HomeMy WebLinkAbout072-440-01272-44-12
DIANA DAY `; 144
=''65 Dedeker'Lane,•6Roville '
72-44-12
Cont �Coy Staten
PErmit 2 9P,E(uti
- ELEC o
SUPPORT STRUCTURE REQ - -Vo
CONIPACTION- T EST "REQ . '" .% " Qq
r
72-44-12
ContR: Jim ld
y,PErmit#, 3�3 -89M. I ��._ _ ..
Issu �-
r72-44-12 t . 1081-89B
DAY; Diana F/ r
65.Dedeker..Lane, Oroville .
(new:private,detached garagd)
IIl2
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STATE OF CALIFORNIA
BUSINESS, TRANSPORTATION AND HOUSING AGENCY
00EPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DNISION OF CODES AND STANDARDS
MANUFACTURED HOUSING PROGRAM
DIVISION .
MEN RECORDED MAIL. TO:
NAME
BUTTE COUNTY BUILDING DIVISION
ADDRESS
7 COUNTY CENTER DRIVE
CITY, STATE, ZIP CODE
OROVILLE CA 95965
- -- - II-II�II�I �II�II�II�II�III��III�II�II I III
2015-0004965
Recorded 1 REC FEE 19.00
Official Records I
County of I CONFORMED COPY 1.00
CANDACEutte J. GRUBBS I
County Clerk-Reeorderl
I
I BM
09:24AM 17 -Feb -2015 I Page 1 of 2
NOTICE OF MANUFACTURED HOME, MOBIL-EHOME OR COMMERCIAL MODULAR -
INSTALLATION ON A FOUNDATION SYSTEM .
Recording of this document by the enforcement agency indicates compliance vAh California Health and Safety Code Section 1t3S61(a). This document is
evidence tiat the enforcement agency has Inspected the installation and is wd a Ceftifccate of Occupancy, form MCD 5130, by the ural described hereirk upon
Tho real propody described with codaWy betow, as of the date of reeomlft. When recorded, this document shall be indexed by the county recorder to ft
named cvner of the real propeRy and shall be deemed to ghre oerretrucfne rotice es to its contents to all persons thereafter deating w'dh the real proyerty. ^
ENFORCEMENT AGENCY INFORMATION
ALL INFORMATION BELOW MAST BE ENTERED BY THE ENFORCEMENT AGENCY
PROPERTYINFORMATON
DAY, K1ARA
Tuxoa mTYoistmwest
PO BCX 2334
WAM - ss
OROVILLE BUTTE rA 95965
QIY COUNTY STATE al'm
65 DEDEKER LN
RISTO W (TION AODRess prd%WQ
OROVILLE BUTTE CA 95965
OTT cats" SPITE ap ewe
OWNER INFO
DAY. KIARA
PO BCX 2334
TYA4UNGO
OROVILLE BUTTE CA 95965
am COUNTY $TATTY tpCOM
BUTTE COUNTY BUILDING DIVISION
0fW*51OnT*=CVISSUI PUNT adCTYiMCATEOfCCMWMCY
7 COUNTY CENTER DR
MUM ADDRESS
OROVILLE BUTTE CA 95955
CITY COUNTY STATE AP 00"
B14-2852 �5� 538-7601
SULCND KRMTN0. TOLUNME NULM
Me EOFUNffUE DEtt(�ItELEASE,ORCONSENtTOWFALU110ti
ATTA -SEE REY W
- -
NATURE III EN AGENCY OFFICIAL DATE
�R INFORMCi 14
NONE
oblLTYylrNIMEgilds o wrNr, WUWin
NONE
DFA1MUCOMl4AW
NONE
DFI Vt5U9NESSADORESS
only COUNTY 37ATE w CODE
MIANUFACTURED KOMErhfTYO®ILEHOMEJCOMMERCIAL
MODULAR UNIT D>wSCRIPTTYON
SUNPOINT
460-3A 1989
WIILIfAC11RfiTSNNE
f®�rL11�rNA,BER WNi7Fi►CTUREOAIE
3006A/B
SER11ANUAM
64X2L
RAD478400-401
6TY;171GRIA 11ffiTN
CA rH�S� UY3}i NUBiilt>bj
072-440-012
a ElEI mmV �AED
�a51f OPhHmLMM1f f!I'J. Y aCsn iYM V �IISO 9` W wNr\
COUNTY
gSTAMU1gN- Orplrml to COM ReOOaOOa.OnCM W NDp On bAWJUrt ON Dopy 0 WIMNID&MI(I AV f"
HCO 433A (Rev. 1012011) GENERAL GUIDE AND INSTRUCTIONS ON REVERSE
J/� lJ 7 00 EJD OF OOtUMfNT
DESCRIPTION:.
