HomeMy WebLinkAbout078-010-050HAROLD ELWELLImo?vn
55 Bronson Ct, Oroville C)
Permit#2044-86E(ele ser pole) / e
COMPLAINT .TO INSPECTOR
Z�d[� Permit#30�88Bp(ne sto.?e�wqsho
n_)
COMPACTION TEST RM _ d
SUPPORT STRUCT RE o
Permti 2680-91
f (install mh)
- - 91'3897
ELWELL, HAROLD
CONTR: OWNER '
K 55 BRONSON CT OROVILLE _
NEW PORCH/MH
1-2
93-599-A- 04- Z�
DUNN, DAVID �NALEf-"
55 BRONSON CT, OROVILLE
l Cont: SIERRA MHS `� 'a
j EX MH PERM FND EX SITE
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RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO: '
BUTTE COUNTY BUILDING DIVISION'
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
IIIc ��l II" III' I �I I'�III' IIII'I' II
2004-003064+-7
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
' NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
DAVID DUNN JR.
REAL PROPERTY OWNEWLESSOR
55 BRONSON COURT
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
55 BRONSON COURT
INSTALLATION MAILING ADDRESS, IF DIFFERENT
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME .
CITY . COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING.DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
Recorded
I REC FEE 10.00
' Official Records
I CONFORM 1.00
Cyyf
I
'BUTTE
04-1297 530.5.38-7541
CANDACE J. GRUBBS
1
Recorder
I
ROSEMARY DICKSON
I
Assistant
I Kathy
11:51AM 24 -May -2004
I Page 1 of 2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
' NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
DAVID DUNN JR.
REAL PROPERTY OWNEWLESSOR
55 BRONSON COURT
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
55 BRONSON COURT
INSTALLATION MAILING ADDRESS, IF DIFFERENT
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME .
CITY . COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING.DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
04-1297 530.5.38-7541
LD PERMIT NO,UILD PERMIT NO. TELEPHONE NUMBER
5=19-04
S URE OF LOC L AGENCY OFFICIAL
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO
SKYLINE HOMES 1991 LEX5502B
MANUFACTURER'S NAME DATE OF MANUFACTURE - MODEL NAMENUMBER ^
2T700222AE/13E 60'X13" ULI338628/9
SERIAL NUMBER($) LENGTH X WIDTH rr�c�'r•A1rxn-snc� in m.rncorci
REAL PROPERTY LEGAL DES RIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER 036-05
HCD FORM 433(A) REV, 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept.
Es::row Nu. 100698 -CW
Title Order No. 00100698
EXHIBIT ONE
PARCEL 1:
Parcel C, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of
California, on November 22, 1978, in Book 68 of Maps, at Page(s) 87 and 88.
PARCEL 2:
A right of way 60 feet in width for road and utility purposes, as shown on that certain Parcel Map, filed in the Office
of the Recorder of the County of Butte, State of California, on November 22, 1978, in Book 68 of Maps, at Page(s)
87 and 88.
3
Butte County Department ®f Development Services
www.buttecounty.net/dds
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
October 26, 2004
David Dunn
55 Bronson Court
Oroville CA 95965
RE: Formal Warning Notice
Butte County Code Violation
55 Bronson Court, Oroville
AP# 036-500-050
Dear David Dunn;
all
Through our courtesy notice on September 2, 2004, you were notified pursuant to Section 41-2 of the
Butte County Code of the presence of code violations on your above -referenced property. According
to our records, the courtesy notice has not resulted in abatement or correction of the
following specific violations:
1. Unauthorized camping or otherwise occupying a recreational vehicle.
Your failure to eliminate the stated violations is cause for the issuance of this formal warning notice.
This is notice that as of this date, our records indicate that the following violations to the Butte
County Code still exist:
Butte County Code, Chapter 24, Section 24-65 - Applicability of zoning regulations. All uses
of land within a zoned district not specifically authorized or permitted by regulations are
prohibited.
Butte County Code, Chapter 24, Section 24-260 (a) - Camping Limitations and Prohibitions.
No person shall place or park or allow the placing or parking of any trailer coach, recreational
vehicles, tent trailer or tent, or otherwise occupy or allow the occupancy of any parcel (as
defined in Section 24-305.310) for the purpose of camping (as defined in Section 24-305.095)
on public or private property within the County for a period in excess of 9 days in any one
calendar year, except in an outdoor recreational facility, campground, recreational vehicle
park, or hunting/fishing camp; lawfully established and maintained pursuant to this Chapter.
The determination that this violation exists on the property is based on the following definition in the
Butte County Code:
j David Dunn
AP# 036-500-050
October 26, 2004
Page 2
Butte County Code, Chapter 24, Section 24-305.095 - Camping. Occupying or maintaining
for occupancy any place for temporary living, sleeping or other human occupancy purposes.
"Camping" does not include: The parking or storage of an unoccupied and otherwise unused
trailer coach, recreation vehicle, or tent trailer on a privately owned parcel, as defined in
Section 24-305.31; occupying a trailer coach, or recreation vehicle, connected pursuant to
county permit to permanent sewage disposal and water supply systems; or occupying a trailer
coach or a recreation vehicle for any accessory use allowed in the applicable zoning district.
In order to bring the property into compliance with the Butte County Code and avoid further
enforcement actions, you. are hereby requested to take the following abatement or correction actions:
1. Cease and desist camping activities on the property in accordance with the Butte
County Code, Chapter 24, Section 24-260(a).
This is your final warning. Unless you contact this office and make the proper arrangements to
correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter,
enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for
said violation(s) and for failing to comply with this warning letter.
Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose
penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code
Section 41-7. The Notice of Violation will include a description of the premises, the violation
concerns, a description of the violation, the date of your convictions and the action necessary to
correct or abate the violation(s).
Should you have any questions concerning this matter, please contact me at the address or telephone
number listed above.
Sincerely,
Scot Johnson
Code Enforcement Officer
SJ:glb
cc: Department of Development Services, Code Enforcement
i
PROOF OF SERVICE BY MAIL
1 I am a citizen of the United States and employed in the County of Butte; I am, and was at the
2 time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within
3 action. My business address is Department of Development Services, Building Division, 7 County
4 Center Drive, Oroville, California 95965. I am readily familiar with the County's practice for
5 collection and processing of correspondence/documents for mailing with the United States Postal
6 Service and that said correspondence/documents are deposited with the United States Postal Service
7 in the ordinary course of business on the same day.
8 On October 26, 2004, I served the foregoing 10 Day Notice on the person(s) named below
9 by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid,
10 addressed as indicated below, and by placing said envelope.
11
12 In the appropriate place within the Department of Development Services where
13 mail is collected for mailing with the United States Postal Services on the same
14 day.
15 X In the United States Postal Service Mail in Oroville, California.
16 David Dunn
17 55 Bronson Court
18 Oroville CA 95965
19 I declare under penalty of per ury.under the laws of the State of California that the foregoing
20 is true and correct and that this declaration was executed on October 26, 2004 at Oroville,
21 California.
22
23
Gwyn Wenecgct
�4 40 Office Assistant II
25
26
27
28
NOTES `.
RESIDENTIAL
PERMIT NO..I_1JO-wv-u�u
L
DAVIDSON CT, OROVILLE
RRA MHS
ERM FND EX SITE.
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY ON NEW
MH'S).
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
SPECIAL CONDITIONS
. r
CHECKED '
BY i
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) ...7 < a
i`
Signature '
J=OK
0 = Not OK
o - NotReadyable
MOBILE 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;-/ /" L'ft.
/ P Nat. or/ /' L "ft./ P LPG
7. Well Clearance & Disconnect
8. Utility Clearance
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1. Zoning Requirements -Setbacks -Easements
Date
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Date
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Blocking
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water; MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verifv #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
4
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP041297
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of pedury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 05/12/2004 APN• 036-500-050-000
the Business and Professions Code, and my license is in full force and
effect. y�0 3�,6.
License Class License Number:
:
Site Address: 55 BRONSON CT ORO
, A
Date: S 2 6 c` Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: EX MH ON PERM FND(1560)
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: DUNN DAVID JR
to its issuance, also requires the applicant for such permit to file a
55 BRONSON COURT
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
OROVILLE, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95965
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: DUNN DAVID JR
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:. SIERRA MOBILE SERVICE
and who contracts for such projects with a contractor(s) licensed
BILL REID
pursuant to the Contractors' State License Law.).
466 CIRCLE DRIVE
❑ I am Exempt under Article 3 of the Business and Professions Code
OROVILLE, CA 95966
530-5344)599
Date: Owner:
License #: 470386
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of pedury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
�I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carder and policy number are:
_
�Carrier:
'�`f
Total Square Ft: 0 S. F.
C%
z S 7
Policy #: r
Valuation: $0.00
❑ I certify that in the performance of the work for which this permit is
Census Code:
issued, 1 shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: `Ji 1 o c
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
A ��' I 5�
` -0 �p
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
/ s�– SAS • „
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code anfVOr
I hereby affirm that there is a construction lending agency for the
Resolutio s do work indica ed abo for hich fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
LX.1–A
Name:
BY Date: !
PERMIT EXPIRES ON: e�
Address:
D to
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
//A (oE f Q
Print Name: // / Signature:
Date: SO L 0 1
❑ Owner Gf Contractor ❑ Agent for Owner 0 Agent for Contractor
BUTTE COUNTY PERMIT NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION BP
24 HOUR INSPECTION #: (530) 538-7636
(53) 538-7 LLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 lJ
DATE:APN:
�o
ZONING: WZ
OWNER'S LAST NAME:
OWNER'S FIRST NAME:
7NE.,
STREET ADDRESS: 5S (,
FAX,
CITY. ZIP: &
9
E-MAIL:
SITE ADDRESS:
CITY. ZIP: I
NEAREST CROSS STREET:
TRACTILOT M
APPLICANT NAME: s'f XtQA 6d1,CE SEievt c
PHONE: C as 9
STREET ADDRESS:Y66 C /,ec 4 E v �� vE
FAX e o
5-.3� 7
CITY, ZIP: / n
� d v 14 1- E C: � 9 S/r �0 6
E-MAIL:
CONTRACTORNAME:
PHONE:S3`,
STREET ADDRESS: g
7�G C.//[ear /9g 1/,E
FAX:
5-5 'K 07�
CITY, ZIP:
(X Lf 64 9Sy6 6
E-MAIL:
LICENSE NUMBER: .J�O 3 gr.
LICENSE TYPE:
ARCHITECT/ENGINEER? NAME:
PHONE:
STREET ADDRESS:
FAX:
CITY, ZIP:
LICENSE NUMBER:
E-MAIL:
DESCRIPTION OR SCOPE OF WORK:
/_ XL, Fr r Ao ellc 0.4 rra
❑ Structure Built without permits
❑ Proposed Change of Occupancy (note previous use)
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after the date of application. In order to renew
action on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to
the expiration of the permit and no construction work has been done. Filing fees, plan check fees for workplan
checked and other department costs are not refundable.
For office use only:
Notes:
Application Received by: Date:
Receipt number: 4 D "NAmount Received:
Master application 3-4-04
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET 1l1l
OWNER: ASSESSOR PARCEL NUMBER d V
Proposed Building Use: Counter Technician: Date: '
Items required in order to apply for a perm t. All boxes M ST be chec ed OR marked NA in order t0afply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans. .
