HomeMy WebLinkAbout079-200-00513 0779 -2.00-00,5
Warren T. Ambrose e o; Way
`W Nmile@ V*Spmmwuw� 0 r o V- il —1e
Permit #499-79P(util. MH
ELEC.
GAS
Su S RUCTURE REQ, 0.
COMPACTION TEST
contr: Lloyd's e
.1 Or V T,
Permit #1643-79E lec.-O
d light/
MH)
681-90P�X
CA TER., 1�ige
-,P e on Drive, Otovill:e
2624
Cbn`tr: Mo ile-Home Center
(�c;j�Lat�6 ut._ ities/MH)� . ............
ELEC__LO�6
�qA
S AJAY,', - 4 /0
COMPACTION TE9T REQ_A1
SUPPUT STRUCT REQ AJr
I mit�7. 2-9j.0
1� �it � �
i n sc�t a I i o n k1l
2 '341 9
'341-9
CARPENTER".4, Lige
2624 Phaeton Dr, OroV . ill
(carport, decks/shedl/MH5
RESIDENTIAL
0�-
.36-78-05
.2341-90B
CARPENTER,' Lige
j 1 ie
L'2624 Phaet�on Dr,.drovill-e
c rpor t s� /M
(carport, de',k,,/shed/MH)
7-/
00
JOB FINALE
Signature
V=OK
0 = NotOK
- ="Not Ap�licable
= Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans)
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK exceet #'a
1. Zoning Require ments-Setbacks Easements
2. Footings; SizeSpacing-Marriage Lini�%,
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/0 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 DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except it's
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel,,,
3. Decks; Griders and/or Joists- Dec king -Braci ng-Sta I rs-R ails
4. Wood Awn.; Posts- Beams- Rftrs.-Coo nectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Caroorts: Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 1� .
9. Siding; Nail ing-Veneer-Stucco- Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps- Doors -Land I ng s
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except trs
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 - Equig.-Pool Lghtg.
Boxes-Enclosu res -Pane I 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'
Z'
V OK
0 Not OK
Not Applicable
Not Ready RESIDENTIAL (%c
Date UNDERFLOOR (Plans) OK except #'s
A. Zo n i ng �Setbac ks- Ease men ts-Flood-Slope
Ftg., Main; Soils-Ele'c. Grnd.-/,i. , /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /".Ftg. Depth
4. Ftg., Porches & Decks; 6oils-Steel-/ /Ftg. Depth
5. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. ,Slab; Steel -Wrapped
tZ. Piers-JkapLixg.EL@_SWeI
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. Gas Pipe; Size -Anchors ; * ,
11. Water Pipe; Test -Anchor- Reg u lator-Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -ins.
14. Girders-Sills-Anchoi Bolts -Joists -Vents -Cripples
15.'Insulation
Date ;qo Card 13-!5�* Date Card B-1
Date - Card B-1 ' Date Card B-1
Date PLUMBING (Permit) OK except #'s
ater Htr.; Vent -Access -Co m bust ion Air -Baffle
-Nail Protection
aler Pipe; Test & Anchor
D.W.V.; Test -Fittings & Anchor -Nail Protection
JJ9.--3ftowe,--l2an; Test, First Floor -Tub Acc6ss
k2�T- b & Shower, Second Floor -Tub Access
Gas Pipe; Size Anchors'
D24���B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
:�j�ure & Transformer Clearance -ins. Protection
ec. Receptacles Spacing -Lights & Switches at Doors
A_-�S I I Boxes & No. of Conductors -Stapled
_;44gRomex Installed Close to Ed_9e of Studs & C.J-ft:;_R
Equip. Ground made u�pw/Mech. Fastners*ajf_�5!
2, Appliance Circuts in Kitchen &Conductor Size/GFl
ga. Cu or AI-A.C. Wire Size ga.
'Cu or Al
I , irc. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral 11 Yes 0 No
rvic'le-Riser conductors & Ground -Main Disconnect .
3 uip. learances Panels- Motors-Mech. Equip.
loset Light -Shower Light -Spa Light
Smoke Detector
Datgwa&!�,. Card B-1 IM! Date Card B-1
Date Card B-1 Date Card B-1
Date 'MACHANICAL (Permit) OK except #'s
. . nsulation & Support
Vent Fan; Exhaust above insulation
-r- nsate Drain & Overflow; Size & Grade
og_de
!�X'�F rnance-Vent; Access -Comb. Air -Return Air Vent -1 15 outlet
Attic Access & Platform if Furnance in Attic
Dat§ARW Card B-1 Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'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
(NOTE: An entry must be mac
IIngle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. CIng. Joist-Rftr. ties-Purli6-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or TypeA Flue -Fireplace Throat clearance
48. Attic Access; Size & R6mex Proitection-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 T -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 I
56. Stucco Mesh -Drip Scre'ed-Fd. Vents-Underfir. Access
57. Glazing Area -Glass Protection -Skylights -Plastic,
58..Sheir Walls; Nailing-B61ts
59. Insulation-Walls-Ceilinds
60. Infiltration-Walls-Windo'ws
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidel ight Protection -Landings
62. Smoke Detector
63.,Furnace; Vents-Clearanbe-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting I
