HomeMy WebLinkAbout079-200-006a
9 i 6
warren T. Ambrose 2628 Phaeton Wa
3646 if"Ifile - Orovill,p
Permit #5O-D-7-79P(util.
GAS
SUP STRUCTURE PtQ-.---
COMPACTION TEST REQ.
'2L -IFIR-AL! W
contr: Lloyd's Elec , Oro k1le
Permit #1644-79E(elec. & �rard lighty
MH)
31-91P,E'
SWICKARD, Ivan
2630 Phaeton.Dr, Oroville
...(Utilities/mh)
ELE
C Z�o 0 of- -
GAS A.)C .1
qOMPACTI TEST RE
.SUPPORT 'S RUCT-RE
.Permit#33-91B,E
carport
P6rmit#32-91MHI
(i..'st-aTlation/mh)
0?10
Permit#569-91B
(porch7m-h-7-
9
92-
- M 04-3091
SWICKARD, MARJORIE
2630 PHAETON DR, OROVILLE
CONT: MARVIN PLOURD
EX MH PERM FND EX SITE
N
07q 20 ooG
I
t.�, -N,
t
raft%
� j
AP
OWNER CA-) -C " C. �e, -
PERMIT #
MH UTIL.CLEARANCE DATE.
INSPECTOR
"OF
ELE RIC
GAS
Support Compaction
Struc. ITest �Req.
Service
Size
Other
Load
Pipe
Type Size
Length
YES NO YES NO
2-cD 0
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUT7rE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
20 -Dec -2004 2004-0077336
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This documentis evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real- property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
IVAN SWICKARD AND MARJORIE SWICKARD
REAL PROPERTY OWNER/LESSOR
5081 WILDERNESS WY. NO. 16L
MAILING ADDRESS
PARADISE BUTTE CA. 95969
C . ITY COUNTY STATE ZIP
2630 PHAETON DR.
INSTALLATION MAILING ADDRESS. IF DIFFERENT
OROVILLE BUTTE CA. 95966
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (ifalso property owner, write "SANE")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MMLING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
04-3091 (530) 538-7541
UILPING PERMIT NO., TELEPHONE NUMBER
'/I
SIgXATLlkt OF LOCALAGENC6V-6FPIC`IA-L UA 11:
NONE
DEALER NAME (if not a dealer sale. write "NONE")
NONE
DEALER LICENSE NO.
GOLDEN WEST HOMES
1991
CC567R4
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAMEINUMBER
GW6CALCC8694A/B
56'X 28'
RAD575739/40
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER 036-780-006
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY-HCD PINK -Applicant GOLDENROD -Building Dept.
., 27 2004 9:41�RM - HP LASERJET-3330
I
DES=PT1014
ALL THAT CERTAIN REAL pRopyRTy SjTt;ATE lit THE ST&TE OF
=FOMIA,, couzin or BuTTE, DESCRIBED AS FOLLOWS;
WT 6, AS SHOWN 00 TIJAT CERTAIN MKP ENT11U0, OCARRIRCE MMRj A
PWLNMD UNIT DEVMPKENT", WHICIt MAP FAS RECORDED IN TIM OF710E
STAIV OP CALIFORNIA, ON
OCTOBER 26, 1978t IN BOOK 66 OF HAPSO AT FAGE(S) 48 PXD 49.
SUBJECT TO COMAnSt CONDITIONS ANb RMTRICTIONS RECORDED URCH
281 2979, IN BOO -1 '23831 PAGE 477, orFICIAL RE00RDS, MD AMUND
sy INSTRLW.= PMORDSI) MMRZR 20o IS80, IN BOOR 201: PAGE
3S4s OFFICIAL PJMRDS.,, AML 27, 19861 UNDn MME -comiTy
RECORDER'S SIMIAL 1910. 86-120401 AND AML 231 1986,, WIR BUM
Conm RrCORDERIS SER:rAL 90. 86-12768.
PAPA= :11:
IRON -EXCLUSIVE EASEMNTS FOR INRESS AND BGRESSe VEHICULAR AND
pZI)ES,XRIAN MavEKW, pARy,, RZOMT10NAL, AND FOR OTM PUMSES
OYM THIE COM14ON AREAS ALL AS SET FORM IN THE DECLKRATIO9 OF
RISTIUCTIONS RECORD2D MARCH 28, 1979, IN BOOK 2383j, PAGE 477,
OFFICIAL RECORDS AND AWDED By umumnas REconip NOVEMBER 20,
29800, IN BOOK 2511, PAGE 354t 01"ICIAL RECOM; APRIL 17, 1986,
UVOER BUTTE COUNTY RECORDER'S SERIAL NO. 66-12040: AND APP -IL 23,
1996, UNDER WME COUNTY RECORDN'S SERIAL NO. 85-12760.
p. 5
05/27/2004- 09:47AM
BUILDING PERMIT NUMBER: 04-3091
Address or location of unit: 2630 PHAETON DR. OROVILLE, CA. .95966
Legal Description of Real Property: AP#: 036-780-006
SEE ATTACHED
(x) Mobilehome/Manufactured Home
Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: MARJORIE G. SWICKARD
Owner's address: 2630 PHAETON DR. OROVILLE, CA. 95966
INSIGNIA OR HUD NUMBER:" RAD575739/40
SERIAL NUMBER OR V.I.N.: GW6CALCC8694A/B
MANUFACTURER'S NAME: GOLDEN WEST HOMES Y R* 1991
OFFICIAL APPROVING INSTALLATION:
.DATE:
PHONE: (530) 538-7541
H.C.D. 513C
0 f
suTun Butte County Department of Development Services
-ADMINISTRATION * BUILDING * GIS * PLANNING
7 County Center Drive
Oroville, CA 95965
RETURN SERVICE REQUEST -ED
A.
Premier Builders'a V11, _r3
t "r%
w
1584 Wagstaff Roa*A.,.,
Paradise, CA 95969
.
Wil
in
012HI6205578
$00.37-1
05/16/2006
mailed From 95965
US POSTAGE
PREMS94 9S7 I I N C 21 OB/19/08-
RETURN TO SENDER
N_O_F__O____ RD—ORDER--ON _F:1LE__
P 96969 fill
q5i?8q%qqq8
I May 12, 2006
Butte County Department ofDevelopment Services
mm.buftecounty.net/dds
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
Marvin W. Plourd
1584 Wagstaff Road
Paradise, CA 95969
RE: Permit process for 433A (mobile home on a permanent foundation)
Site address: 2630 Phaeton Drive, Oroville
Ap# 036-780-006 Permit# 04-3091
Dear Marvin W. Plourd:
Your check, payable to HCD (Housing and Community Development) is being returned
to you; due to one of the following:
o Due to procedure changes, we are no longer holding HCD checks��and ask that you
please resubmit one at the time you pick up the 433A form for recording at the
County Recorders office.
o Permit application process not completed, therefore no building permit issued.
o Duplicate submission of a check to HCD.
o Failure to final the issued permit. I . I
o Failure to record the 433A document with the Recorders office.
ii Further information is required to'prepare the 433A/513 forms, prior to recordation.
o Grant Deed; o MH title/statem ent of facts; o Letter from legal owner.
xCheck payable to HCD, is dated over 60 days; HCD will not accept it.
This process must be completed before the mobile home can be removed from California
State license rolls and added to Butte County rolls as real property.
You will need to contact our office at (530) 538-7541, and ask for a Permit Application
Assistant; who will assist you in determining what is required to finish the 433A permit
process.
Thank you.
Butte County Department ofDevelopment Services
www.buftecounty.net/dds
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
May 12, 2006 B 5 UTTE
COUNTY
Marvin W. Plourd MAY 3 0 2006
1584 Wagstaff Road DEVELOPMENT
SERVICES
Paradise, CA 95969
RE: Permit process for 433A (mobile home on.a permanent foundation)
Site address: 2630 Phaeton Drive, Oroville
Ap# 036-780-006 Permit # 04-3091
Dear Marvin W. Plourd:
Your check, payable to HCD (Housing and Community Development) is being returned
to you; due to one of the following:
o Due to procedure changes, we are no longer holding HCD checks, and ask that you
please resubmit one at the time you pick up the 433A form for recording at the
County Recorders office.
o Permit application process not completed, therefore no building permit issued.
o Duplicate submission of a check to HCD.
o Failure to final the issued permit.
o Failure to record the 433A document with the Recorders office.
o Further information is required to prepare the 433A/513 forms, prior to recordation.
o Grant Deed; o MH title/statement of facts; o Letter from legal owner.
xCheck payable to HCD, is dated over 60 days; HCD will not accept it.
This process must be completed before the mobile home can be removed from California
State license rolls and added to Butte County rolls as real property.
You will need to contact our office at (530) 538-7541, and ask for a Permit Application
Assistant; who will assist you in determining what is requi red to finish the 433A permit
process.
Thank you.
5
STATE OF CAUFORNIA - BUSNESS, TRANSPOWATM AMD W008900 ABENCY $CKWARZENEGGER. Gwmmw
1*0ARTMENT OF HOUSING ANL )MMUNITY DEVELOPMENT
DMWn -of Codso sM IWW" st
Title Seamb
Vate ftimd , 08103420M
Decal #:
LAR4641
Manufacturer:
09248 GOLDEN WEST HM INC
Tradenam,e:
'GOLDENWPST
Model:
CC567R4
Manufactured Date: oinviggi
Registration Exp, -
First Sold On:
0M1991
Serial Number
OW6CALCr-q694A
OW6CALCC86941)
Record Conditions -
Registered Owner:
HUD Label Insignia
RAD575740
PPF rixempt
Use Code: SFD
Origiul Price Code: ANS
Rating Year:
Tax Type: LPT
Last ILT Amount:
Date ILT Fee Paid:
iLT Exemption: NONE
LAMO Width
14'
56, 14'
2630 PHAETON DR
OROVILLE, CA 95966
Last Tide Date; 01/14/1999
TAst Reg Card: 01/14/1999
SaWrrgnmfer lafo: Prim $.00 Transfeffed on 12J3111999
Situs Address
2630 PHAETON DR
OROVIL-LP, CA 95966
Situs Counrf: BtME
*** END OF TrrLE SEARCH
Order No
Escrow No. 106335-3
2-K"o,", No.
WHEN PECORDED MAIL TO:
MR. & MRS. IVAN SWICKARD
5081 WILDERNESs wAy, No. 16—L
PARADISE, CA 95969
MAIL 1AX STATEMENTS TO:
sarm as above
A.P# 036-78-0-006-0
89-029954 Rec Fee 7. uO
DOC 11.00
Recorded Total 15.00
Official Records
County of miuvAL-LEY TITLE CO.
Butte
Candace J. Grubbs
Recorder
8:00am 10 -Aug -89 RB 2
SPAE�L A�OVE T11IS LINE �OR RECOROER'S USE
DOCUMENTARY TRAMFER TAX $ ....... 1.1.....0, 0
Car. Mad on the consideration or value at property conveyed; OR
Computed on the ;onsideration or %,alue less lions or encumbrances
remaining at time of sale.
Signatum of Oeclhr�, .1 "... N.m.
MID VALLEY TITLE &�ESCROW COMPANY
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of wijich is hereby ackiinwIL(jued, TRANSFER
HERBERT C. HILLIARD and LLAUDINE HILLIARD, husband and wife TAX PAID
hereby GRANT(Si to
IVAN SWICK-ARD and MARJORIE SWICKARD, husband' and wife as Joint T . enp-rits'
the real property in thePAIN unincorporated area of the
County of Butte State of Calilornia. described as
SEC ATTACHElD LESAI DESCRIPTION
Datecl_. J`UNE.27, 1989_. .
STATE OF CALIF A I
'a&
COLINIYOF_
On—
before me, the undorsigned, a Notary Public in and for said Staff.. Do,-
500ally appeared .. .......
C. HILLIARD,
CLAUDINE HILLIARD
personally kno-vA to Ino to, proved to me 0,, the bas,s of satisfactory
evidence) to be the person(%) FICIA 3LAL
-hose namn(s).s/a,a �.IJSC10ad 10 In. LAURIE R. KNEELAND
within insirumani and aCknowltua ad 10 me that he/She/lhuy (,.cculed NOTARY PUSUC - CALIFOR
SONOMA COUNTY
Me same.
WITNESS M ADfr
SignaWh_ iP -a I— ojj,ci�j wi.l
MAIL TAX STATEMENTS AS DIRECTED ABOVE 1002 (6/82)
I . f
Mavp 27 2004 9:44AM HP LASERJET 3330
89-29954
mm=rrilopt
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
CAlJFQMlA, cown or Bum, Duckimu As FOLLOW;
MCEL Is
LOT 6, AS SHOWN Oil T;tAT CERTAIN XAP EPTXITZC, "CA3WAGE MMR, A
PUUMD UNIT DEVELOPMENT", WHICS MAP NAS RECORDED IN TEE OMCE
jDp Tpv TkvC0jcLrn Of. THLP OV MLIFORlilA, ON
OCTOBER 26, 1978p IN BOOK 66 OF HAPSt AT PAGE(S) 48 AM 49.