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plano Tie down or fnd plans, all in
duplicate. .��'
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
q 20. Erosion Control Plan Required............................................................. I.......... ........
❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit........................................................................
❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: .............
❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check:
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
❑ 26. NPDES Form.............................................................. .......... ..------------
U
...........
❑/' 27. Encroachment Permit or driveway fro, the Public Works Dept ........................... _
�( 28. Pre -Inspection for - A required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
Cl 30. Worker's Compensation Carrier and Policy Number ..........................................
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization......................................:.............................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance................................................................
❑ '35. Existing violations and/or expired permits ......... ............. :...............................
❑ 36. Deed Restriction...........................................................................
37. 1 Grant DeedSM.H. Title/Statement of Fact , ter from Legal Owner, Check to H.C.D. $
0 38. Other:
❑ 39. Other:
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: Date: ; 6 0 y
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner s a vised of thea a data by p phone, ❑ mail, ❑ counte by Date:
Plans reviewed by: Date: `(fl • D� t Plans approved by: (-,T-- Date :
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
05/21/2004 14'.57 5305340709
Oroville 530-534-0599
Fax:. 530-53447ft
f%M=E3t�W- SERVICE,
466 Circle Drive, Oroville, Califomia 96966
-FAX COVER SHEET'
TO:..
FAX NO-: S3
DATE:
FROM.`-
FAX NO:
t+um",r:_of pages in,cl'udin.q_ thi. S_ s_h_ae_t_ Z
PAGE 01
05/21/2004 14:57 5305340709 PAGE 02
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Of CALIFOMIA.
4SS oro 08f% SUMB A- OW"t, CA 95ND
S30 533-5511 a FAX 530 593-1526
DAM MW 2424
ESCROW NO.,. 04-106230-Tk
LOCANOWNTOgg-ogg-ocol-0000106230
TE ,.-.
TM.E NO.: 04106230
pROPERT4 ADDRM'
55 Bro9j" Court,
To, vomwit MW Concffn:
Ike""Y.
_cu"gnoV b.aLve an e!K" cpen in mfemrceto the abm mfnt@rled Pro we art aware of liens
currently against the property and will 6e Satdft UMwIJ9mAtthP-cM Qf- smro-w�-.
Vricer*,
�Rn
Escrow or
SX55511
MH
enc(s)
84wk-Low. flum)(04031
Building Permit Number: o 14' % Zq
Owner Name: btt'n n
Residential Construction Requirements
IMPORTANT
This set of plans and specifications MUST be kept on the job site at all times and it is
unlawful to make any changes or alterations on same without written permission from the
Building Division, County of Butte.
All materials and workmanship shall be in accordance with recognized good practices
and of a quality prescribed for the specific use in the 2001 California Building Code
(2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California
Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.)
COMPLY WITH ITEMS CHECKED BELOW
Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical,
H.V.A.C. equipment and services shall be a minimum of one foot above the elevation
shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate
will also be required:
Note: We will normally accept the following as compliance with the flood elevation
requirements:
1. Building is anchored to concrete stemwall system with conventional anchor bolts.
2. Building plate on top of stemwall to be one foot or more above the 100 -year flood
elevation. (Plate height less than 24" above grade, or engineered design required).
3. Electrical, heating, ventilation, plumbing and air conditioning equipment and
facilities located above the plate.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total
net area of not less than 1 square inch for every square foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit
automatic entry and exit of floodwater.
Page 2of 2
Building Permif Number:
Owner Name:
Parcel lies within the State Responsibility Area (SRA). Comply with attached
requirements.
Fire sprinklers are required in this structure.
The following parcel map requirements shall be met:
ILn!r_
All structures and equipment including overhangs shall be clear of all easements.
A setback of /0 feet from the side and _LL feet from the rear property lines and 20
feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of
structures and equipment except for a 2 foot overhang.
Expansive soil may be encountered on this site. This condition may require the
foundation to be designed by a California registered engineer or licensed architect.
BUTTE -COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: 11AA J,Z'i
2. Installer's Name:
3. Is the site currently under permit? Yes 21-- No
(If yes,
furnish permit number
) OR
Is the site an
existing site?
Yes
No
'
(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 1 1,1No I -
(If no, clarify
1
5. What is the mobilehome electrical rating? --------------- Amps
6. What is the mobilehome site service rating? ------------- /GG' Amps
7. What is the mobilehome site circuit breaker rating? ----- Amps
8. Is there any other electric load to be served by the
1
I
mobilehome site service? -------------------------------- Yes No
(If yes, identify the load and size: (Load)
(Amps)
9. What is the mobilehome site gas pipe size?------------g(in.)
10. What is the type of gas service? ------- -- ---; Natural ;;"�-'il��,�LPGr�
---- ,rte
11. What is the gas pipe length from meter or tank to the ,.
mobilehome?--------------------------------------------- C'f (ft.)
12. What is the mobilehome gas demand? ------------------"----
*(This information not required if pipe length less than 6 ft. on
natural gas or less than 50 ft. on LPG.)
(BTU)
MOBILE -HOME SUPPORT DATA
If other than single wide,
;`Sobilehome Mfr._15/r1��/ji% furnish Setup Model No. v,S ��-2_. Year j
Width ftBox Length L_U (ft.) Tagalong or Expando Size ft, x rt.
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) D1. Wood -pressure treated or foundation grade. 2. Other (specify;
SUPPORTS (check one) al Concrete block. a 2. Other (specify)
Pier FootingSizes and Locations
//-/► //li�C=,f Jam/ ��
SINGLE -WIDE MULTI -WIDE
Line 1 Piers;
Size -Min. ------------ 'C/ „
Spacing -Max. "-------
From Ends -Max .-------
Line 2 Piers:
Size-Min.------------
Spacing-Max -
-----------Spacing-Max.---------
From Ends -Max .-------
Line 3 Roof Loads:
Size Min. ------------
Location (From Front)
&`(0 p`• 1&7U� i
Line 1 Openings:
Size -Min- ------------------
"x
Each Side of Openings
With Width Over ---------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min .------------------
"x '
Spacing -Max._______________
From Enda-Max-------------V ZO
-
)Z -.24-1 ! %"x 29- 12 'k 24' c?4-"x3C ' 3Z ^x 30 I? "x i'.4 ' 1Z ^x24 ' 12 "x 3)
Size -Min.------------ k „
Spacing -Max.--------- ,
From Ends -Max. -------
Line 5 Roof Loads:
Size -Min. ------------
Location (From Front)
A
.,x "x ..@'x�
11,
0V
IS
Line i Piers: (Under Searing Walls Jniy)
Size -Min.------------------
Spacing -Max.--------------- „
' „
From Ends -Max.------------- '-
Yta x "x "x I "x "x
. U 3900
3o X 3 (� �G
Q
N
CD
�x
5
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o J
r 3- 4
Vector Dynamics
Foundation System
INSTALLATION INSTRUCTIONS
for the State of California
Version 9/2/2003
INDEX Approval
PAGE RELEASE
MANUFACTURED HOMPIMOBILB HOME
SECTION NUMBER DATE FOUNDATION SYSTEM
HHALTH AND SAFETY CODE, SECTION 18551
APPROVED
INTRODUCTION
2
.9/2/03
GENERAL INSTALLATION
3
9/2/03
PARTS LIST
4 & 5
9/2/03
LONGITUDINAL DEVICES
6
9/2/03
PIER HEIGHTS
7
9/2/03
SET-UP INSTRUCTIONS
8
9/2/03
FOOTER SIZES
WIND ZONE I - SINGLE
9
9/2/03
DOUBLE
10
9/2/03
- TRIPLE
11
9/2/03 .
- HIGH PIER
12
9/2/03
WIND ZONE II - SINGLE
13
9/2/03
-DOUBLE
14
9/2/03
- TRIPLE
15
9/2/03
V -DRIVE & PIER SYSTEMS
16
9/2/03
SOIL CLASSIFICATION
17
9/2/03
.CONCRETE INSTALLATION
18 & 19
9/2/03
COMPONENT PARTS AVAILABLE UPON REQUEST
SUBJECT TO CORRECT10N3-NOTED
PROVAL DOES NOT AUTHORIZE OR APPROVE ANY
ISSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULATIONS
State of California
ZODES
adCommunity Develoymad
N AND STANDARDS
031
(Sime)
,Kof ES$1pN�
'Ic M.��
UN6.6'92�4/55
OFCAft
Bhp cotjm
UILDING DEPARTiv - ,-
,I 0, v
ti
co
m
0
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0
Tie Down Engineering, Inc.
VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
Introduction
These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer
to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun-
dation system.
General
The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning
movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a
specified wind zone when the system is used as described in these instructions. Please verify state or local wind
load requirements prior to installation of the home.
The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the
two longitudinal main rails. The system is approved to be used on single or multi section homes:
Nominally 1.2 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater
on center; multi section main rail spacing of 75 inches or greater on center.
Nominal 8 foot or less top plate height at sidewalls-with main rail depth of 12" or less.
Maximum roof slope of 20 degrees (4.4" in 12" slope).
Maximum eave width (roof overhang of sidewall) of 12" for Zoned, 8" fo Zone II
Maximum pier height under main rails -see page 7.
The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con-
sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area.
To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other
widths, or on homes requiring pier heights which are n.ot included in these instructions, contact Tie Down
Engineering, Inc. at 1-800-241-1806.
The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500
feet of the coastline,
Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer.
These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates.
Page 2 California ` 9/2/0
GENERAL INSTALLATION INSTRUCTIONS
SITE PREPARATION
It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or
flowing beneath the home.
FOOTINGS AND FROST LINES
The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured
concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see
pages 20 & 21) to comply with local requirements for footer depth.
FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS
Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square
feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the
home. For pier locations in between the Vector Systems, use the normal foundation pads.
LUMBER/MOISTURE -TERMITE SHIELD
To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the
center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis-
tance and subtract 16". When using METAL PIER STANDS, measure. center to center frame distance and add 16".
ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED.
Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the
same, the pre-cut boards will also be the same length in each Vector set-up.
STRAP INSTALLATION
All frame ties and diagonal straps must go from the anchor to
the top 'of the I -Beam. See illustration below.
I. Attach frame hook to top inboard
location of "I" beam. (Frame hook must be
attached to frame at points closest to floor support.)
2. Keeping in line with the hook, wrap galvanized
strap completely around "I" beam.
3. Pull strap past anchor head approximately ten inches
before cutting to allow enough strap to give a minimum
of five turns around the slotted anchor bolt.
4. Thread loose end through slotted bolt so that the strap is
flush with the other side of the bolt.
5. Tighten slotted tensioning bolt a minimum of five full turns.
Page 3. California'
9/2/03.
CF
Longitudinal Stabilizer Devices
The use of LSD systems on a single or multi section home replaces longitudinal anchors,
stabilizer plates and straps. ' The Longitudinal Stabilization Device (LSD) is used with the Vec+or
Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The
number of LSD required is. shown on pages 10-13.