All that certain real property,s'ituate in the County of Butte, State
of California, described as follows:
The East 330'feet at!theWest 990 feet of the South 440 feet of the North
880 feet. of. the Northwest quarter of the,Northesst• quarter.of Section.26,;
Township 19 Nor.th,Range 5' test', M:D.B. &-H."
TOGETHER WITH a,.right,,of way 60 ,feet in width ror_road;end utility',purpoaes
lying'30'.feet on'`each=side of the',folIaIng desrlbed'centerline: .
BEGINNING at..a point, on ttie-,East line of.-Sectioh••26; Jownship_ 19, North,
'5 'South
Range East, M:D.B.{ h M.'' bears00° 43' '23" East 123.7.97 feet from
the Northeast corner of said Section; thence from said point of beginning
North B2° 531,24".West 103..60- feet; thence North 63'.34' 22" West 246.47
feet; thence.South 74°•39' 03" West 160.62. feet; -thence North'79° 27'• 24"
West 669.97 feet; thence South 19° 50' 20" West 653.10 feet; thence South
02° 14' 36" West 186.15 feet; thence South 14° 48' 36" West 750.08 feet;
thence South 25° 46' 24" East to the South line of the Northeast quarter of
Section 26.
ALSO TOGETHER WITH a right of way 60 feet in width for road and utility
purposes lying 30 feet on each side of the following described centerliner
'BEGINNING at a point that beare South 89° 06 14" West a distance of 30.00
feet from the Northeast corner of Section 26, Township 19 North, Range 5
East, M.D.B. 6 M.; thence South 60° 51' 23" West s distance of 45.02 feet
to the beginning of a tangent curve to the left, having a radius of 100.00
feet, a central angle of 58' 00' 58" and being concave to the Southeast
thence along said curve an arc distance of 101.26 feet; thence South 02a
50' 25" West a distance of 236.13 feet to the beginning of a tangent curve
to the right, having a radius of 100.00 feet,'end a central angle of 68'
56' 03"; thence along said curve an arc distance of 120.31 feet to a point
of reversing curve having a trangent bearing of South 71° 46' 28" West a
radius of 100.00 feet, a central angle of 62° 07' 24" and being concave
Southeasterly; thence along said curve, an are distance of 108.43 feet;
thence South 09° 39' 04" West a distance of 117.02 feet; thence South 02°
21' 01" West a distance of 491.54 feet to the end of description.
ALSO T06ETHER WITH a right of way for road and public utility purposes 60
feet in width over all existing roads located in said Northeast quarter of
Section 26, Township 19 North,'Renge 5 Ea t, M.D.B. h M.
Iy
a
ALSO TOGETHER WITH easements for road and public utlity purposes 60 feet in
W
width as contained irk.Deed from D. 6 C. Enterprisea, Inc., to Lee Colby, et
al, recorded December 22, 1971, in Book 1722 of Official Records, at page
m
475.
J/� lJ 7 00 EJD OF OOtUMfNT
tountq
LAND
OF NATURAL VVEAlTI-I AND BEAUTY
'_-
DEPARTMENT OF PUBLIC WORKS
WILLIAM (Bill) CHEFF, Director
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965
Telephone: (916) 538-7681
RONALD D. McELROY
June 29, 1989 Deputy Director
Jack and Diana Day
RE:. AP 72-44-12
4068 Hildale Avenue
CERTIFICATE OF COMPLIANCE
Oroville, CA 95966
Dear Mr. and Mrs. Day:
Enclosed please find the
Certificate of
Compliance which was recorded
by the Butte County Department
of Public
Works in the office of the
Butte County Recorder on
June 22, 1989.
The Recorder's Serial Number
is: 89-22854.
If you have any questions
regarding this
matter, please contact this
office.
Very truly yours,
William Cheff
'Director of Public Works
Jahn Mendonsa
Assistant Director
JM/ab
attachment
cc: tBuldn-g—Department
Environmental Health
Department
RETURN TO:
Public Works
Land Development Section
89-22854
89-0221354 ; R e c F e e 00
Total .00.
Recorded
Official Records ;
County of
Butte AGENCY SHOWN
Candace J. Grubbs ;
Recorder ;
8:01am 22 -Jun -89 ; RB 1
CERTIFICATE OF COMPLIANCE
Issued to: Jack and Diana Day
4068 Hildale Avenue
Oroville, CA 95965
This Certificate of Compliance is hereby issued by the County of Butte to
certify that the land division which created the parcel of property
identified below complies with the applicable provisions of the Subdivision
Map Act and of Chapter 20 of the Butte County Code.
1. Property location: west of Sandra Lane off Dedeker
Lane. Black Bart area.
2. Assessor's Parcel Number: AP 72-44-12
Description : All that certain property located in the County of Butte, State "
of California, more particularly described as.follows:
The East 330 feet of the West 990 feet of the South 440 feet of the North 880
feet of the Northwest quarter of the Northeast quarter of Section 26,.