SUBJECr To COMM o CONDITION3 AND RESTRICTIONS RECORDED MRCH
211, 2979, IN BOOZ '23631 PAGE 477, oryleM RECDPDS, WD AMENDED
By XNSTRUMEM MORDED NOMEW 20.r 1980, IN BOOK 201: PAGE
354, orriCIAL PJWRDS: APRIL 17, 19961 UNDER BUTTE CDMITY
RECORDER'S SERIAL No. 96-12040,' AND AML 23, 1986, WER BUTTZ
CIUNTV RxcORDERIS SERIAL NO. 86-12768.
NON-EXCLUSIVE EASEMNTS FOR 18GRESS AND ZGRESSP VEIIICULAI XNI)
pzl)Es,fRIAN movEKW, PARK, REQMTIONAL AND FOR OTM MMSES
OVMt TIJIS COMN AREAS ALL AS SET FOM'H IN THE DECIARATION OF
IMSTPJCTICNS RECORDW MARCH 2B, 1979, 7M BOOR 23830, PAGE 477,
OFFICIAL RECORDS AND AMENDED BY INSTRUMINTS RECORDED NWEMBFR 20,
29800, IN BOOK 2513, PAGE 354t OrFICM RECORDS; APRIL 17, 1986,
U31DER BUTTE COUNTY RECORDER'S SERIAL NO. 16-12040: AND APRIL 23,
1996, UNDER WME COUNTY RECORDtIt'S SORM NO. 86-12760.
p. 5
05/27/2004- 09:47AM
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
ga 10 0 �4 — GD 10 -7 -7 _-3 --3 rs
Recorded
Official Records
CountT Of
BUT E
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
01:@IPM 20 -Dec -2004
REC FEE 10.00
CONFORM 1.00
COPIES 2.50
Jason
Page I of 2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBELEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
IVAN SWICKARD AND MARJORIE SWICKARD
REAL PROPERTY OWNER/LESSOR
5081 WILDERNESS VVY. NO. 16L
MAILING ADDRESS
PARADISE BUTTE CA. 95969
CITY COUNTY STATE ZIP
2630 PHAETON DR.
INSTALLATION MAILING ADDRESS. IF DIFFERENT
OROVILLE BUTTE CA. 95966
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (ifalso property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
04-3091 (530) 538-7541
PUIL I G PERMIT NO., TELEPHONE NUMBER
AA41k"11
SIgNATURE OF LOCAL AGENCY -OFFICIAL DATE
NONE
DEALER NAME (ifnot a dealer sale. write "NONE")
NONE
DEALER LICENSE NO.
GOLDEN WEST HOMES
1991
CC567R4
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAMEfNUMBER
GW6CALCC8694A/B
56'X 28'
RAD575739/40
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
I
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 036-780-006
SEE ATTACHED
HCD FORM 433(A),REV. 8/91
WHITE -County Recorder CANARY-HCD PINK -Applicant GOLDENROD- Building Dept.
89;29954
DESCRIPTION
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTEt DESCRIBED AS FOLLOWS:
wil0l"I"
LOT 61 AS SHOWN ON THAT CERTAIN MAP ENTITLEDo "CARRIAGE MANORI A
PLANNED UNIT DEVELOPMENT"t WHICH MAP WAS RECORDED IN THE OFFICE
OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
OCTOBER 26, 1978, IN BOOK fi'6 OF MAPS# AT PAGE(S) 48 AND 49.
SUBJECT TO COVENANTSo, CONDITIONS AND RESTRICTIONS RECORDED MARCH
28, 1979, IN BOOK 2383v PAGE 477o OFFICIAL RECORDSp AND -AMENDED
BY INSTRUMENTS RECORDED NOVEMBER 20* 1980s IN BOOK 25711 PAGE
3541 OFFICIAL RECORDS; APRIL 17, 1986, UNDER BUTTE COUNTY'
RECORDERIS SERIAL NO. 86-12040; AND APRIL 23,, 1986,, MIDER BUTTE
COUNTY RECORDERIS SERIAL NO. 86-12768.
-PARCEL IXoo
NON—EXCLUSIVE EASEMENTS FOR INGRESS AND EGRESSp VEHICULAR AND
PEDESTRIAN MOVEMENTp PARK, RECREATIONAL AND FOR OTHER PURPOSES
OVER THE COMMON AREAS ALL AS SET FORTH IN THE DECLARATION OF
.RESTRICTIONS RECORDED MARCH 28* 1979s, IN BOOK 2383t PAGE 477j,
OFFICIAL RECORDS AND AMENDED BY INSTRUMENTS RECORDED NOVEMBER 20,r
1980, IN BOOK 2571, PAGE 354, OFFICIAL RECORDS; APRIL 17t 1986*
UNDER BUTTE COUNTY RECORDERIS SERIAL NO. 86-12040; AND APRIL 23,,
1986, UNDER BUTTE COUNTY RECORDERIS SERIAL NO. 86-127680
0
NOTES
PERMIT
RESIDENTIAL
136-w AARJOP-1"
SWICKAP,T), �
2630 plAAE-T014 fo, OROV"-,-.,.
M�F
CONT.. 'VIN pj_oUF_lD
EX 1,4" PEW FND Ey, SITE
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2 STATEMENT OF FACTS. (ONLY ON NEW
MH'S).
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
FF
IL
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature
CHECKED
BY
=N
= Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except Ws
1 . Zoning Req uirements-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-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or / P' L "ft./ PLPG
7. Well Clearance & Disconnect
8. Utilitv Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except ft
1 . Zoning Requ i rements-Setbacks- Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test- Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test- Regu lator-Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type- Installation Cart.
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
Date
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Footings; Soi Is -Size- Depth -Spacing-Con nectors-Steel
1
. Zoning Requ irements-Setbacks- Easements
4.
2.
Footings; Size -Spacing -Marriage Line
5.
Alum. Awn.; Col um ns -Connections -Splice -Decal- Enclosures
3.
Blocking
Carports; Windows -Doors
4.
Gas; MH Test- Demand -Valve
8.
5.
Electricity; MH Test
9.
Siding; Nailing -Veneer -Stucco -Mesh
6.
Water; MH Test
Roof; Shthg-Roofing
7.
Water and Sewer Connected
12.
8.
Gas and Electricity Tagged
9.
Exits
Card B-1 Date Card B-1
Date
110.
License Decals
Date
A
Date
f .4 t
-,Verify Ws with Off i
;r'do B - 1 Date
Card B-1
Date
f
Card B-1 Date
Card B-1
kiN D s7-75-7 cf 6(3 �
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except ft
1.
Zoning Requ irements-Setbacks- Easements
2.
Footings; Soi Is -Size- Depth -Spacing-Con nectors-Steel
3.
Decks, Girders and/or Joists- Decking- Braci ng -Stairs- Rai Is
4.
Wood Awn.; Posts- Beams-Rftrs-Con nectors
Shthg- Frg -Bracing
5.
Alum. Awn.; Col um ns -Connections -Splice -Decal- Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps- Doors- Land i ngs
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except ft
1 .
Setbacks- Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals- Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards- Ins. to Main Conduit
9.
Health Department Approval
Plumb.; Cir. Test -Water Supply Test
-10.
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
4 = OK
0 = Not OK
- = NotApplicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1 .
Zon i ng -Setbac ks- Easements- Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
5.
Sternwalls, 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.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors- Reg ulator-Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
47.
Card B-1 Date Card B-1
Date
Cling. Joist-Rftr. Ties- Purl in -Roff Brac.-Truss-Shting.-Rtng.
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
17.
Water Htr.; Vent -Access -Combustion Air Baffle
52.
18.
Water Pipe; Test & Anchor -Nail Protection
Property Line Firewall & Openings
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
55.
20.
Shower Pan; Test, First Floor -Tub Access
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
21.
Test Tub & Shower, Second Floor -Tub Access
58.
22.
Gas Pipe; Sixe & Anchors
Glazing Area -Glass Protection -Skylights -Plastic
23.
Fire Sprinkler; Test
61.
Brace lnterio�/E�terior Wall Panels
62.
Date
63.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except Ws
64.
24.
Fixture & Transformer Clearance -Ins. Protection
Smoke Detector
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
67.
26.
Size Boxes & No. of Conductors Stapled
G.F.I. & Bath Fixtures & Tub Access -Spa
27.
Romex Installed Close to Edge of Studs & C.J.
70.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Fireplace or Stove, Clearance- Hearth
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
73.
30.
Subfeed Wire Size/ /ga. Cu or AI-A.G. Wire Size/ /ga Cu or Al
Elec. Outlets &,Receptacles at Kit. Counter
31.
Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al
Insulated Neutral C1 Yes C1 No
76.
32.
Service -Riser Conductors & Ground Main Disconnect
Wtr. Htr.; VentSLClearance-Comb. Air Connector- P. R.V.
in Garage; Abo've Floor-Mech. Protection
33.
Equip. Clearances Panels-Motors-Mech. Equip.
79.
34.
Clothes Closet Light -Shower Light -Spa Light
1 nsu lation- Foam- Looked in Attic
35.
Smoke Detector
82.
Fdn. VBents &'Crawl Hole Door Drainage & Wood -Earth
Date
83.
Card B-1 Date Card B-1
Date
Stucco Brown' -Finish
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
36.
A.C. Ducts Insulation & Support
88.
37.
Vent Fan, Exhaust above insulation
Ventilation Thrloughout House
38.
Condensate Drain & Overflow, Size & Grade
91.
39.
Furnace -Vent Access -Comb. Ait- Return Air Vent 115 Outlet
Gas Test -Meters Tagged, Gas -Electric
40.
Attic Access & Platform if Furnace in Attic
Date
Energy Com6liance Certificate -Other Certificates
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41.
Sills Proper Materials & Anchors
42.
Walls Studs -Nailing Spacing & Braces- Plates -Sou nd
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat prooQ
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47.
Hangers -Post Caos-Anchors-Connectors
48.
Cling. Joist-Rftr. Ties- Purl in -Roff Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width- H eadroom- Rise- Ru n- Landing- Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace lnterio�/E�terior Wall Panels
62.
Insulation -Walls -'Ceilings
63.
Infiltration -Walls' Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date FINAL (Plans) OK eicept #s
64.
Ext. Steps -Door, &Sidelight Protection- Land i ngs
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails 1
71.
Fireplace or Stove, Clearance- Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets &,Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; VentSLClearance-Comb. Air Connector- P. R.V.
in Garage; Abo've Floor-Mech. Protection
78.
Plb.; Elec. & Mbch. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
1 nsu lation- Foam- Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents &'Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor El Yes
83.
Following Instld./brive Q Yes D No/Walks Q Yes 0 No/Planters 0 Yes Q No
84.
Stucco Brown' -Finish
85.
A.C. Unit Disconnect, Electrical- Plu mbi ng
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle- U ndergrou nd
89.
Ventilation Thrloughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/0 to Grade -HID Approval
94.
Energy Com6liance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
. BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buftecounty.netkdds
PERMIT NO.
BP043091
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 11/10/2004 APN: 036-780-006-000
the Business and Professions Code, and my license is in full force and
affect. -(S License Number: 3 -3
License Class:
Site Address: 2630 PHAETON DR ORO
Date: MContractor. A4 9"1110 PM04
Map Index:
Description: EX MH EX SITE PERM FND
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which.requires a
Owner: SWICKARD MARJORIE
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
2630 PHAETON DR
signed statement that he or she is licensed pursuant to the provisions of
OROVILLE, CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95966
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
1. as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: PLOURD, MARVIN
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
DBA PREMIER BUILDERS
such work himself or herself or through his or her own employees,
1584 WAGSTAFF
provided that such improvements are not intended or offered for
PARADISE, CA 95969
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
530-872-1096
proving that he or she did not build or improve for the purpose of
sale.).
1, as owner of the properly, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:. PLOURD, MARVIN
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
DBA PREMIER BUILDERS
pursuant to the Contractors' State License Law.).
1584 WAGSTAFF
13 1 am Exempt under Article 3 of the Business and Professions Code
PARADISE, CA 95969
530-872-1096
Date: Owner:
License #: 343173
WORKERS'COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
13 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
Cill,"I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carder and policy number are:
Carrier:— 52 -a -LE C-09,07
Total Square Ft: 0 S. F.
-7 (' Q,
Policy #:_ 1,, .2- Z -6Q0
Valuation: $0.00
Census Code:
13 1 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 workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: � to 40 f
L U
Applicant7 AA& -L2 o\j
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This p here under the applicable provisions of the Biont-. C6untq C6dF1':?r6TCt/6f--
' pp'
�indicated
I hereby affirm that there is a construction lending agency for the
Resol ions o*rk ca above forwhich fees have been paid.