LSD
1. Longltudlnal Foundation Pad
2. Beam Clamp (2 per system)
3. Longitudinal Strut (2 per system)
4. Tle Bracket (2 per system)
Na
Car
opF
Example5 of Possible Placement:
(Contact TIE DOWN for placment in other Wind Zones)
Wind Zone
I
5ingle Section
Wind Zone
Double Section
15 Ft. Max.
32 Ft, Max,
Forgreater widths use
triple section design.
Page .6
Combine Vector Dynamics
& LSD
Wind Zone
Triple Section
I
® ® Wind Zone
1 1 T I
Tag Section
I I I I i
� I
48 Ft. Max.
California
912103
I
I
I
I
I
'
,
i
I
® ® Wind Zone
1 1 T I
Tag Section
I I I I i
� I
48 Ft. Max.
California
912103
50 in
max.
Maximum Pier Height
Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier
heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or
both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height
exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used
at each Vector System location with pier heights above 46" with the following exception: double section homes
that are 24' wide, in Wind Zone 1, have a maximum pier height without anchors of 38". See page 12 for
double section home high pier set instructions.
50 it
max.
Unequal Pier Heights
Maximum
Homes with unequal pier heights are limited to. 50" maximum pier height. The difference bet .een the taller pier
and the shorter pier cannot exceed 26".
Page 7 California < 912103
Set -Up Instructions for
Vector'System #59018
Long U -Bolts
1. Set Vector Pads
Clear all vegetation where pads will rest. Place
a long U -bolt in pad as shown. Press or ham-
mer pad into the ground.
2. Set Block or piers on pads.
Center foundation. blocks or piers on pads. Place
pre-cut center compression member between
blocks, resting on .pads, centers between U -bolts
as shown.
3. Outside Tension Bracket
Attach outside tension bracket as shown to out-
side of pads.
Page 8
4. Inside brackets & straps
Attach the inside tie brackets to the U -bolts over
the compresion member. Attach a strap w/hook
or swivel strap w/nut & bolt. Place other end of
the strap over opposite I-beam & down to out-
side tension bracket. Cut strap 12 - 15 inches
past bracket. Attach strap & slotted bolt in
bracket. Tighten strap until tight with 4=5 wraps
around bolt. Repeat with opposite strap.
Califor
41 Vii;
9/2/03
n
w
0
W
WIND ZONE I, SEISMIC Z
ONE 4
Vector Dynamics Systems Required for
Double S
ec#ion Homes
(Materials Required)
me
d° \
--------_ -- -� --_-able section h°
a72 _
° \
.+` '' \ r- I ~\ u _ . s �.: `��� � ;N#.+`�,-��� �a � h' t � � y — _ � 7 1 / • sig � �`�' I ^ .J \ I
4
NOTE: Vector Systems should be spaced as
symmetrically as possible along the length of
home. Pier spacing must be consistent with h
manufacturers' instructions and/or state requirements
No anchors required. For
Pier heights up to 46" for
28'-36' wide, WIND ZONE 1
38" for 24' wide.
See Pg 12 for high pier
instructions.
2 sq. ft. pad
Soil Bearing Capacity:
Soil Classifications: Z, 3, 4
1,000 PSF minimum
Anchors Required*: None (*Marriage wall anchors may required by home manufacturer)
Home Length Vector Systems' Anchors Req�be
L.S.D.Required Per Sid
0 to 40' 2 0 Note: L.S.D.=
41`to 66' 3
0 3
67' to 84' 4
0 4
85' to g0' 5 0
4
Each Vector System requires one of the following:
1-4x4 or 2-2x4's pressure treated wood compression member,
Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list)
Longitudinal
Stabilization
Device
See Page 6.
VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as
described in the table below:
soiL CLASSIFICATIONS
Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1)
D2586) Torque Value (2)
1 Sound hard rock...... NA NA
Very dense and/or 40 -up More than 550 lbs - in.
cemented sands, coarse
2 gravel and cobbles,
preloaded silts, clays,
and corals
Medium -dense coarse 24-39 350-549 lbs - in.
3 sands, sandy gravels, very
stiff silts and clays
4A Loose to medium dense 14-23 275-349 lbs - in.
sands, firm to stiff clays
48 and silts., alluvian fill 175-275 lbs - in
Peat, organic silts, 0-44 175 lbs - in.
5 inundated silts, loose fine and lower
sand, alluvium, loess,
varied clays, fill, fly ash.
(1) The purpose of the soil test probe is to gauge the strength of the soil below the surface
and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration
(flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The
overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.;
the pitch is 1.75 in. The shaft must be of suitable length for anchor depth.
(2) A measure synonymous. with moment of a force when distributed around the shaft of the
test probe.
Vector Foundation Pads Equivalent to Footer Pads*
Footer Size: Footer Size:
16x16 = 256 sq. in.
20x20 _ _ 400 sq. in. - or 16x18 = 288 sq. in. or 17
.> x25=425 sq. in.
EQUALS EQUALS
- -
2 -Vector Pads # 59275
288 sq. in. or 1 -Vector Pad # 59271 1 Vector Pad #59130 432 sq. in.
Vector Pad(s) exceed the surface area required when used as the equivalent liste Bove.
*Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in Oar with site
conditons
Page 17 California 9/2/03
REQUEST FOR INSPECTION Permit No. 7 /
0 Owner: 6 Lo 4 Contractor:
Call L] Phone:
�1
BLDG.
PLUMB/MECH
ELECTRIC
M.H.I./M.H.IINSPECTIONE-
Form
Rough
Rough
Fnd/Ftg
Frame/Underfloor
Top Out
Temp. Service
Status
Stucco Lath
Gas Pipingffest
Main Service
Corrections
Permit enewal
Stucco Brown
Temp. Gas
Underground
Final
Woodstove
Sewer Piping
Well Circuit
Ex obile Site
Brace Panel
Water Piping
POOL
Insulation
Shower Pan
Nailing
Gunite
Demo
Bonding
Light Niche
Corrections
Corrections
Corrections
Final
Final
Final
Corrections
Ready for
Final
Inspec. on: St 7 -
Date: Comment: �b /� �3"
0
M
PRE -INSPECTION REPORT
OWNER:
DU Y) Y-\ DATE: �P b
LOCATION: A.P. #
CONTRACTOR: D-, C .i�� �Y1 ZO G:
REASON FOR PRE -INSPECTION :5��'T' Y -n
DATE TO INSPECTOR: PERMIT HISTORY ( ) NONE VEE ATTACHED
BUILDING INSPECTOR'S REPORT
Building Description:
Commercial/Usage:
Residential # of Units:
Currently Occupied ( ) Yes
AbandonedNacant:
Electric:
Electric Currently ( ) On
Condition of Electric
Gas:
( ) No
( ) Off
Currently ( ) On ( ) Off
Condition
Sanitation:
Plumbing Worldng ( ) Yes ( ) No
Obvious Sewage Problems. ( ) Yes ( ) No
ACTION RECOMMENDED:
Hold for permits or verify:_
Inspector:
Mobile home # of Units:
ISSUE ( ) Yes • ( ) No
Date: D �-
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP
G 44
DATE: G 5 c/
APN:
vj6 � 5-00- oSo
ZONING:
OWNER'S LAST NAME:
,Pv A.)
OWNER'S FIRST NAME:
-
PHONE:
53 c(- i 3 2 J'
STREET ADDRESS:
FAX:
CITY. ZIP: s
LJr�s
E-MAIL:
SITE ADDRESS:
CITY, ZIP: +
NEAREST CROSS STREET:
TRACTILOT Ik
APPLICANT NAME: s' f ,�/�� �I cdr,CE SEA'i� c
PHONE:
6-5 v 05 -? !F
STREET ADDRESS:
Y66 Cr�c�E V�rvE
FAX s3�/ e7o 9
CITY, ZIP:
E
E-MAIL:
CONTRACTOR NAME:PHONE:
5 If �21ZA M. o/Sr�£ SEK' c �
S3 51 os 9 5'
STREETADDRESS:f
`�6 L' f /Z � � E J),r2/ vE
FAX.
sj U a 7
CITY, ZIP:
d,tav14Lf e'i+ 9.8%66
E-MAIL:
LICENSE NUMBER: -100 3 g c
LICENSE TYPE:
ARCHITECT/ENGINEER NAME:
PHONE:
STREET ADDRESS:
FAX.
CITY, ZIP:
LICENSE NUMBER:
E-MAIL:
DESCRIPTION OR SCOPE OF WORK:
G leo F! T Ao tflzL- /-lav1 c r �!
❑ Structure Built without permits
❑ Proposed Change of Occupancy (note previous use)
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after the date of application. In order to renew
action on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to
the expiration of the permit and no construction work has been done. Filing fees, plan check fees for workplan
checked and other department costs are not refundable.
For office use only:
Notes:
Application Received by: Date:
Receipt number: 4 U Amount Received:
Master application 3-4-04
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
24 -Kay -2004
Has not been
original
BUTTE COUNTY
2004-0030647
compared with
RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A. FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for. installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
DAVID DUNN JR.
7 COUNTY CENTER DRIVE
REAL PROPERTY OWNER/LESSOR
MAILING ADDRESS
55 BRONSON COURT
OROVILLE BUTTE CA
MAH,ING ADDRESS
CITY COUNTY STATE
OROVILLE BUTTE
CA 95965
CITY COUNTY
STATE ZIP
55 BRONSON COURT
5-19-04
INSTALLATION MAIL NG ADDRESS, IF DIFFERENT
OROVILLE BUTTE
CA, 95965
CITY COUNTY
STATE ZIP
SAME
NONE
UNIT OWNER (if also Property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY
STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
04-1297 530
538-7541
PERMIT NO. TELEPHONE NUMBER
5-19-04
S OF LO AGENCY OFFICIAL
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO
SKYLINE HOMES 1991 LEX5502B
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME NUMBER
2T700222AE/BE 60`X13' ULI338628/9
SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNLVLABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER 036-050-050
SEE ATTACHED
illi\ VnV%A A22/A\ DU11 4/01
Escrow Nu. 100698-Cw
Title Order No. 00100698
EXHIBIT ONE
PARCEL 1:
Parcel C, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of
California, on November 22, 1978, in Book 68 of Maps, at Page(s) 87 and 88.
PARCEL 2:
A right of way 60 feet in width for road and utility purposes, as shown on that certain Parcel Map, filed in the Office
of the Recorder of the County of Butte, State of California, on November 22, 1978, in Book 68 of Maps, at Page(s)
87 and 88.
t t f's1 a .+ y,"y..�s7 C'!^ s .SE,Rr ":� t..4L5th¢1,, sY i 7 m1t d -�'a,�'�k•�.,7�t�d rw -"5 'Y#a k JM's[�r}•itY a 2 s.r
e M ire is`i i+ '1�?Lrr y 5 }�-. t 4'eTiPs'`tl' �N' t•" rt4 L �y ><e� 7,C'Fti' £""rt'''4,v*c.�i°+�,5r� ,e �b�x'._
.. k. t � e e`• s: � n tty d % rit pp j� :nAA Agra
i Zt 14 Y qq 6 1 i �v p t 314 1 fjt6 f E9
r � a�, !Ma•iL IRsr.;
1 e rr�� > S.+" Ff , fi
50"F�OLINDAT�I N SYSTEM=���>�>����,
- -� t N ° fi r? ♦ r;. L '� - ., rz r as.- nn 7 a tt !E
Or d 31 71r tt v. F- htS d, t t cM`.