.Township 19 North, Range 5 East, M.D.B. & M.
TOGETHER WITH rights-of-way of record recorded in Book 2733 of Butte County
Official Records at Page 403.
Issuance of this Certificate is conditional upon the following conditions
which have been imposed pursuant to the Butte County. Code Chapter 20-167 and
Government Code, Section 66499.35 (b), to protect the public health and public
safety:
NONE
County of Butte
Su( ivision Violation Committee
l
Ix, t --r...
END OF DOCUMENT
END OF D4.PV.M NT
` I 2-44-12 - — 1081-89B
DAY, Diana
65 Dedeker Lane, Oroville
1 (new private detached garage).
i
PERN
PERMIT EXPIRES
OWNER
CONTR.
-ASSESSOR PARCEL
LOCATION
s--�
� 9
Temp: Power Pole
,
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date) 2
Signature r
i
= OK
0 = Not OK
' = Not Readyiable
MOBILE HOMES
/
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DEC ,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
ming Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
nd/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
osts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
-Connections-Splice-Decal-Enclosures
spoors
7. Utility Clearance
8.1Fi1mg; Sills-Anchors-Studs-Rftrs-Trusses
11. ing; Nailing -Veneer -Stucco -Mesh
Card -81
Date Card -131 Date
f 0. of; Shthg-Roofing
Card -61
Date Card -131 Date
1. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
14
S 1 a b
1. Zoning Requirements -Setbacks -Easements
Card -131
Date -g Card -131 Date
2. Footings; Siie-Spacing-Marriage Line
Card -B1
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
11 1
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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
Card -B1 Date Card -B1 Date
Card -B1
Date Card -61 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -B1 Date
Card -131
Date Card -131 Date
= UK
0 = NotOK
RESIDENTIAL (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.-/ P' Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring.
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 -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
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 -131 Date Card -131 Date
Card -81 Date Card -131 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/Mech. Fasteners -Bond Gas & Water,
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
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. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Liqht-Spa Liqht
Card -B1 Date Card -131 Date
Card -131 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -131 Date
Card -131 Date Card -61 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing &.Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -81 Date Card -131 Date
Card -131 Date Card -81 Date
Card -131 Date Card -131 Date
Comments at Final:
COUNTY OF BUTTE - DEPARTMENt OF PUBLIC WORKS drT
7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541
APPLICATIQN AN&PERMIT
ASS PARCEL NUMBEevq
^
ZON NG
fn CL
BUILDING PERMITNJ
O
TELEPHONE
53a 19a) a
SO. FT. OCC. BUILDING VALUATION
9WNER' AILIN A DRESS - �/1
NTRAC R'S NAME
TELEP/HONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 1000
Permit Fee
b
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Ener gy.Plan Checking Fee
n
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ e
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
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Otherv`� —SPECIFY 01-
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home G I W 1
10-00 ea
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work:
Perm ee
$
e6ntractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
1 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
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)
EJ 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 CONST. / DWELLING OCCUP.a ,h
OR ADDNS. C ACC. BLDGS. 0
NEW CONSTR. TI.OUTLET
NON.RESID .BRANCH CIRC ITS .50 ea
POWER APPARATUe
SINGLE OUTLET CIS
Ex. Occup( OR. TURES 20e50t
eAL03o
FIXED AP `NS. OR
Ex. OCCUp. OUTLE IRESI D.) EA.) 1 2.00
Temporary ser a 10.00
Mobile H e Facilities15.00
M!sSXiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
c(�`j I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
otice 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
penult
=
ontractor
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, i demnify and keep harmless the County of Butte against
liabilities, judgmen , costs, and expenses which may in any way accrue
age said County in cNence of the granting of this permit.
Date J(Z el
gnorure of Applicant - Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -El
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
^
TOTAL PERMIT FEE $ e
occuP.
cop c
scNooL P oD
PARI! PD ND 3u
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above r wh ch
T
By
PER T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
LIC WORKS
r
Datta
A
Receipt No.
WHITE-O.P.W.. YELLOW-ASBE330N. PINK -INSPECTOR. OOLDENROO-APPLICANT
COUNTY OF BUTTE - DEPARTMENT Olt PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORN 95965 - TELEPHONE: 916/538-7541
c4E° tw
a
PERMIT APPLICATION DATA SHEET V'
Permit No.
OWNER A. P. No. "-Q - (J
Proposed Building Use - Building Inspector 6L61Date 7
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 bee,,r�,-suomitted....................................
2. Plot plans i duplica of i licate, signed by preparer of plans.
3. Complete plans i=duplicat . triplicate, signed_by preparer of plans .. — —
4. Complete engineere plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
�2. School Dis ict fees paid ................. _
. Sanitation approval from Health Department ...