65. G.F.I. & Bath Fixtures 8� Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
4 67. Stairs & Rails
68. Fireplace or Stove; Cleara nces- Hearth
69. Elec. Outlets at Wood Panel: Int. & Ext.
70. Kit.Fixt. & Appliance; G nd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Recepta bles at Kit. Counter
72. Garage Fire Door: Swing -Land i ng -Close r
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-connector-P.R.V.
In Garage; Above Floorf-mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Ga�age; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic 0 Yes
78. Guard Rails & Deck Co6st ruct ion- Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood-Eartk
earance oo e un er oor s
80. Following instid.; Drive .11 Yes 0 No; Walks 13 Yes 0 No;
Planters 11 Yes 0 No
81. Stucco; Brown -Finish ,
82. A.C. Unit; Disconnect, Electrical, Plumbing -
83. Vents Above Roof; Plbg'-Appliance-Fireplace.-Clearance to
Openings 1
84. Water Well; Disco nnect,J Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection 1
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connecteld-C/0 to Grade -HD Approval
91. Energy Compliance Certificate-, Other Certificates
. i
Date Card B-1 I Date Card B-1- -
Date Card B-1 I Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
e, each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF UBLIC WORKS
7 County Center Drive - OrovilleI, California 95965 - T61ephone: 916/538-7541
APPLICATION,AND. PERMIT
PERMIT MO./
tff— `440
I/
ASSESSOR PARCEL NUMBER
39XXXXX 36-78-05
ZONING
PUD
BUILDING PERMIV
OWNER
Lige Carpenter —
TELEPHONE
533-1072
SO.FT. OCC. BUILDING
VALUATION
800 @ 10 8000
(cnrport)
m
OWNER*SOAILING ADDRESS
2624 Phaeton Dr. Oroville 95966
90 260
(shed)
CONTRACTOR'S NAME
owner
—
TELEPHONE
20 100
(deck)
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 9360
Filing Fee
$ 10.00
�ENCER-S MAILING ADDRESS
Permit Fee
$ 80.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 40.25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2624 Phaeton Dr.
Permit fee
$ 130.75
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Oroville
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
I
PARCEL MAP
I
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF�* Duplexo Mobilehome)� Other
SPECIFY
Gas piping system I - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G I
10-00ed
TYPE OF WORK
New F� Addition [] Remodel El Utilities [] Installation[] OtherU
Describe work: carport, dPr1c-,,shPd iindpr rn'RPORT
T
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00
Main service F -A. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
of the Busines
* I am licensed under provisions of Chapt. 9, Div. 3 S
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)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING CCUP.&
OR ACIDNS. ACC.BLOGS.
21/20sqft
NEW CONSTR. MULTI -OUTLET
NON-RESIC, §RAN CH C5C UITS)
2.50 ea,
P3WER 711F�TUS.&)
(SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
.20@50C
. AL@30q
FIXED APPLNS. OR I
Ex. Occup. OUTLETS (RESIC.) EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15-00
I
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
R The permit is for $100.00 (valuation) or less.
Ej I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 1 10.00
Heating
Cooling
Hood
00
3. -7
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 broperty 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 co seq e ce of the granting of this permit.
X Date �7—/o —9v_
Signoture-�00f Applicant f Owner tv Contractor E] Agent El
VA
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
130.75
TOT AL FEE $
AZ
I
I CUA
PARK
-
I SCHL
I FLD
I PAR
PO
I HD
ISSUE
This permit is nereby issued under the applicable provi-
si�ns oi the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
- - D 141 F,,I)l
;C R 0 BLIC WORKS
)
B _ _ ///, , -, . — , naip
P RES leate
ER IT EXPI
Receipt No. 70030
WMITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD- APPLICANT
;OUNTY OF BUTTEj- DEPARTMENT OF PUBLIC WORKS -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVIL��CALIFbRNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATIDOATA SHEET'
OWNER
Proposed Build6ng Use CA A PO t 1I gj_6 JL Buildi
'W
At time of permit application, I was advised the following data m'ust'E
Permit No.
A. P. No. -7 f3 0
Nector Date 7- IA -)6_
submitted prior to permit processing qnd/or issuance:
DATE RECEIVED APPROVED
When you issue the permit, process as follows: —Mail to owner. _MAil to contractor.
JZ Telephone and hold for pickup at 011OO office. —Del.iver w./inspector.
