HomeMy WebLinkAbout079-200-042L
W rren T. Ambrose Chaise
, - A._ -�S JL42 nrn��j 11e
Permi #536-79P(uti1.,MHH
ELEC.
GAS _ Nf� li
SUPPORT STR%CTURE REQ. N O
COMPACTION TET REQ. - ti0
contr: Loyd's Elec.
Ile
''Permit #168A-79E(elec�r&v lard light/
MH) y g /
ermit#1752-8�P,E (reloca�-ti
LEC. &-/_ g/ O®/�
AS 6-1-8/
NEW OWNER 'A
CHARLENE P ILL
�! I
2 52 CDri-,- Orov lle
Contr : Mobilehome Center
Perm= t#k194p5-81MHI
I ued 1, -- :::� -- 'Q /
----- n n
contr: Anderson Awn.&.MH Serv.,Chic,
Permit #3105-81B(new decks & awning
MH) r I LE -
0 /9-200-042
E-
079-200-042 06-1983
PRILL, JOYCE
2662 .CHAISE DR, OROVILLE
Corit: MYRON LINDQUIST
DECK(REPAIR/REB UILD)
-012
H
BUTTE COUNTY IJtKIVII I IVU.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP061983
OFFICE #: (530) 538-7541
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter T(commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
Issued Date: 08/17/2006 APN: 079-200-042-000 -
effect.
License v�
License Class: `` _ 'Number..
DateR, .\ Contractor:
Site Address: 2662 CHAISE DR ORO
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the
Description: DECK REPAIRS/REBUILD
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
Owner: PRILL, JOYCE
signed statement that he or she is licensed pursuant to the provisions of
2662 CHASE DR
the Contractor's State License Law (Chapter 9 commencing with Section
OROVILLE CA
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
95966
violation of Section 7031.5 by any applicant for a permit subjects the
(530) 534-3812
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
Code: The Contractors' State License Law does not apply to an
Applicant: LINDQUIST, MYRON
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
556 SILVERLEAF DR.
provided that such improvements are riot intended or offered for
OROVILLE, CA.
sale. If however, the building or improvements are sold within one
95966
year of completion, the owner -builder will have the burden of
proving that he or she did not build or Improve for the purpose of
530-589-1876
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: LINDQUIST, MYRON
pursuant to the Contractors' State License Law.).
556 SILVERLEAF DR.
❑ 1 am Exempt under Article 3 of the Business and Professions Code
OROVILLE, CA.
95966
Date: owner:
530-589-1876'
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #: 761007
❑ 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
is issued.
Architect:
❑ 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 carrier and policy number are:
Carrier:
otal Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
I certify that in the performance of the work for which this permit is
Census Code:
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:
Applicant:
WARNING: Failure o secure workers' compensati verage 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
,f(
code, interest, and attorney's fees.G�'
CONSTRUCTION LENDING AGENCY
This permit Is hereby issued under the pl able provisions of the Butte County Code and/or
Resolutioris to do ork indicated ab a fo hich fees have beeri paid.
I hereby affirm that there Is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
By. Date:
Name:
%
PERMIT EXPIRES ON:
Date
Address:
❑ 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.
Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Notification in accordance with
❑ Attached are copies of the required E.P.A. notification forms.
this 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
I hereby,
I hereby certify that 1 have read application,
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.
all county
authorize representatives of Butte County, to enter yon theabove mentioned property for inspection purposes.
' h�jr Y` L ,f h.UC V f S Signature:
PrihrName: , t
Date:
---�Contractor ❑ Agent for Owner ❑ Agent for Contractor
O Owner
B. C. Building Permit 01-16-04 pg 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND. SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"'
OWNER INFORMATION
Last Name \
irst Nam', C
Address
City \e
StatRzN.,
Zip
Phon `
Fax `
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
ho tv� s
Address
\r
City
Fax
Stal:K
Zip �S
Phone
_
Fax
E-mail
Planner
lac. b`Oo�
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone.-
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
For office use only:
Zoning
Pr ope y Ad ess
2 0ha khe t w�
Flood Zone
SRA
es
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K•\FrIRMR\RI III rllNr: FnPhAR\RIrinAnnlRiihRnmtc r1or.
PERMIT
BP •'
BIN #
PROJECT LOCATION
AP#
Pr ope y Ad ess
2 0ha khe t w�
Cross Street
WORKER'S COMPENSATION -
Policy Number
Carder'
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
Paoe 1 of 2
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
refundable.