14. City of Chico plumbing permit ...................................... _
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Ins ection for re uired .. , Pre-Insrequest to
p q • •Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
26.
When you issue the permit, rocess as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at .� office. Deliver w/inspector.
Other
Applica t 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).
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 —ma il—counter by date
Plans checked by Date 4-Y-4 Plans approved by 16el Date
/7-1
Sets of plans on hold in - File cabinet AP folder
Copy—DPW r�
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
-.__.._ COQ 0 A Q er C— —),4 —VV -IQ-
Owner. Location AP#
Plan Approved for: Sewage Disposal A- 'Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for bedroom mobile home. Other
NOTE**
Sanitarian
Date
COUNTY OF BUTTE - Department of Public Work
7 County Center Drive, broville, 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) 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_
Social Security 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 per-
mitted to issue the permit.
r
PERMIT NO.3���
y.
' PERMIT EXPIRES
OWNER
DIANA DAY
CONTR.
Coy Staten
,ASSESSOR PARCEL
72-44-12
LOCATION 65
Dedeker Lane, ORoville
1
i
i
i
R
�r
Temp. Power Pole
Called PG&E
Temp. Elec. Service!-
1� Called PG&E
Temp. Gas Service14
r
Called PG&E
JOB FINALED (Date)
".
Signature
C/
= OK
Or= Not OK
Not ' = Not Readyable MOBLE HOMES
r
4
MISCELLANEOUS
Date
MODICEHOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
in Requirements-Setbacks-Easements
1. Zoning Requirements-Setbacks-Easements
Special MH Support-Sketch
2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel
S er;•Location-Test-Fall-C/O-Concrete
3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails
44�wyat'er; Location-Test-Easement Needed (Sketch)
4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
Electricity; Location-Clearances-Grnd.,491.#'Amp-Concrete
6. Gas; Location-Test-Wra /"L"ft.
/,,-/"Nat. c /"L"ft. "LPG
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures
6. Carports; Windows-Doors
tility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing-Veneer-Stucco-Mesh
Card-B1
at rd-B1 Date
10. Roof; Shthg-Roofing
Card-B1
Date Card-61 Date
11. Ext.; Steps-Doors-Landings
Date
M BILEHOME INSTALLATION (Plans) OK except #'s
oning Requirements-Setbacks-Easements
Card-131
Date Card-B1 Date
. Footings; Size-Spacing-Marriage Line
Card-B1
Date Card-B1 Date
W533 as; MH Test-Demand-Valve-Connector
W.Pectricity; MH Test-Crossovers-Breakers-Clearances
Date
POOLS (Plans) OK except #'s
Drain; MH Test-Fall-Flex Connector
1. Setbacks-Easements
Water; MH Test-Regulator-Connector
2. Soils; Compaction-Structure Stability
" . ater and Sewer Connected-C/O to Grade-HD Approval
3. Pool `Structure; Steel-Connections-Thickness-
Dead Men -Lining
Gas and Electricity Tagged
Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
0. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries-Terminals-Listed
7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater
Card-B1
Da Card-B1 Date
8. Elec.;Ground ing; Equip. w/5'-circulating Equip.-Pool Lghtg.
Boxes-Enc losures-Panel board s-Ins. to Main in Conduit
Card-131
Date Card-131 Date
9. Health Department Approval
10. Plumb.; Cir. Test-Water Supply Test
Card-B1
Date Card-131 Date
Card-B1
Date Card-B1 Date
I�
1
= OK
0 = Not OK RESIDENTIAL (Single and Duplex)
- = Not`ApplicaNle -
• = 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- Bloc kouts-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 -Su pprt-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 -131 Date Card -131 Date
Card -131 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
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 -131 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/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or AI
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. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
Card -131 Date Card -B1 Date
Card -131 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -61 Date
Card -B1 Date Card -131 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/0 to Grade -HD Approval
91, Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -81 Date Card -131 Date
Card -131 Date Card -131 Date
Card -81 Date Card -131 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
MOBILEHOME INSTALLATION ACCEPTANCE
, :3
6 .1r_ f -' t:a t' COUNTY OF BUTTE z
.- DEPARTMENT OF�PUBLIC WORKS--. UpN
-7 C61,414 CENTER DRIVE ' i f'
OROVILLE -CALIFORNIA - 534-454 .'
t �* '• = PERMIT+NO.
,
Address or locati6nn of mobs Iehome.
Owner s namerA
Owners I address fA A `�qI 2 /t 11 `e_, � - A �
r
Insignia or hud number.
'► (, 3 sa•�� t
Manufacturer's nameel
Serial number V:I.N.
of Year'of manufacture
F'T (Official Approving Installation) (Date)
THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION.
,�-'IF
Y>" ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
5138 - White - Owner, Yellow -Installer, Pink - D.P.W.
r
4 COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
aU6
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.