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r ; , �-0 4 k CERTIF=ICAWTE �O:F O r 4 s} �4 PAN 4 Y`�n�"��K� �° ��w��r����E�
��r .S. tjj lD,a + t' ¢ _�.. �"' `r,,.�i� .�� A � P s�y,w �`r�` titan5�€# M•1'e � t�w�tu9c{.i'b� ��.,� �'�' ���e'E Y�tE,tC �ihi
X-
-BUILDING
t,r �v� � 1tK2
tbVS.,1
. A }. 'v..1. .•. to � , �, t, r.: -.fA". .C.. ,�le."'r.S.a w.:.�?�, d s,Lr. �;...:i+. T., :.°r t ..+..k.,.ic.". r.&' r,.i.. .5.. k�'.,A..�•.
- BUILDING PERMIT NUMBER: 04-1297
Address or location of unit: 55 BRONSON COURT, OROVILLE CA 95965
Legal Description of Real Property: 036-050-050
SEE ATTACHED
(x) Mobilehome/Manufactured Home
O Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: DAVID DUNN JR.
Owner's address: 55 BRONSON COURT, OROVILLE CA 95965
INSIGNIA OR HUD NUMBER: ULI338628/9
SERIAL NUMBER OR V.I.N.: 2T700222AE/BE
MANUFACTURER'S NAME: SKYLINE HOMES YEA : 1991
OFFICIAL APPROVING INSTALLATION:
DATE: SS-/
PHONE: (530) 538-7541
H.C.D. 513C
Cl
STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
REGISTRATION CARD
Manufactured Home
Decal No: LAR4872
Manufacturer ID/Name
Trade Name Model
DOM
DFS RY Exp. Date
90002 SKYLINE HM INC
LEXINGTON : LEX5502B
08/29/1991
i 09/13/1991
Serial Number
Label/Insignia Number Weight ! Length i Width
SPC! SCC Exempt Use Type
2T700222BE
i UL1338628 18,560 60'
13'04
SFD LPT
27700222AE
UL1338629 18,560 ! 60'
13'
Issued Total Fees Paid
i
Nov 4, 1999 $127.00
Addressee_
IUT
DAVID DUNN JR
55 BRONSON COURT
OROVILLE, CA 95965
Registered Owner(s)
DAVID DUNN JR
55 BRONSON COURT
OROVILLE, CA 95965
Situs Address'
55 BRONSON CT
OROVILLE, CA
egal Owners) '
MORTGAGE PORTFOLIO SERVICES INC
23361 MADERO STE 210
\ MISSION VIEJO, CA 92691
Lien Perfected On: 02/11/99 12:22:33
IMPORTANT
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.
F
RECORDING REQUESTED BY:
Fidelity National Title of California
Escrow No. 100698 -CW
Title Order No. 00100698
When Recorded Mail Document
and Tax Statement To:
Mr. David Dunn, Jr.
55 Bronson Court
Oroville, CA 95965
199CED —000ti-OSlla
Recorded
Official Records
County Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
02:29PM 28 -Jan -1999
REC FEE 10.00
TAX 104.50
Myles
Page 1 of 2
Hriv: tj.so-Duu-uDtj GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE
The undersigned grantor(s) declare(s)
Documentary transfer tax is $104.50
[ X I computed on full value of property conveyed, or
[ ) computed on full value less value of liens or encumbrances remaining at time of sale,
( X ) Unincorporated Area City of
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Cleda C. Elwell, a widow; and Cleda
C. Elwell, Successor Truste of the Harold W. Elwell and Cleda C. Elwell Intervivos Trust of 7/2/91
hereby GRANT(S) to David Dunn, Jr., A Married Man as hiS Sole and Separate Property
the following described real property in the County of Butte, State of California:
SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF
DATED: January 19, 1999
STATE OF CA-LIFORNIA
COUNTY OF Ut
ON 1 -Z before .me,
C • � personally appeared
personally known to me (or proved to me on the basis
of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed the
same in his/her/their authorized capacity(ies), and that
by his/her/their signature(s) on the instrument the
person(s), or the entity upo ehalf of which the
person(s) acted, executed t inst ument.
Witness my 7h.dI
a d off lal sea. 1-3
9
Si nature
Cleda C. Elwell
Cleda C. Elwell, Successor Trustee
amy
C. WILLIAMS
COMM. 0 1092339
QNOTARY PUIiI.*MFORNIA
COUNTY OF BUTTE
Comm. Expires March 24, 2000
MAIL TAX STATEMENTS AS DIRECTED ABOVE
FD -213 (Rev 7/96) GRANT DEED
"1
Es,;row Nc,. 100698 -CW
Title Order No. 00100698
EXHIBIT" ONE
PARCEL 1:
Parcel C, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of
California, on November 22, 1978, in Book 68 of Maps, at Page(s) 87 and 88.
PARCEL 2:
A right of way 60 feet in width for road and utility purposes, as shown on that certain Parcel Map, filed in the Office
of the Recorder of the' County of Butte, State of California, on November 22, 1978, in Book 68 of Maps, at Page(s)
87 and 88.
,2
RESIDENT! A I
,. - �-- ---- ---- �--
036-50-0-050 91-3897
ELWELL,.HAROLD
CONTR : -'- OWNER
g, 55 BRONSON CT,OROVILLE
NEW PORCH/MH
q6- 13-�-y
JOB FINALE
Signature
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
Ir " 7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
61L)-eU 39 7
OWNER>' PERMIT NO_
A routine inspection indicates that the following violations of Butte County Ordinances eustat
the above addr ss and should be corrected. Please notify this office when correction of work
is complete f you have any questions pertaining to4his matter, or need additionalenplanatiory
please c act this office immediately.
1� LL O 5 A- e o r4
Date Ay -6—q2
REV 11/91
Inspector M .
= OK
O = Not OK
Not
= Not Readyable MOBILE 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-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap:
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date _ Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME 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
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date -DECO, COVERS, CARPORTS, G AGES, PI K exce t #'s
Zoning Requirements -Set s -Ease is
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs ails
`4' Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
Carports; Windows -Doors
_J_ Electric
8. -Frmg; n -Studs-Rftrs-Trusses
^9+ Siding; Nailing -Veneer -Stucco -Mesh
%F9' Roof; Shthg-Roofing
11. Ext.; Steps -Door L Ings
Date Card B-1 ate Card B-1
Date 'y__Card B-1 DateCard B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, 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
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
✓=OK
O = Not OK
=Not Applicable
Not Ready RESIDENTIAL (Single
' =
Date UNDrRRFLOOR (Plans) OK except ft's
1. Zoning -Setbacks -Easements -Flood -Slope
& Duplex)
date FRAMING (Continued)
r 45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth ------
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
Date ELECTRICAL (Permit) OK except ft's
22. Fixture & Transformer Clearance -Ins. Protection
---------------------------------------------------------------------
-----------23.-Elec.-Recept-acles 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. Fastners-Bond Gas & Water
------------ ----------------------------------------------- ------------------
27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI
----------- ----------------------------------------
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size i ! ga.
Cu or At
-------- ------ ----------------
------ ----- -- ---- - -
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
---------- - ----- -- -- ----- -- - --------------
33. Smoke Detector
----------------------------------------------- ----------------------------------
DateCard -B- 1 Date Card -B-1 -------------------------------- - ----------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except P's
34. A.C. Ducts Insulation & Support
----- ----------------------------------------------
35. Vent Fan: Exhaust above insulation
-------------------------------------------------------- ---
36. Condensate Drain & Overflow: Size & Grade
---------------- ------- - - ---- -
37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet
---- - - ---------------- - -----------------------------------------------------
38. Attic Access & Platform if Furnance in Attic
---------------------------------------------------------------------------------
---------------------------------------- -------------------------------------
Date Card B-1 Date Card B-1
-------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ft's
39. Sils. 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. Headers & Beam -Size & Bearing
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfn
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
__ 51. Property Line Firewall & Openings
52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits
53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
_ 55. Siding -Nailing Veneer
_____ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
_ 58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
--------------
Date Card B-1 Date Card B-1
--------------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except f;'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
---------------------------
63. Furnace; Vents -Clearance -Comb. Air -Connector-
------ 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. Stags & 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 Protection
-------------------------------- -
7t. Insulation -Foam -Looked in Attic ❑ Yes
--------------------------------------------
78. -Guard -Rails & Deck -Const ruction- Post Caps
79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance
Looked -under Floor- El 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-Fireplace.-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 Inspections
- - - - - - - -----
89. Gas Test -Meters Tagged; Gas -Electric
- ------------------------------- ------ --- ----
90. Water & Sewer Connected -C/O to Grade -HD Approval
-9 1. Energy -Compliance -certificate --Other Certificates
------------------------------------- -- ----
Date--- Card B-1 Date Card B-1
---- ----- - ----------------------------------- - ---
Date Card B-1 Date Card B-1
------ ---------------------------------
Date Card B-1 Date Card B-1
Comments at Final:
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit),OK except a's
-------------------
16. - Water Htr.: Vent -Access -Combustion Air -Baffle
-----------------------------
17. Water Pipe: Test -&- Anchor -Nail Protection
----------------
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
------
---------------- -----------------
Shower Pan: Test. First Floor -Tub Access
-19.
---- - -
20. Test Tub & Shower. Second Floor -Tub Access
---------------------------
----------
Date
------------------------------------
Date
--------------
21. Gas Pipe: Size & Anchors
--------------------------------------------------------------
Card B-1 DateCard B-1
----------------------
Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ft's
22. Fixture & Transformer Clearance -Ins. Protection
---------------------------------------------------------------------
-----------23.-Elec.-Recept-acles 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. Fastners-Bond Gas & Water
------------ ----------------------------------------------- ------------------
27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI
----------- ----------------------------------------
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size i ! ga.
Cu or At
-------- ------ ----------------
------ ----- -- ---- - -
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
---------- - ----- -- -- ----- -- - --------------
33. Smoke Detector
----------------------------------------------- ----------------------------------
DateCard -B- 1 Date Card -B-1 -------------------------------- - ----------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except P's
34. A.C. Ducts Insulation & Support
----- ----------------------------------------------
35. Vent Fan: Exhaust above insulation
-------------------------------------------------------- ---
36. Condensate Drain & Overflow: Size & Grade
---------------- ------- - - ---- -
37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet
---- - - ---------------- - -----------------------------------------------------
38. Attic Access & Platform if Furnance in Attic
---------------------------------------------------------------------------------
---------------------------------------- -------------------------------------
Date Card B-1 Date Card B-1
-------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ft's
39. Sils. 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. Headers & Beam -Size & Bearing
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfn
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
__ 51. Property Line Firewall & Openings
52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits
53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
_ 55. Siding -Nailing Veneer
_____ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
_ 58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
--------------
Date Card B-1 Date Card B-1
--------------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except f;'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
---------------------------
63. Furnace; Vents -Clearance -Comb. Air -Connector-
------ 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. Stags & 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 Protection
-------------------------------- -
7t. Insulation -Foam -Looked in Attic ❑ Yes
--------------------------------------------
78. -Guard -Rails & Deck -Const ruction- Post Caps
79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance
Looked -under Floor- El 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-Fireplace.-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 Inspections
- - - - - - - -----
89. Gas Test -Meters Tagged; Gas -Electric
- ------------------------------- ------ --- ----
90. Water & Sewer Connected -C/O to Grade -HD Approval
-9 1. Energy -Compliance -certificate --Other Certificates
------------------------------------- -- ----
Date--- Card B-1 Date Card B-1
---- ----- - ----------------------------------- - ---
Date Card B-1 Date Card B-1
------ ---------------------------------
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
-� 7
ASSE53OR PARCEL NUMBER
36-50-501
ZONING
BUILDING PERMIT
OWNER ,
HAROLD EL14ELL
T TELEPHONE-
533-8868
SO, FT. OCC, BUILDING VALUATION
f
OWNER'S MAILING ADDRESS
55 BRONSON CT OROVILLE
CONTRACTOR'S NAME
NONE
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee $
22 50
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
95 RRONS6N CT
Permit fee $ 82.50
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome[� Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ® Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: PORCH WITH RAILING
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
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
for sale. (Sec. 7044)
ElI, 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 200A TO 1000A) 37.50
NEW CONST. ( DWELLING OCCUP.tr\ 3.64sq.ft.