'o
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
kissued
By: Date:
PERMIT 2EXPIRES 11, - 10 -
Address:
(Date)
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
C3 Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: Signature:
Date:
El Owner 3—C-ontractor Q Agent for Owner LI Agent for Contractor
BUTTE COUNTY '
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 CI-HCO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED A T TIME OF APPLICA TION
"PLEASE PRINT CLEARLY"
OWNER
Last Name Su -9 Lcx_(A�
r irst Name MAPW Iz t
Address 2 & -3 0 FN4Qt--- 7_0�J
City
'ate OP,
1 zip
Phone -[Fax—
city
E-mail
APPLICANTNAME
CONTRACTOR
Name
Name
P9_7�_u PL -00 Tz_'C;'
City F,4P—�_b 15AE
Address
'ae
city
_X__ State og-
Zip
I
-Phone
,,7 2 — 70—? -Fax
E-mail
E-mail
Lic. #
Class
APPLICANTNAME
ARCHITECTIENGINEER
Name
Address C4
Address
City F,4P—�_b 15AE
city
'ae
State
Zip
Phone
EFax
Fax
E-mail
State Ucense Number
APPLICANTNAME
Name PA A-P—U C 1\J
_FL� T271�
Address C4
Type Const.
City F,4P—�_b 15AE
Map Book
'ae
FP;s7,o F
Phone
Date Approved:
EFax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning Flood Zone SRA. Yes�
N,;
Occ.
Type Const.
Subdivision Name
Map Book
Page
If hiring anyone other than license contractors, a cerlificate, of worker's
compensation must be shown at the time of permit issuance.
Planner
Date Approved:
PERMIT
NO.
BP0430:zj (
BIN #
LOCATION
AP# 7,5 —0 &
Property Address _FC_1t_V
2 (p 3o Pe40_1_--'fc)A) PT,
07�DLA
Cross Street
C & V,), C' t-�- v
_j
WORKER'S COMPENSATION
Policy Number 7 7— e 0
Carfier
S7-10'rlE co A4 'P
If hiring anyone other than license contractors, a cerlificate, of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
-Name
Address
Descripfion or Scope of Work:
p4 J> 19-ry 6 k-)
L)N-W_--'r— PHil—Syt e1,VW1L,9_z
Sq. Footage
0 Structure Built without Permits
0 Proposed Change of Occupancy
(Note preViDUS use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refun able. - ' I
Received by: jC:?,11 Amount: 2-74-,'9 -5 Bldg
SRA
Receipt : -Sheriff
tjr?, (C -A 6 $ 22) 4-19S-SMIP
0VER FOR SUBMITTAL REQUIREMENTS L,
K:\FORMS\BUILDING FORMS\BldgAppISubRqmts.doc Page 1 of 2
Date: 10. �, 4—
Other
�'-'74- "� -5 Total
REV 7-27-04
SUBMITTAL & PERMIT REQUIREMENTS i 1 11
The following drawings and specifications must be submitted to the'Building Division in order Ito apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
0 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl
0 2., Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
El 3. Engineered truss details and layouts in duplicate (if required). No faxes!
0 4. Energy compliance design and supporting documentation in duplicate. (Note: Not requir(,.,d for additions to
mobile or modular. homes.)
01 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Flo6r Plan, (D) Tie down
or fnd plans, all in duplicate.
0 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in Jiplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the enginee .
0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
0 9. Site plan and business license approval from the City of Biggs.
0 10. Letter of intent for non-residential buildings.
0 11. Detached Accessory Building Form filled out by the owner (if required).
0 12. Hazardous Material Form (for Com.mercial guildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Che k and Planning
review (May require additional plan review upon receipt of the following items.)
0
1 .
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
0
2.
Impact Fees.
0
3.
California Department of Forestry plan approval (if required).
0
0
4.
5.
NPDES Form.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
0
6.
Contractor's license information. (Number, Name Style, Classification).
0
7.
Worker's Compensation Carrier and Policy Number.
0
8.
Owner -Builder Verification (if required).
0
9.
Letter of Signature authorization (if required).
0
10.
Recorded copy of Agricultural Acknowledgment Statement.
0
11.
0 Grant Deed, 0 M.H'. Title/Statement of Facts, 0 Letter from Legal Owner (for 4-RiAS).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538-7541. 1
EXPIRATION OF APPLICATION
Applications for which a,permit has riot been issued will expire one year after date of application.
on an application after expiration, a new application, plans and fees W11 be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request mil
years from.the date of fee payment on permits not issued, and two years from the date of perml
I
issued; however, on issued permits refunds can only be made if no construction work has been
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
order to renew action
be made within two
issuance for permits
ie. Filing fees, plan
KAFORMSMILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 1 REV 7-27-04
COUNTY OF BOTTE-DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County- Gentt"`D,06,71�roville, CA 95965..Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLIC�TiON DATA SHEET
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
0 17. Fire Sprinklers ............................................................................................
0 1 -,:, Agricultural Buffer cIr and site plan apr from the Ag Commissioner Sent by_..
0 19. Soils Report and/or Engineered Foundation required ........................................... ........
20. Erosion Control Plan Required ............................................................ . ........
21. Fees as shown on the attached Schedule of Fees Due
0 22. City of Chico Plumbing permit ........................................................................
0 23. California Department of Forestry plan approval 0 paid. Sent by: . .............
0 24. Planning approval (A) Use: - (B)Parking: _(C) Parcel Check:
0 25. Contact Land Development about - Improvements, Drainage .........................
0 26. NPDES Form .............................. .... ......... ........ * * * , "
Q 27. Encroachment Permit for driveway from the Public Works Dept ...........................
21 28. Pre -inspection for ey, m w 15, x -_ , -rr- required .......
Cl 29. Contractor's license information. (Number, Name Style, Classification) ...................
0 30. Worker's Compensation Carrier and Policy Number ................................. ---
0 31. Owner -Builder Verification (_ Given to owner, -Mailed to owner) .....................
0 32. Letter of Signature authorization ....................................................................
El 33. Recorded copy of Agricultural Acknowledgment Statement ........................... * * ....
0 34. Manufactured home utility clearance ...............................................................
0 35. Existing violations and/or expired permits ........................ * ........ ......
0 36. Deed Restriction .........................................................................................
0 37. �p Grant Deed, Eff M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D. $
0 38. Other:
0 39. Other:
When issued Telephone 63 7--) - I oel 4= -and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: Date: /"e�/,?
1. Index permit application for the above items numbered: Plan Check letter
2. Additionaf�i
e�quired L/
signer, ner, was advised of the above data by CR"'phone, 0 mail, 0 counter, by 0(9
Date: 0
11 A -04-
,or,
ow
Contra e owner was advised of the above data b� "one, 0 mail, 0 coNLr by
(t�D Date: f.77/ 17 r
Plans reviewed by: - ilk L_ Date: OY - Plans approved by: Date 7, r
Structural reviewed by: Date: Structural approved by: Date: '/I J!q 10
Note transfer by: - Date: I I
Yellow: Building Division
OWNER:
-ASSESSOR PARCEL NUMBER C,:3 00 4fX:5
Proposed
Building Use: 6 X 5 17 6. L- 14 PC-- 42-1 r> Counter Technician: Date:
I
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t6 apply.
1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. -
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
Fou 17
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0
4. Engineered truss details and layouts in duplicate. No faxes!
0
5. Letter from Engineer or Architect for truss design review.
0
6. Energy compliance design and supporting documentation in duplicate.
0
7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0
8. Manufactured homes: (A) Data sheets and installation inst, (8) Marriage line info, (C) Floor Pla Tie dow
r f al
duplicate.
0
9. Metal bldgs: (A) Metal Bldg Plans, (B) Frid plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor I
s in trFplic All of these
must be stamped and wet -signed by the enginee .
0
10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
El
11. Site plan and business license approval from the City of Biggs
0
12. Letter of intent for non-residential buildings
0
13. Detached Accessory Building Form filled out by the owner
0
14. Hazardous Material Form
0
15. Sanitation and site plan approval from the Environmental Health Department in 0 Chico 0 Oroville, as applicable.
0
16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
0 17. Fire Sprinklers ............................................................................................
0 1 -,:, Agricultural Buffer cIr and site plan apr from the Ag Commissioner Sent by_..
0 19. Soils Report and/or Engineered Foundation required ........................................... ........
20. Erosion Control Plan Required ............................................................ . ........
21. Fees as shown on the attached Schedule of Fees Due
0 22. City of Chico Plumbing permit ........................................................................
0 23. California Department of Forestry plan approval 0 paid. Sent by: . .............
0 24. Planning approval (A) Use: - (B)Parking: _(C) Parcel Check:
0 25. Contact Land Development about - Improvements, Drainage .........................
0 26. NPDES Form .............................. .... ......... ........ * * * , "
Q 27. Encroachment Permit for driveway from the Public Works Dept ...........................
21 28. Pre -inspection for ey, m w 15, x -_ , -rr- required .......
Cl 29. Contractor's license information. (Number, Name Style, Classification) ...................
0 30. Worker's Compensation Carrier and Policy Number ................................. ---
0 31. Owner -Builder Verification (_ Given to owner, -Mailed to owner) .....................
0 32. Letter of Signature authorization ....................................................................
El 33. Recorded copy of Agricultural Acknowledgment Statement ........................... * * ....
0 34. Manufactured home utility clearance ...............................................................
0 35. Existing violations and/or expired permits ........................ * ........ ......
0 36. Deed Restriction .........................................................................................
0 37. �p Grant Deed, Eff M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D. $
0 38. Other:
0 39. Other:
When issued Telephone 63 7--) - I oel 4= -and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: Date: /"e�/,?
1. Index permit application for the above items numbered: Plan Check letter
2. Additionaf�i
e�quired L/
signer, ner, was advised of the above data by CR"'phone, 0 mail, 0 counter, by 0(9
Date: 0
11 A -04-
,or,
ow
Contra e owner was advised of the above data b� "one, 0 mail, 0 coNLr by
(t�D Date: f.77/ 17 r
Plans reviewed by: - ilk L_ Date: OY - Plans approved by: Date 7, r
Structural reviewed by: Date: Structural approved by: Date: '/I J!q 10
Note transfer by: - Date: I I
Yellow: Building Division
PLAN REVISION
Owner's Name:Euj
BP#:
Date:
Contact Person & Phone Number:
AP4:
Received Byr:
Time:
PURPOSE OF RE -SUBMITTAL OR REVISION
0 Permit Application Data Sheet Item
0 *Engineering
0 *Plan Revision
0 *Requested by Building Inspector's Correction Notice — Inspector's Name:
0,- �equested by Plan's Examiner— Plan Examiner's Name:
0 Other:
*If revising a plan which has already been issued, submit two (2) drawings reflecting the revision
for plan review along with your approved plans. If engineering is involved in this revision, the
.engineer must put his requirements on these drawings and wet stamp and sign two se ' ts of
engineered drawings. Revised drawings must clearly show changes proposed. and locations
involved.
WHEN APPROVED, PROCESS AS FOLLOWS:
0 Mail to Owner/Contractor at this address:
3 --'Call 9 S -rl;- ISD and hold for pick-up.
o Deliver with next inspection.
Minimum revised plan check fee to be collected at time of submission of revision, plans
examiner will determine if additional plan checking fees are needed:
0 Minimum $54.99 Receipt#:
Fee not required for revisions requested by plans examiner prior to issuance of permit.
0 Additional Fee Amount:
Receipt #:
Revised 2/04
k
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
Sq.Ftg
4. URBAN AREA FEES
Residential (per unit). - ... x
# Units
Amt.
A. P. #
DATE
RECEIPT # DATE REC.
(paid at Building Division)
Commercial (Sq. Ftg.).... x
Sq. Fig. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE iNSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid. at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone x $
_w —
Zone # Units Amt.
Commercial (sq. ftg.) ......... — x $
Sq. Fig. Amt.
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checkin pro -
DA
APPLICANT 1_��
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requiremenis for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
OWNER
PROPROSED BUILDING USE 4E5—' -A-fdq
!,.,BUILDING PERMIT FEES
Balance Due ..................... $
7,� q6
Additional Fees Due ........... $
--- Revised Plan Checking Fee .... $
2. SCHOOL DISTRICT FEES
(paid at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division) I
Residential ............
X $360.00 =$
Units
Commercial (sq. f1g.).....
X $0.03 $
Sq.Ftg
4. URBAN AREA FEES
Residential (per unit). - ... x
# Units
Amt.
A. P. #
DATE
RECEIPT # DATE REC.
(paid at Building Division)
Commercial (Sq. Ftg.).... x
Sq. Fig. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE iNSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid. at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone x $
_w —
Zone # Units Amt.
Commercial (sq. ftg.) ......... — x $
Sq. Fig. Amt.