Inspector \ Jt " w" Date
-A
)091
COUNTY OF BUTTE`- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION ANN PERMIT
ERMIT N0. /
ASSESSO /) RCE BER
Il
ZON G
BUILDING PER MY00"I (I
OWNER
to
TE PH
SO. FT. OCC. BUIL G VALU ION
W A LING DD E 5
AMan6UIHe-
C6N C OR'S t
TELEPHONE
CONTRAC OR'S MXILINC ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 1
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS '
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS j
Permit fee $
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2,00
V
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 HomeG O.00ea _
TYPE OF WORK
New❑ Addition[] Remodel Utilities Installation[] Other❑
Describe work: i
Permit Fee S
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F1 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
�j for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD -L 100 AMP 2.50
NEW CONST. DWELLING OCCUP.a ,
OR ADDNS. ACC. BLOGS. =2sgft
NEW CONSTR. TI -OUTLET 2,50 ea
NON.RESID .BRA CH CIRC ITS
POWER APPARATUS eI
SINGLE OUTLET CIR.
EX. Occup(OUTLETS OR FIXTURES 20050t
DAL@ 30
FIXED . OR
EX. Occup. OUTLETS TS (RES(RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc �Yirin 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
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIingFee 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
a st said County i onsequence of the granting of this permit.
X Date
Signature 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 $
Occup.
CONST,TYPEJ
ISCIIOOLN.0111
PARC
PO HD
IS
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
R TOR PUBLIC WORKS
00
By Date 2-6
PERMIT EXPIRES Date a�
Receipt No.
WNIT[-D.P.W.. YlLLOW-ASeC5S011, PINK -INSPECTOR. GOLDeNROD-AP►LICANT
1
h
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE OROVILLE, CALIFORMA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION��
DATA SHEET
Permit No.
OWNER V A. P. No. `
Proposed Building Use �(,� 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
All items have been submitted
2. Plot plans in duplicate/JRplicate, s gned by preparer of plans........
3. Complete plans in du ate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid .....................................
11. Park fees paid f .............................
12. 0111 P � w ool Disfees paid ................. trri t3. Sanitation approval from �� �^�'LI/� Health Department .. .
14. City of Chico plumbing permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
oe17. Improvements may be required.
18 Driveway permit (construction approval required prior to occupancy) .. .
Pre -Inspection for required .... Pre -Inspec. r quest to
Building Irispe for 1Date)
�0. Contractor's license information (No., Name Style, Classification) ....... �/
21. Certificate of Workmans Compensation Insurance ................... .
22 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
3. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization ..........,. ..........................
El
26.
When you issue the permit, process as follows: Mail o owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
nthPr
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted
1. Index permit for above items No._
2. Additional items required:
to permit issuance: (Circle new item not checked above).
Plans checked by
Copy—DPW
Date Plans approved
Sets of plans on hold in File cabinet AP folder
Date
Contractor, designer, owner,
was advised
of above required
data
by_phone---naiI—counter
by
date
Contractor, designer, owner,
was advised
of above required
data
by
—phone _maII—counter
by
date
Plans checked by
Copy—DPW
Date Plans approved
Sets of plans on hold in File cabinet AP folder
Date
n
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
-0-a u A e
Owner. Location
Plan Approved for:
Hold final for:
Sewage Disposal -�_
Water Supply
Final clearanceO.K. for: Water Supply
Clearance for, bedroom obile ome. Other
NOTE
r
Sanitarian at®
TO: Building Department
FROM: Encroachment Permit Section
RE: 'Dri:veway Clearance
Oid,4a
owner
Z"r
location
AP #
Driveway permit 1f&.ne- //� e�P� _ has been issued for the above property.
nu4bioas,4 4�
sign re date
COUNTY OF BUTTE - Departmerit 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) 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
Social Secur'ty pumber
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 per-
mitted to issue the permit.
Retg.rn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
!' FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 cif. the Butte County. Code•
requires this acknowledgement be recorded -
prior to issuance of a building permit.
R&COMPARED \0iH
E112l^
The property described herein is adjacent
+NAL DoctJm6
to land or included within an area zoned
for agricultural purposes, and residents
FF
of this property may be subject to incon-
198
veniences or discomfort arising from the
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit
of agricultural operations including,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor.
Butte County has established .1gricIll
Lural zones which.have as a priority use for productive agricultural. purposes, ..end r-esicicios
within said zones and on adjacent property should be
prepared to accept such i nccnlven i c•nc e
or disconfor.m from normal, necessary farm operations.
All that real property situate .in the County of Butte, State 'of Cal.i.f.or.nia, descrih(.d
follows:
f the
The East 330 feet of the West 990 fee�fNortheastSouth
qua0rterfeet
ofoSectionNorth
8BO feet.of the Northwest quarter of the
Township 19 North, Range 5 East, M:D.B. do M.
