HomeMy WebLinkAbout078-270-060� -•-.` r — — — — rr ._ 'R Jnr—.._ _ P , �
036-0-73 --•
Gerge Shannon/j���j7
a�� ( -V-6 Rd., 01,.E(ut�p.
vil e S�HANON, George 546-70E* 740-68B
Permit " 979-77,MH)
----ELEC. S - — -
GAS f Pf TS 7
SUPPORT STRUCTURE RE Q A1,Q_ 2460 V-6 Road, Orovil1
C MPACTION TEST REQ. "0 Reroof (Composition) '�-�3 —0
I
- - (service change & ad ryer)eSL fo-S-'l o
Contr: Lincoln Village MR, Orovil / '
I Permit #3960-7 MRI OI&Ih7
I� Issued
y
91-4215
SHANNON ;'& .ZOLL ICOFFFER,
21
CONTR.:' UNKNOWN, -
0
�fV-6 RD, OROV ELLE
DEMOYSF - `+� Z
�-9'
_
AM
93-21546 B
L
OFFER, DELLA
3
6 RD, OROVILLE RL DAMBERGERECK/MH
M
i
i
I
i
DATE:
PERMIT #:
ASSESSORS PARCZL #:
OWNER'S NAME:
FEES: Amount and Purpose
REVISED PLAN CHECK: $
BALANCE OF FEES: $
ADDITIONAL FEES: $
REINSPECTION FEE: $
SHERIFF FEE: $
CHICO URBAN AREA FEE: $
THERMALITO/N0. ORO TRAFFIC: $
OROVI LLE AREA TRAFFIC: $
COPIES: $
IF BALANCE OF FEES OR ADDITIONAL VALUATION:
VALUATION: $
ADDITIONAL VALUATION: $
(check one)
COUNTY:
CITY OF BIGGS:
CITY OF GRIDLEY:
(check one)
RESIDENTIAL:
RECEIPT NUMBER:
COMMERCIAL:
!/Gtf�2
OFFICE COPY
Addres"q 4-5
GAS
Meter By Dat
ELECMeter ,
Meter By Date
r
r !W$IDENTIA►L
r 036-07-3-035
ZOLLICOFFER, DELLA
2456 V6 RD, OROVILLE
CONTR: RL DAMBERGER
OPEN DECK/MH-'- __ �✓%�
V= OK
O = Not OK
-= Not ReadyApplicable MOBILE HOMES
'
Not Ready
Date/Initials MOBILE NOME UTILITIES (Plans) OK except #'a
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: / PV ft.
/ /"Net. or/ /'L"ft./ /"LPG
7. Well Clearance & Disconnect '
8. Utility Clearance
Date/Initials 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 Teat -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
MISCELLANEOUS
Date/lnit • DECK OVERS CARPORTS GARAGES Plans OK except #'a
ning Requirements -Setbacks -Easements
Fo tings; Soils -Size -Depth -Spacing -Connectors -Steel
cks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
Wood Awn.; Posta-Beams-Rftrs.-Connectors
i� Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
. Ext.; Steps -Doors -Landings
Date/Initials 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-Enclosu res -Panel boards- Ins. to Mein in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
O = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date/Initials UNDERFLOOR (Plans) OK except If's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd. / P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
S. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
.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. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'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
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials 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/Meth. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
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 -Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'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/Initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop In Wells (ret proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin=roof Brec-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 Wells; Nailing -Bolts
59. Insulation -Walls -Collings
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protectlon-Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. 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 -Meth. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
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 ❑ Yea ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg: Appllance-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
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATIONAND PERMIT 93-2546
ASSESSOR PARCEL NUMBER
036-073-035
ZONING -
BUILDING PERMIT
OWNER
DELLA ZOLLICOFFER
TELEPHONE
532-1474
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2456 V-6 ROAD OROVILLE A 95966
CONTRACTOR'S NAME
R.L. DAMBERGER CONSTRUCTION
TELEPHONE
589-4761
CONTRACTOR'S MAILING ADDRESS
240 SUNDAY DRIVE, BERRY CREEK,CA 95q16
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE 140.