OR ADDNS. ACC. SLOGS. I/
NEW CONSTRULTI-OUTLET
NON.RESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES A20 00 76FIXED
APPLNS.d
Ex. OCCUp. OUTLETS IRESID )REA.) 3.00
Temporary service 15.00
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.
❑ 1 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.
X� I shall not employ any person in any manner so as to become subject
�1 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 15.00
Heating
Cooling
g
Hood 6.50
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
agains said County in consequence of the granting of this permit. Q
X,�� Date �l— �— /�
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 S
Energy Inspection Fee $
DCC
CONST TYPE
I TOTAL FE $ 82,50
HAz
I DFEES
IMP
FLOG
c DF
PARCEL
PD
I E
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated abofor which fees have been paid.
R F LIC WORKS
By PU
DatePER IT it IRES V Date f!� 2
�✓D
Receipt No. 103042 82.50
WMI•C•O. P. W., YELLOW-A58C990R, PINK -INSPECTOR, GOLDENROD -APPLICANT
,., - . _ .- .t, ... -r ..._-, �• T•� . .� ,... �..,,:,, .� .- .�y;rwr,,,,,8�,n.w°+rp�--i', r . ,n;.-r�"w°-`r�F'`..:w: � �.t.-„f�,, ,,.,.:, •
t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE-iOROILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNERP. No..36 ,fe ,5 O
A.
Proposed Building Use Dr�� a Building InspectorDate
t
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. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
3• Sc ool District fees paid ..............
14. Sanitation approval from 0 Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
-2 Certificate of Workmans Compensation Insurance ..................
3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... If -
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor:`
_ Telephone .. 3' lD�and hold for pickup at �� office. Deliver w/inspector.
Other_ 7n ot; ,P e- /9 wt t&�
A p p I icaa& Date - �-
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent ---,HealthDept. Fire Dept. Other Date By
`t 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---nail—counter by ..date
Coritractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by /tom'- Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for:
Hold final for:
Sewage Disposal
Water Supply
Water Supply
Final clearance O.R. for: Water Supply _
Clearance for _ b ob' e. Other ZS x 3F
NOTE * * *
I /I Ylvie CS0, /--
sa a an Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) Atc,,_� 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.
0
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 Owner2
Social Security Number
Date 9/
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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NQ
ASSESSOR PARCEL NUMBER
— Q
ZONING
I
BUILDING PERMIT
OWN R _
TEL✓EEP°
SO. FT. OCC. BUILDING VALUATION
O
OWNER S MAIL NG ADDRESS �L�;7
u 'Zro
CONTRACTOR'�p{.AME
TEL PHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
�C+
Total Valuation J
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITEC OR ENGINEER
O_ORR
LICENSE NO.
Plan Checking Fee ---t
$ S
AAM-
Energy Plan Checking Fee
$
ARCHITECTENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADD
�p
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome[ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mob le Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Additiono– Remodel❑ Utili ies ❑ Installation❑ Other ❑
Describe work: C
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
1
Main service 200AORLESS
18.50 1
Main service 200A TO 1000AI
37.50
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
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
DWELLING OCCUP.&\
NEW OR ADONS. 1 CONST. ! ACC. SLOGS. //
3.60 sq.ft.
NEWCONSTR > ULTI.OUTLFT
NON . RES 1 D. BRANCH CIRCU ITS
I @ 5.00
/POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES
20 @ 76d
FIXED APL.NS.
Ex. Occup. OUTLETS PIRESID IRE A.)
I 3.00
Temporary service
15.00
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.
❑ 1 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 15.00
Heating
Cooling
g
Hood
6.50
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
against said County in consequence of the granting of this permit.
X Date
S� natuA
Applicant re of
9 PP - Owner❑ Contractor El ❑
An OSHA Ions over S'0" deep and demolition or construct.
ion of structures t over ineheight.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 8 1,
HA2
DFEES I
IMP
I FLOOD
CDF I PARCEL
I PO
..D
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
23gstories
Receipt No. �b3o� 25�-�
WHIT[•n.r.W.. TeLLOW-AsersseR_ PiR 1-10111— -1
H
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mill
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TO 71� - M7
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;...RESIDENTIAL -_ - -_--- --=
dhk ��
r - -
36-50-50 1178-91P,E�
ELWELL, Harold
55 Bronson Ct, Orb -Ville
(utilities/mh)
5
s
4
OFFICE COPY
Addres �Q�J�SG71�
[ELECTRIC
AS
eter By Dates
E
eter By Date
JOB FINALI
Signature
r.
J=OK 1
O=Not OK u,//��
- = Not Applicable
Not Ready MOBILE KO M ES
' =
Date MOBILEJ#OME UTILITIES IPlansl OK ekceot it's
42r"Sbils:§pecial MH Support Sketch
we ocation-Test-Fall-CIO Concrete
Ater; ation-Test-Easement Needed (Sketch)
ectri ity; Location-Clearences-Grnd-/ /Amp -Concrete
as; Location -Test -Wrap;,/ P'L"tt.
/ /"N�tr�/ �.
ility Clearance l
/./Card B-1,4,,-*— Date Card B-1 }
Date Card B-1 / Date Card B-1 i
ILE
t! g Requirements -Setbacks Easements
otings; Size -Spacing -Marriage Line
Gas; MH Test-Demand-Vatve—Connector
j
Ele city; MH Test -Crossovers -Breakers -Clearances
1
Drai ; MH Test -Fall -Flex Connector
-AWeter; MH Test -Regulator -Connector
t)
7. and Sewer Connected -C/O to Grade -HD Approval
8. Gas a d Electricity Tagged
insp.-Sketch
10. Cert. of Occupancy
,i
Dat Card B- Date Card B-1
Da4 and - . Date Card B-1
i
%j
i
C
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: Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Siis-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except Ws
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
Date Card,13-1 Date Card B-1
Date Card. B-1 Date Card B-1
.j=Ol(
= Not OK
- = Not Applicable
=Not Ready RESIDENTIAL ISIngle
& duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning-Setbacks-Easements-Flood-Slope
45. Hangers-Post Caps-Anchors-Connectors
_
2. Fig., Main; Soils-Elec. Grnd.-/ /" Fig. Depth
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
3. Fig.. Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
47. Fireplace Ties or Type A Flue-Fireplace Throat clearance
4. Fig., Porches & Decks; Soils-Steel-/ /Fig. 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. d Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel-Wrapped
52. Ext. Doors-One 3'-Check Garage-3rd Story, 2 Faits
8. Piers-Fireplace Ftg.-Steel
53. Stairs: Width-Headroom-Rise-Run-Landing-Fire Protection
9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test
54. plywood on Roof Overhang-Attic Vents-Rafter Outriggers
10. Gas Pipe; Size-Anchors
55. Siding-Nailing Veneer
11. Water Pipe; Test-Anchor-Regulator-Service Test
56. Stucco Mesh-Drip Screed-Fd. Vents-Underltr. Access
12. Electric; Underground
57. Glazing Area-Glass Protection-Skylights-Plastic.
13. Pienums & Ducts; Clearance-Material-Support-Ins.
58. Shear Walls; Nailing-Bolts
14. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples
59. Insulation-Walls-Ceilings
15. Insulation
60. Infiltration-Walls-Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
Card B-1 Date Card B-1
16. Water Htr.; Vent-Access-Combustion Air-Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchor-Nail Protection
61. Ext. Steps-Door & Sidelight Protection-Landings
�•i
18. D.W.V.; Test -Fittings & Anchor-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-Mech. Protection
20. Test Tub & Shower, Second Floor-Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access-Spa
Date
Card B-1 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clearances-Hearth
22. Fixture & Transformer Clearance-Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing-Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap-Cooking Clearance
24. Size Boxes & No. of Conductors-Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing-Landing-Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage-Damper
•'
�.
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Wtr. Htr.; Vents-Clearance-Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
75. Plb., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation-Foam-Looked in Attic ❑ Yes
30. Service-Riser Conductors & Ground-Main Disconnect
78. Guard Rails &Deck Construction-Post Caps
31. Equip. Clearances Panels-Motors-Mech. Equip.
79. Fdn. Vents & Crawl Hole Door-Drainage & Wood-Earth ;
Clearance Looked under Floor ❑ Yes j
32. Clothes Closet Light-Shower Light-Spa Light
33. Smoke Detector
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes 13 No,
Planters ❑ Yes ❑ No
J
Date
Card B-1 Date Card B-1
81. Stucco; Brown-Finish ;
i
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing i
Date
MECHANICAL (Permit) OK except #'s
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Cfearance to
Openings
34. A.C. Ducts Insulation &Support
84. Water Well; Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle-Underground
36. Condensate Drain &Overflow: Size &Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access-Comb. Air-Return Air Vent-115 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test-Meters Tagged: Gas-Electric
90. Water & Sewer Connected-C/O to Grade-HO Approval
Dale
Card B-1 Date Card B-1
91. Energy Compliance Certificate-Other Certificates
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Date
Card 8-1 Date Card B-1
39. Sils. Proper Material & Anchors
Date
Card B-1 Date Card B-1
40. Walls Studs-Nailing. Spacing & Bracing-Plates-Sound
Date
Card B-1 Date Card B-1
41. Bearing Walls over Girders & Floor Nailing
Comments
at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings-Stairs-Chases-Tub
+I
II
44. Headers & Beam-Size & Bearing
each time you visit iob site)
(NOTE: An entry must be made
RMA
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
v`
1913 Memorial Way, Chico— Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
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.
-A _ 11
C
e
d
s
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
3` DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541%
PERMIT N0.
Address or location of mobi lehome _ L5 /(.LS 0 1,
Owner's name 4 L-0 L Lw /G/_ 4
Owner's address -5L 1c 7 IdIO& c,45
Insignia or hud number
Manufacturer's name ;—
Serial umber of V.I.N Year of manufacture
(Official Appro4 in g Inson) (Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION)
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THEl
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
51313White - Ownec, Yellow -Installer Pinky D P W; J
7�
.COIrNTY OF BUTTE - DEPARTMENT OF PUBLIC
7 County Center Drive - Oroville, California 95965 - Telephone:
APPLICATION AND PERMIT
W C --_SIT O.