Received by: Amount: C6 Bldg
SRA
Receipt #: I �Gvi Sheriff
661'
el )'
3 2(0-o
Date:
SMIP
Other
co
Total
REV 8-12-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BEI LEGIBLE AND IN INK
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph pap
Engineered.plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamp)
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor P
C
8.
9.
10.
11.
12.
) OR
and signed calculations.
n, (D) Tie down or fnd plans,.
all in duplicate
Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate.. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required)
Site plan and business license approval from the City of Biggs.
Letter of intent for non-residential buildings.
Building Permit Application Without Required Clearances Form
Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after PI
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. - Encroachment Permit for driveway from the Public Works Dept. (construction
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
Check and Planning
office (if required).
prior to occupancy).
❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer
❑ 12. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process,
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of appli
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the.person who`paid the fee. The
years -from the date of fee payment on, permits not issued, and two years from the d
issued; however, on issued permits refunds can only be made if no construction work
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
, or MCO.
please contact a
. In order to renew action
uest must be made within two
of permit issuance for permits
been done. Filing fees, plan
KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 I REV 8-12-05
6' TYP. JI'x V'
!IT
G PLYWOOD CC
EYT.
_ J. = 9
•
. FRMNG
ELI Fn
_ r -
M
•
.. 2' x 12" sTli7 STRINGER.
�Q�'x120PI� 5 '• ?DP VIEW
H AI,IDL'111L :NOT 5 HD UI tJ •FDR CLARITY.
2"Kf� DECKItjG'(ALT) 3/o' BOLT' perce.cl so-Ehn�' a-
,�9.
4w,,GDEfZS
j-I't Sphere Can n0�
.l'/a• TA (2 PLYWOOD CC EXT. ..
_ _ _
2'u4•
•
IIDME
�, a n'-� +h -i h °
MOBILE
OR DECK
u / p�
Ck
N MTL. FRMIJ y �UI�
. 48. TY
•
I CIDP (EA. DE
MAX.
9'MIN.
8ULDING ®IVI SIS
• 4%V
APP ROVE®
•
4•,c4• POST
• .
. 2 F+ ._..-.-
1-110Z Vk4..PRESSURE^
•z
r—= &UARRRAIL
-- Mz)i'RrATrP -A ig
DOLTS �RFDWooD•P1AT9' -;
°`�°�
DECKIUG' GIRDER ; e- �rONs`
N
PRECAST 4x4" POST .10-30 03
AvE4u4rE v1A4oNAI.
s1DEAlr//1.� ��s �N%1°��CK
BRRCING. TYpicAL �FST
8 MIII
..
- •-
•- •.� ' • • ", `iOUNTY OF BUTTE — DEPARTMENT OF PU13LIC WORKS
�"
T County Center Drive — orovitte. Cetltornleosm
I4"xl "KN.�
ODTriv4 -Telephone: _
�.a
67q
y PERMIT NO. 3105-81B
P' PERMIT EXPIRES
.OWNER Clarence Prill
CONTR. Anderson Awning & MH Serv., Chbo
k ASSESSOR PARCEL 791 oqcq
t
LOCATION 2662 Chaise Dr., Oroville
f[(
I
' Temp. Power Pole
Called PG&E
P
f�
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG&E
JOB FINALED (Date)
Signature
J = OK'
0 = Not -OK
= Not Applicable
* = Not Ready
MOBILEHOMES MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's
1. Zoning Requirements—Setbacks—Easements •
oriing Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
Footings Size-Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete
1!15ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
OWood Awn.;.Posts—Beams-Rfirs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp -Concrete
5. Alum. Awn.; Columns—Connections-Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Ca rts; Windows—Doors
7. Utility Clearance
7. Elec. r
Card -BI
Date Card -BI Date
Card -BI
Date -/ g 2—Card-BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except H's
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4, Elec.; Receptacles and Lighting; Distances—GF.I
5. Drain; MH Test—Fall—Flex Connector,
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/O to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enc losures— Pane lboards-Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = 'OK
0 `= Not OK
- = Not Applicable RESIDENTIAL (Single and
= Not Ready
Duplex)
Date
UNDERFLOOR Plans OK'exce t#'s
Date
FRAMING (Continued)
1.
Zoning requirements-Setbacks-Easements
48.
Property Line Firewall
& Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors-One 3'-Check Garage-3rd story, 2 exits
3.
Ftg., Garage; Soils-Steel- /- /" Ftg.'Depth r `
50.
Stairs; Width-Headroom=Rise-Run-Landing-Fire Protection
4.
Ftg., Porches & Decks; Soils-Sfeel- / /" Ftg. Depth
51.