Plan Checking Fee $
00
Energy Plan Checking Fee $
—23
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty S
BUILDING ADDRESS
2456 ROAD
PERMIT FEE $
—6
OROVILLE, CA 95,966
PLUMBING PERMIT Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome ZX Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
Mobile
20.00
TYPE OF WORK
New ❑ Addition € Remodel ❑ Utilities 0Installation ❑ Other ❑
Describe Work: ( ��/t/�% /% J
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOV OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
S0.
3.5C FT,
CONTRACTORS LICENSE LAW
1 d;epclare under penalty of perjury (check one)
1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. ;919911 Classifications
❑ I, as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEWCONST, MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS I
@7.50
( POWER APPARATUS I
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES
@
20 1.00I BAL. .50
Ex. Occup.FIXED APPS. OR
( OW
UTLETS (RESID.) EA. I
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
�I have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California 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 said
Cou�tin consequence f the granting of this permit.Xi(.�t e@ Date —tlo
Signature of Applicant - O Owner Contractor C) Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or An
construction of structures over 3 stories in height. /Im
Mobile Home Installation Fee $
Energy Inspection Fee $ do
occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES
IMP
g00D
CDF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By ` Date 6
PERMIT EXPIRES ON
VL16
Receipt No. 3 k-� a d
WHITE-D.D.S.-B.D. CANAR - SSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
Y
COUNTYOF BUTTE - DEPARTMENTOF DEVELO. PMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -- TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
11
OWNER 7 co ��� � �t� � A. P. o
Proposed Building UseL/M=Building, Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED 6Y
All items have been submitted . ........................................
Plot plans, 3/4 sets, signed by preparer of plans.
Complete plans, 3/4 sets, signed by preparer of plans . ......................
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form . .............................................
Energy Design Compliance and supporting documentation . ...................
Statement of Intent for Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome Vied manufacturer's installation instructions, 2 sets. ...........
Fees of 11 . ............. .
Impact fees as shown on attached schedule. ...........................
California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood) by California Engineer . ................. .
Sanitation and plot plan approval Health Department . .............
City of Chico plumbing permit . .........................................
Plot plan and business license approval from City of Biggs/Gridley. .............
Planning approval for (A) Use: (B) Parking:
Contact Land Development about (A) Improvements (B) Drainage. .......... .
Driveway permit (construction approval required prior to occupancy). .. . .
Pre -Inspection requesT-
Pre-inspection for required. .. to Building inspector (Date)
Contractor's license information. (No., Name Style, Classification) . ...............
Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner . .......... .
Recorded copy of Agricultural Acknowledgement Statement . ..................
Letter of signature authorization . ........................................
Copy of recorded deed of parcel creation and 60 right of way to,a public road. .... .
Letter of intent on building use . ......................... �.............. .
Mobilehome utility clearance . ..........................................
Documentation of legal access . .....................:................. .
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits . ......................................
Plan check list . .....................................................
When you issue the permit, proces as follows: Mail t owner. Mail to contractor.
XTelephone - G and hold for pickup at / office. Deliver with inspector.
Other
Parcel Creation
a "93
Acreage Applicant Date
Copy of Haz-Mat form sent r Health Dept' Fire Dept. Air Pollution Ddte
Copy of plans sent Health Dept. r Fire Dept. Other Date By
The following data must be submitted prior to permit issuanc
1. Index permit .for above items'No.
2. Additional item's -required:
ecked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer; owner, was advised of above required data by _ phone _ mail ounter by _ Date
Plans checked' by Date Plans approved by Date
Sets oflplans on hold in File cabinet AP folder
Copy - Department of Public Works
2.
3_
.4.
5.
6.
7.
8.
9.
10.
11.
12.
3.
14.
15.
16.
.17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
Plot plans, 3/4 sets, signed by preparer of plans.
Complete plans, 3/4 sets, signed by preparer of plans . ......................