91 41
ASSESSOR PARCEL NUMBER
36-500-050
Z ^
pb
BUILDING PERM(
OWNER
Harold & Celda Elwell
TEL PHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
942 7th Ave., Redwood City 94063
CONTRACTOR'S NAME
Qualit Mobile Home Setup-
TELEPHONE
343-8494
CONTRACTOR'S MAILING ADDRESS
16652 Powerline rd., Redding 96001
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$10.00 NXOD
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$15.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$25.00
PLUMBING PERMIT
Filing Fee 10.07
55 Bronson Ct., Oroville
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping -
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome® Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G I W
10.00ea
TYPE OF WORK -,,/
New ElAddition ❑ Remodel ❑ Utilities El Instal lationL�J Other ❑
Describe work: MHI
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.07
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare der penalty of perjury (Check One):
u
I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER
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)
❑ 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
OR ADDNS. ACC. BLDGS. / OCCUP.e,`
, 2 QSq ft
NEW CONSTR. MULTI -OUT LET
NON-RESID BRANCH CIRC., TS
2.50 ea
APPARATUS o-
(SINGLE OUTLET CIR,
Ex. Occup(OUTLETS OR FIXTURES
20050t
eALO 3o
FIXED PR
Ex. Occup. OUT LETS (RESID )EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. IYirin g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
M0 T 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
against sai ounty in c nse uenc of the granting of this permit.
%� Date ;I -/- �%
Signature of App ' ont — Owner ❑ ontractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $45.00
Energy Inspection Fee $
occ
ITOT
CONST TYPE
E
L FEE $ 70.00
HAz.
cuA
PARK
S
FLD
PAR
PD
I HD.
Issu
This permit is hereby issued unser the
sions of the Butte County. Code and/or
work indicated above for which fees
(RECTO OF PUBLIC
By
PERMI XPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
ate Y,I ^1��
�� � C
Receipt No. 96916
WHITE-D.P.W., YELLOW-ASSt3SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF B..X* -DEPARTMENT OF PUBLIC WORKS -BUILDING DIVISION
7 COUNTY CENTERprPIVE.00VILLE, CALIFORNIA95965 -TELEPHONE: 916/538-7541
���
,1E�R4APPLICATIONDATA n �/
SHEET
-36
OWNER C �–L�' 1'Lr 1 Permit No.
Proposed Building Use /`'/��` M Building Inspector Date C97/
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. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details'and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions........... ............................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
.::4A12 Park fees aid ... ......
School District fees paid ........ !—
� Department
Sanitation approval from Health ....
P p tment
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec.request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner o, Mail to owner o) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25.- Letter of signature
, authorization
/111-1 C,/ !'L T ��
27.
When Issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at </ office. Deliver w/inspector.
Other
C
Applicant C'c„ / : Date O '/ >/
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must -be submitted
to permit issuance: (Circle new item not checked above
1. Index permit for above items No.
2. Additional items required:
Co�ntract�o , designer, owner, was advised of above required data by -L hone—rlaiI—counter by{,—_.date g
Lbr>1t actor, designer, owner, was advised of above required data by—phone —ma II—counter bY date
Plans checked by% Date_A�6(� -Plans approved by 13u) Date 86%91
Sets of plans -on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Chlifornia 95965 - Telephone: 916.1538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
`/` ///
///'7 O ,-/� A
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNE 'S MAILING ADDRESS
771 A t) _ cry 91/o,�t3
CONTRACTOR'S NAME
POA t/ t
ITELEP O E
CONTRACTOR'S MAILING ADDRESS
�Qd
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 1C..00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ ' I G, O
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$ 1
BUILDING ADD 55
i�
Permit tee
$ D C
PLUMBING PERMIT
Filing Fee 11C.00 i
Each Trap1
200 I
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 i
USE OF STRUCTURE
SF Duplex❑ Mobilehome�/Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationG Other ❑
Describe work:
I
Permit Fee
$ j
Contractor
ELECTRICAL PERMIT
Filing Fee 14.00
Main service °Doo AMP v OR ORSLESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business(POER
and Professions Code and my license is in full force and effect.
t
License No,, S /'�
Classification C_ y
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
Main service EA. ADO'L too AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADONS. ACC. SLOGS.
(
i
/20sgftNEW
CONSTIL UL7I.OUTLET
NON.R ESID BRANCH CIRC ITS
2.50 ea
APPARATUS a�
l SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20050C
BAL930C
FIXED APP LNS. OR
Ex. Occup. OUTLETS IRESID.1 EA.)
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.
F;, l have placed on file with the County of Butte Building Department
u a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 1 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 j
Heating
,
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
j
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, judgm -si, costs, and expenses which may in any way accrue
against 'd County In c nsegrrence of the granting of this permit.
X Date
Signature of pplieant - 0Wner,_, Contractor C 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 $
occ
CONST TYPE
TOTAL FEE $ !/
HA2
cuA
PARK
SCHI,
FLO I PAR
PD
HD
55UE
Th1s permit is nereoy issued under
sions of the Butte COLlnty Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions °o do
have been paid. i
WORKS
Date
Receipt No.
WNITE-O.P.W.. YELLOW-ASSE5SoR, PINK-I13PEC70R, ;OLDENPOO-APPLICANT
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
X" 'JOneF0 ' _r Building) rri�u
A. P. Number Building Department No.
School District City D County'' Jurisdiction
Property Owner
Project Location/Address
Subdivision Lot Number
Residential Development:
Sq. Footage
# of Living MHI Addition (Group R)
Units
Commercial/Industrial:
New
Building Depaitment Representat
ve
Sq. Footage
Addition (Including Exterior
Roofed Areas)
D;,i t e
(Floor Plans reviewed by School District Personnel)
District Id No. 920 293
School District certifies that
(Applicant Name) (Phone Number)
A,
2
(Street Address)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
-representi
(,by"'the,,payment,; of ng' square f eet.
S c 1--y'6 o 1 District Representative Date
PAID BY CHECK NO. REMARKS:
BANK NO
PAID BY CASH
white -applicant,
I
77�,,
yell,dw-buil,ding,department, pink/ school district
SCHbOL.FEE (x/88)
Permti#2680-91MHI
(install mh)
TMENT OF PUBLIC WORKS
rnia 9596 - Telephone: 916/535-7541
1 1U AND PERMIT
PERMIT MO.
Z N f
BUILDING PERMIT
OWNER d & Celda Elwell
l
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.R'S MAILING ADDRESS
9 7th Ave., Redwood City 94063
CONTRACTOR'S NAME
Quality Mobile Home Setup
TELEPHONE
343-8494
CONTRACTOR'S MAILING ADDRESS
16652 Powerline rd., Redding 96001
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$10.00 ZKO
YfYN
Permit Fee
$
ARCHITECT OR ENGINEER LICENSE NO.
Plan Checking Fee
$15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$25.00
SS Bronson Ct. Oroville
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 pas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome® Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea'
TYPE OF WORK -,/
Newt -7 Addition❑ Remodel❑ Utilities ElInstallation L, Other ❑
Describe work: MHl
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
i
Main service 10000V OR S
AMP OR LESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p 1 y(check one):
J 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
LJ 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)
❑ 1 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 ACDNS. ACC. BLDGS.
, Osgft
NEW CONSTR. ULTLOUT L' ET
NON.RESID BRANCH CIRC ITS
2.50 ea
APPARATUS a
-SINGLE OUTLET CIR.
Ex. OCCIJ � TLETS OR FIXTURES
20®50t
SALO 30
FIXED APP LNS. OR \
Ex. Occup. OUTLETS (RESID.) EA./
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):
T 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.
Ishall 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
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, osts, and expenses which may in any way accrue
a nst sai�ounty in c ns e uenc of the granting of this permit.
�i _ cl
Date
Signature of App ' ant _ Owner ❑ on tractor ❑ 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 $45.00
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 70.00
HAZ
CUA I PARK
SCHL
FLD
cOF PAR PD
; HC.
ISSUE
This permit is hereby issued unser
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
f
Receipt No. 96916
t WHITE-D.P.W.. YELLOW.A3a F39OR. PINK -INSPECTOR. GOLDENROD -APPLICANT
BUTTE -COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: 11A1y U,Ia
2. Installer's Name: ���/ i %/Z
3. Is the site currently under permit? Yes No !�
(If yes, furnish permit number ) OR
Is the site an existing site? Yes No
(If yes, furnish two 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 INo
(If no, clarify _
5. What is the mobilehome electrical rating? --------------- �GG Amps
6. What is the mobilehome site service rating? ------------- //GG Amps
7. What is the mobilehome site circuit breaker rating? ----- (/ ;G Amps
8. Is there any other electric load to be served by the
I
mobilehome site service? -------------------------------- Yes No
(if yes, identify the load and size: (Load)
(Amps)
9. What is the mobilehome site gas pipe size? ---- ------ �/ (in.)
10. What is the type of gas service? ------------------- Natural F LPG
11. What is the gas pipe length from meter or tank to the
mobilehome?--------------------------------------------- (ft.)
12. What is the mobilehome gas demand? ----------------------
*(This information not -required if pipe length less than 6 ft. on
natural gas or less than 50 ft. on LPG.) ;it Zo60-9
(BTU)
1,10BILEHOME SUPPORT DATA
If other than single wide,
?obilehome Mfr. furnish Setup Model No. . �,f Ci :Z Year j
Width (ft. ) Box Length L_C� _(ft.) Tagalong or Expando Size ft, x ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one) ✓ 1. Wood -pressure treated or foundation grade. ❑ 2. Other (specify)
SUPPORTS (check one) a'1 Concrete block.a 2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
Line I " Line 1
,in. 2 a _ _ _ _ _ — _ _ _ _ — Line 2
Main Beams
— — _ I_ Main Beams — — — — — — —
Line 1 Piers:
Size-Min.------------
Spacing-Max -
-----------Spacing-Max- ---------
From Ends -Max .-------
Line 2 Piers:
Size -Min. ------------
-----------Spacing-Max-
Spacing-Max ----------
From Ends -Max .-------
G' "
Line 3 Roof toads:
Size Min.------------
Location (From Front)
Tag or Triple
&90* 1(70
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 --------------
6()00 5370* ig_-JO4 ??SD 2120
12--. 24 ' 12 ' 24' 24"x30 3&--.--0 12 ^X 7-4 ]2 "x24 1Z- ^x M '
F2G " 2 IO ..� ,_ 16 „ q . �} " 27- 9 " 31'-`i 3:5 4
Line 4 Piers:
Size-Min-------------
Spacing-Max ----------
From
------------Spacing-Max.---------
From Ends -Max .-------
Line 5 Roof Wads:
Size -Min.------ -----
} Location (From 'Front)
(Under Sear
Size -Min -------------------
Spacing-Max ----------------
From
------------------Spacing-Max.---------------
From Ends -Max .------------- "
I
"x ,x "x "x ,X "x
sbg-0 3900
mih . S Me- 30 X 3 6 24 x 2A-
l acaho�s�
44-o'.
XYll" GY FN61fIM=G DEn.