Other
Applic
ant Date
V
Copy of Haz-Mat form sent —Health Dept. —Fire Dept. ----Air Pollution Date
Copyofplanssent ---HealthDept. —FireDept. —Other— Date— By.
The following data must be sub mitted 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 byL--phone --- mail—counter byl'v�l ..date /I I (I "Lu
Contractor, designer, owner, was advised of above required data by—phone—mall—co nter by— dateL
Plans checked by Date P/ans approved by L7 Date
Sets of plans on hold in'—File cabinet _Ag_�'AP folder
Copy–DPW
V�
1 .
All items have been submitted . .. ..................................
k.A
A3.
2.
Plot plans in duplicate/triplicate,- signed by preparer of plans ......
Complete lans 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 Buildind's ... I ...........
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 ....................................................
13.
14.
School District fees paid ..............
Sanitation approval from Health Department
15.
City of Chico plumbing permit .....................................
16.
Plot plan and business license approval froTn 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.
21.
Pre -Inspection for required ... Pre-inspec. request to
Building Inspector
Contractor's license information (No., Name Style, Classification) . . .
22.
23.
Certificate of Workmans Compensation Insurance ..................
Owner -Builder Verification (Given to owner 0, Mail to owner 0) ..... 7117-96
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.
JZ Telephone and hold for pickup at 011OO office. —Del.iver w./inspector.
Other
Applic
ant Date
V
Copy of Haz-Mat form sent —Health Dept. —Fire Dept. ----Air Pollution Date
Copyofplanssent ---HealthDept. —FireDept. —Other— Date— By.
The following data must be sub mitted 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 byL--phone --- mail—counter byl'v�l ..date /I I (I "Lu
Contractor, designer, owner, was advised of above required data by—phone—mall—co nter by— dateL
Plans checked by Date P/ans approved by L7 Date
Sets of plans on hold in'—File cabinet _Ag_�'AP folder
Copy–DPW
V�
COUNTY Of
BUTTE
- Department. -of Public
Works
7 County
Center
Drive,-Oroville, CA
95965 Phone: 916- 538-754 1
OWNER -BUILDER VERIFICAT10N
Attention Property Owner:
An "owner -builder" building permit has been applied for 4 n your name and bearing
your signature.
Please compl'ete 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.
l.' I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. 1 (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. 1 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 Securit, NumVAer 'v
Date �r_ / r — Y?&) '. ,
NOTE: This Owner -Builder Verification is sent to you as required by Sectio6s 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*.
7",
"140
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ez� oil" u I I
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i kept on th 11b at
I
a III tirrt,es a nd it is! un6wfuf
ngds Or a foration'
s on
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e
PSMEM91 9F
Puvk
Works r
of
NOTE:-� tAaferjols Workmanship St ull.te in
Accordmce with Recognized Good Pi= ices an.d
of a quarity prewsbed for the SpecjfieJ4 se, in fhe
al Codes and
Unifomn-Wding, Phunbing. & Meau , Pic
wHafw Sectrilcal C046S
Oe
JW %3
L
�,K X.�r K /'I
JA sedack of 5 ft. from Owe
c6 7�CAS A4 1 0 Wm " a wftck Of
the mad Of -qO
centerkw9hall be clear
q*uctures or eq*rnot "Ow BUTTE Cbum,"
fw sk 2A. ANWO cvwtw* .40
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC -WORKS
7 County Center Drive — Oroville, California 95965
MIN. F
Telephone: 538-7541
211,x 1 z
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TrPICAL
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC -WORKS
7 County Center Drive — Oroville, California 95965
MIN. F
Telephone: 538-7541
4
6 07 iA
�
MOBILEHOME INSTALLATION ACCEPTANiCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY -CENTER DRIVE
OROVILLE, CALIFORNIA — 534 4541
PERMIT NO. 7 0 Z -,90
Address or location of mobilelibme :2 6.2 V f, P
Owner's name 0 r E2 114-e I
Owner'� address A e e 14 a,, r r, i e, <. ej 4a eoil
(o 17
Insignia or hud number
Manuf �cturer I s name 7 Co
Serial number of V.I.N.--7 6 Year of manufactu're
('Mie 1 -Z - ?0
(Official Approving Installation) (Date)
IF'THi MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
5136 White - Owner, Yellow - Installer, Pink - D.P.W.
TO: Building Department
FROM: Encroachment Permit Section
RE: -Diiveway Clearance
79 -e2
o �wfn e location AP #
.n-ivewav permit has been issued for the above property.
n b
As ign re
� - /?- -,�o
date
AP
.014NER
PERmrr go
MH UTIL.CLEARANCE DATE
INSPECTOR
ELECFR-IC
GAS
Support
Struc.
Compaction
Test.Req,__
ervice
�ize
Other
Load
Type
Pipe
Size
Length
YES! NO
'YES NO
is ..'