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form . .............................................
Energy Design Compliance and supporting documentation . ...................
Statement of Intent for Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome Vied manufacturer's installation instructions, 2 sets. ...........
Fees of 11 . ............. .
Impact fees as shown on attached schedule. ...........................
California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood) by California Engineer . ................. .
Sanitation and plot plan approval Health Department . .............
City of Chico plumbing permit . .........................................
Plot plan and business license approval from City of Biggs/Gridley. .............
Planning approval for (A) Use: (B) Parking:
Contact Land Development about (A) Improvements (B) Drainage. .......... .
Driveway permit (construction approval required prior to occupancy). .. . .
Pre -Inspection requesT-
Pre-inspection for required. .. to Building inspector (Date)
Contractor's license information. (No., Name Style, Classification) . ...............
Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner . .......... .
Recorded copy of Agricultural Acknowledgement Statement . ..................
Letter of signature authorization . ........................................
Copy of recorded deed of parcel creation and 60 right of way to,a public road. .... .
Letter of intent on building use . ......................... �.............. .
Mobilehome utility clearance . ..........................................
Documentation of legal access . .....................:................. .
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits . ......................................
Plan check list . .....................................................
When you issue the permit, proces as follows: Mail t owner. Mail to contractor.
XTelephone - G and hold for pickup at / office. Deliver with inspector.
Other
Parcel Creation
a "93
Acreage Applicant Date
Copy of Haz-Mat form sent r Health Dept' Fire Dept. Air Pollution Ddte
Copy of plans sent Health Dept. r Fire Dept. Other Date By
The following data must be submitted prior to permit issuanc
1. Index permit .for above items'No.
2. Additional item's -required:
ecked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer; owner, was advised of above required data by _ phone _ mail ounter by _ Date
Plans checked' by Date Plans approved by Date
Sets oflplans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ��M�O
APPLICATION AND PERMIT
ASSESSD_,�.p L UMBER /� _ '�
f o ')
ZONING Q
>
BUILDING PERMIT -
I
d
SQ. FT. OCC. BUILDING VALUATION
owNE s' LING oriEss ' �O Q�-
• 91
TTELEPHONE
CON �TO CFNAME /l(/ _ - 7f� -
ca.
C TOR'S MAIL G ADDRESS
Fireplace
CONSTPUQTION LENDER
UNKNOWN -
Total Valuation $
'
LENDER'S MAILING ADDRESS -
Flling Fe@ $
20.00
Permit Fee $
JS
ARCHI E TOR ENGINEER - -
LICENSE NO. - -
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEEWS MAILING ADDRESS
Penalty $
BUILDING 3RESS, /
(p
PERMIT FEE $�j
g01)
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
=
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
- SUBDIVISION'S NAME
:
PARCEI MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex O Mobilehome 4, Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition/14 Remodel O Utilities O Installation ❑ (ther O
�/
Describe Work: Opp &-,4
_
PERMIT, FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 200AORLESS )
200A OR LESS
23.00
Main Service ( 200A TO Io00A )
46.00
-
NEW CONST. DWELLING OCCUP.
OR ADONIS. ( & ACC. BLOS. )
SD.
3.50 FT._
CONTRACTORS LICENSE LAW
I' declare under penalty of perjury (check one)
O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
O I, as the owner, 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)
O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
forthis reason
NEWCONST. MULTI -OUTLET
•NONRESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
6 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BAL @ I.650
Ex. Occu FIXED APPINS. OR
p' ( OUTLETS IRESID.I EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20,00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California 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 said
County in consequence of the granting of this permit.
X Date
Signature of Applicant - O Owner O Contractor O Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HA2.
1 D. FEES
I IMP
I FLOOD
I COF
PARCEL I PO HD
ISSUE
This permit is hereby issued under the applicable provisions
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 ON
IDete)
Receipt No. / /
9rl
WHITE-O.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
— - - - - - • - - vwj Gap, - --
Vol RIC, ZAMBeW.GC2 OQST. 391?17
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036-07-3-035 91-42.15
SHANNON & ZOLLICOFFER,
CONTR: UNKNOWN,
2456 V-6 RD, OROVILLE
'DEMO/SF
t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS .