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checkin pro -
DA
APPLICANT 1_��
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requiremenis for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
NorthStar
E_NG__.1_N.E..F.R1.1..N G
Civil Engineers - Surveyors
October 8, 2004
Priority mortgage
6541 Regional Street
Dublin ' CA 94568
Attention: Walt Turner
Fax: 893-5150
Owner: Maijorie Swickaj�d
RE, Mfg. Home foundation located at 2630 Phaton Drivey Oroville, CA
NorthStar Job No.: 8734
To Whom It May Concern:
Based on a site observation made on 9/17/04, the manufactured home located at
the above address in Oroville, CA is on a foundation that is suitable for the soil
conditions at the site.
I
Based on my on-site observation, it appears that this home i
engineered foundation system. s located on an FHA
If Yo I u have any questions, please call me at (530) 893-1600 ext. 210.
Sincerel
Jeff "chelieu, P.E.
NorthStar Engineering F E S q.
V1. RI
R
>
0
-'-.-.20 D'E'_C.LA__R.AT10N'_D_R'1V'_E..
CH1.0O3_CA.L1F0RN1A95973
FAX -893-2113
Page I of 1
Rutherford, Scott
To: DeBrunner, Deborah
Subject: Swickard, Marjorie - mobile home perm foundation
You gave me this phone call yesterday. Older woman, reverse mortgage, call from Walter at priority mortgage. I
have discussed her options with him so if you get another call send it to me.
Options include; provide an exterior footing per approved plans, or install an approved permanent foundation
system and leave the skirting poured and constructed without inspections or permits'as nothing more skirting.
11/18/2004
PRE"-iNSPECTION RE -PORT
OVINER: DATE:
LOCATION: A.P. # re6
CONTRACTOR: ZONING:
REASON FOR PRE -INSPECTION Fx- Ki H s i -rE
DATE TO INSPECTOR: 04 PERMIT HISTORY NONE (11SEE ATTACHED
Building Description:
Commercial/Usage:
Residential # of Units:
Currently Occupied
AbandonedNacant:
BUILDING INSPECTOR'S REPORT
( )Yes ( ) No
Electric:
Electric Currently On )Off
Condition.of Electric
Gas:
Currently On
Condition
Sanitation:
Plumbing Working )Yes
Obvious Sewage Problems ) Yes
ACTION RECOMNIENDED:
Hold for permits or verify: /
Inspector:
ISSUE
Mobile home # of Units: "
)Off
No
No
No
Date: 12— 5�,/
SKETCH BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY.
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
'p- RMIT NO. 33 - F/
Address or location of mobilehome 30 11/4,4
Owner's name !�cj i c K 4 tz p 11
Owner's address
Insignia or hud ni
Manuf acturer's name 1
SMO,4ar of manufacturev
Serial number of V.I-.N.
(04�lcial Ap(ploving Installation) (Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCiPTANCIE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
M091LEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B
RESIDENTIAL
----------
31-91P,E
36-78-06
S CK
WICKARD, Ivan,
2 0 p
630 Ph*�aeton Dr, Oroville
utiliti m
(utilitieslmh)
JOB FINALE
Signature
OFFICE COPY
Address.a6 30
GAS
Meter By -1 D a t
ELECTR
Meter By Dat,,::-'
OK
O=NotOK
=Not Applicable
= Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
MISCELLANEOUS
Da,te DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Req u ire ments-Setbacks- Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Griders and/or Joists- Dec king - Braci ng-Sta i rs-Rai Is
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-Roofing
11. Ext.; Steps -Doors -Landings
Date
3. Sewer; Location -Test -Fall -C/0 Concrete
Date
4. Water; Location -Test -Easement Needed (Sketch)
Date
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"U'ft.
/ P'Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining -
4. Elec.; Receptacles and Lighting, Distances-GF1
5. Elec.; Pool Lighting; 15 volts-GFI
Date
Card B-1 Date Card B -1
Date
-
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s___
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
Date
7. Water and Sewer Connected -C/O to Grade -HD Approval
Date
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Carl. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Da,te DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Req u ire ments-Setbacks- Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Griders and/or Joists- Dec king - Braci ng-Sta i rs-Rai Is
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-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining -
4. Elec.; Receptacles and Lighting, Distances-GF1
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Term 1 na Is- Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosu res- Pane I boa rds- 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
11
*J = OK
0 Not OK
Not Applicable
Not Ready RESIDENTIAL (Single
& Duolex)
Date
UNDERFLOOR (Plans) OK except If's
Date
FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
46. GIng. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -ins. Battles
5. Sternwalls, Main; Steel -Bloc kouts-Wra pped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Sternwalls, Garage; Steel- Bloc kouts-Wra pped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel -Wrapped
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
8. Piers -Fireplace Ftg.-Steel
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. Gas Pipe; Size -Anchors
55. Siding -Nailing Veneer
11. Water Pipe; Test -Anchor -Regulator -Service Test
56. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
12. Electric; Underground
57. Glazing Area -Glass Protection-Skyl ig hts- Plastic.
13. Pienums & Ducts; Clearance -Material -Support -ins.
58. Shear Walls; Nailing -Bolts
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
59. Insulation -Walls -Ceilings
15. Insulation
60. lnfiltratiort�Walls-Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
Card B-1
16. Water Htr.; Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchor -Nail Protection
61. Ext. Steps -Door & Sidelight Protection- Land i ngs
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor- Ducts-Mech. Protection
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
Date
Card B-1 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clea ra nces -Hearth
22. Fixture & Transformer Clearance -Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
24. Size Boxes & No. of Conductors -Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing -Landing -Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage -Damper
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Mr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
75. Plb., Elec. & Mach. Equip. Listed for Location
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic 0 Yes
30. Service -Riser Conductors & Ground -Main Disconnect
78. Guard Rails & Deck Construction -Post Caps
31. Equip. Clearances Pane I s- Motors- Mach. Equip.
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
80. Following instid.; Drive 0 Yes 0 No; Walks C3 Yes 0 No:
Planters 0 Yes 0 No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
Date
MECHANICAL (Permit) OK except #'s
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
34. A.C. Ducts Insulation & Support
84. Water Well; Disconnect, Electrical. Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle- Unde rg round
36. Condensate Drain & Overflow; Size & Grade
86. Ventilation Throughout House
37. F6rnance-Vent; Access -Comb. Air -Return Air Vent -1 15 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Date
Card B-1 Date Card B-1
91. Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Date
Card B-1 Date Card B-1-
39. Sils, Proper Material & Anchors__
Date
Card B-1 Date Card B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Date
Card B-1 Date Card B-1
41. Bearing Walls over Girders & Floor Nailing
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
each time you visit job site)
(NOTE: An entry must be made
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION A.ND PERMIT r
ASSESSOR PARCEL NUMBER
36-78-06
Z NIN
'PAr
BUILDING PERMIT
IWNTV�fflRylb,SWIC KARD
TE�Cr_PHONE
534A797
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2630 Phaeton Drive, Oroville
C 0 N U FAVnT&&fP N A M E
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation ' Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
S E NO.
Plan Checking Fee
$ 15.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2630 Phaeton Drive, Oroville
Permit fee
$ 25.00
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
1 -
PARCEL MAP
I
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFEI DuplexEl MobilehomeEIX Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
_TS
5.00
Mobile Home G WT__
10.00e
TYPE OF WORK
New R Addition [:] RemodelEJ Utilitie?g- Installation Other
Describe work: MHI
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
main service 600V OR LESS
100 AMP OR LESS_
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
0 1 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
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)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.8i)
OR ADONIS. ACC. BLDGS.
1.)
2'/20sqft
NEW CONSTR. MULTI -OUTLET
NON-RESIO. 2RANC.HCI TS
,�,
5CL"
2.50 ea
E. PF;�R�TUS.&)
SINGLE OUTLET CIR
1
Ex. Occup(OUTLETS OR FIXTURES
1.20 0 50t
AL& 30C
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI'D.) EA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15-00
Misc. Wiring
T
15-00
I
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 Certifica ' te of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
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 County ot
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
aga st aid County in consejuence of the granting of this pep).
X LZ Jzuh�
4/4,c�_ Date /46/�J
Signature of Applicant — Ownerg' Contractor E] Agent n k
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 $ 45.00
Energy Inspection Fee
Occ
CONST TYPE
70.00
TOTAL FEE $
HAZ
I CUA
PARK
I SCHL
I FLD
I PAR
PD
HD I ISSUE
Th's permit is hereby issued under
sions of the Butte County Code and/or
work indicated abge for which fees
C�O UBLIC
ARr
B v —Date
EAIT EXPIWES AV
P Date —Ztzw&l�
the applicable provi-
resolutions to do
have been paid.
WORKS
Receipt No. 84957
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDEN ROD-APPL I CANT
"� 4
COUNTY OF BUTTE DEPARTMENT'017, PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TEAPHONE: 916/538-754'1
PERMIT APPLJCAT1GN DATA ShEET
Z
Permit No.
OWNtR A.
P KID.
Use Alp/ B ldin� Date
Proposed Building ui Inspector -
At time of permit application, I was advised the following data must e submitted priorto 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 ...... I.'.
7. tatement of Intent for Non -Heated and AC Buildings
�qKEngineered truss details and layout in duplicate (required prior to plan check)"'
9 obilehome installation data including manufacturer's installation
inructions ...................................................
10. Fees of $ ....... ...................
11. Chico Urban Area fees�p'�id ..........
................
1 . Park fee?,pk... I i.1
............ ......................
V;V fees paid ..............
School Distri
Sanitation approval fr6m Health Department
15. City of Chico plumb.ing1odirmit ............................. r .........
16. Plot plan and busines's 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 Developn�ent,Section DPW
19. Driveway permit (construction approval required prior to occupancy)
Pre-Inspec. request to
20. Pre -inspection for requir ' ed Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classif I cati on)
22. Certificate of Workmans Compensation Insurance ....................
23. Owner -Builder Verification (Given'6 owner' 0, Mail to owner 11)
(U 1E 4* Recorded copy of Agriculiural Acknowledgment Statement .........
Lett nat ho i a�ign ...................................
2_0
24
vukn 'cc +11 C � f 11 KA
A , U %JVV09 - ar fu 6vy"eri _1VICtil LO conLraCLor.
of fi
lephone d hold for pickup at
—Del.iver w/inspector.
Copy of Haz-Mat iorm sent —Health Dept:- —Fire Dept. ---Air Pollution Date
Copyofplanssent ___Hea1thDept. —FireDept. —Other— Date—, By.
The following data must be submitted prior to permit issuangg-, (Circle new item not checked"above).
1. Index permit for above items No.
2. Additional 'items required:
Contractor, designer, owner, was advised of above required data by—phone---mal I —counter by --.date
Contraji-or, designer, owner, w advised of 'above e Ire data by—phone —mal I —counter by date
Plans checked by Date ns roved by,
Zf , - pp - 6Z:�te_
of plans on hold in —File cabinet V AP folder
Copy—DPW
01
AP #
014NER ......
PERmrr It
MH UTIL.CLEARANCE DATE
INSPECTOR
ELECTRIC
GAS
Support
Struc. lTest-Req.
Compaction
Service
Size-
Other
Load
Type
Pipe
S-ize
Length
YES NO
YES NO
31
MOBILEHOME SUPPORT DATA
If other than single wide,
q r
Mobilehome Mfr. 604,AgN Year 19"q
fur.nish Setup Model No.
Width. (ft.). Box Length _1�16 (ft.) Tagalong or Expando Size ft. x ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with'the County of Butte).
FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 2. Other (specify)
[Z
SUPPORTS (check one) 1. Concrete block. 2. Other (specify)
Pi. R
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
Line
e 2 line 2
_T*1�'Ma—in B—eams — — — — — —
Line 2 \1'
Line
Main Beams
Line 4
Tag or Triple
Line 4
Line
line 1 Piers: Line 1 Openings:
Size -Min - ------------ Size -Min - ------------------
Spacing-Max - --------- Each Side of Openings
From Ends -Max - ------- With Width Over --------- E=
Line 2 Piers:
Size -Min -------------
Spacing-Max - --------- &
From Ends -Max --------
Line 3 Roof Loads:
Size -Min -------------
Location (From Front)
Size-Min ----------- 7 -
Spacing -Max ----------
From Ends -Max --------
Line 5 Roof Loads:
Size -Min -------------
Location (From Front)
Line 3 Piers: (Under Bearing Wall Only)
Size -Min ------------------- ..x
Spacing -Max ----------------
From Ends -Max --------------
e 5 Piers: (Under Bearing Walls Only)
Size -Min -------------------
Spacing-Max ----------------
From Ends -M ax --------------
.1x 11x 11x .1 1.x .1x .1x 1.
SUjLDjWGDEPAR_fM!r__:
AVPR0\jED
BUTTE COUNTY DEPARTMENT,OF PUBLIC WORKS
7 Codnty Center -Drive, Oroville, CA
PHONE: 538-7541
MOBILEHONE INSTALLATION SHEET
1. Owner'sName: IVAIVIV-SWICKARD
2. Installer's Name: Home 'ef-'gre - RS D .9 i. CA
3. Is the site currently under permit? Yes F-1 No'
(If yes, furnish permit number OR
Is the site an existing site? Yes No
j
(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 No
(If no, clarify
5.