Plywood on Roof Overhang-Attic Vents-Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding-Nailing-Veneer t
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh-Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers-Fireplace Ftg.-Steel 154.
Glazing Area-Glass Protection-Skylights-Plastic
8.
D.W.V.: Fall-Fittings-Test-2 way C/O-Sewer Test
55.
Shear Walls; Nailing-Bolts
9. Gas Pipe; Size-Anchors
10.
Water Pipe; Test-Anchors-Regulator-Service Test
11.
Electric; Underground
12. Plenums & Ducts; Clearance-Material-Support-Ins.
13.
Girders-Sills-Anchor Bolts-Joists-Vents-Cripples
Card-BI
Date Card-BI Date
Card-BI
Date Card-BI Date
Card-BI
Date Card-BI Date
Card-BI
Date
Date C6rd-B1 Date
_
FINAL (Plans) OK except a's -
Card-BI Date Card-BI Date
Date
PLUMBING (Permit) OK except N's
14. Water Ht.; Vent-Access-Combustion Air
15. Water Pipe; Test & Anchors-Nail Protection
56.
Ext. Steps-Door & Sidelight Protection-Landings
57.
Smoke Detector
58.
Furnace; Vents-Clearance-Comb. Air-Connector-
'In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors-Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor-Tub Access
60.
G:F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor-Tub Access
61.• Elec. Trim & Subpanel; Breaker Sizes-Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances-Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card-BI
Date Card-BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap-Cooking Clearance
Card-BI
Date Card-BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing; Landing-Closer
68.
A.C. Duct in Garage-Damper
20.
Fixture & Transformer Clearance-Ins. Protection69.
Wtr. Htr.; Vents-Clearance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing-Lights &Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors-Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23.
Romex Installed Close to Edge of Studs & C.J.
72.
Insulation-Foam-Looked in Attic ❑Yes
24.
Equip. Ground made up w/Mech. Fasteners-Bond Gas & Water
73.
Guard Rails & Deck Construction-Post Caps
_
25.
26.
2 Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Holel Door-Drainage & Wood-Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drivel ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service-Riser Conductors & Ground-Main Disconnect
76.
Stucco; Brown-Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77•
A.C. Unit; Disconnect-Clrnces-Brkr.'& Cond. Size-115V Outlet
30.
Clothes Closet Light-Shower Light
78.
Vents Above Roof; Plbg.; Appliance-Firepl.-Clearance to Opngs.
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F !I. Receptacle-Underground
Card B-I
Date Card-BI Date
81.
Ventilation throughout House
Card B-I
Date
Date Card-BI Date
MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation & Support
82•
Glass Protection i _
83.
Corrections from Previous Inspections
84.
Gas Test-Meters Tagged; Gas-Electric
85.
Water & Sewer ConnectedLC/O to Grade-HD Approval
_
_
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate-Other Certificates
34.
Furnace-Vent; Access-Comb. Air-Return Air Vent-115V outlet
- -
35.
Attic Access & Platform if Furnace in Attic
Card-BI
Date Card-BI Date
Card-BI
Date Card-BI Date
Card-BI
Card-BI
Date Card-BI Date
Date Card-BI Date
Comments at Final:
Card-BI Date Card-BI Date
Date FRAMING(Plans) OK except p's
36.
Sills; Proper Material & Anchors
37.
Walls; Studs-Nailing, Spacing & Bracing-Plates-Sound
_
38.
Bearing Walls over Girders & Floor Nailing
_
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings-Stairs-Chases-Tub
l
_
41.
Header & Beam-Size & Bearing
_
42.
43.
44.
_
Hangers-Post Caps-Anchors-Connectors
Clng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthno.-Rfnp.
Fireplace Ties or Type A Flue-Fireplace Throat
_
_
4_5.
Attic Access; Size & Romex Protection-Draft Stop-Ins. Baffles
46.
Bdrm. Windows or Exiting Doors-Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
I
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 11? f
APPLICATION AND PERMIT 'I,
ASSESSOR PARCEL NUMBER
r' ...J
ZONING
,
BUILDING PERMIT
OWNER, . .
%`^,Ae� w . M .w'1 a \
TELEPHONE
FT. OCC. BUILDING
1.
;SjQ.
%//
✓�+'�VALUATION
CJ
OWNER'S MAILING -ADDRESS
• w
CONTRACTOR'S
// NAME
[.tM /1[/l/1 �. C......,: nn n � %'i't� iJ. FAQ •...,
TELEPHONE
'
CONTRACTOR'S MAILING ADDRESS
pa G6y y97 cAl—":)
Fireplace i_
CONSTRUCTION LENDER
tic)
UNKNOWN
Total Valuation 1 $
C% 4) 0
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 14 .(%t)
ARCHITECT OR EN"GIINE'ERR
� 141 ,te-a ,r>G#�e
LICENSE NO.