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
-PERMIT NO.
91— Lq
ASSESSOR PARCEL NUMBER
036-073-035
ZONING
AR
BUILDING PERMIT
OWNER
GEORGE SNANM DELLA 7ALLIDOFFER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
,
OWNER'S MAILING ADDRESS
1511 KIRKi+M AVENUE S! NFI�AN,N CISCO 94124
CONTRACTOR'S NAME TELEPHONE
UNKNOWN
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation is
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $ 15.0n
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT R ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
2456 V-6 ROAD MOVILLE
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 rr 9 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00;
Mobile Home S I G I W 1 15.00
TYPE OF WORK
New ❑ Addition [J_ RemodelSH
DEMLI/SF E]❑ Utilities Instal lationOther [
Describe work:
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 60ovORLESS 18.50
200A OR LESS
Main service 20GATO 1000A)
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)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
_37.50
NEW CONST. DWELLING OCCUPM 3.64sq.ft.
OR ACDNS. (ACC. BLDGS.
NEW CONSTR. U TI.OUT LET
NO N•RES'D BRANCH CIRC ITS @ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 76rI
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.1 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.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
�f'Consent to Self -Insure.
P ' 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 15.00
Heating
Coolin 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
-ag 'nst said County in consequence of the_'granting of this permit.
X ����. Date -�-- ' - '.'%
(/sions
Signature of Applicant — Owner ElC ntractor ElAgent CJ/
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 $
HAz
1 0FEES I
IMP
I FLOOD
cDF
PARCEL
PD
HD I
This permit is hereby issued under the applicable provi-
of the Butte Cour)t' Code and/wresolutions to do
y
�
work indi / ted abo4for which fees/ have been paid.,
IRE R P LIC�VVORKS 11,1111A
By, Q V ,DatQ1P 1 /
PERMIT EXPIRES Date /��
103519
Receipt No.
WHITE•D.r. W., YELLOW-A33C3SOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovlller California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
r
ASSESSOR PARCEL NUMBER
036-073-035
ZONING'
AR
BUILDING PERMIT
OWNER
GEORGE SHANNON DELLA ZOLLICOFFER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
EST 500
OWNER'S MAILING ADDRESS
1.511 KIRKWOOD AVENUE SANFRANCISCO 94124
CONTRACTOR'S NAME
UNKNOWN
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation is
Filin Fee
g
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 19-00
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
$
Energy g Fee
Ener Plan Checking
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING 456 V ADDR56 ROAD OROVILLE
Permit fee
$ 30 XU
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 MK Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW 1
@ 15.00
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation❑ OtherQx
Describe work: DEMOLISH/SF _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A To 1000A1
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 I•icense IS In full force and -effect.
cerise-,, Classification
I, `as the gwner, 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 con
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. (DWELLING OCCUPM
OR ADDNS. ACC. BLDGS. I
_37.50
3.54 sq.ft.
NEW CONSTR ULT' -OUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS tr
SINGLE OUTLET CIR.
Ex. Occu p OUTLETS OR FIXTURES
20 75
FIXED APP LNS. OR
EX. OCCup. OUTLETS (RESID.) EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00tract-
Misc. Ilyirin 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
onsent 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
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
—egaLpst said County in consequence of th granting of this permit.
X Date U O
� � -�
Signature of Applicant — Cl Owner ❑ tractor 11 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 $
Dcc
CON5TTYPE
TOTAL FEE $
HAz
1 0FEES
IMP
I FLOOD
CDF
PARCEL
PdT
AIYJ
ISSU
This permit is hereby issued under the
sions of th utte Coun Code and/or
work i Ic ed e r which a
DI OF UB
By RZ
PE XPIRES Date
applicable provi-
esolutions to do
ave been paid.