What
is the
mobilehome electrical rating? ---------------
J406
Amp*s
6.
What
is the
mobilehome site
service rating? -------------
?-00
Amps
7.
What
is the
mobilehome site
circuit breaker rating?
-----
Amps
8.
Is there any other electric
load to be served by the
No
mobilehome
site service? --------------------------------
Yes
(If yes,
identify the
load and size:
(Load)
(Amps)
9.
What
is the
mobilehome site
gas pipe size? --------------
(in.)
Natural LPG
10.
What
is the
type of gas service?
-------------------
11.
What
is the
gas pipe length
from meter or tank to the
mobilehome?
---------------------------------------------
(ft..),
12.
What
is the
mobilehome gas
demand? ----------------------
(BTU)
*(This
information*not
required if pipe length
less than 6 ft. on
natural
gas or less
than 50 ft. on LPG.)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive --Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
36-7s-niri
I ZONING
PAC
BUILDING PE RMIT
OWNER
T3L A
4*ESS
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER'RA�IN.
2630 Phaeton Drive, Oroville 95966
CONTRACTOR'S NAME
unknown
PHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace I
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2630 Phaeton Drive, Oroville
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
60.
LOT N
SUBDIVIS16N NAME
Carriage Manor
CEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFEI Duplex[] Mobi lehomeEX Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer 7)
5.00
Mobile Home M(G70W
10.00 ea 30.00
TYPE OF WORK
New n Addition [:] RemodeIE:] Utilities 9 InstaiiationEl Other
Describe work: Relocate utilities
I
Permit Fee
$ 40.00
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 10.00
Main service EA. ADC'L 100 AMP
2.50 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
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 OCCUPM
OR ADDNS. ACC. BLCGS.
21/20sqft
NEW CONSTR. MULTI -OUTLET
NON,RESID. BRANCH CIRCUITS)
2.50 ea
(POWER APPARATUS.&)
SINGLE OUTLET CIR
I
Ex. Occup
- (OUTLETS OR FIXTURES
20@50C
BAL@300_
OCCUP. FIXED APPLNS. OR I
Ex. OUTLETS _(RESID.) EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00 1.5.00
Misc. Wiring
15.00
Permit Fee
$ 37.50
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n The permit is for $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.
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. compiy with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
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
aga , t id County in con.SeqWence of the granting of this p ' it
X Date -z Mw -
.4
Signature of Apph.t — Owner V Contractor El Agent h
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 Q,)-- sn
HAZ
1..�
I CUA
..-
PARK
-,Or
PI UF
V
I PVJ
V1
FC4 ISSUE
This permit is nereby issued under
sions oi the Butte County Code and/or
work indicated above for which fees
AD I 7RE C VTO OF PUBLIC
By_
PERM/1 APIRES Date—
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.— 84957
WHITE-D.P.W.. YELLOW-ASSE330R. PiNK-INSPECTOR. GOLDENROD-APPL I CANT
4
C
OWNER
TY OF BUTTE ;,DEP4,7TMLNT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE,�'OROVILLE, CALIFOVIA 96965'- TELEPHONE: 916/638-7641
P T A'
ERMI PPL'16_AT-, N DATA SHEET
N.
Permit No.
I
Proposed Building Use
A. P
Building lnspector_A;�!* Date
0
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
7,,,A -'All items have been submitted . ....................................
:ZK2. Plot plan� 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 Maie�ial 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 ........................................
112. ark fees paid ..................................................
Sch I fees paid ..............
00
I r14. Sanitation approval from /19 Health Department
1 ;
- 15 City of Chico plumbing permit ......................... : ............
16. riot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: -(B) Parking: . ......
1 Improvements may be required. Contact Land Development Section DPW
9. Driveway permit (construction approval required prior to occupancy)
20 Pre -inspection for required ... Pre-inspec. request to
I�uilding Inspector
u
21. Contractor's license information (No., Name Style, Classification) ...
;22. Certificate of Workmans Compensation Insurance ..................
Owner!Builder Verificatiori_(Give�n to owner 0, Mail to owner 0) .....
Recorded copy of Agricultural Acknowledgment Statement .........
-25. Letter,/of signature authorization ...................................
26.
27.
When yo I ssue the perm i process as f o I I ows: — Ma i I owner. —MAil to contractor.
—=Telephone "' A d.�T for pic�up at office. —Del.iver w/inspector.
Other \JA _11� _"
.4
f 1Y �, /eF
Applicant Date
Copy of Haz-Mat form sent —HealthDept. —FireDept. ----Air Pollution Date
Copyofplanssent ____HealthDept. ___FireDepj. —Other____I_ Date— By
The following data must be submitted prior
1. Index permit for above items No.
2. Additional items required:
it issuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by—phone---Mall—cou te by_date
Contractor, designer, owner, was advised of above required data by_phone_maII,4c4;7nterr by— date
Plans checked by
—Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet _AP folder
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
DATE
RE
A.P. # 36 --?9-0C
With reference to the above subject:
/ / Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation In * surance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:'
196 Memorial Way, Chico
7county Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
/ / OTHER,
Should you have any questions concerning the above, please contact ,e
of this office.
Yours very truly,
JFG/aj
William Cheff
Director of Public Works
J.F. Glander
Chief Building Inspector
Rgturn to DIPW AGRICULIMAL STATEM-NT OF ACKNOWL-EED-G&MNT
�N wIT
FOR RESIDENTIAL DEVELOPM
Section 26-8. 1 of the Butte County Co�e-
requires this acknowledgement be recorded
0
prior to issuance of a building permit.
0
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 incon-
veniences or discomfort arisino from the
use of aoricultural chemicals, including,
but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit
of agricultural operations including
but not limited to cultivation, plowino,
spraying, prunino, and harvesting which
occasionally generate dust, smoke, noise, and odor.
tural zones which have as a priority use for productive
within said zones and on adjacent property should be
or discomfort from normal, necessary farm operations.
91-001188
Butte County has established aoricul-
0
agricultural purposes, and residents
prepared to accept such inconvenience
All f4a�t re�l ..property.* 'situate in the County of Butte, State of Californiaj described as
f ollows:
OU
4*2
en 0 ci
J
J 3 4 79-0 - 0106-0
8
Date: - 1/8/91
PROPERTY OWNERS:
22, W"jid,
State of CA. On this the 3TH day of JANUARY 19 91 , before me, the
SS. undersigned Notary Public, personally appeared
County of BUTTE
IVAN N. SWICKARD************************************
ersonally known to me. E] Proved to me on the basis
F] P'
of satisfactory evidence.
OFFICIAL SEAL a to be the person(s) whose name(s)
ANGEU 0. MASTELUM e
NOTARY PUB subscribed to the within instrument and acknowledged that
ALIFORNIA 0
PrI 013 1 I'D I BUTTE Coun executed the same 'or the purposes therein contained. INT WITNTESS
M Go - M3S n lrasSEK.14, 9 L
00 �MEREOF, I her"eunto set my hand and.official seal.
Present A.P. No.
��Itar.y Public
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form.per B�ilding)
A. P. Number 34,7�,-,006 Building Department No.
School District,9/?() 4,o� /9S City = Countyj�� Jurisdiction
Property Owner VAILI S C)4�4 R -V
Project Location/Address- Z) ft
Subdivision Lot Number
Residential Development:
Sq. Footage_,Z/
# of Living MHI Addition (Group R)
Units
Commercial/Industrial:
New
Sq. Footage
Addition (Including Exterior
Roofed Areas)
Da(te
(Floor Plans reviewed by School District Personnel)
trict Id No. 91013
P6
School District certifies that
(Appilc nt Name) (Phone Numbe
I
Street AddAess
P .
r --v r LA -k �f It %- C&- I
(City) (State) (Zip Code)
has complied with the requirements of Resolution No., 96
by ayment of$ representing 0 square �eet.
School District Relpresentative A Date
PAID BY CHECK NO.
BANK NO_ // -'V� -�z
PAID BY CASH
REMARKS:
white -applicant, yellow -building , department, pink-school*district
I
SCHOOL.FEE (8/88)
PERMIT NO: 4-91
Lake -.0roville -Area. Public -Utility -District -7
1960 Elgin Street
OROVILLE, CALIFORNIA 95966
533-�2000
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
BUILDING SEWERS
- This verification form must be submitted to the -Butte County -Department of Public
Works Building Department prior to issuance of a building or occupancy permit,
whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy
of this verification form, signed off by Lake Oroville Area Public Utility District, must
be submitted to Butte County.
Date: January -8, 1991
Applicant: IVAN'.N..& MARJORIE-G. SWICKARD
Applicant Address: 2630.Phaeton Drive, Oroville, CA
534-9787
Applicant Phone No
Property Location (s):
A. P. No. (s):
Fees due:
2630 Phaeton Drive, Oroville, CA, 95966
Carriage Manor Subd'., Lot 6'
36-78-06
ALL FEES PAID
Application for service approved-:
LAKE OROVILLE AREA
PUBLIC UTILITY DISTRICT
Inspection(s) made and successful test(s) observed:
Location:
By:
Date:
Lake Oroville Area Public Utility District release to close permit:
Date:
By:
JOB DESCRIPTION
LOCATION:
WORK REQUIRED:
"4 111 4-- 5-z I
Units MATERIAL USED
Meter No.
Reading
JOB ORDER
Oroville-Wyandotte Irrigation
DATE
NAME 5/1) -Irk4 r
ADDRESS 7 n
CI YC
STATE 'rjL
EACH TOTAL PROPERTY DESCRIPTION
ACCOUNT No.
District 01
, 1 2 5 3 7-'
PHONE
zip
IN DISTRICT
C) YES
SYSTEM CONNECTION -
CHARGE 1!
MBER-
-7
LABOR -
j7
INCLUSION FEES
MATERIALS
EQUIPMENT
LABOR
MEN
misc. ;j
SUBTOTAL
DEPOSIT
NETTOTAL
EM
0
1@0
F. q. -
r, a 0 W 3 hll� a 0 �NNNNWWM
M
EQUIPMENT TOTAL
LABOR TOTAL
I hereby authorize the District to proceed with the herein
described work, and for this purpose please acknowledge
receipt of my deposit in the amount of
Dr
.1
Dat
I (SIGNATURE)
Plus
DATE COMPLETED
MATERIAL TOTAL
METER SHEET MADE
CONTINUATION
SHEET ii-41�J-6 -P-, Lti —9L -OJ
TOTALS ;
SYSTEM CONNECTION -
CHARGE 1!
j7
INCLUSION FEES
MATERIALS
EQUIPMENT
LABOR
misc. ;j
SUBTOTAL
DEPOSIT
NETTOTAL
-Th et
is s ' 6f plans ancf,.-..tp6cificatlQns MUST be
nd it is unlawful tc,
kept on the job at al I tiMjes a
same with -
make any changes or alterations on
cul wriften permission �f-rom the Department of
Pubhc Works, County pf,.Outte.'
�T
In
Be
4orV�c'nsW'P SbL
j&
Nd'T ' . I —
On K-7 citttep.450 oil -2
M
ACCO 4or the -SPP
�6scribed, & C�Oavim
ntq
r
pj�rnbing
U
J.-
Aec-'�6 01 Coaa
R
�'. ii.Pfi
. Jr,
i.K
"�i till.. .-LP11I
q.,
OrEN
v14
PLIR-L
Z L lr4
A.
i"Iw
"'gi
-q . . . . . . . . .
liy
L
0 L OF tv cc567R
:1'JA,,UFACrUR6V BOPIL I
ScALI 'N'
i;.
jillf,
t
t
r -06f SHEA rV
ANO COnP.
.013
1:1 I;z-,
-I A I
L
1 C
$
-4
Return to DPW AGRICULTURAL STATEINENT OF ACKNOWLEDGEMM
I el . FOR RESIDENTIAL DEVELOPMENT
Section 26-8. 1 of the Butte County Codp,
requires this acknowledgement be recorded
prior to issuance of a building permit.
The,property
described herein is adjacent
91-0011BB'
to
land or included within an area zoned
Redorded�
for
agricultural purposes, and residents
0
official Records
of
this property may be subject to incon-
county of,,
veniences
or discomfort arising from the
Butte
use
of agricultural chemicals, including,
but
not limited to herbicides, pesticides,
Candace J,. Grubbs
and
fertilizers; and from the pursuit
' Recorder
r%f
n n n�nt4n�c i—I A�
10:40am 9-jan�-91
5 11 � �16' '
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor.
tural zones which have as a priority use for productive
within said zones and on adjacent property should be
or discomfort from normal, necessary farm operations.
Red
Cash
Fee, 5.00
5.00
XX'. I
Butte County has establish�d agricul-
agricultural purposes,: - Z�nd`-i ' esidents
prepared to accept such "incionvenience
1.