SE '<0
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS� D /� " /.y..•
FL/ /! 1V{ L
PLUMBING PERMIT
FiIin9 Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
,r?Rl VA -L(_ ,
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeQ,Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ®" Remodel ❑ Utilities ❑ Installation El Other ❑
Describe work:
v
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2,50
NEW CONST. (DWELLING OCCUP.5)
OR ADDNS, \ ACC, BLDGS.
22 sq ft
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.Z-PSf OnClassification �,i
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. I.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS
NEw CONSTR / POWER APPARATUS 61
NON.RESID, \SINGLE OUTLET CIR.
80@25C
Ex. Occup OUTLETS OR FIXTURES BA �¢1
EX. Occup.�OUTLETS PREA. 2.00
(RESID )
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
Ho'l 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.
Heating
Cooling
Hood
3.00
Ventilation
Pelt Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
ainst
1 also all liabilities, ilree to j dgmen se costs,nandeexpenseless the s which may in any way of Butte aacc accrue
against said County inconsequence of the granting of this permit.
-[,n �� %
X t 11�►o.± /Z/ t.iM.-- Date 9/ rR�
Signature of Applicant — Owner ❑ Contractor I,r000'�Agent,❑ r
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 $
TOTAL PERMIT FEE $ 66,00
ua. GROUP
%d
TY�OF�ON ST,
IPARCELI 'P j
, .ISSUE
w
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
�f
By�Date�I
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
1
FWHRe.ceiptE-D.PNo.
.W., FELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
I
r'
COUNTY OF BUTTE - DFPART!VwEN.T OF PUBLIC WORKSPERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45
APPLICATION AND PERMIT
ASSESS R PARCEL NUMBER
�•,_
ZONING
BUILDING PERMIT
OWNEFh
f
TELEPHONE
S . FT. OCq. BUILDING VALUATION
OWNER'S MA LI G DRESS
2(o62
CONTRACTOR'S NA
TELEPHONE
CONTRACTO 'S MAILING ADaRESS
Fireplace
CONSTRUCTION LENDER
AJ 0
UNKNOWN
Total,Valuation Is
Z50
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
"
Permit Fee
$ r(JV
ARCHITECT OR ENG, EERLICENSE
NO.
S
Plan Checking Fee
$
Penalty •
$
A-IRCHITECT OR ENGIR'S MAILING ADDRESS
lJ c i
_
Permit fee
$ 100
BUILDING A�;ZESaS_ /1 ISE ���, /�
//{�(�JJ__ ,�(,I{�l/ V
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00.
Repair drainage or vent piping
5.00
f'✓V lL
Water piping
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF [:1Duplex[]Mobilehome Other SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition Remodel ❑ UtilitiesE] Installation❑ Other ❑
Describe work: �r¢LI,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
.5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.Oi
OR ADONS. ACC. BLDGS.
2� sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
I
[I1* am licensed under provisions of Chapt:9, Div. 3 of the"Business
and Professions Code and m license is in ful force and effect.
y
License No.3"7Sct 12'7 Classification !6/
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. I.OUTLET 2.50 ea
NO N.RESID BRA CH CIRC TS
NEW CONSTR I POWER APPARATUS &
NON-RESID. %SINGLE OUTLET CIR.
:�@�D¢
Ex. OCCUp OUTLETS OR FIXTURES 100
(FIXED APPLN5. OR
EX. Occup. OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
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.
Heating
Cooling
Hood
3.00
Ventilation
penult Fee
S
Contractor
I certify that I have read this application and state that the above information
is correct.'l agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County i onsequence of the granting of this permit.
X _ f�rZ� �9`�— Date >
Signature of Applicant — Owner ❑ Contractor OU"""Agenttl
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 $
TOTAL PERMIT FEE $ 6-6,00
occu GROUP
`"
I TYPE OF CONST.
V l��t0/
PARCEL
4_
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
IT EXPIRES Date -
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
�/
Receipt No. _51! 8�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
OWNER
COUNTY OF BUTTE - DEPARTME1,0T`OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/53411541 -*
PERMIT APPLICATION DATA SHEET
Permit No.
A. P. No.
Proposed Building Use
Permit Fee Based Up61: Complete Contract Price DPW Valuation
(0::::Other (Explain)
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/oor/ssuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. ,,�:�,• .