ORKS
ate41'al'
Receipt No. 103519
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroviller California 95965 - Telephone: 916.`538-7541
APPLICATION AND PERMIT
ASS ssOR PARCE NUMBER
ZONI`
BUILDING PERMIT
OW ER
r� edo C— �CL iI rpneo
r EPH
F1�
SO. FT. OCC. BUILDING VALUATION
15-0
0
OWNER'S MAI ING DDRESS
15 1 1 'I I ! 9�f 1 a
NAME
7T
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CO 5 RUCTION LENDER
I/L C_
UNKNOWN
Total Valuation $
Filin 9 Fee
C
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ /S
ARC I ECVT - ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 100-v;
/� _
(' Q V
Permit fee
$
An 0
PLUMBING PERMIT
Filing Fee 1 15.00
Each Trap
1 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
SFW Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G I W
@ 15.00
TYPE OF WORK
Newl1 Addition Rem Utilities[] Utilities❑ Installation[] Other
Describe work:
Permit Fee
$
Contractor
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO 1000AI
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El 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 Sec. 7044)owner, am exclusively contracting with licensed contract-
rs. (S
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST./ DWELLING OCCUP.�\
OR ADDNS. t ACC. BLDGS. /
3.6asq.ft.
NEW CONSTR ULTI.OUT LET
NO. -RE BRANCH CIRC,. TS
@5-00
(POWER APPARATUS 6
SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
20 75d
FIXED APLINIS
Ex. OCCup. OUTLETS (RESID.IREA.)
I 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.
❑ 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 Se!f-!nsure.
❑ 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 15.00
Heating
Cooling
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
Si nature of Applicant – Owner
g pp ❑ Contractor ❑ Agent ❑
An OSHA
ion of structures tover 39stories oinehe excavations over 5'0" deep and demolition or construct-
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST TYPE TOTAL FEE $ 30 �Q
I
HAz
OFEES
IMP
I FLOOD
CDF
I PARCEL
I Po
I HD
IssuE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
WHITE•O.P.W.. YELLOW-ASSCSSOR. 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.
b
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(hav /have. not) signed an application for a building permit
fnr 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: t
Property Owner
Social Security, Number
Date 1 �l� h T
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.
Demolition Permits
Asbestos Notification Statement
Date (� /
AP#
Pursuant to section 19827.5 of the California Health and Safety Code, all
demolition permit applicants are required to fill out this form.
"19827.5. A demolition permit shall not be issued by any city, county,
city and county, or state and local -a ency which is authorized to issue -
demolition permits as to any building _ r structure except upon`t-he receipt
from the permit applicant of a copy -of -each written asbestos notification
regarding the building---thaf-I- acs -been' required to be_submTt-ted to --the United
States Environmental Protection"Agency or -to a designated state - agency- or
both, pursuant to `Part -`61 of Title 40r -of the Code -of Federal -Regulations,-
or the successor to that p part. The. -per -mit -may be issued --without- the applicant
submitting a copy of the written notification if -the applicant declares that
the notification is not applicable to the scheduled. demolition project. The
permitting agency may require the applicant to make the declaration in writing,
or it may incorporate the applicant's -response on the demolition permit appli-
cation."
Attached is a copy of my written asbestos notification to the United States
Environmental Protection Agency for the demolition project located at
Signature of Applicant
M
I hereby declare that a written asbestos notification to -the United States
Environmental'Protection Agency is not applicable to this demolition project.