61
RESIDENTIAL
36-78-05
CARPENTER, Lige
2624 Phaeton Drive, Oro il
Contt: Mobile Home Center
(relocate utilities/MH)
0 F F 0 p y
CEI
4i Address
GAS
S 0
Meter By�
t
E L CTRC Date___
LECTRIC
Meter By t�4
Date
;e
C
JOB FINALED (Data) C? D—
Signature
I
I
V OK
0 Not OK
Not ApplicaNO
=Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
Y. Zoning Req u ire ments-Setbacks-Easements
�Z. Soils: Special MH Support Sketch 1
3. Sewer; Location -Test -Fall -C/0 Concrete
,P'Water; Location -Test -Easement Needed (Sketch)
j.
YElectricity; Location-Clearences-Grnd-/. /Amp -Concrete
6. Gas, Locationlgf�Wrap: *,VL"ft.
.,/45 ?Nat. or/
XUtility Clearance
Date -?0,f,0Card B-1 Date Card B-1
Date . Card B-1 Date Card B-1
Date MSBILE HOME INSTALLATION (Plans) OK except #'a
,A. Zoning Requirements -Setbacks Easements
Footings; Size'Spacing-Marriage Line
Ga ; MH Test-Demand-Valve—Connector
glectricity; MH Test -Crossovers -Breakers -Clearances
Drain; MH Test -Fall -Flex Connector
�Water: �MH Test -Regulator -Connector
Z. Water and Sewer Connected -C/0 to Grade -HD ADDroia-l—
Cert. of
Date 3-4 f--ju Card B-1 14VI e Date Card B-1
Datetf-6-fe-> Card B-1 M,O, Date Card B-1
J-
ri
YC
�MISCELLANEOUS
Date k' DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1 . Zoning Requ i rements-Setbac ks- Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Docks; 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; Sils-Anchors-Studs-Rftrs-Trusses
9, Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Ooofing
11. Ext.; Steps- Doors -Land I ng s
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, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GF1
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 -Pane I 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
4 OK
0 Not OK
- =Not Applicezfe . RESIDENTIAL (S
Notl.�eady
Date UNDERFLOOR (Plans) OK except #'s
1. Zon i ng -Setbacks- Ease ments-Flood -Slope
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. Sternwalls, 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/0 -Sewer Test
10. Gas Pipe; Size -Anchors r .
it: W51er Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -ins.
14. Girders -Sills -Anchor Bolts-ioists-Vents-Cripples
15. Insulation . I
t
(NOTE: An entry must be mat
-A
ingle & Duplex)
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 T -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�Underflc Access
57. Glazing.Area-Glass Protection -Skyl ights-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 #'s
61. Ext. Steps -Door & Sidelight Protection- Land i ngs
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. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor . 0 Yes
80. Following instld.; Drive 0 Yes 0 No;,Walks 0 Yes 0 No;
Planters 0 Yes 0 No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance , Fireplaci.�Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle- U nderg rou n d
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
Date Card B-1 Date Card B -1-
D -ate Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
le each time you visit job site)
Date
Card B-1 Date Card B-1
Date
Card B-1 'Date Card B-1
Date
PLUMBING (Permit) OK except #'s
16. Water "tr.; Vent-ACcess-Co m bust ion 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
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
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. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. S6bfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu'or Al
29. Range Circ. / I ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Pane Is- Motors- Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except It's
34. A.C. Ducts Insulation & Support_
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. FOrnance-Vent; Access -Comb. Air -Return Air Vent -1 15 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 #'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
t
(NOTE: An entry must be mat
-A
ingle & Duplex)
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 T -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�Underflc Access
57. Glazing.Area-Glass Protection -Skyl ights-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 #'s
61. Ext. Steps -Door & Sidelight Protection- Land i ngs
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. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor . 0 Yes
80. Following instld.; Drive 0 Yes 0 No;,Walks 0 Yes 0 No;
Planters 0 Yes 0 No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance , Fireplaci.�Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle- U nderg rou n d
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
Date Card B-1 Date Card B -1-
D -ate Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
le each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 Coun4y Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION -AND PERMIT
PERMIT NO.
6a I -Qtq,
-ASSESSOR PARCEL NUMBER
36-78-05
ZONING
PAC
BUILDING PERMIT
OWNER Lige C. Carpenter
TELEPHONE
SQ.FT. OCC. BUILDING
VALUATION
OWNER'S MAILING ADDRESS
2624 Phaeton Dr. Oroville 95966
CONTRACTOR'S NAMt_
Mobile Home Center
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
174 Feather River Blvd. Oroville 95965
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILI NG 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
2624 Phaeton Dr.'
Permit fee
$ 15.00
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Oroville
Solar or heat pump water heater
�0.00
LOT NO.
