW CONSTR U TI.OUTLET 2.50 ea
NON.RESID BRANCH CIRCUITS)
POWER APPARATUS e
SINGLE OUTLET CIR. I
Ex. Occu o z00e0e
p( UTLETS OR FIXTURES eAL030
FIXED
Ex. Occup. OUTLETS P(RESID )REA.I 2.00
Temporary service 10.00
Mobile. Ho Home Facilities 15.00
Misc. 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ , I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
�
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 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.
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
agai s i County in equence of the granting of this permit.
X Date e b
Signature of Applicant — Owner ❑ Contractor ElAgentWork
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 $ 12n,0
occu P.
CONST*TYPEJ
FLDOD
PARCEL I
PD
ND
S9UE
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
DIRE R OF PUBLIC
BY
P MIZE PIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date-j� ��'p�>!
✓' Z, f) 7
Receipt No.
WHITE-O.P.W., YELLOW-ASe E3s R, PINK -INSPECTOR. GOLDENROD -APPLICANT
r ,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7,;COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 r
PERMIT APPLICATION DATA SHEET
('9;
Permit No.
OWNER �c7�1 h (, !)!i A. P. No. �O� -0o -/l
Proposed Building'Use ,zd Y_77—
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (/Explain) 0/l
Building Inspector /// of DateC—
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance:DATE RECEIVED. APPROVED
1. All items have been submitted. . . . . . . . . . .
2.,, Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement.
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ a
9. Letter of signature authorization.
10. Sanitation approval from Health Dept.
11. Planning approval .for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
• 14. Owner -Builder Verification (Given to owner, Mail to owner ❑.)
-..Improvements may be required. . . . . . . . . .
obilehome Installation Data. �2� .
•Pre-inspec.
request to
17. Pre -Inspection for Required. Building Inspector
(Dote)
18. Recorded copy of Agricultural Acknowledgment Statement.
r
19. Other
When you issue the permit, process as follows: Mail to owner.
Mail to contractor.
X Telephone S3 4117 and hold for pickup at 1�2kl'Q,office. —Del
iver w. /inspector.
Other r
t�
Applicant 5���
Date.(5-/ ^ fS r
){ `
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 tje of application, circle
.item.)
1. Index permit for above Items No.
2. Additional items required:
r,
(Contractor, Designewas advised of above required data by Telephone
Mail Other
'By
�J
Date 3
Plans checked by Date
Plans approved by Date
-t
Other:
Copy—DPW
T
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
Owner • s name: C,5 yx. Z)CjOOJlr
Installer's name:
i. 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.)
Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes. No
( If no, clarify ) `
+. What is the mobilehome electrical rating? ----------------------- Amps
,. What is the mobilehome site service rating? ---------------
------ Amps
What is the mobilehome site circuit breaker rating? ------------- / Q () Amps.
. Is there any other electric load to be served -by the mobilehome
site service? ---=----- Yes / / No
(If yes, identify the load and size: A,lP (Load) (Amps)
What is the mobilehome site gas pipe size? ---------------------- (in.)
What is the type of gas service? ----------------------------- Natural 7 LPG
What is the gas pipe length from.meter or tank to the mobilehome? CS S �o /-7 ft.)
What is the mobilehome gas demand? ------------------------------ 140 0 (BTU)
(This information not required if pipe length less than 6 ft.'on natural gas
or less than 50 ft. on LPG.)
BUTTE COUNTY
BUILDING DEPARTMENT
APPR®V
E®
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. �/,��j() Setup Model No. Qd't Q�Q Year _
Width _(ft.) Length (ft.) r Expando Size 7 ft.x 2- ft.
(Draw support details below)
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).
I
nter
pport
cations'
n. )
Sin le
n
Q
7n --
/
( .)in.)
Af
(in.) (in.
E
I
-
I
�
in. lri:)
I
center piers are other tha drawn above,
aw in`locations, spacing, and dimensions.
Footings-(check.one)
�Q 1. Wood either
pressure treated or
fdn. grade.
2. Concrete pad.
3. Other, specify
Supports (check one)
AZ 1. Concrete block
7—
/ / 2. Concrete piers
3. Steel piers
/ 4. Other, specify
tal2T5 Typical Su o I t-1
�31n.x �, yP PP r,/� Footing Size
�--j--i� Max. Pier
t
(a. in�)_'_(�__J.) Spacing
Max.
Overhang
�r s _4 ccordai
a quc
t{ 0&2�jniform
t=acs:6 1 r(ati
o �,+ �,,,, the
,� ;• � -- tiECiILES
-eph<1cte� ti BEAR
" ~' �� a
a.
UtiFity connect . 'thin
ions shall be
4 ft: of the mobilehome; ei her
I directly behind or within t$e rear.
half
: (t�j.4 the
mobilehome.
! s
N
CL
219.#2Of
19
® �A
\ oCrI
and spa 1ficationt2MUST be
sN times and it is unlawful to \�'• -
ir altercii ion.s on some without
*am the tepartm /6 of Pubh/T
Lite. 'h ' J '
Se14AJ 6-
PLc' t PL- aAl
ictice and '' _
I use i t . Z6 - 08
r*
A setback.of 5 ft. from the j.
property lines and a setback
pp
of 50ft. from the road' 3S�`os
centerline shall be clear of BUTTE COUNTY-
structures or equipment except BU1 LDI NG DEPARTivu
-for a 2 ft. eave overha,h�;. `' T
. J
NOTE -ASSESSOR'S PARCEL SOCK
05 ,...:: r!_.` .: _,• . 6 LOT NUAMER- SHOWN
- ' - IN CIRCLES -
- APPROVED
Assessor's Map No. 72- 06
County of Butte, Calif.
OC 7. /964
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