1SSM VY F011aQ•111' SOMXES DEPT.
S EP 121990
llND�RVlRlTER9
tJW ATORIE9,'mr-
c
N
CENTERLINE SUPPORT REQUIRE&IENTS
TH3 SHEET TO BE MSERTEO WITH SUPPLEMENT .
TO FAD INSTAL-LATION MAMAL FOR ZCP ROOF
SNOW LOAD
OOF ROOF
IfYS LOAD
iAB K4 gm
VOL
aM 4
4L L b1 M o-Z2x
4
9CRfM10N N0. m
bpPJC'
3FK- MR -Z8 Cyr
�;tlj I I 81ff. OF
K,
COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS PERMIT O.
/ 7 Gounty Center Drive - Oroville, Califti itis 95965 -Telephone: 916/538-7541
V/ APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
36-50-50
ZONING
ARMH45
BUILDING PERMIT
OWNER
Harold Elwell 415
TELEPHONE
368-5772
S0. FT. GCC, BUILDING VALUATICN
OWNER'S MAILING ADDRESS
1577 Oxford St., Redwood City 94061
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation is
Filing Fee
$ 1000
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$
Ener Plan Checking Fee
Energy g
$ 15,00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
55 Bronson Court, Oroville
Permit fee
$ 1-•
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
�O a
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeFT Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
6.6o.
TYPE OF WORK
New❑ Addition❑ Remodel E] Utilities Installation❑ Other ❑
Describe work:�HJ
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V DR LESS
600 AMP OR LESS
10.00 D.00
Main service EA. ADD'L 100 AMP
2.50 T.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(POWER
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-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.IY
OR ADDNS. ACC. BLDGS.
, /z¢sgft
NEW CONSTR.MULTI-OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occu
Occup(OUTLETS OR FIXTURES
zD
eAL03030
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
$ 7.50
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way, accrue
against aid Cou ty in c sequence of he granting of this permit.
Signature of Applicant — Owner iYJ Contractor ElAgent ❑
An OSHA permit is required for exca(v�otions over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL EE$ 91' .50
AZ.
CUA PARK SCHL
�
PA
PD
I Ho
Iss
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutiors to do
work indicated above for which fees have been paid.
JDIEC OR OF PUBLIC WORKS
By Date �!
PE MIT EXPIRES 66ate _ 5 -6o -g
Receipt No. 88807-92.50
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF B -W #TE - DEPARTMENT`d ,,�iPOBL"IC WORKS - BUILDING DIVISION
/ 7 COUNTY CENTER DRIVE-OROVILLE:6ALIF614NIA 95965 --TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER (p( l C•[ A. P. No.
Proposed Building Use M Building Inspector Vo Date -(—1 :? I
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. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturers installation
instructions ................................... J i-
10. Fees of $ ................ \
11. Chico Urban Area fees paid .......................................
12. Park fees paid .................................................... p
3• School District fees paid .............. IV
14. Sanitation approval from Q(to Health Department
61
1 - City of Chico plumbing permit ..................................... ,S �
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:
--�y 18. Improvements may be required. Contact Land Development Section DPW
1221 19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec.request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
3. Owner -Builder Verification (Given to owner ❑, Mail to owner D) ..... GSC:
2 Recorded copy of Agricultural Acknowledgment Statement. .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: mil to owner. Mail to contracto•-.
Telephone 7V2j�� hold ;fpr 9ickup at office. Deliver w/inspector.
Other qy2 7 r�� CealcW^W Cif[t epi- 9YO��
�Applicant_g�y� a/ / Date
Copy of !-Idz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to perm
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--jnail_counter by .date
Contractor, designer, owner, was advised of above required data by_phone_mall6unter by date
Plans checked by Date PIa s approved by Date _
..Sets of plans on hold in File cabinet
Copy—DPW
AP folder
0
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
�-�-
"•� Location en� AP#
Owner b Av;J-�
y / cJLVI fit/
f Pian Approved for: Sewaqe DisposalWater Supply
s Hold final for: Water Supply
Y
7inal clearance O.K. for: Water Supply
Clearance for - bedroom mobile home. Other
NOTE
Date
Sanitarian
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
owner location.
Driveway permit Aoxe iti oje-
si ature
AP # r,
u�)
has been issued for the above property.
,r' --l% ?/
date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NC..
7 County Center Drive - Orovllle, California 95965- Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER /
36 -50 -50
ZONING^ ,/
HI(/V�./1rPIJ
BUILDING PERMIT
OWNER 14A&/� L=
l�
TELEPNONE
SO. FT. OCC. BUILDING VALUATIOJ
OWNER'S MAILING ADDRESS
15?;? ox0orS 5T- Rod wO«� e C/4
CONTRACTOR'S NAM
TELE ONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION .LE DUA)2 e
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER•5 MAILING ADDRESS
Energy Plan Checking Fee
$ C
Penalty
$
BUILDING ADDRESS
55 LoMSON
Permit tee
$ 1-51 00
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 gas water heater or vent
5,00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehomeo Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea , tno
TYPE OF WORK
New❑ Additionn�❑ Remo i/ /deRemodel[:]Utilities,( I allation❑ Other ❑
Describe work: L_L A/_
Permit Fee
S L00
Contractor
ELECTRICAL PERMIT
g Fee 10.00
Main service 1000 AMP 1 OR LESS
0.00 ,0c)
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p 1 y (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)
❑ 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 AMP2.50
d
NEW CONST. DWELLING OCCUP.aj
OR ADONS. ( ACC. BLOGS.
¢sgft
NEW CONSTR U I.OUTLET
NON-RESID BRANCH CIRCUITS)50
ea
110.00
POWER APPARATUS e
(SINGLE OUTLET CISR
Ex. OCCUp(OUTLETS OR FIXTURES050C
t0 30
Ex. OCCUp. OUTLETS FIXED PRESID lREA.)2.00
Temporary service
Mobile Home Facilities
15.00 X00
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.
❑ 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.
❑ 1 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
Hood
3,00
Ventilation
I
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which 'may in any way accrue
against said County in consequence of the granting of this permit.
X
Signature of Applicant - Owner EJ Contractor ❑ Agent ❑
An OSHA permit is required fore ovations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in eight.
Mobile Home Installation Fee s
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAL
CUA
PARK
SCHL
I FLo
coF
PAR
PD
1 HD.
ISSUE
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No. 10,25-0—
WNITE-D.P.W.. TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the majo labor and materials for construction of
the proposed property improvement (Q�or no)
2. I ave/ ave not) signed an application for a building permit
fo a 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.
Return to DPW AGRICULTURAL STATE:"FENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPM&NT
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
91-17698
I
I Rec Fee
I Cash
I
I
1
I
I.
1
I
5.00
5.00
XX 1
occasionally generate dust, smoke, noise, and odor.. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real :property: --situate in the County of Butte, State of California, described as
follows:
54o cv u 0 u Tli AT c eR 7-fc e4 M 4 P b e;11 o-
Ig ?cA-n6N o FSCCTt0v 31� %vw /VSh 1P J"A/0Rrh 1�i41JGe
�. , � , y c19sT
rizec► r Nice %Ice of Th(Recc)Rcl .j C0uAR-1vr_ 8U7e,57-1re of>j oA/
AloveM& 9aa, c 9��/'t q a60k 6e of IMMC.e4 Mt4?5, /lTP4 6e..S c6PV7aq ,
Date: S — 199/
State of QZIF,9RAh!�j
County of _Q9i11,M71:C0)
PROPERTY O S /
On this the -2 day of ��y 199/ , before me, the
SS. undersigned Notary Public, personally appeared
N
P09 yNz EL W _ L
A/E EL KI
El Personally known to me. 15Proved to me on the basis
yF
NL OF Tyy OFFICIAL SEAL of satisfactory evidence.
ALBERT
OFFICIAL
to be the person(s) whose name(s) q�2
subscribed to the within instrument and acknowledged that
r ® .o NOTARY PUBLIC •CALIFORNIA
SAN MATEO COUNTY executed the same for the purposes therein contained. IN WITN S
Og41FOR My Comm. Expires Jan. 25, 1993 WHEREOF, I hereunto set my hand and official seal.
Present A.P. No. oU "So -,o -05-o - Q
otary Public
.q
EW OF DOCUMENT
91+017698
The
property described herein is adjacent
to
land or included within an area zoned
Recorded
for
agricultural purposes, and residents
Official . Records
of
this property may be subject to incon- j
County of
veniences
or discomfort arising from the
But
Butte
t
use
of agricultural chemicals, including,
Candace Grubbs
but
not limited to herbicides, pesticides,
Recorder
and
fertilizers; and from the pursuit
9:33am 6 -May -91
of
agricultural operations including,
but
not limited to cultivation, plowing,
spraying, pruning, and harvesting which
I
I Rec Fee
I Cash
I
I
1
I
I.
1
I
5.00
5.00
XX 1
occasionally generate dust, smoke, noise, and odor.. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real :property: --situate in the County of Butte, State of California, described as
follows:
54o cv u 0 u Tli AT c eR 7-fc e4 M 4 P b e;11 o-
Ig ?cA-n6N o FSCCTt0v 31� %vw /VSh 1P J"A/0Rrh 1�i41JGe
�. , � , y c19sT
rizec► r Nice %Ice of Th(Recc)Rcl .j C0uAR-1vr_ 8U7e,57-1re of>j oA/
AloveM& 9aa, c 9��/'t q a60k 6e of IMMC.e4 Mt4?5, /lTP4 6e..S c6PV7aq ,
Date: S — 199/
State of QZIF,9RAh!�j
County of _Q9i11,M71:C0)
PROPERTY O S /
On this the -2 day of ��y 199/ , before me, the
SS. undersigned Notary Public, personally appeared
N
P09 yNz EL W _ L
A/E EL KI
El Personally known to me. 15Proved to me on the basis
yF
NL OF Tyy OFFICIAL SEAL of satisfactory evidence.
ALBERT
OFFICIAL
to be the person(s) whose name(s) q�2
subscribed to the within instrument and acknowledged that
r ® .o NOTARY PUBLIC •CALIFORNIA
SAN MATEO COUNTY executed the same for the purposes therein contained. IN WITN S
Og41FOR My Comm. Expires Jan. 25, 1993 WHEREOF, I hereunto set my hand and official seal.
Present A.P. No. oU "So -,o -05-o - Q
otary Public
.q
EW OF DOCUMENT
w
AP •�k S�y�
OWNER Zf" )) i (,4A= 1Z
PERMIT -it
MH UTIL.CLEARANCE DATE
INSPECTOR
ELECTRIC
GAS
Support
Struc,
Compaction
Test eq.
Service
Size
Other.
Load
Type
Pipe
Size
Length
YES NO
YES NO
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLIcOriON AND PERMIT
ASSESSOR PARCEL NUMBER
— { Q
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
.r'.F"i v o _&--r, n i IJCJrI Il / i� gN 3it7 Z
CONTRAC OR'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 ^
56
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
0Ally I L L 15
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEP
ARC EL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeE�JeOther
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation[:) Other x
Describe work: e' �nt, w �¢�+�'t�c_� na--CPQ _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service DOOV OR LESS10.00
100 AMP OR LESS
iD Y-
Main service EA. ADD'L 100 AMP
2.50 2— U,
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
Fl 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.a 1/20Sgft
OR ADDNS. ACC• BLOGS.