10. 'Sanitation approval from H�eal'th Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner, Mail to ownerE])
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Insp17. Pre -Inspection for Required- Building
request to (Date)
P 4 Building Inspector
18. Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
A p p I i c a n t C.WIIIO tOaj_ Date 91'Z 71b
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By
Plans checked by.
Plans approved by
Other
Copy—DPW
Date
Date
Date
ANDERSON AWNING
AND
MOBILE HOME.SERVICE uc'. No. 376187
P.O. Box 487 a Chico, CA 95927
(916) 342-6881 ��a\\ Ige ara
a�sv\p 4oCIN�oes`N kh d
dto P se on
C�°°e _,k\eo G°aes
e'*�S o�n\� '. (\e
�e� d®v & dao
o
G
a
l'Poco
�� _ .
A -R
°k . ®T� , nod F1
`7
L�
xo
eG`a, � �sy��e � CQ
'
AN
s@es dogs �c
ON \\\eQeQa
b o1
Se '�o es 01
ki
xe
A setback of 5 ft. from the
property lines and a setbkk
of 50ft. from the road
centerline shall be clear 6f
structures or ec�u'P ' enf a pi
ibir a 2 ft. eave 6verh8ng.
BUTTE COUNTY
BUILDING DEPARTMENT
C -%\p
tx
�' . - - - - -- — - - - - --.�• ^. ^�'^1,': _'`•''7 � � �X � .ter � ..i +!�`-•-J''' �i-
Shl�l -4r
rove de - - - '"7�
e
'� M
,�./=':? ,f3.d d CSS �J/ Pfd � r�j —�'•.� /,t:� —�"
12
.
j.�
-xiC�. ,40.E
I' -
c�i'��
n
n
®
'U Q
C
OAU •• Y,r
����,
.�f
��'✓ '. a.,, . >3
eLz
`,
m
"7
j.�
-xiC�. ,40.E
I' -
c�i'��
ANDERSON AWNING
AND
BUTTE COUNTY
BUILT)1NG
APP
;14-
r.- - em -
R�
le, yd
PERMIT NO. 1792-A1 PAF.
PERMIT EXPIRES 5/14/82
OWNER WARREN T. AMBROSE
CONTR. nwn tn r
ASSESSOR PARCEL 1-12-42
LOCATION 2662 Chaise Driye,.Oroville
i
999
Temp. Power Pole
Called PG&E
4
Temp. Elec. Service
Called PG&E
`CA/i/
Temp. Gas Service
Called PG&E
JOB FINALED (Date)_
Signature—
d OK :; A
0 = Not OK
- = Not Applicable
= Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
oning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
Special MH Support -Sketch
2.1Footings; Size -Depth -Spacing -Connectors
Sewer; Location-Test-Fall-C/0-Concret !! a
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
ater; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
ectricity; Location-Clearances-Grnd.-/ mp-Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
Gas; ation-Test-Wrap:/ -..0 L"ft./ •y'Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
tility Clearance
7. Elec.
Card -BI
Dates le and -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOff_ffALLATION (Plans) OK except q's
lNe
Date
_
POOLS (Plans) OK except k's
oni Requirements -Setbacks -Easements
1. Setbacks -Easements
ootin s, Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
west -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
Electr' ity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
rain H Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
ater; H Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
a—Wa_ver and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
asand Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
xits� Insp.-Sketch
ert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
cd Z ml- /sem
W
t
V = OK
0 = Not OK
= Nocable RESIDENTIAL (Single and Duplex)
� Nott Ready , ,
r
1.` .. a
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom; Rise -Run -Landing -Fire Protection
4.- Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Ouviggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
52.
53.
Siding -Nailing -Veneer 1
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
j -
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
j
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date '
Card -BI
Date Card -BI Date
Card -BI
Date
FINAL
56.
Date Card -BI Date
_
(Plans) OK except #Is
Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except N's
57.
Smoke Detector
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor:-Ducts-Mech. Protection -
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting I
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures I& Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpane1;jBreaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails j
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance;jGrnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection.
69.
70.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
i
In Garage; Above Floor-Mech. Protection
Plb., Elec. &Mech. Equip. Listed for Location
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
23.
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
Insulation -Foam -Looked in Attic [:] Yes
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
73.
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl 'Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor I] Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral []Yes❑No
75.
Following instld.: Drivie ❑ Yes ❑ No; Walks El Yes El No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish C
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect! Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date
Date Card -BI Date
MECHANICAL (Permit) OK except q's
31. A.C. Ducts; Insulation & Support
82.
Glass Protection I_
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Ta gged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
-
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
-
35.