5
SUBDIVISION NAME
Manor
I PAZEL MAP
6 C//F
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFF� DuplexR Mobilehomelg Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home mno
10 .00 ea 30. 00
TYPE OF WORK
New R Addition [] Remode I [] Utilities a InstallationEl OtherEl
Describe work: 'Rplocatp Ift-i-Iii-ips
Permit Fee
-1
$ 40.00
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
main service 600V DR LESS
-_ 100 AMP OR LESS__
10.00 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 arid my license is in full force and effect.
License No. Classification
El 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 L.UIILI0CJ-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. ( DWELLING CC11.8i
OR ADDNS. ACC.BLDGS.
21/20sqft
NEW CONSTR. MULTI -OUTLET
NON-RESID, 2RAN CH C12C UITS)
2.50 ea I
PE___
WER TPF�R�TU &)
(SINGLE OUTLET-CIR.
Ex. Occup(OUTLETS OR FIXTURES
0@50t
1.2AL@ 300
FIXED APPLNS. OR
Ex. OCCUP. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00 .15.00
Misc. Wiring
15-00
Permit Fee
$ 'ici-on
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is ior $100.00 (valuation) or less.
E] 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.
Sr -h I shall not employ any person in any manner so as to become subject
)Q to the W. C. laws of California.
Notice to Applicant: It 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
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
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
against said Count * onsequence of the granting of this permit.
C.D
X Date
Signature of Applicant – Owner [I Contractor 11 Agen,/EJ
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of st uctures over 3 stories in height.
Mobile Home Installation Fee
$
Energy inspection Fee $
Occ
CONST TYPE
TOTAL FEE $ 90/00
CIA I
PAR11
I SCIL
I FLD
P�Xj
��HD
I ISS��
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
)DIREi�rOR PUBLIC
By— V 2t
r
PERMIT EXP(RES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
-90
Date3_ S'
-75_ t!�_Ql
::J
Receipt No. 59099
WHITE -D. W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT
41-COUNTY&OF- BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVIJLR, CAUFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER e!��r_ 1'74 Z D(= 4 =92Z A. P. No.
Building Inspector ate C4
Proposed Building Use
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 ....................................................
13. !�, School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Olot 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 0, Mail to owner 0) .... /.
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: — Mail to Ow er. —Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Appl ic-antl Date
Copy of plans sent — Health Dept., —Fire Dept�_ Other Date
'The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
date
Contractor, designer, owner, was advised of above required data by—phon _--maillcounter by'l
Contractor, designer, owner, was advised of above required data by—phone--maii—coun er by. date
ti
Plans checked by Date..L 1-5 Z) P I ans approved by -'_zw, r7l n t
Sets of plans on hold in File cabinet _AP folder
—1-A C)14_A
Copy—DPW
-COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 Couniy Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATIO9 AND PERMIT
PERMIT NO.
7
ASSESSOR PARCEL NUMBER
4,04— 0 6-7 91— 005
ZONING
BUILDING PE %-�
RMIT
O"N .4tR4 4r
A-, fo�_
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAIME TELEPHONE
lb .0 6 it a d vc- ty 40, C C a -?Cn- 42U
oeRAC OR'S MAILING ADDRESS
'.4)— Q2,Lex�
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
Aq
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
V
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 E:1 Duplex[] Mobilehom6K Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW
10.00 ed
TYPE OF WORK
New Fj Addition Ej R emode I EJ Utilities [I Installation2 Other
Describe work: e op 4
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
----
600V OR LE S
Main service 100 AMP ORSLESS
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. 1, 01 Classification e,
F� 1, as the own�r, 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)
E] I, as the owner, am exclusively contracting with licensed tUIILIc1C;L-
ors. (Sec. 7044)
F1 I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&)
OR ADDNS. ( ACC. BLOGS.
21/20sqft
NEW CONSTP- MOLTI-OLITLET
N ON.RESID, B RANCH CIRCUIT S)
2.50 ea
(POWER APPARATUS.&
SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURE!_
20050CI
SALO 30t
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
$
WORKMEN'S COMPE - NSATION INSURANCE
I declare under penalty of perjury (check one):
[J The permit is for $100.00 (valuation) or less.
y 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.
F-] 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.
ontractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation.
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws.relating
to building construction, and hereby authorize representatives of the 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 s Co ty in cons"enbe of the granting of this permit.
X D�te
Signature of Appli cant Owner Contractor Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
n at structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection. Fee
Occ
CONST TYPE
TOTAL FEE $ -7(0
1_�AZ
I CUA
PARK�CHL
—
_I
I —
FLD
P--1
PAR
—
:D I
�D
_I
This permit is hereby issued under
si��s oi the Butte County.Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
B
PE06�6 EXPIRJ Date
the applicable provi-
resolutions to do"
have been paid.
WORKS
Date.?-2,1—
-'J1
r'o
R7eceipt NO.