Date: / PROP TY OWNERS:
Al 49-- LIAt
State of ) On this the % day of , 19 �%, I>cfure me ,
� SS. the undersigned Notary Public, personally hppeared
County of
OFFICIAL SEAL E] Personally known to me. 0 Proved to me on the basis
DOROTHY A WISE
lip NOTARYPJBLIC- CALIFORNIA of satisfactory evidence.
BUTTE COUNTY to be the persons) whose name(s) dJ _
MY connlsslDN EXP AUG. 21.I99z subscribed to the within instrument and acknowledged Lhal
executed the same for the purposes therein contained. IN WI Nl;ti�
WHEREOF, I hereunto set my hand and official. seal..
c 4 12-2
A
Present A.P. No. �— —�� — otary Public
^ ..
/
L ., , u , NATURAL vv Ea L / n a w o BEAUTY
osPABTMEmTOFPUBLIC WORKS
WILLIAM (BiU)CHGFF, Director
rCOUNTY CENTER DRIVE '000v/LLs'CALIFORNIA vsvoy
Telephone: (916)
538'266
RONALD o.wcsLnor.
o°,ut,o/rect"
January 18, 1989
Jack and Diana Day _ DD: AP 72-44-12
4060 Bildale Avenue App. for Determination
UroviIle, CA 95909
Deur Mr. and Mrs. Day:
'
'
'
'
' At the regular meeting of the Butte County Subdivision Violation
Committee meeting held on January 18, 1989, the committee graoted
a conditional Certificate of Compliance for the above -referenced
property. The conditions are:
.'` . l. Provide two-way traversable access to the parcel from'o' bIicly
maintained road.
2. _.Verify legal access to the parcel from a publicly maintained road. .
` `
'
There is a fifteen -day appeal period before this Certificate can.be
recorded ooleoo you -sign and return the enclosedwuiver nuiviug''your
`� ..
rightto appeal the con�����e'a decision.
' If you have any.questions regarding this matter, oleaoe contact this.
office. ' '
� Very truly yours,
William Cbeff ^
Director of Public Works '
'
`
-'
� J@pu oeuuooaa
u�.�
JM/ds
attachment '
cc: 9I000io8 Department -
Environmental Health Department
Building Department^/
OWNER l Oj
PERMIT
MH UT IL . CLEARANCE DATE
INSPECTOR
ELECTRIC GAS
Support
Struc.
Compaction
Test eq.
Service
Size
Other
Load Type
Pipe
Size
Length
YESI NO
YES NO
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califo.rriia,95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
2PERR/MIT NO.
c� / � f
ASSESSOR PARCEL NUMBER
:xZ-
ZONING
BUILDING PERMITTJ
OWN R
TELEPHO
SQ, FT, OCC. BUILDING VAL ON
OWNER S MAILING ADUREESS
0 o'e011i,I/
CO N12,"C TO R'S E
TELEPHONE
d/
CONTRACTOR'S MAILING ADDRESS
-Q S S
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
n
$
Penalty
$
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
1 t L
0 V) VVis�
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[] Dluplex❑ MobilehomeE�r Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ tilities ❑ Instal lation Other ❑
Describe work: 8 Y —
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):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions `C/o.de and my license is in full rce%and effect.
License No.=VJS64 Classificatioi
❑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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.81,
OR ADDNS. ACC. BLDGS. /20sgft
NEW CONSTR U TI.OUTLET
NON BRANCH CIRC ITS 2.50 ea
J POWER APPARATUS &)
SINGLE OUTLET CIR,
Ex. Occup OUTLETS OR FIXTURES 200030
FIXED A
Ex. OCCUp. OUTLETS P(RESID )REA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 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.
EN/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 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
against s County in conseque e f the granting of this permit.
X Date 2`fo f��
Signot96 of Applicant — Owner ❑ Contractor E] Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
of structures over 3/st�o/rie/s in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
Occup.
CON3T.TTP!
Jsc7
Fw
PARNo
CELPDV/
Is9urr
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR,9F PUBLIC
By
PE T EXPIRES Date _
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date�j3-�Z
J 1' % C Q
L:eceiptNo -3;A 7' �f �ti
T!-D.P. W„ YELLOW-Asel830R, PINK -INSPECTOR. GOLDINROD-APPLICANT
I
J1
COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
OWNER
Proposed Building Use L�=42-- Building Inspector
Permit No. /
A. P. No. 7�
Date '1 Xr� l,.o
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. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees id
12. Dalt School District fees paid ................ .
13. Sanitation approval from Health Department ...
14. City of Chico plumbing permit ..................................... .
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
Pre-Inspec. request to
19. Pre -Inspection for required ...... Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
26.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone P%— ��f�'�and hold for pickup at_office. Deliver w/inspector.