Attic Access & Platform if Furnace in Attic
I ,
Card -BI
Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Comments at Final:
_____Date
Card -BI Date Card -BI Date
Date
FRAMING(Plans)
36,
OK except p's
Sills; Proper Material & Anchors
I
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
Bearing Walls over Girders & Floor Nailing
_
-38.
39.
Draft Stop in Walls (rat proof)
j
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
I
_ -
41.
Header & Beam -Size & Bearing,
I
42.
43.
44.
45.
_
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfnp.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
I
_
I
I
_46.
47,
_Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
Xe, I oy
11 44
e -ed f)or-
�o
-sew
OAK
J
COUNTY OF BUTTE ; DEPARTMENT'0'F PUBLIC WORKSPE MIT NO
7 County Center Drive - Oroville, California 95965 - Telephone 9115/534-45Moot om—K
/�
APPLICATION AND PERMIT -
5(
ASSESSOR PARCEL N BER
$ . 12 - t� f
NG
BUILDING PERMIT
OWN R
% AM %J' RV �S G
TELEPH NE
r33- �SZ5-
S0, FT'. OCC. BUILDING VALUATION
AILING' ADDRESS
ZV2' O9/✓[ /
CONTRACTORC'SS/S NAeE,, _ /I�
TELEPHONE
'
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LEy, R
UNKNOWN
Total Valuation $ '•
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENG( E R
LICENSE NO.,
Plan Checking Fee
$
Penalty
$
ARCHITECT OR EN EER'S MAILING ADDRESS .
Permit fee
$
BUIL�IING DRESS
�`J Z
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
Water piping
5.00
/Q. OD
LOT
SUBto ARRCEL MAP
A/� PA /O�JPO—/Z,-
Each qas water heater or vent-
5.00P—
Gas piping system 1 - 5 outlets1/0,,90
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeE?3-"Other
SPECIFY
Building sewer
,d0
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: %� �� u77L
Permit Fee
$ rQ0
Contractor
ELECTRICAL PERMIT-
Filing Fee
00V OR LE
Main service 100 AMP ORSLESS
11,0.000
5.00 %.�'_0 (/
Main service EA. ADD'L too AMP
2.50
NEW CONST. \ DWELLING OCCUP.y\
OR ADDNS. ACC. BLDGS.
/ 22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR MULTI -OUTLET 2,50 ea
N ON.R ESID BRANCH CIRC ITS
NEw CONSTR. (POWER APPARATUS 6)
NON.RESID. (SINGLE OUTLET CIR,
Ex . Occup o W a 250
T3 DR FIXTURES BAL�1
FIXED
Ex. OcCup.(OUTLETS P(RESID ) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00-00
Misc. Wiring 7.50
Permit Fee $ 3
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$ '
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Co in onsequence of the granting of this permit.
Xj,n �/I
"' �-- Date �'�" —
Signature of Applicant — Owner ❑ Contractor ElAgent ❑
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 $
TOTAL PERMIT FEE $ 72.Sd
OCCUP, GROUP
I TYPE OF CONST.
PARCEL
I PO
HD
ISSUE
This permit is hereby issued under
Si f the Butte County Code and/or
rk 'ndicated ave for which
IR e-T�OR OF PUBLIC
PERMIT EXPIRES Date_
the applicable provi-
resolutions to do
fees have been paid.'
WORKS
Date
`•-� / �� 7--
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PIN -INSPECTOR, GOLDENROD -APPLICANT
,. tf PERMIT NO. 536-7U
i•
PERMIT EXPIRES
OWNER WARREN T _ AMBROSE
`i CONTR. owner
(8-12-42
LOCATION (A.P. )
%f2646 Monte Vista Ave, Space 42, Oroville
t.
i
t
y `
F.
rt
r{
}
} Temp. Powe Pole
I Called PG&E
i Temp. E c. Serv.
Caleled PG&E
Temp. Gas Serv.
ailed PG&E
I
J
OB {%/
FINALED o
(Date)
(Signature)
1
i
I
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS a '
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Set ck F ewall Soil Piping
Form Par ets 1st Floor
Malin Idg. Restr om Finish 2nd Floor
Fo' 'n s Window 3rd Floor
Stem • 11 Siding To out
Slab N. Roof Sheaking Water Piping
Piers �, Roofing \ Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents X Water Htr.