WHITE-O.P.W.. YELLOW -ASSESSOR, PIAK-INSPECTOR. GOLDENROD-APPL I CANT
1�
Q. ILINTY.�OF
.,;,.BVTTE DEPARTMENT OF P-UBLZC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - ORGV4LL!E, CALIFORN.IA 95965 - TELEPHONE: 916/538-7541
J
PERMIT APPLICATION'DATA SHEET
Permit No.
OWNER .'e,�Gd Zr=e A. P. No. 36—'�
A
Proposed Building Use "of A -T I
Bdi'l-ding Inspector z2az Date
A
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 ..............
9 8. Engineered truss details and layout in duplicate (required prior to plan checkL
9. Mobilehome installation data including manufacturer's installation QCP- �at _-�*'A�L
instructions .....................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from A
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, Classification) ...
-22. Certificate of Workmans Compensation Insurance ..................
-23. Owner-Build.er Verification (Given to owner 0, Mail to owner 0) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
— 25. Letter of signature authorization ...................................
26.
27.
W�6n you issue the permit, process as follows: — Mail to owner. —Mail to contractor.
Telephone �3!q_S-/292 and hold for pickup at —office. —Deliver w/inspector.
Other
Applicant Date
Copy of plans sent — Health Dept., — Fire Dept., — Other— Date
The following data must be submitted prior to permit issluance: ( rc n w 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---jnai 11—counter by --date
Contractor, designer, owner, was advised - of above required data by—phone —mal I —counter by— date
Plans checked by Date - Plans approved by Date -
Copy—DPW
Sets of plans on hold in File cabinet _AP folder
Q_/
P 76 - __r
CA6Prv-r_-p_
k-setback-af -5 fi V1 thrre—
property lines and a setback
of t. from. the road
36) centerline shall be clear. of
structures or equipment okcept
for a 2 ft. eave overhang.
P-6 'eq x c/u/7-r
)TE—All Materials & Workmanship Shall Be in
,Wrdance with Recognized Good Practices and
a quality prescribed for the Specified use in the
fform Building, Plumbing & Mechanical Codes and
,,-National Electrical Code.
GOA(ChCrl- WALKWAY
'PHAE,.rOAI _D n'vE
P_ 0'
This set of plans and specificatlons MUST b
kept or; the job at all'times and it is unlawful to
make any changes or alterations on same with
written permission from the Department of Pub
I;Ajorks,lCounty of.Bufte. I
BUTTE COUN'
BUILDING DEPAR"
A P -P. R 0 V
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BUTTE COUNTY DEPARTMENT,OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541.
MOBILEHONE INSTALLATION SHEET
7
1. Owner's Name:
J14 -C46 le'
2. Insxaller .'s - Name:
3. is the site currently under permit? Yes No
(If yes, furnish permit number OR J7
Is the site,an existing.site? Yes F� No'w
(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 [E— No
(If no, clarify
5. What is the mobilehome electrical rating? --------------- - Amps
6. What is'the mobilehome site service rating? --------------- Amps
7. What is the mobilehome site circuit breaker rating? -Amps
8. Is there any other electric load to be served by the
mobilehome site service? Yes. El No
(If yes, identify the load and size: (load) _(Amps)
9. What is the mobilehome site gas pipe size? -------------- - (in.)
D ----LPG
10. What is the type of gas service? ------------------- Natural.
11. What is the gas pipe length from meter or tank to the
niobilehome? --------------------------------------------- - (ft.)
12. What is the mobilehome gas demand? ---------------------- - (BTU)
*(This information not required -if pipe length less than 6 ft,. -
natural gas or less than 50 ft. on LPG.)
If other than single wide,
Mobilehome Mfr. A.J furnish Setup Model No. Year- /V
Width (ft.) Box Length (ft.) Tagalong or Expando Size' ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
I
manual and structurdl setup sheets (if not on file -with the County of Butte).
FOOTINGS (check one) Dr---wood-pressure treated or foundation grade. 2. other (specify)
.SUPPORTS (check one) Concrete block. n 2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE
Main Beams ------
Liate 2',
Line I
Main Beams
in:
Tag or Triple
Line I Piers:
Site -Min - ------------
Spacing-Max - ----------
From Ends -Max - -------
Line 2 Piers:
Size -Min - ------------
Spacing-Max ----------
From Ends -Max --------
jAU 3 Roof Loads:
Size -Min -------------
Location (FTC
e 4 Piers
Size -Min -------------
Spacing-Max ----------
From Ends -Max --------
Line 5 Roof Loads:
Size -Min. - " " -------
Location (From Front)
Line I OpeniQR$:
Size -Min - ------- ........
38cli-Side of Open I Ingo
with width Ove I r ---------
Line 3 Piers! (Under Bearing Wall Only)
Size -Min -------- -----
Spacing-Max ----------------
from Enda-Max. ........