0
Signatu' of Appf4 nt
2/19/91
t
� /0-77
PE
tRMIT NO. 2979-77P,E
*•-�[{``'
PERMIT EXPIRES 1 179
�o Z
i OWNER George Shannon
CONTR. oner
LOCATION (A.P. 36-073-35
2460 V-6 Rd., Oroville
i
Y
Temp. Power Pole
Called PG&E
Temp. Elea Serv. 72
Called PG&E ✓�
Temp. Gas Serv. `% 7
Called PG&E dw-3
JOB �-
FINALED S
(Date
3
(Signature)
MOBTiX1 OME L1 S7'ALLATION .INSPECTION CHECK LIST
1. Is the mobilehome located wild required separation from lot lines and buildings and,generall.,
conform to plot plan? Yes _ No
?; Doe:., the m)bilehome have required clearances above ground? (Sec.5085) Yes bNo
3. Are footin�,s and supports properly sized, spaced, and braced as ,I ' approved plans? (Note
possible variation at spring shackles.) (Secy, 5082 & 5083) Yes No
No
4. Is the mobilehome level.? (Sec. 5088) Yes No -
5. If more than a single i fare crossover connections.pr.operly installed? (Sec. 5088)
Yes_ No'
Water
A. Is fle _ale connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes No
l ��
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yeses No
f —
C. Backflow - If coach is not State 9f rnia approved, does station have backflow device
and pressure -relief valve? Yes oL� 1
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes v No
B. Does it have minimum ," per foot slope and is it properly supported? Yes., No
C. Are any leaks detected in drainage system after running gallons of water through each
fixture including washing machine standpipe? Yes— NoJL-
D. If coach is not Stateklcp(if ornia approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as
large as the mobilehome gas line inlet without reductions other than the mobilehome
connector. Yess// No /
a�
B. Test OK as per following procedure? Yes_ No
1. Open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without
drop.
4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes' No
9. Electrical
A Is service large enoitgl� to provide :Adequate >amperage to mobilchame. (must equal rating of
mobi_leliome (,iith a ::;inir!.um oV0 amp) and other facilities on lot, i.e., water pumps,
gara-e, cabana, etc.` Yes No
B. Is ther--� proper clearances around panels? YeSA�_ No_
i 1 assembly properly fused? Yes 1\10
C. Is power _,.�pp_y cord or feeder y p p Y —
D. Is continuity test satisfactory as per the following procedure? Yes= No
1. De-energize electrical wiring systeri of the mobilehome at the pedestal.
2. Make_ sure that the power supply cord or feeder assembly conductors, including neutral
conductor, IICWEe been disconnected.
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one load of a test instrument to the mobilehome grounding conductor and
, •, _, ,
apply te.e oiu.�' a.c:au to each rc -L.L�ttiiliie suppIy CGnuuCtG'i, 11iC1iiulYi� rieuLrat.
5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line,
canter line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of: the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
te:=;u ;hall then be made between L.he grounding electrode and the chassis of the
n.obilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
Isjab card signed by Health Departme�it for water and sanitation?
11.. If everything; (4 -ay, sign off card and Lac; services.
MOBTLE1:10ML•'_DATA
Manufacturer and/or Namestyle
Length & C) Widtl.-1 C- 02-�
Vehicle Serial No. 2-22
State Identification No.
..dei i t ional Informa t.. i on or Comment,;:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number''4q��7-7-7 for the following location:?
Owner
Owner's Address _
Mobilehome Mfg
Model/ZY6� Year 7.57
Insignia No. :4/1/9 ;" Serial No. -6-4041 �
It is hereby certified for occupancy at the above described location
may be occupied.
Directtoo/r,off Public Works
Date x / �Sfl By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
COUNTY OF BUTTE —DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING I BUILDING (Cont'd) I PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
list Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Car ort
p
Footings
Prov. for ph sically
handica ed
Conformance of ex.
structure
Appliances
Gas PI in &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Fina[
FlYturnc
I
btucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTI ITI S -----------------
Elec. Service
Elec. Pedestal
Water Piping (' `J
Sewer
Gas Piping n f/ 7!)j
MOBILELJQME INSTALL TI N - - - - - - - - - - - - - -
Support
- " –
Elec. Continuity
Water Piping ':�-j - 7 -7
Drainage j
1"
Gas Pip. 011
DATE
,7(11f-7-2 p�Vf'7/( -7 7
_REMARKS OR CORRECTIONS t ''j��� '/y�����'���
� t t � . n� t� ( — 47Z M 2> A S / c
f l�B�
^jfs
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY GF4UTF - DEPARTMENT OF PUBLIC WORKS
7 County—Center Drive — UroviIIe, California 95965
TelepHone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
abov -m ntioned property for inspection purposes.