Stemwa l l Insulation Heaters
Slab X Prov. for ph sicall Appliances
Carport handica ed
p Conformance of ex. Gas Piping &Test
Footings structure Temp. Gas
Slab Final Sanitation
Patio FIREP CE Final
Footings Footing i ELECTRICAL
Masonry Walls Throat Rou h
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLE Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Under round
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ----------------- Elec- Servic-77 iS Elec. Pedestal `' 77 170
Water Piping Sewer j': Gas Piping
MOB16EHOME INSTALLATION - - - - - - - - - - - - - Support Elec. Continui
Water Piping zV.&C Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
A
V�
V
0 J
O v a
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY Or BUT= -TE--- V V
DEPARTMENT OF PUBLIC WORKS C'�r7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number V41-6--91 for the following location:
Owner
Owner's Address
Mobilehome Mfg.Gl�l.%rn.L►"./ R'.'d�et1!Model�d*t�+�.�► (�Year�
Insignia No:��/ �T.� .� Serial No��� �%�•'?
It is hereby certified for occupancy at the above described location and
may be occupied.
Directory of Public Works
Date B
r y �y
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT.OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number f=f5/ J - �/ for the following local on:
Owner
Owner's Address / • X.
Mobilehome Mfg. `' Model car �!
Insignia No. �•�� "` �Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Direc r� Public -orks,
Date V %f�< / `' By✓!- `""
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-45413
APPLICATION AND PERMIT
aumonze representatives or ine county or tsutte io enter upon the
above-mentioned property for inspection purposes.
X ij r/ Date/— 31` 7 7
Signature of-Perrmiitee or Agent
Receipt No. 1p
K f X? b
White-D.P.W. - Yellow- Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
IRR OF PU LIC WORKS
Date
Building permit expires Date � F
BUILDING
Owner
w
SQ. FT. OCC. BUILDING VALUATI N
Mailing Address
1 Telephone No.
't 6 V I\ Q
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address �,�
Plan Checking Fee&/or Penalty
Permit Fee
2 -
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
�- ��-
P. o. - %
/I�y
Z�n ng"g
Water piping 1.50
Each gas water heater or vent 1.50
sPNC.VagpiFire
Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQ
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
, Improvements
'an
Each additional outlet .30
Building sewer 5.00
Bldg. P Recd
Parcel roval
PIApproval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
permit Fee $
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS ,
100 AMP OR LESS 5•�0
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service O00VERAMs0ovPOR LESS 25.00
1
Main service EA. ADD'L 100 AMP 1.00
NEW CONST DWELING
OR ADDNS. I ACCLBLDGS.CCUP. 7E) 2¢Sgft
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
le of:
TL
NET
NEW CONSTR. BRANCH CIRCUITS)
ON."ESID ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS a
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTURES g L ,21@
Ex. QCCU FIXED APPLNS, OR
p•(OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
291 am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE J$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
TOTAL PERMIT FEE
$ �
—77
aumonze representatives or ine county or tsutte io enter upon the
above-mentioned property for inspection purposes.
X ij r/ Date/— 31` 7 7
Signature of-Perrmiitee or Agent
Receipt No. 1p
K f X? b
White-D.P.W. - Yellow- Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
IRR OF PU LIC WORKS
Date
Building permit expires Date � F
J
COUNTY OF BUTTE — DEPARTMENT 0P PUBLIC WORKS
7 County Center Drive - Oroville, California -95965
Tel ephone:.534-4541 �l0
APPLICATION AND PERMIT /
BUILDING
Owner
COUNTY OF BUTTE — DEPARTMENT 0P PUBLIC WORKS
7 County Center Drive - Oroville, California -95965
Tel ephone:.534-4541 �l0
APPLICATION AND PERMIT /
autnonze representatives or the county or tsutte to enter upon the
above-mentioned property for inspection purposes.
, /101 � `--� Date J-.77,- -
Signature f Permitteeee or Agent
Receipt No. f
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above or which fees have been paid.
JORILCfO OF P BLIC WORKS ��77
Date J - � `—
��
Building per tit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address e,
Telephone No.
Contractor '
Mailing AddressU
Fireplace
TotalValuation
'Telephone
No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. N �--�"% �/
��%
Zo�iing' 8(;�anning
Water piping 1.50
Each gas water heater or vent 1.50
F
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
P
Each additional outlet .30
Building sewer 5.00
Bld
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER JK
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 -�
Main service 800V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil HomeR] Others ❑
Main service EA. ADD'L loo AMP 2.50 _ 5-()
L�7Main
....7
6
service OVER so.V 25.00
OR LESS
100 AMP5'3
Main service EA. AOD'L 100 AMP 1.00
NEW CONS. DWELING O
OR ADDNST ( ACCLBLDGS.CCUP. N� 20sgft
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:
J�LU�%
,.,f' r2�
NEW CONSTR BRANCH TLET
CIRCUITS
NON-RESID (MULTI BRANCH CIRCUITS/ 2.50ea
NEW CONSTR. (POWER APPARATUS B
NON-RESID, SINGLE OUTLET CIR.