All 'fh�At redl :prope�rty. '-situate in the County of Butte, State of California, die " scr'ibed as
follows:
0,
Le �V_
COOf
*()3 79-0-OB4-0
(.,& ) - i� 8 a""44 -t 4 -
Date: 1/8/91
Jfflx�,L 22,
State of CA.
County of BUTTE
PROPERTY OWNERS:
On this the iRTH day of JANUARY 1 19 91 , before me, the
SS. undersigned Notary Public, personally appeared
�_*_* 0 0 0 0 0 0 0 0
OFFICIAL SEAL
ANGELA o. MASTEL07TO 0
NOTARY PUBLI ALIFORNIA *
PrI c1pal ice I a E County 9
M Co MIS 10 res SER 109 e
a
Present A.P. No.
IVAN N. SWICKARD************************************
Personally known to me. E] Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s)
subscribed to the within instrument and acknowledged that
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
ary Public
D OF DO-CUM041
ect to- I e
S3
i
RE SIDENTIAL
36-78-06 .569-91B
SWICKARD, Ivan 1
2630 Phaeton Dr, Oroville
Contr: John'Wyliet,,,._,
(porch/mh)
a
JOB FINALE
Signature
V OK
0 Nbt OK
Not Applicable
Not Ready MOBILE HOMES
Date MOBILE HbME UTILITIES (Plans) OK except Vs
1. Zoning Req u ire ments-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: / PV'ft.
/ P'Nat. or/ PV'ftJ /"LPG
7. Utility Clearance
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS,COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
�.q u ire m;nts-Setbacks-Easements
--Z�Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
_-915ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4: Wood Awn.; Posts-Beams-Rftrs.-Coonectors'
Shthg,7Rfg.-Bracing
eT.—Alu�. Awn.; Column s -Con nect ions-SpI ice- Deca I- Enc losu res
6. Carports; Windows -Doors
7. Electric
z--Frrfrg;—Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nail ing-Veneer-Stucco-Mesh
. oof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except Vs
1. Zoning Req u ire ments-Setbacks Easements Data��(,-�7�_Card B_i�� ,,' Date Card B-1
2. Footings; Size -Spacing- Marriage Line Date Card B-1 Date Card B-1
3. Gas; MH Test-Demand-Valve—Connector Date OOLS (Plans) OK except #'s
4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements
S. 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
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting�,'15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Pane I boards- Ins. to Main in Conduit
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1 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
V OK
0 Not OK
Not Applicable RESIDENTIAL (Single
Not Ready
#-
& Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1., Zon i ng -Setbacks- Ease ments- Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
46. Clng. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles
5. Stemwalls, Main; Steel -Bloc kouts-Wra pped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel -Blockouts-Wra pped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel -Wrapped
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
8. Piers -Fireplace Ftg.-Steel
53. Stairs; Width -Headroo m -Rise -Ru n-Landi ng-Fi re, Protection
9. D.W.V.; Fall -Fitti ng -Test -2 Way C/0 -Sewer Test'
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. Gas Pipe; Size -Anchors
55. Siding -Nailing Veneer
11. Water Pipe; Test -Anchor -Regulator -Service Test
56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
12. Electric; Underground
57. Glazing Area -Glass Protect! on-Skyl ig hts-Plastic.
13. Pienums & Ducts; Clearance- Material -Su pport- Ins.
58. Shear Walls; Nailing -Bolts
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
59. Insulation -Walls -Ceilings
15. Insulation
60. Infiltration-Walls-Winclows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
Card B-1 Date Card B-1
16. Water Htr.; Vent -Access -Com bust ion Air -Baffle
Date
FINAL �Plans) OK except #'s
17. Water Pipe; Test & Anchor -Nail Protection
61. Ext. Steps -Door & Sidelight Protection- Land i ngs
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, Second Floor -Tub Ac cess
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
Date
Card B-1 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clea rances- Hearth
22. Fixture & Transformer Clearance -ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
24. Size Boxes & No. of Conductors -Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing -Landing -Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage -Damper
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
75. Plb., Elec. & Mach. Equip. Listed for Location
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic 0 Yes
30. Service -Riser Conductors & Ground -Main Disconnect
78. Guard Rails & Deck Construction -Post Caps
31. Equip. Clearances Panels- Motors- Mech. Equip.
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detecto
80. Following instId.; Drive 0 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 13 No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
Date
MECHANICAL (Permit) OK except #'s
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
34. A.C. Ducts Insulation & Support
84. Water Well: Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Rec eptac le-Unde rg round
36. Condensate Drain & Overflow; Size & Grade
86. Ventilation Throughout House
37. F6rnance-Vent: Access -Comb. Air -Return Air Vent -1 15 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Date
- - Card B-1 Date Card B-1
91. Energy Compliance Certi fi cate -Other Certificates
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Date
Card B-1 Date Card B-1- -
39. Sils, Proper Material & Anchors
Date
Card B-1 Date Cara B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Date
Card B-1 Date Card B-1
41. Bearing Walls over Girders & Floor Nailing
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
each time you visit job site)
(NOTE: An entry must be made
COUNTY OF BUTTE - DEPART ENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT +10�
PERMIT NO.
ASSESSOR PARCEL NUMBER
36,78-01f
ZONING
PAC
- , 0,0 BUILDING PERMIT
OWNER
Ivan N. Swickard
TELEPHONE (5
534-R� C;
-to. FT. OCC. BUILDING VALUATION
C 800
OWNER'S MAILING ADDRESS c? Ig T_
2630 I?haeton Dr., Oroville 95966
CONTRACTOR'5 NAME:
John W
TELEPHONE
872-4310
CONTRACTORYSJ-M,BLING ADDRESS
2015 Merrill Rd-, Paradise 95969
Fireplace
CONSTRUCTION LENDER
Nonp
UNKNOWN
Total Valuation $ 800
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 16.00
ARCHITECT OR ENGINEER
Nnnp
ILICENSE NO.
Plan Checking Fee
$ 15.00
Energy Plan Checking Fee
$
—
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2630 Phaeton Dr, nrovillp
Permit fee
$ 41 -nn
PLUMBING PERMIT
Fi ling Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT N 0* :12�;,
ON NAME
CAVZIA66 MAWOYL
PARCEL MAP
k0
Water piping
5.00
Each Qas water heater or vent
5.00
USE OF STRUCTURE
SFE:1 DuplexF� MobilehomeMK Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G
10-00ea
TYPE OF WORK
NewF_1 AdditionNN Remodel[] Utilities[] InstallationEl OtherE]
Describe work: porch
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
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 cont,40-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NE W CONST DWELLING OCCUP.&)
OR ADDNS. ACC.BLDGS.
2'/20sqft
NE _T
W CONSTP MULT"OUTLF
_N.N-RESI., BRANCH CIRCUITS)
2.50 ea I
POWER APPARATUS &I
(SINGLE OUTLET CIR.
_1
Ex. Occup(OUTLETS OR FIXTURES
0050ti
B2AL130C
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 COMPENSATION INSURANCE
I declare under penalty of pe�jury (check one):
F-1 The permit is for $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.,
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
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.
I also agree to save, indemnity and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
aga , t , d County in onsplqu f th ranting of this permit.
,fnce o eg /jq/
X Date / e 2
Signature of Applicant — OwnerYr Contractor Agent E]
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'$
1, 1 no
I CUA -1 PARK
I �LFLD
—
I
CDF
PAR
I
PD
r-'FibYl'ISSUE�
—
I L_
.
This permit is hterebby issued unaer tne applicable provi-
0
signs of the But e unty. Code and/or, resolutions to do
work indicated above for which, fees have been paid.
Q 9rOR F PUBLIC WORKS
"rj
e&4 Date
By V / �:7 71 Z_
PERMIT EXPIRES/Date
Receipt No. 83539
WHITE-D.P.W.. YELLOW-ASSE330R. PINK-INSPrCTOR. GOLDENROD-APPLI CANT
PERMI! AFPLIC ATION DATA SHEET
Permit No.
0 N'ER_ A
W
Use
Building Inspector-_
Proposed Building Date
At time of ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
Z71 All items have been submitted . .. ..................................
T2'. Plot plans in Ap�hcate/triplicate, signed by preparer of plans ........ NAJ -W
Complete plans in duplicate/iriplicate, 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 5�UxM 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 requi red-prior'to,,occupancy)
Pre-Inspec. request to
20. Pre -Inspection for requir d_- `Building inspector (Dalle)
21. Contractor's license information (No., Name Style, Classif i cation) ...
22. Certificate of Workmans Compensation Insurance .....................
23. Owner -Builder Verification'(GiV-6ff-fo-*o-w—n-e'r —0, M -ail to owner 0) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you �isue the permit, process as follows: —Mai I to gw4Wr. Mail to contractor.
__&,ef-Telephone_6�97CY714? nd hold for pickup at Ooffice. —Deliver w/inspector.
Other
A p p I i c a n t ivavy- D a t eg,&�q
Copy of Haz-Mat form sent —Health Dept. —Fire Dept. ----Air Pollution Date
Copyofplanssent ___HealthDept. —FireDept. —Other— Date— By—.
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: P�6 Plam �Innul - InQ �Ljtt* al(raw - dlhugmDg)" J3 P L.
ontractor, designer, was advised of above required data by -t `phone---inai I —counter by—date -91
�Ctm., designer, owner, was advised of above required data by —phone _rna I I —counter by— date
Plans checked by —Date Plans approved by Date 5-L 9-1
—Sets of plans on hold in —File cabinet _AP folder
Copy -DPW
IT'
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RESIDENTIAL
36-78-06 33-91B,E
SWICKARD, Ivan
2630 Phaeton Dr, Oroville
(carpoft & s'hop/mh)
m
q� - 9 1 Z",
JOB
Sig
V=OK
0 Not OK
Not Applicable
Not Ready MOBILE HOMES
Date MOBILEA40ME UTILITIES (Plans) OK except #'s
,-1-Zo,niKg Req u ire me nts-Setbacks- Easements
-2--'Soils;,SI�r6cial MH Support Sketch
ew , ocafior�-Test-Fall-C/O Concrete
4�water;,�qmon Test -Easement Needed (Sketch)
a,e tec
jplcl�, Location-ciearences-Grnd-/ /Amp -Concrete
&'t -as; Location -Test -Wrap: / PV'ft.
/M/",Nat. or/ /"L"ft./ P'LPG
L7,Wif[ity clearance
Datg- 2_,O-VCard B-1 ge�� Date Card B-1
Date Card B-.1 Date Card B-1
Date M
_,U�ing Requirements -Setbacks Easements
N!9:ooti,qgs; Size-Spaci ng -Marriage Line
g,AKs-L_mwTest-oemand-valve-Connector
.� �.Iectj!gjW MH Test -Crossovers -Breakers -Clearances
5,�r in_�,tdFl Test -Fall -Flex Connector
6 -Wat w- -Reguiator-Connector
116H Test
nd Sewer Connected -C/O to Grade -HD Approval
aq.And Ele tricity Tagged
Insp.-Sketch
/3K Cert. of Occupancy
Date -7 e�,
Card B- 17)1,�U Date Card B-1
Dat !a,-,2_ft;--�J2ard B- 1 ' d�,T Date Card B-1
MISCELLAN USI
Date DECKS_COVERS, CARPORT41 GARAGES,�Plans)OK except If's
*'fogjag Requirements-Setba-cM--t-a-sements
Z,,fSotings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Coo nectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
&.--Carpo , Windows -Doors
4-ere-swc
,o,<rmg; sus- n s Studs-Rftrs-Trusses
9. Siding; Nailin-g-V-e,,eer-Stucco-Mesh
j2,.R-6o_f; Shthg-Roofing
11. Ext.;,Steps-Doors-Landing&
14
DateA+-/f_</ Card B -f/
e�
/-- Date
DaIA"A4 Card B-1 1Z , Card 13-14DS�_
D t6_4-
21 Card 13-111,;�K
n.qtg OOOLS (Plans) OK except #'a
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. Ele�.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -En closu res- Pane I boa rds- 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
Alflq - C4
I
� = OK
0 Not OK
Not Applicable
Not Ready RESIDENTIAL (t
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Mairi; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Siemwalls, Main; Steel -Bloc kouts-Wra p ped
6. Stemwalls, Garage; Steel - Blockouts-Wra pped
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. -Gas Pipe; Size -Anchors
11. , Water Pipe; Test-Anchorm Reg u lator-Service Test
12. Electric; Undergr6und ' I
13. Pienums & Ducts; Clea rance-Mate rial-Su p port- Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
16..Water Htr.; Vent-Access-Cornbustion Air -Baffle
17. Wat6i 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. Subfeed Wire Size ga. Cu or Al-A.C. Wire Size / /'gal
Cu or Al \1,
29. Range Circ. 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 #'s
34-.- A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. F6rnance-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-Sizel Bearing -
(NOTE: An entry must be mad
oingle & Duplex)
Date FRAMING (Continued)
�5. Hangers -Post Caps -Anchors -Connectors
46. CIng. Joist-Rftr. ties-Purlin -roof Bra c-:rruss-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 X -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 1. -
56. Stucco Mesh -Drip Screed -Fd. Vents Underfir. Xccess
57. Glazing Area -Glass ProtectionSkyl ig hts- 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' Ci -rd B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
6 . 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 7 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 Co nst ruction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
80. Following instid.; Drive 0 Yes 0 No; Walks 0 Yes 0 No;
Planters 11 Yes 11 No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well: Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle- U nderg-rou nd
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 -
Date Card B-1 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 - DEPARTVENT OF PUBLIC WORKS PERMIT NO.