S' d��-t'iY� o�� Date�� r
Sig ure of Permitee r Agent
Receipt No. Id/ �EW
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOROF/PUBLIC WORKS
By ` Date
l �
permit expires Date o —e
BUILDING
Owner W
SO. FT. OCC. BUILDING VALUATION
Mailing Address k2✓)
. ��:36?
Fireplace
Contractor I itl cobt U
Total Valuation
Mailing Address y Lu
Permit Fee
PI an Checking Fee &/or Penalty
Tele ho a No.
Permit Fee $
Building Address � � Ute.
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
-�
A. P. c97—.3.J
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.
-4"i4a+ion
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EOA
Parking
Plans
Parcel
Declar n
Parcel Ma p
60' R/W
Improvements
p
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
Parcel pprovol
P I a pprovaI
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
_/r•
Lail 6 6crb 6n�J
600V OR LESS
Main service 100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Main service OVER e O 25.00
100 AMP OR LESS
Single Family ❑ Duplex ❑ Mobil Home E Others ❑
Main service/ EA. ADD'L 100 AMP 1.00
NEW CONST.DWELING
OR ADDNS. ( ACCLBLDGS.CCUP. &� 20 Sq ft
NEW CONSTR. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS .&)
NON RES,D. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
St of:
7IV w I ii. dLI,S`�����77a /Ay/ �= J4w._S
Ex. Occup(OUTLETS OR FIXTURES) 'BOA L0'1'
Ex. Occu FIXED APPLNS. OR
p•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
/�
License No�� .l�. -31 Classification l=
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
AI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
F -1I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
6`
ab �d
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
abov -m ntioned property for inspection purposes.
S' d��-t'iY� o�� Date�� r
Sig ure of Permitee r Agent
Receipt No. Id/ �EW
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOROF/PUBLIC WORKS
By ` Date
l �
permit expires Date o —e
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. CA
4 ,-,,.
Setup Model No. Year
Width(ft.)
Length (3 ... (ft.)
Expando Size .} ft.x ft.
(Draw support details
below) .
On all
mobilehomes manufactured after October
7, 1973, furnish manufacturer's installation
manual
and structural
setup sheets (if not on
.file with .the County of Butte).
Sin le
- a Footings (check.'one)
..
1. Wood.. either .
_
I
.-
pressure treated or
Center
Center Su ort
'
fdn. grade.
Support
Footi Sizes
Locations
n.)
2. Concrete pad.
x
/ / 3. Other,: specify
_
Supports (check one)
1. Concrete block
2. Concrete piers
,ft) 7in�
(' (in.)
3. Steel piers
/ / 4. Other, specify..'
Typical Support
—
i
oZx
Footing Size
X
in. in.)
I
� I
Ffin.
. )
in. in.) .
x
(' .)(in.) �G
I
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
i
(� Max. Pier
Spacing
H.
Max.
Overhang
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: //AC� Lr N m o
2. Installer's name: L,i A! eA[M 060 'VC�at J/IA�/
3. Is the site currently under permit? Yes. I)C/ No
( If yes, furnish permit number c �� 7 -'i �%�y.� ) 'OR
Is the site an existing site? Yes / / No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes N7/ No -/ /
( If
no, clarify
)
5. What is
the mobilehome
electrical rating? --------------------
-- Q ps
6. What is
the mobilehome
site service rating? ----------------
---- ps
7. What is
the mobilehome
site circuit breaker rating? ---------
--- / � ps
8. Is there any other electric load to be served by the mobilehome
site service? --------------------------------------------------- Yes / / No /X/
(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 LPG
11. What is the gas pipe length from meter or tank to theo�"i%hom+ e?) � (ft.)
�.
12. What is the mobilehome gas demand? ----------- ------- n�ri (BTU)
7T -
(This information not required if pipe length less than 6 ft. on naturav gas
or les�s,,,than50x-ft-r,,on LPG.)