Size-Min -------- I -----------
I IX 1.
Spacing-Kax. --, ----------- -- I- to
From Ends-M&X -------------- It
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BY: I Duu— corporat� 5
POW ineering
21 t�q, Env
Servicl a
Dw'fl. b C:3� LRef, N O.V—, -ILkl D a te 2 IV N
Model: oazo
Eff�
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
Return to DPW
Sectio n 26- 8.1 of the
be recorded prior to
90-09224
90-009224 Rec Fee 7.00
Total- 7.00
Recorded
Official Records
County of
Butte
Candace J. Grubbs
Recorder
8:00am 8 -Mar -90 JK 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGENENT
FOR RESIDENTIAL DEVELOPMENT
.Butte County Code requires this acknowledgement, -
issuance of a building permit.
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this.
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural 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 inco'nvenien'ce or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California., described
as follows:
4,,1111D
07
PROPERTY OWNERS:
V A5r/u
State of (U-)) IN On this the day of 19aQ , bafore
SS. me, the undersigned Notary Public, personally appeared
County Of -'eUT-Tr'_)
b&e
4-4—Pers-ouaTTY-Mow —n -155--m e. Proved to me on the basis
a am Bea anon am man IN man am Flown 0 f satisfactory evidence.
CYNTHIA A. COLLIER N to be the personky) whose fiame&) / 5 subscribed to
-CALIFORNIA mthe within i'nstrument and acknowledged that P15�7
NOTARY PUBLIC M
Butte County 10executed the same for the purposes therein contained.
My Commission Expires Oct. 30,1992 aIN WITNESS WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.
D
0
V—. e.1)
WM
CD
-09 224
M F
ORDER NO. BU -111290-3
DESCRIPTION
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE' OF'
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCEL I:
LOT 5, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CARRIAGE MANOR, A
PLANNED UNIT DEVELOPMENT", WHICH MAP WAS RECORDED IN THE OFFICE
OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
OCTOBER 26, 1978, IN BOOK 66 OF MAPS, AT PAGE(S). 48 AND 49.
PARCEL II:
NON-EXCLUSIVE EASEMENTS FOR INGRESS AND EGRESS, VEHICULAR AND
PEDESTRIAN MOVEMENT, PARK, RECREATIONAL AND FOR OTHER PURPOSES
OVER THE COMMON AREAS ALL 'AS SET FORTH IN THE DECLARATION OF
RESTRICTIONS RECORDED MARCH 28, 1979, IN BOOK 2383, PAGE 477,
OFFICIAL RECORDS AND AMENDED BY INSTRUMENTS RECORDED NOVEMBER 20,
1980, IN BOOK 2571, PAGE 354, OFFICIAL RECORDS; APRIL 17, 1986,
UNDER BUTTE COUNTY RECORDERIS SERIAL NO. 86-12040;. AND APRIL 23,
1986, UNDER BUTTE COUNTY'RECORDERIS SERIAL NO.,86-12768.
V 'P AM I T'N 499-79P
A196
PERMIT'EXPIRES
OWNER Warren T. Ambrose
owner
CONTR.
LOCATION (A.P. 8-12-5
2646 Monte Vista Ave.,, Sp.#5, Oroville
Temp. Power Pole
-Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
COIJ`NTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
SetbXck F%ewall Soil Piping
Formsx Pa4ets 1st Floor
MalOVIdg. Rest om Finish 2nd Floor
Foo * gs Window\ 3rd Floor
StemAJ I I Siding i Topout
Slab Root Shea%lng Water Piping
Piers Roofing Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
Stemwall Insulation Heaters
Slab Prov. for p� sical Appliances
Carport ndicappe.1
Conformance of ex. Gas PI Ing & Test
Footings structure Temp. Gas
Slab Final Sanitation
Patio FIRE!)eCE Final
Footings Footing ELECTRICAL
Masonry Walls Throat Rough
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLEA Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL brd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer -5r-/5,7q AV- Gas Piping
1QL6g4QKL1mNmST�ALLATION -------------- Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
e2-,7 '5�
Is-" ZZ,
Y-9
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMEN ' T OF PUBLIC WORKS
7 County Center Drive — Drov�ille, 'California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X k N��- Date 1—
Signature of Permitee or Agent
Receipt No. 1.96.;L-74
White-D.P.W. — Yellow -Assessor — Pink -inspector — Golden rod-Appli cant
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.
Z"t DIJRECTOR OF PUBLIC WORKS
Building permit expires Date
BUILDING
Owner a,�v� 7-
SO. F T. occ. BUILDING VALUATION
MailingAddress 3��,93_
y e
T�J
Contractor
Mai I ing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address I&
Plan Checking Fee &/or Penalty
Permit Fee $
$
37—
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 3,00
Each TraD 1.50
Repair drainage or vent piping 1.50
A. P. No.
Z%?.'1e_94&e7r. n �niing
Water piping 1.50 /0,10
Each gas water heater or vent 1.50
F,�jS �5
C.