Other
Copy of plans sent
The following data must be submitted prior t
1. Index permit for above items No.�
2. Additional items required:
rmit issuance: (Circle new item not checked above).
.
Contractor, designer, owner, was advised of above required data by_phone--naiI—counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma II—count er by date �(
Plans checked by Date Plans approved by Date 2 J
Sets of plans on hold in
Copy—DPW
File cabinet AP folder
.yr � .-.r,-nr.r �"Y" _"""�,- ..rte �.. .-- .. -. �"'+--.'4� .,�.r"�^r^��..-•rr^r..»J�,a r^+.. _.... •� ... ��.• ., ,_
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One.Form per Building)
A.P. Number Building Department No.
School Districtol(VcA City 0 County = Jurisdiction
Property Owner
Project Location/Address ,$
- Subdivision Lot Number
Residential Development:
Sq. Footage /&0o
# of Living MHI Addition (Group R)
Units,
Commercial/Industrial: Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Building Department Representative Date
*******************************************************************
District Id No.
ter Q School District certifies that
Applicant Name
6 Jr
Phone Number
( Street Addrdsb )
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. o6 c� %
by the payment of $ ��Qy representing /400 square feet.
3�aa%�
chool Dista, d Representative Date
PAID BY CHECK NO. REMARKS
BANK NO
r
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88)
t7d C—_
NOTE —All Ma or als �NorCcrt�ansFieII
p �aA -s In� This -set o plans and spe�Ic�fiores �/IUST
/accordance with F ecognized Good Practices and kepf o.n fhe job at all Times and it is unlawful �
of q qualaty prrs ri aed for fhe Specified use in the make any changes or alterations on same wif ,
Uniforn, DuLding, iPlurnbing & Mechanical Codes and;
Hdme National Floc riaal Cade. written perm scion from the Department of"--
�. lic Wgrks, .County of Butte.
A setback, of i. from the
propertylit nd a setback .
�of 50ft. fro 0 e'road
centerline sh II be clear of ,.
structures Or ec uipment except
for a 2 ft. ea a overhang. s
Q. FT. MINIMUM,
FOR MOBILE
RPOPQok �
Utility. connections shall be witiiin
4 ft. of the mobilehorrie, either.
y peXr,_1:,`
,�;;� b: recdaired Apr. the directly behind. or within the rear ,
e n: of the mopilehO.ma half of the roadside (left) of. the.
mobilehome.
wrn
3A -9, MHS.
{•ll. UbLC VVIUL CIVA10JU VVUHRbiILLI j /J
�^y nn
MODEL: `tIt2U PSF ROOF LOAD PLANT#_j_j_
SEE PERIMETER PIERING
SEE NOTE
REQUIREMENTS TABLE
1
SEE MATING LINE PIERING TABLE
FRONT OF OF
SEE PERIMETER
UNIT
PIERING REQUIREMENTS TABLE
NOTE: SEE PIERING PLAN
DRAWING IN INSTALLATION MANUAL FOR REQUIREMENTS OF MAIN RAIL SUPPORT
CAPACITY AND FOOTING SIZE.
MATING LINE PIERING TABLE' `A" To
RIDGE BEAM
INITIAL.
I sr
Zua
a o,0
4TH
S TtiI
bTIi
r►+
8-iy+
Ek)o
POST LOCATIONS
Posr. �
pos-r
POST
P06r
osr
pmr
PC) T-1 -
poor
Obs V.
('O61,
FIER LOAD
CAPACITY IN LBS.
�,
S�bs
L�33
Sg32
3S
MINIMUM:+..j
2���
�b01
16,11
z4�1
FOOTING SIZE
4
Y� j1
124%
XZ4
►�
Poerrs iQcw►
MATING LINE PIERING TABLE' "$" TO TAC.
RIDGE BEAM
INITIAL.
I sr
Z va
d Q0
4T*
S rH
(0-ni
'7 rK
g-T7+
Ear)
POST LOCATIONS
Qosr'•
POST
POST
ft. T-
T
ptsT
?6 r.-r
posr
pmi-
p(xSI
PIER LOAD
CAPACI 7Y IN LBS. -
'
MINIMUM':'.'
�
FOOTING SIZE
POSTS V"VK
T-¢oNr
NOT:: Footing sizes based on 1000PSF soil bearing value. If soil conditions differ see the piering plan drawing
or the Home Technical Installation Manual for method of calculation.
PERIMETER PIERING REQUIREMENTS TABLE
PIERS REQUIRED
DOORSIDE WALL• (/ ROADSIDE WALL*
JAMB STUDS'AT
DOOR OPENINGS
/
� V'-O I� ANO I� �--� I I � 11 ANDLI1- I_ otl
OVER 24"
j V
°
Q
PORCH POSTS AT RE-
CESSED S/WALL WHEN
2r
POSTS EXCEED 42"
r
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: b�
2.. Installer's Name: 5 ;
(If no, clarify
5.