7 County ,?enter Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
36-78-06
ZONING
PAC I
%—./
BUILDING PERMIT
"'VAN N. SWIKARD
�Y�=
-1
SQ. FT. OCC. BUILDING VALUATION
1 n99 C 10, 990
OWN�8'S A L G A..RbS.S. 61 rT—
30m %a'eton rive, Oroville 95966
2'352
CONTRACTOtS�AME
n nown
ELE E
PHON
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$
.2
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $ 9d. �)U
ARCHITECT OR ENGINEER —IrFF—E
N S E N 0.
Plan Checking Fee $ 7+ �.
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS —
Penalty $
BUILDING ADDRESS
2630 Phapton Drivp, Orovillp
Permit fee $ 1 q-7 -7q
PLUMBING PERMIT FilingFee 10.00
Each Trap 2.00
Solar or heat pump water heater 20-00
LOT NO.
SUBDIVISION NAME PARCEL MAP
1 1
Water piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SF Duplex[] Mobilehome[] Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
_7-11
Mobile Home S I G I IN 0.00ea
TYPE OF WORK
New nX AdditionEl Remodel[-] UtilitiesD InstallationE] Other 1:1
Describe work: Carport & Shob
Permlt.Fee $
Contrac-t-or
ELECTRICAL PERMIT FilingFee 10.00
Main service 600V OR LESS
tOO AMP OR LESS 10.00
Main service EA. AOD-L 100 AMP 2.50 4.20
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
f—1 1 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
D 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
ors. (Sec. 7044)
I am exempt under Sec.-, Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.&)
OR ADONS. ACC.BLDGS. 2'/20sqft
NEW CONST11- MULTI -OUTLET
_N N.RES'., BRANCH CRC" TS) 2.50 ea
(POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES .20050c
AL@30t
FIXED APPLNS. OR I
Ex. Occup. OUTLETS (RESID.) EA.7 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ 14.20
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
F-1 The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Fi I ing Fee 10.00
Heating
Cooling
Hood 3.00
Venti lation
Permit Fee $
Contractor
I certify that I have read this'appl i cation 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
again said ount e of the granti of thi p t
in conseque ng is e I
X A,61, /1' J
Date.
Signature of Applifant Owner Wf Contractor EJ Agent r 1
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 $ A71JQS
HAZ
I CLIA
V
SS
T.h;. s permit is nereby issued under the applicable pro
sions oi the Butte County Code and/or resolutions tovdo'
work indicated above for which fees have been paid.
DIRECT OF PUBLIC WORKS
B Date
R
PE J#K E�PIRES Date
Receipt No. 84957
WHITE-D.P.W.. YELLOW -ASSESSOR, PiNK-INSPECTOR, GOLDENROD-APPL I CANT
Im
N
OWNER'
COUNTY OF BUTTE -,D.EPARTMENT..OF PUBLIC WORKS - BUILDING DIVISION
7 C06NTY CENTER DRIVE - ORO�iftll, 601FORNIX*i5669T TELEPHONE: 916/538-7541 C)
PERMIT APPL ICATION DATA SHEET IN
Permit No.
;�;6 — 11
A P ' — 79�
Proposed Building Use KA-�ffp
Building lnspector__'�L L Date
At time of permit application, I was advised the following data must be submitted prior to permit processing arid/or issuance:
7 1. DATE RECEIVED APPROVED
1. All items have been submitted . ......................... .......
2. P 0
��I' t 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. 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 (Da e)
— 2 Co n ractor's license information (No., Name Style, Classification) ...
t!
— Cer If icate of Workmans Compensation Insurance ...................
Jn_ Owner- Bu i Ider Verification (Given to owner 0, Mail to owner ID ......
Recorded copy of Agricultural Acknowledgment Statement
25. Letter of signature authorization .......................
�26.
27.
Whepy�oissue the nermit, essas follows: _M il o o ner. —Mail to contractor.
TE 20�
Telephone and hold for pickup a office. —Deliver w/inspector.
Other owqvt -*-s3.q
Applicant Date.
Cdl5y of Haz-mat iorm sent —Health Dept. Fire Dept. ----Air Pollution Date
Copyofplanssent ---HealthDept. ____FireDept- —Other— Date— By.
The following data must be submitted pri
1. Index permit for above items No.
2. Additional items required:
it issuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by—phone---Mail—coun
Contractor, designer, owner, was advised of above required data by—phone—mall—coun
Plans checked by
--:::?;,—sets of plans on hold in
Copy—DPW
Plans approved by
File cabinet _AP folder
by—date
by— date 0
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 9596.5 PHONE: 916-538-7541
Ivan N. Swikard DATE jefttlary 9, 1991.
2630 Phaeton Drive
Oroville, CA 95966 RE: building permit # 31-91 and 33-91
A.P. # 36-78-06
With reference -to the above subject:
/. / Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
/ / We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.,
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
X Recorded copy of agricultural acknowledgement statement.
OTHER
Should you have any questions concerning the above, please contact Dave Wasney
of this office.
Yours very truly,
William Cheff
Director of Public Works
J.F. Glander
JFG/aj Chief Building Inspector
71
PERMVulo. -'i 500-79P
PERMIT -EXPIRES A/
Warren T. Ambrose
OWNER
6ONTR. owner
LOCATION (A.P. 8-12-6
e
2646 Monte Vista Ave., Sp -16, Oroville
f -
Temp. Power Pole—
Called PG&E —
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING PAISPE-13TION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setbak
Fir)Lwall
S611 Piping
Forms
ParaXets
1st Floor
Main
Restro m Finish
2nd Floor
Footin
Ns
Window
3rd Floor
Stemwaik
Siding N
Topout
Slab
Roof'Sheatkng
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Fo6tinas
Sternwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physica
handicapped
Conformar
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPkACE
Final
Footings
Footina
ELECTRICAL
Masonry Walls
Throat
Rough
ReInf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLEA
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilati n
Permanent
Door Closer
14FInal
Final
MOBILEHOME UTILITIES ------------------ Elec. Service
Tec. Pedestal
Water Piping
Yo Sewer
Gas Piping
=1 E OME INSTALLATION .............. Suppnrt
Elec. Continuity ==MOP
Water Piping
Drainage
Gas Piping
DATE
—REMARKS OR CORRECTIONS
0
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Orovillp, Ca ifornia 95965
Telephone: 534-4541
APPLICATION AND PERMIT
-7 /Q
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date 1-7
Signature of Permitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Applicont
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.
R�MR OFfUBLIC WORKS
131�1� I ..
66 _ (� t;v 4.., - - 7 7 ----
Building permit expires Date— W*d—
BUILDING 1-1 1
Owner
SQ. F T. OCC. BUILDING VALUATION
Mailing Address
Telepho
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address 26
Plan Checking Fee &/or Penalty
Permit Fee $
$
PLUMBING No.1 @ I FEE
PERMIT FILING FEE $3.00 -3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
A. P. �o.
Jnin>g & Planning
Water piping 1.50 2va 0
Each gas water heater or vent 1.50
'F,jes
Apulul
FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50 /0-00
EQ_A\
I Parking
Plans
Parcel
I Declaration
Parcel Map
I I
60' R/W I
Improvements
Each additional outlet .30
__T_
Building sewer 5.00 lao
Bldg. NK is Rec'd
'Yal
�o
Parcel ��
PlanrA
F r oval
Lawn sprinkler system 2.00
NEW ADDITION UTILITIES OTHER El
Permit Fee $
33
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LE SS
100 AMP OR LESS 5.00
Single Family Duplex E] Mobil Home [5� Others
Main service EA. ADD -L 1 00 AMP 2.50
Main service OVER OOOV
100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. ( DWELLING OCCUP. Si)
OR ADDNS. ACC.BLDGS. 20sqft
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
N..."ES,., (MULTI
BRANCH CIRCUITS) 12.50ea.
NEW CONSTF;L OWER APPARATUS
NON . RESID. (SINGLE OUTLET CIR .
Ex. Occuo(OUTLETS OR FIXTIIPES I �BAL "14
L
FIXED APPLNS OR
Ex. Occup.(OUTLETS (RESI'D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I
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.
E] 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 ;No.1 �@ FEE
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
Land Development Fee
$ ;L5—
TOTAL PERMIT FEE
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date 1-7
Signature of Permitee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Applicont
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.
R�MR OFfUBLIC WORKS
131�1� I ..
66 _ (� t;v 4.., - - 7 7 ----
Building permit expires Date— W*d—
COUNTY OF BUTTE — DEPARTMENT OF* PUBLIC WORKS
7 County Center Dri ve — Orovi Cal i forn i a 95965
Telephone: 534-4541
APPLICATION AND PERMIT
out Iul I t:bUIItCILIVVb Ui LFIV %.oUU111y UI outtu tu entur upun ine
above-ment7opred property for inspection purposes.
X >�k a -&A Je, AU=_,L —Date I—A-7-2 9
99nature of Permitee or Agent
Receipt No. 129=-29
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont
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 dU �� JQ:r.�� Date
Building permit expires Date a—_A-7-6:6
BUILDING y
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Tel ephon e No.
Contractor
Mailing Address P0, &,�g, ga�(,
Fireplace I
Total Valuation
phone No.
Permit Fee
Bu i I di ng Address C/
PlanChecking Fee&/orPenalty
Permit Fee $
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
A. P. No.
Zon 6XIoCing
Water piping 1.50
Each gas water heater or vent 1.50
FOes
Fi re Dept.
Fi re Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
1 Parking
Plans
Parcel
Declaration
I Parcel Map 1
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
B I Jg ?tMrr-ftk-d
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION UTILITIES OTHER
Permit Fee $
1 —
4 4-" 4 :5;:
ELECTRICAL No.1 @ I FEE
L
PERMIT FILING FEE $3.00
main service 611V OR LESS SS 5.00
100 AMP OR LE
Single Family Duplex Mobi I Home Others
Main service EA. ADD -L 100 AMP 2-50
7
CIIR 6.0V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. I DWELLING OCCUP. N
OR ADDNS. % ACC. BLDGS. 20 sq ft
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 CONSTR. MULTI -OUTLET
NON-RESID, (BRANCH CIRCUITS 12.50ea
F
NEW.CONSTR. (POWER APPARATUS &
NON RESID. SINGLE OUTLET CIR.
Ex. Occui)(OUTLETS OR FIXTIIRE� W.A@L
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 2— Classification C-10
Misc. Wiring 6.25
E) I am exempt f rom the Contractors L i cense Laws of the State of Cal i forn i a.
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.
0'Workmen's Compensation Insurance.
1 1 have placed on file with the County of Butte a certificate of
r-1 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 'No. FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.001
Permit Fee $
I certify that I have read this application and state that the above I
information is correct. I agree to comply to all County Ordinances
and. State Laws relating to building construction, and hereby
Land Development Fee
$
I
.
TOTAL PERMIT FEE
M C9- n
out Iul I t:bUIItCILIVVb Ui LFIV %.oUU111y UI outtu tu entur upun ine
above-ment7opred property for inspection purposes.
X >�k a -&A Je, AU=_,L —Date I—A-7-2 9
99nature of Permitee or Agent
Receipt No. 129=-29
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont
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 dU �� JQ:r.�� Date
Building permit expires Date a—_A-7-6:6
tiNOTE--All Materials & Workmanship Shall in Vt plant,
A. Rp'.Coanixed Gond' Practices 'and Ilk W
Acco" rdance w* A* on the
�of a quo itv pre!;cr;-6p4 for +he Soec;f;ed use irr. the
ake any ch es
--Urdown IS!
'.Ir 60d\ p 6 rirb on--frOn-
E ect�ical e.
�he Natic na Works, Countv of Btit
It
Setp�ck shd'll be �-ft
The ZW6 . .... ..
, rrom
.. . .. .. ......
ations, MUST
it is- unlawful to
fio=- On-&ameRviA
ThOVI
Q -pl -
.,p rtment of Publif
. . ..... .. ......
ell
A/k/
1��OAIT
DEPRftm NI -
ROVED*
. I
AP #
OWNER
PERMIT-#,,
MH UTIL.CLEARANCE DATE. c)
,INSPECTOR
ELE RIC'
GAS Support Compaction
Pipe Stric. Test Req.