NEWCONSTR. ULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS e
SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES 20030t
eAL030
FIXED
Ex. Occup. OUTLETS ( R
RESID.IEAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Yirin g 15.00
u-=
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.
O 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
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 ?tLCounty Ordinances and State Laws relating
to building const(uction„ and`he b authorize representatives of the Countyot
Butte to enter upon-thS.aboJ`ee toned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against l said Cophty in onsequence �j the granting of this permit. i
X Date-'
Signa ture,of'Aj�licant� OWnerQ Contractor ❑ Agent ❑
An OSHAAApeArm i is re u red fore c vations over 5'0" dee and demolition or construct-
ion of stiUtuieso3i39 forie's in hl ght. P
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
oCCUP.
CONST.TYP!
IF=
HD
ISSUE,
yf�
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
^
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date
-
If
Receipt No.
WHIT!-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT
>� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS A PERMIT NC.
7 County Center Drive - Oroville, California'35965 - Telephone 916/534-4541
APPLICATION AWIY PERMIT
ASSESSOR PAEL .- NUMBER v ZONING
BUILDING PERMIT
OWNER TELEPHONE
A600br)W
S0,FT. OCC.1 BUILDING V LU ION
OWNER'S,MAILU,IG ADD ESS
CONTRA TOR'S NAM
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
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
� C
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
L
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❑ Mobilehomel:�eOther
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New F1 Addition El Remodel ��++�..ie�vVtUtilities❑ Inst. lation❑ Other [X
Describe work: �� .f� _
dam—
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V 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 Busines$
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
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.6
OR ADDNS. ACC. BLDGS. /2Osgf
NEW CONST U TI.OUT LET +�
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR,
Ex. Occu .o ® 50C
p OUTLETS OR FIXTURES eAL@30!
FIXED
Ex. OCCup. OUTLETS P(RESID.)REA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.001
Misc. flip g 15.012
P rmit Fee $ i
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai st said County in copse ue a of the gran ing of this permit.
Date �^ `
Sig .lure 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 $ /yeg jell"
occu P,
CONST.TYPe
I FLOOD
PARCEL
P1
ND
I 13SU
This permit is hereby issued under
sions )f the Butte County Code and/or
work indicated above for which
DIR WOROFUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees haw been paid.
WORK
Date
, ....
Receipt No.
WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
rd
COUMTY�QF BUrtTE - DEPARTME TJ017-4?UBLIC WORKS - BUILDINGID VISION
7 COnfj NTYCENTER DRIVE - OROVILLE, CALRINIA 95965 - TELEPHONE: 91y6%534-4541 ;
1 t.
PERMIT APPLICATION DATA SHEET ti J
' 'D Permit No.
OWNERA�Gt A. P. No.
Y
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price _DPW Valuation
Other plain)
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processiig
and/or Issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2.. Plot plans in duplicate/triplicate. . . . . . . .. . . .
3. Complete plans in duplicate/tri,plicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
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 ❑ )
15. Improvements may be required. . . . . . . .
16 obi lehome Installation�r'
��• Pre-Inspec. request to
17 -Inspection for Required. Building Inspectdr A.
Recorde A t r (_Acknowledgment Statement .
19. Other � , � AMY construction approval require prior to occupancy:
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. - Deliver w/inspector.
Other
Applicant ) �yie4LII Date%
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
By
Plans checked by
Plans approved b,,
Other:
Copy—DPW
Date
Date
-Mail Other
Date
A.._
�.s� ct
.�
PERMIT NO. 3060-88B,P
PERMIT EXPIRES
OWNER HAROLD ELWELL
CONTR. owner
ASSESSOR PARCEL 36-50-50
' 55 Bronson Ct, oroville
LOCATION
d
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED 111atal
Signature
= OK
-0 = Not -OK
= Not Readyiable
MOBILE 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/ /"L"ft./ /"LPG
7. Utility Clearance
Card -81 Date Card -B1 Date
Card -81 Date Card -61 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 -81 Date Card -61 Date
Card -81 Date Card -61 Date
a
MISCELLANEOUS
Date DEC ,COVERS,CARPORTS AR lans)OK except #'3�
. Z ng Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors- to
%_Decks: Girders and/or Joists -Decking -Bracing -Stairs -Flails
4. Uoo Awn • PnsLs-Beams-Rftrs.-Connec.-
!�hthg.-Rfg.-Bracing
5. s-Connections-Splice-Decal-EncIDsures
6.,Carnorts• Windows -Doors
7
8 m • Sills-Anchors-Studs-Rftrs-Trusses
9 ing; Nailing -Veneer -Stucco -Mesh
10. Roof; ah oofing
Steps -Doors -Landings
Card-E14�1, Dat Card -131 Date
Card -B1 Datde), 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 Condui
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131 Date Card -81 Date
Card -81 Date Card -81 Date
=OK
o = otOK
NApplicable
Not Applicable RESIDENTIAL (Single and Duplex)
- =N
Not Ready
UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
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 -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 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 Liqht-Shower Liqht-Spa Light
Card -131 Date Card -B1 Date
Card -B1 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 -61 Date Card -61 Date
Card -131 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
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Clg.
60. Infiltration -Wal Is-Wndws
Card -81 Date Card7B1 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 -131 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)
�. 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
COI% ECTIOM NOTICE
OW PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
'w.
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately. 4
t.1
Inspecto Date ���
y
•5
y
.i
• .f
a'>
,3
4'
t.1
Inspecto Date ���
rd
COUNTY OF BUTTE - DEPARTiJIENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION -AND PERMIT
PERMIT NO'.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
Harold Elwell (415
T�3`6�$P o/ /2SQ.
FT. OCC. BUILDING VALUATI N
720
OWNER'S MAILING ADDRESS
1577 Oxford St, Redwood City, CA 94061
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 7200
Filing Fee
$ 10L00
LENDER'S MAILING ADDRESS
Permit Fee
$ 68.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 34.25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 112.75
PLUMBING PERMIT
Filing Fee 1000
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Stg/workshop
SPECIFY
Gas piping system 1 - 5 outlets
5.00 1
Building sewer
5.00 ,
Mobile Home S I G I W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑
Describe work: Permit to complete 3060-88 _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.30
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
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-
ontract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
GOCCUP.e\
oa ADDNST ( DWEACCLLING
/
2YzQsgft
NEW CONSTR. ULTI.OUTLET
_N S,BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup( OR FIXTURES
2AL@
eLe30
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EAJ
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
of Consent to Self -Insure.
�j 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
again t aid County 'n con uence of the granting of this p .t.
o %This
%� mea '�`�, / Date
Signature of Applicant — Owner*IV 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 $
occ
CONST TYPE
TOTAL FEE $
E
137.75
HAz
CUA
PARK
SCHL
I PAR
I PD
I HD
ISSUE
permit is nereby issued under
sions of the Butte County Code and/or
work indicated abov for which fees
DI 0 U IC
BY
PE IT EXPIRES ate
the applicable provi�-
resolutions to do
have been aid
p
WORKS
Dae v
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PIN - NS ECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFiCAT1ON
Attention Property Owner:
Phone: 916-538-7541.
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 anq piat-rials 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. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address _ City
Phone Contractors License No.
4. .1 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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
PERMIT N 1
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION 'AND PERMITA-3l0
ASSESSOR PARCEL NUMBER s
o
3 -- -- -5
ZONIAG
BUILDING PERMIT
O ERA _
ctrp�De e- t4 (S
TELEPHONE
36 772-
SO. FT. OCC. BUILDING VALUA ION
OWNER'S MAILING A DRESAS
�XDroY e o r 9�i06
CONTRACTOR'S NAME a,
0WN-e-
TELEPHONE
-
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UN KN OViN-
Total Valuation $ /4,100
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$ 9-7,570
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
.$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
55 JJ .►` O N e
Each Trap
2.00
�(—V /Ap_
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 ]TO
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome❑ Other lea D1
s ECI Fr
Gas piping system 1 - 5 outlets
5.00 , O a
Building sewer
5.00 p—a
Mobile Home S G W
0.00 ea
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation[— Other ❑ '
ps i
Describe work: �00i,JQQI •'-rovtn�
Permit Fee
s a'i 5 L''2
Contractor
ELECTRICAL PERMIT
Filing Fee 11%00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
-❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification
-
I, as the owner, or my employees with wages as their sole compen-
X 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.ad ,
�22sgft
New DCONSTR�
M TI OUTLET
RC ITS 2.50 ea
NON•RESID .BRA CH CRC,
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES RA 030
FIXED APPLNS. OR
Ex. CCCUp• OUTLETS (RESID•) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 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.
1 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
agains said County in co a uence of th granting of this permi .
X Date
Signature of Applicant — Owner' ' Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -IRE
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL P RMIT FEE $ ? . JC
oecuP.
,l
N T TPc
ecllooL
j
PLoo
PARCEL
P11s3v
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
0 PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. a s
WHITE-D.P.W., YELLOW-ASSE330R. PINK-INSPEOTOR. GOLDENROD -APPLICANT
b
i
y y,.r . '_ ,,, Y. �s -• ... �.- -rcv-s .v'ri 4.::T•rtiiy'li„1'►...l."::r4.J. �''.�L. -r c....
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION '
7 COUNTY CENTER DRIVE - OROV,�Jl CALIFORNIA 95965 - TELEPHONE: 916/538-7541 y t y
PERMIT AI PLICATION DATA SHEET
/ �1 l Permit No.
OWNER fya�"n ��/ L uJ e �� A. P. No. Z6 — 6 0 " ✓�'
Proposed Building UsetieW 540-4rcs Building Inspector �- Date / l�Fejr--
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 bten 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 $ , . . . , , , ,
10Letter
.
of signature authoriz{tion.
Sanitation approval from VTO U't .\ �.� Health Dept..
1 ,F_'
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. . . . . . . . .
17.
_,,. Prednspec.
Pre -Inspection for Required.. Buil'ditnganspector
request to
-(Date)
18.
i9A5F19:
Recorded copy of Agricultural Acknowledgment -Statement.
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, process as follows: Mail to owner,
—Mai l to contractor.
Telephone and hold for pickup at—off ice,
Deliver w/inspector.
Other
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--mal I counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Q
Plans checked by Date Plans approved by Date G V
Copy—DPW
Sets of plans on hold in File cabinet AP folder
T0: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
owner location AP #
Driveway permit 4e rte P4lel has been issued for the above property.
Qj^�tia e e-
si ature date
TO Buildina:Department Y 4
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for:. Sewage Disposal _ Water. Supply
Hold final for: Water Supply
Final clearance .0. K.. for: Water Supply
Clearance for bedroom mobile home. 'Other /veli✓
NOTE 44 a� �'" a�i ✓' !►- �-� f ic„ . /y1\ ►�
_._ �--
Sanitarian Date
COUNTY OF" BUTTE '+I Department of Public Works
7 County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-538-7541
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 pro8essing 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 matgrials .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: &,Z
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 wa_V,74 _"IeI12A
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
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BUILDING DEPARTIIYz
APPROVED
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BUILDING DEPARTMENT
APPROVED
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