JJ V, d �
.,.
— bEPARTMEMT OF PUBLIC WORKS
•' 7 County Center Drive —_ U'roville, California 95965 �� �7 _ ��-7/
Telephorie: 534-4541 ^ /
APPLICATION AND PERMIT U
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
yQ R 0 r ate
�^ Signature of Permitee or Agent
/� /
Receipt No. /L0,4,4//
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR,67VUBLIC WORKS
BY Date ,t- 2,7— z-7--
77
Building permit expires Date t; — !
BUILDING
Owner She ®
SQ. FT. OCC. BUILDING VALUATION
Mailing Address —6
U
Telephone No.
Fireplace
ContractorTotal
Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address11—bl RdPLUMBING
`
No. @ FEE
PERMIT FILING FEE $3.00 F000
,
Each Trap 1.50
U
go V0Water
Repair drainage or vent piping 1.50
piping 1.50 Q,cPo
Zoning Verification Only
Each gas water heater or vent 1.50
A. P. No. ,3 o "g 8 Planning
Gas piping system 1 - 5 outlets 1.50 ,Cjo
Each additional outlet .30
Fe
W.C.
Sa n Fire Dept.Fire
Zone I gs—e Permit
Building sewer 5.00 8,&-a
EQA
IParking arce!Lawn
Plans I Declaration
Parc e Map 60' R/W
Improv ents
sprinkler system 2.00
Bldg. Plans Rec'i! Parcel Approval
Plans pproval
Permit Fee $
$ -�
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00 iO9
Main service 1000 AMP OR1 11 LESS5.00 ,
Main service EA. ADD'L 100 AMP 2.50
Main service OVER soov 25.00
100 AMP OR LESS
Single Family ❑ Duplex ❑ Mobil Home b4 Others ❑
Main service EA. ADD'L 100 AMP 1.00
r,. MINIMUM
FT
CONST.NEW OR ADDNS( DWEACCLBLDG
OR LING OCCUP. &� 22sq ft
NEW CONSTR MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
EOR MOBILES
NEW CONSTR. POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) @251164
FIXED ALNS
Ex. Occup. (OUTLETSP(RESID)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 "443
License No. Classification
Misc. Wiring 6.25
�I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
®I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
®I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 1 2.00
Permit Fee $
$
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
EXP ar rqa Jk e il Lee
1;Z5—
TOTAL PERMI FEE isw--5
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
yQ R 0 r ate
�^ Signature of Permitee or Agent
/� /
Receipt No. /L0,4,4//
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR,67VUBLIC WORKS
BY Date ,t- 2,7— z-7--
77
Building permit expires Date t; — !
set of plama Ord wclfic4ions miff NOTE: -Al Materials & Workmanship Shall Be ift
kept on the job of all times and it is unjmwftal ter -Accordance wiTh Recognizes) Good Practices and
make any changes dr altero+ions on some W411out of a quality prescribed for the Specified use in the
written permission from the ne-+cqr;m'i+t of Pub':ic Uniform Building, Plumbing & Mechanical Codes anct
Works, County of Butte. the National Electrical Code.
/ we- �
Sepflc system and tocofion of
'''ag"dr°}: to be as per 4-4 ea
Bute County Health Dept. Re.
quirements.
1; lav" $5
Cobh d2rTicr ;n
k/�ie�t Wil. t,°/s'�
A permit will be *re
installation of tkG muobilehome.
All ufil;ty connections shall be'
located within 4 Tf. outside the rear
W,r,f s?c+ion of the mobile home
on the deft (road) side of the mobilQ.�
home. ta+
A�`�Iwli
owe Av'ye.
'he ..Setback shall:be 5 ff.
ide property line `and SQ .
centerline of the road, Perm i in
mum of a 2 ft, ecwo overhang bu
out of alFeasementst
the
the
a
LMECOUNTY
W DEPARTMENT.'
A PPIZO V ED
G-�-o p G E F 5-H,4 /0 0 fi/