Type Size Length YES NO YES NO
Service
Size
Other
Load
2-0
tc
INTERIOR RMCE SUPPORTS
AS SPECIFIED By MANUFACTURER
STANDARD PIER AS SPECIFIED
BY COACH MANUFACTURER
''L MmVTZ MAJI Q%RTH AUGERS
GENERAL NOTES*
REVISIONS
BY
(OR tow, I 2W Ibs CAPACrrr
WHEN SEE TASM SPACE IST Raw
REFERENCE:CALIFORNIA CODE OF REGULATIONS, TITLE 25 AND U.B.G. 1994 EDITION.
000-02�03
Yw
2 rr TH SPACE EVENLY.-\
"914
1. DESIGN WADS MEALIA BE CONSISTENT WITH LOCAL REQUIREMENTS WHERE INSTALLED.
Yw
I= TRIPIZ WIDE
0-4
f
1p
G0.4
2- FOOTINGS -ARE TO BE SUPPORTED BY EITHER FIRM. UNSATURATED. UNDISMUED SOIL. OR
COMPACTED FILL ASPHALT OR CONCRETE. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING
CAPACITY AND MUM
10-01-03
1p.
BE COMPATME W11TH LOCAL SOIL CONDITIONS. ALL NOMGS SHALL
04-07-04
YW
4.ml.��
E I
6911.w. cp
'Pum -qp"mc Pam
IN RM .1 1.
THEM to Poo
RUVIRED FLUX
IN ROWS OF IL
b.
I -IT I
6
BE FOUNDED IN ACCORDANCE WITH H.C.D. GUIDLDIES AND TTTLE 25.
3. STRUCTURAL STEEL
SHALL CONFORM TO ASTM ASS
A :;038 KST uINfmm.
GO
ND
CO
,Cml
07,4
. "a.
Tm
69i.msiva
b� SHALL BE FABRICATED ACCORD AISC SPECIFICATIONS.
a- SHALL BE WELDED
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In
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ACCORDING TO AWS SPECIFICATIONS:
I. EIZCrRODES.- E70
li. PLATES. ASTM ASS
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1w
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LILBOLTS: ARD A307
ATM
ru
06
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di di
iv. THREADED ROD: RAWOSTM
LOW CARBON WELDABLE
d. ALL METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE
PROI VE COATED.
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4. THE C. P- SEISMIC
OD
1p Ep
[P
Ep
Ep
Ep Ep
PIER SUM BE LISTED AND LABELED BY CEI?fIF1 TESTING AND
CONSULTING SERVICES (=) raft THE FOLLOWING LDADS.
0- LATERAL, -LARGE PIZR:-
C2
W
CK
1
:X LOW LBS. =. LOAD LARGE PIER:- 2M LBS ULT. LOAD
b- VERTICAL : 16M LBS ULTIMATE I=
5. THIS
z
CK
cm
ci
FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED BUILDINGS CONSTRUCT=
WITH LONGITUDINAL OR CROSS JOISTS.
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III- THIS FOUNDATION SYSTEM PLAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL.
SITE WITH NO EMISTING SOLL PROBLEMS SEE TITIZ 25 SECTION 13U(b)
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7 STANDARD
-d
PIER & FOwwG SPACING PER coAcm unwAcnmcR*s INSTALLATION
u
[P
Ep Ep
MANUAL WIT11OUT MANUAL SPACING OF STANDARD PIERS TO BE DETERMINED BY STATE
MOBILE HOMES PARK ACT.
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FOUNDAnoN pAn N�TES;
1. FOUR FOUNDATION
1
PIAM :=MERI ...
PADS ARE AVAILABLE FOR USE WITH THIS SYSTEM. THE
* -
CUSTOMER MAY
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I PER TAM& 'Itk
ct
SEWC PIER
rouivemop., PAD
R rA Ct
OWE ONE OF THE FOUR PADS 7OR THEIR COACH.
2. FUM PADS SHALCLHBE PLACED ON FIRM. LEVEL, UNDISTURBED SOIL (SEE GEN. NOTE 2)
3. CONCRETE FOIDMATIoN
r-) 14
P.."
2!
,R,
Q,
C3
(A
pAng
A. 3000 PSI AT 28 DAYS AS TESTED AND UANUF. BY STABLITE WEIGHT CONCRETE.
B. PREFERRED
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0
W
%A
1p
Ep
1p
1�0
OUTLINE OF
1p
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PAD ORIENTATION V EVER POSSIBLE IS 17UT THE LONG DIMENSION
OF THE PAD BE PERPENDICULAR To THE COACH BEAM (AS SHOWN ON THE PLAN).
Lai
TL
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V_ MoBaz
__L__
COACH _\1�0'.
Otnumi
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C WHERE FIELD CONDITIONS REQUIRE PAD ROTATION. 140 MORE THAN HALF OF THE
PADS IN A TRAVERSE LINE CAN BE ROTATED SO THAT THE LONG MUERMON
co
>
PLAN
30'. 38%
42'. 48'
Z4'. 20'. 28'. OR 321-
I
COACH r_z'.l2'J4*.OR 16'
OF THE PADS ARE PARALLEL To TiM COACH BZAIL
4. PREMITRP TRrATm vaUNDATInN PAD
As
a,
Oe
Same I'* 1w
TRIPLE WIDE MOBILE COACH
PLAN
DOUBLE WIDE MOBILE
COACH
PLAN S"le:
A- 3/4 INCH A.PJL 40/24 EXTERIOR P.&L-83 CC. PLUGGED. NER-QA397.PRP-ios.
5.
SEISMIC
.3. -
3�
3 & 4 3 4
SINGLE WIDE MOBILE COACH
ffigmia EZtMKC IM
C PIER MAY TO SLAB OR
Y 110MATTIRrAd CUD AN EXISTING COMPETENT CONCRETE
P-4
>
C
[ROOF LIVE LOAD (m
WIND LOAD(UPILEXP"
60
so
70B
70B
OB
70B.7OC&8OB
V7
40
80C
40
CONCRETE FOIDTING ACCOJ=G TO THE FOLLDWING CRITERIk
ATTACH WITH TWO WDIAJIL ITW RAMMM/ REDHEAD TRUBULT WEDGE ANCHORS
C)
COACH -S=
SEISMIC ZONE
3 4
3 &
7- MINIMUM
P�.0
WIDTH
ROOF PTTC7
0 OF
hwor Inowmi
"or
Z9ww
P=
0 OF 0 OF
Tm_
amm Pmw
0 or
Tm_
wm
WIND LOAD(UPHM(P) 70B
4 3 & 4 3 4
BOB 70C acc
JIM
MINIMUM CONCRETE THICXNESS W
4. MINIMUM EDGE DISTANCE
UP To 48 pr
2%-.12
a 1 0
0 8
4
MAX. SNOW WAD
40
40 40 40
UP TO 78 P?
UP TO 48 PT
2W*12
412
12 0
e a
32
0
0 12
4 8
4
a
COA 0 OF 0 OF
SIZE
?M-
WIDTH _�GTH SPEItIERMSC DOWNS
P OF 0 0 0 OF OF j OF # OF
- %MWC Tm_ I C Tm_
COACH SIZE NOTES. 7.
1. UNLESS APPROVED By RDCX SOIJID ENGINEERING. JIM. THE ROOF PITCH SHOULD NOT
UP To To FT
" Up To
To 4
48 PT
4:12
12 -0
a
12
4 12
a 3*12
ROOF
10,12 60'
6 0
PIMMM PIEIM DOWNS mERS DowpM
6 4 6 6 1 8 12 1
EMCEED.
A- SINGLE WIDE& 1-12 OR 4:12 AS SHOWN IN TABLE
IL
Up To
UP TO 4" FT
4:12
4:12
0
a 0
a
a
0 a
4 PrfCH
9-
78*
a 0
-
a 4 6 a a 14
20 FEET WIDES: 2W-12 OR 4:12 AS SHOWN IN TABLE
C. ALL OTHER -DO UBLE WEDEL' 4:12
Up To 0
24*AW UP TO 00 rr
4:12
12 0
12
0 12
0 12
4 at
4 4:12
7
101 & 12, -60.
4 4
6 4
4 4 4 o 4 a
6 4 6 a a
D- TRIPLE WIDEM 4:12
FOR ANY COACH s= OTHER THAN AS SHOWN ON THIS PLAN OR REFERENCED ABOVZ
EWUP
UP To -ph vp
-9 - I
-_
Idt I n
I
161
4 :5 ROOF
78'
1 a 4
12
8 4 0 8
LAYOUT SHALL BE REVIEWED AND APPROVED BY ROCK SOLID ENGINEERING. INC.
Yj
31Y.W UP To 60 PT
Up To 'a
4r.48'
412
0
16
to
03 pfTCH
4
60'
14' 16
6 0
�AC
a 14
6 12
6 12
INSPECTION REOUIREM
UP To 7
UP To To Fri
4:32 1
16 1 0 1
16
0 16
1 4
Z78
-M
a a
a 16
1. THE DESIGN OF THIS -SYSTEM 13 BASED ON iTANDARD MANUFACTURED HOMES AS
MD.S ROOF
PFNH. f`OLLOW
POW ACROSS TO
v ON LOAD
RVAN 7
WEN.
TO COACH
SIZE THEN ACROSS M br_qA" An Or-
A
BUILT 13Y THE MANUFACTURE& SITE BUILT ADDITIONS SUCH AS CARACIM Amn
-P. SMUC PIERS & TOTAL NUMBER OF TIEDOWNS REQUIRED. L 'ER OF C.P. SEISMIC PICRS & TOTAL NUMBER OF TMDOWNS REQUIRED. _ia iui I U=UNUAKY ROOFS HAVE NOT BEEN INCLUDED IN THIS DEMON.
;Z;`A70CV"Z ;;R� AUGER JAMEOVE FOR PLACEMENT OF PIERS TMDOWNS. AUGER TIEDOWNS SHALL BE LISTED. AUGER
LISTED & -WfF�E�VOMN SITE 11 ,IF. %W.M% I= IIATION INSMien '___ ... * ' b >1
ON p- AL"'MENSIONS INCLUDED ON THIS PLAN. INCLEMING COACH S= ROOF HECHT AND" Z C40
12. IN OMSIZED PIER HEIGHT- SHOULD BE FIELD VERIFIED By THE JAM BUILDING OFFICIAL ANY 0
5Arx3' FOR CHIPPING AND/OR DisCREPENCLES SHOULD BE IMMEDIATELY BROUGHT To THE ENGmms ATTENTION. z
FLANGED PLASTIEN CORNER BREAKAGE 3- THE BUILDING PAD SHOULD BE INSPECTED TO ENSURE THAT PROPER DRAINAGE Cn r4 ce) 00 0
ANCHOR. INSERTS i I PATTERNS HAVE BEEN ESTABLISHED IN -ACCORDANCE WITH MTLE 25 MANUFACTURER. Z a' C'I '
A CC) E-
(=) -CC
1 In
co
APPKCWM'
5M x 1-3/9' FLANGED PC J .:, .I E- co 0
5/8,101 STAINLESS STEEL OR wu1mff?000KQfiCT�mwm . 0 C\2 rx,
FLANGED PL 5/0 x r FLANGED COACH I K$A 7- A"MWAL *NOTAumoR=OaAP1MWMAMV Z z
ANCHOR I= PLASTIC ANCHOR INSERT 4 3A - � In
A 3* Z r PLAN IN 2/ Ts ammuousommVIATM"touneviumummOr a E-4 U) M
4-4-dw4 1 3.51 I;lz/v;ILIL ES AffUCU%WATgLAV*ANOa0ffAAXg= W
NUT a" - or Z
4x4 -4x4 VVF N F T N P p IA 4-614 scLr iAp SCREWS COACH C W co
[PRECAST C.P. PRO PAD ITSOPIPE 0 W
3Wx32'xV41 7 IN CYR THE to IN PfPr OR J BEAN
PLYWOOD E�! 15 IN PIPE 4 - 3/w Bfus
yjGK%M TO W4*x2'x4* r x 31 CIVL z
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OA5H I
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OR
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B, IM-Lat ANGLE 3r' WIDE PLATE
HOLES nm TUBE MUST EXTEMD� rT-LBI) TORQUE SPACER -AS NEEDEII
I/v x 2 112, CJL X KIM IN TO CLA14P PLATE FOR J -BEAM z
3/41 THIMAZED ROD
9 CL
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BASE HmGwT V$ 1
PLYWOOD OD 7 I"Em 1j - BOLTS SEISMIC
INC PM
IL5 1461 PLATE LEGS PIER
I" INCH EXTRA LARGE TV or 2 MAKIAL
r
A`5 -5/8, blfcxo
:dNNECTED Wil EIGHT
1 " " * L
-1/2*x.120* NAILS 1! Z%.VR
OR" 81684-1/21 FHWS VIT" mWOEMED v EfS" C PIER
114' PLATE rGUNDATmN pA
f.. !�&= ft qmm Notx �6: IMAX gou -q- Dpap-ou-
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