I A I t4
SIV Q�
F eDe
ir p
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50 .0
,��EOA
Parking
Plans
Parc 1,
Declarat on
P arcel Map
__T_
1 60' R/W
P,4
I Improvements
Each additional outlet .30
Building sewer 5.Oo IL1.0d
��Ians Rec'd 1
Parcel
-P
-,A proval
Lawn sprinkler system 2.00
NEW ADDITION UTILITIES OTHER
Permit Fee $ D
;$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LE SS
100 AMP OR LESS 5.00
Single Family Duplex Mobi I Home Others
Main service EA. ADD -L 100 AMP 2.50
main service O11R 600V
100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. DWELLING OCCU
OR ADDNS. ( ACC.BLDGS. P 120 s q f t
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:
NEW CONSTP_ -OUTLET
NON.RES,., (MULTI
BRANCH CIRCUITS11 12.50ea
NEW CONSTR. (POWER APPARATUS
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUl)(OUTLETS OR FIXTIIRES 50 @ 250
BAL@100
FIXED APPLNS. OR %
Ex. Occup. (OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring
_+�,25
&I am exempt from the contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions ot 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.
MECHANICAL N0.1 0 FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 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
Land Development Fee
Is
TOTAL PERMIT FEE
Is I -C
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X k N��- Date 1—
Signature of Permitee or Agent
Receipt No. 1.96.;L-74
White-D.P.W. — Yellow -Assessor — Pink -inspector — Golden rod-Appli cant
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.
Z"t DIJRECTOR OF PUBLIC WORKS
Building permit expires Date
CQ_UNTY -OF BUTTE' _ DEPAR'TIVIENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
aU " IU1 I 4V It:VF"bVIItt1tIVt;b Ui mu uuunty vi nuttu tv enter upon ine
above-mentioned property for inspection purposes.
X AA45LL Date 1-4-17-2 5
iLlInature of Permitee or Agent
Receipt No. Jdb�a -72::Si
White-D.P.W. - Yellow -Assessor - Pink -inspector - Golden rod-Appl i cant
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
1p'y A . .1
By V W. AAZt;;, Date
Building permit expires Date 3—:1,7— F6
M
BUILDING
Owner
SQ. FT. OCC. BUI.LDING VALUATION
Mailing Address 3.2.- IS -
Telephone No.
Contractor
Mailing Address 0 P. o A,
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Add '%��7�
PlanChecking Fee&/orPenalty
Permit Fee $
_Y(
PLUMBING No.1 @ FEE
PERMIT FILING FEE J$3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
A. P. No. Z, Vin�AK;,`n"ing
Water piping 1.50
Each gas water heater or vent 1.50
0'
We's
W1
FireDept.
FireZone Use Permit
Gas piping system I - 5 outlets 1.50
EQA
IParking
Plans
Parcel
Declaration
I Parcel Map
I 60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
.Btd*§�-� ::::=Parcel
Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION UTILITIES OTHER J
Permit Fee $
1—
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00
600V OR LE
Main service 100 AMR ORSLESS 5.00 'c ---
Single Family Duplex Mobi I Home OthersEl
Main service EA. ADD -L 100 AMP 2.50
13 q q q- 7
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST DWELLING C UP. 51
OR ADDNS. * ( ACC.BLDGSO.0 20 sq f t
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:
0 L't
NEW CONSTR (MULTI -OUTLET
NON-RESID, BRANCH CIRCUITS) 12-50ea
NEW_CONSTFL (POWER APPARATUS.&
NON RESID. SINGLE OUTLET CIR J
Ex. Occur)(OUTLETS OR FIXTI1PES1 50 @ 251
BAL I
FIXED APPLNS OR )
Ex. Occup.(OUTLETS (RESI.D.) EA 2.00
Temporary service 10.00
Cr
Mobile Home Facilities 15.00
License No.2 9A /.(_2__ Classification 4Z—/ b
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of Cal ifornia.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions ot 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 tha t 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
Cal i forni a.
MECHANICAL No.1 0 FEE
-
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 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
Land Development Fee
TOTAL PERMIT FEE
aU " IU1 I 4V It:VF"bVIItt1tIVt;b Ui mu uuunty vi nuttu tv enter upon ine
above-mentioned property for inspection purposes.
X AA45LL Date 1-4-17-2 5
iLlInature of Permitee or Agent
Receipt No. Jdb�a -72::Si
White-D.P.W. - Yellow -Assessor - Pink -inspector - Golden rod-Appl i cant
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
1p'y A . .1
By V W. AAZt;;, Date
Building permit expires Date 3—:1,7— F6
M
. —RO-1
iN�
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