What.is
the mobilehome electrical rating? ---------------
H
Amps
3. Is the site currently under permit?
Yes
No
(If yes, furnish permit number
What
)
OR
Amps "
Is the site an existing site?
Yes
No
-----
Amps
(If yes, furnish two plot plans.)
Is there any other electric load to be served by the
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
mobilehome
No
(If no, clarify
5.
What.is
the mobilehome electrical rating? ---------------
f%
Amps
6.
What
is the mobilehome site service rating? -------------
2 d
Amps "
7.
What
is the mobilehome site circuit breaker rating?
-----
Amps
8.
Is there any other electric load to be served by the
Yes
No
mobilehome
site service? --------------------------------
(If yes, identify the load and size:
(Load)
(Amps)
a.
What
is the mobilehome site gas pipe size? --------------
(in.)
? ------------------ -
Natural F-1 LPG.
1J.
What
is the tyP e of gas service.
.�
11.
What
is the gas pipe length from, meter or tank to the
------ -----
mobilehome?----------------------------------.
.� �
(ft.)
* 12.
What
is the mobilehome gas'demand?----------------------
(BTU)
*(Thi s'not required if pipe length
less than 6 ft. on
natural gas or less. +than 50 ft. on LPG.)
MOBILEHOME SUPPORT DATA
- t
If other, than single wide, `
furnish Setu Model No. Year-�
iKobilehome Mfr. MCS P
Width(ft.) Box Length(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) 91.
Wood-pressure treated or foundation grade. ❑ 2. Other (specify)
SUPPORTS (check one)Concrete block.2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -NIDE
li. t Line 1
Main Beams
rLineLine
2
Z
Main Beams
__----- — the 2
"ine 1
-- — — — — — -- — (Line
Tag or Triple
— — — — — — — — — — — � Line 4
Line 1
Line 1 Piers: Line 1 Openings:
Size -Min- ------------ „ Size -Min --- y� "x�
Spacing -Max- --------- _ Each Side of OCQenings
From Ends -Max- ------- " With Width Over--------- =
Line ' Piers: Line 3 Piers: (Under Bearing Wall Only)
Size -Min - ------------ „x �, Size-Mio- ------------------
Spacing -Max---------- _ „ Spacing -Max - ---------------
From Ends -Max.------- From Eada-Max --------------
Line 3 Roof Loads:
Size-Mio-------------
Location (From Front)
kv
„x3 6, „x „ �r�,k�0, 36'k�0” , „x „x „ „x
Line 4 Piers: LS
Size -Min -------------
'k
Spacing -Max---------- ,
From Ends -Max --------
Line 5 Roof loads:
Size -Min -------------
"x "x k "x L
Location (From Front)I _1-
e 5 Piers: (Under Bearing Walls Only
Size -Min -------------------
Spacing-Max ----------------
From
------------------
Spacing-Max.---------------
From Ends-Max--------------
Q1��®
VES
3
NOT"c: AI Vv a r cis �C �^lorrryanship S�cA �a � This set of� pians an:� Eprc?'�°c'?�o,s MUS o
hCCC.' 1.: 1. a Y!I is !' Good Practices crri kept on Iif? i"`1^, ai c!1 ti'm ;-) n:l li is unlawful �
z r.eo use in the mire an,; .:,nr,n rr atsera#ions on same Y!i# „ sr
^i'i'�Fi, 14i8Cf1Gi::cCl COdeS,gnG� w t,.
C�i;e. wriir;�n kern?issior; ;, mm the Cepw.tMent of Pu .
lic W 'rks, Courmi of Dull
A setback, c`` the
praperfiy %i l ids? bact�
of 50Tfi. f rQ&r fier d
centerline shall bcl ' ro
00
strictures bre uipm li00
t exc pi
for a 2 ft. ea a overl%g—, s
o
LEI
'O. FT. MINIMUM
<v5
9;j, FOR MOBILE
RPGPFc)1
ICU V�
i,�
/ _>z Utility connections shall be witaln
4 ft. of the moailenornal either
aireu dlm: ctly behind. or within the rear
or fho moailsnorcue' half of the roadside (left) of the.
inobilel :orae.
�CNwn
�zn�P—�
3.4 3,
1/1
r n /
7ALS:. i) ��� fro D f=i Y
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oda
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COUNTYBUTTE
APPROVED
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"info ro'lerelc �/4D to
/jl9gat. � wi �/i iio /2 �r'u�+
P�e55or dt��-
Provide %%' x 10" anchor bolts
6` O.C. 'max. and wif un- ' 32
12" of ioints.. yam
vi+ de � s/i6 �//
Ex�C✓/ems ��1dp �
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