Ex. OCCUp(DUTLETS OR FIXTURES B L@1
Ex. Occup ( FIXED TS (REAPPLS. OR ) .L 00
OUTLETS (RESID.) EA
Temporary service 10.00
Mobile Home Facilities 15.00 f
�� �c_ ,Z�
License No. � Classification � �,���
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
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
El permit is issued 1 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 2.00
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
$
TOTAL PERMIT FEE
$
autnonze representatives or the county or tsutte to enter upon the
above-mentioned property for inspection purposes.
, /101 � `--� Date J-.77,- -
Signature f Permitteeee or Agent
Receipt No. f
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above or which fees have been paid.
JORILCfO OF P BLIC WORKS ��77
Date J - � `—
��
Building per tit expires Date
C.f1RIL16c' `11/� 9,-?
NO�LlClvl��ls ,iYbrkmanship Shall Be in=-L—
.kccordanee' with Recoanized Good. Prac}ices
of a quality prescribP�l for the Specified use
Uniform Building, Plumbing & Machanical 'Codes and
the National Electrical Code. _zz' 5'
P
S
550
MA
The INS. S
side prope
centerline 't
ri:um of a 2
out . of all 1
--1?///
j
_...T.. ... -
- All . uj-ti lity
located wi tl-,y
)nnections shall be
4 ft:.outside- the rear:
$5lJ
this set of plans and specificatio4�� iv SJ' �� �r O
<ept on the job at all times and it is unlawf 1 fc
make any changes or a tes`'64& s64` ame without }
written permisson from the Department of PIIhHt �
Works, County of Buttes. I
S.S. /`/.If/k/
BUTT
WILDING
A=P P R CSV .E D l
thir.d ectian
of the -mobile home
s
on=thd left -t
ad) side'.of the mobito,..
�\ �
xX.,F
� '�� ��,, � N -- �,� ,,�.
___... home{...
__ .-------•-�--- -
s
..
�
I
h
X
I
w:r
j
•
,
y
Y
I
(
.
VQI
\
z
iback shall be 5 f
..f
o
y .w
y 3
--
line land 2F ft
9r
f'e'9/�;
permit
ng
a
$5lJ
this set of plans and specificatio4�� iv SJ' �� �r O
<ept on the job at all times and it is unlawf 1 fc
make any changes or a tes`'64& s64` ame without }
written permisson from the Department of PIIhHt �
Works, County of Buttes. I
S.S. /`/.If/k/
BUTT
WILDING
A=P P R CSV .E D l
`J
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS P R ITN .
�- 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSES PARCEL NUMB R
_- ""2�- -,�
ZONING
BUILDING PERMIT
,oipN R
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
ti NE.R'S MAILING ADDRESS C� 7✓ /���
CONTRACTOR/'S
TELEPHONE
47,
22
52,
CONTRACTOR'S .A-ILING A DRESS
r
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
---
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ -
Penalty -
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
-�-
-Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
r/
Each Trap ''
2.00
Repair drainage or vent piping
5.00
Water piping
LOT o.
BgIVISIQN NAME
//6176011149-11-10 /,�
PARCEL MAP
I
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF.❑ Duplex❑ Mobilehome�ther
' SPECIFY
Building sewer
Lawn sprinkler system
5.00
-
+ TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ther ❑
Describe work:n r f �7�1T •Z�f
Pennit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.51)
OR ADDNS, l ACC. BLDGS. /
20 sq
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 C de and,my license is in f fo ce and effect.
License No. � Classification "'�
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR _OUTLET '2,50 ea
NON-RESID BRANCH CIRC TS
NEW CONSTR. (POWER APPARATUS .&)
NON.RESID. (SINGLE OUTLET CIR.
50 a 25¢
Ex. Occup OUTLETS OR FIXTURES BALL wo
Ex. Occup. OUTLETSFIXED AP(RESID )LNS.OREA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor "
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a,,Certificate of Workmen's Compensation Insurance or a Certificate
'f Consent to Self -Insure.
�
�J ' 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.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above informationMobile
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes. I
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
ag/air stt-said County in corrs.eqini2e of the granting of this permi_ .
rte-
Date
Signature of Applicant - Owner Contractor Agent ❑
E]An OSHA permit is required For excavat'ons over 5'0" deep and demo ition or construct-
ion of structures over 3 stories in heigh
Home Installation Fee $
— -p
TOTAL PERMIT FEE $
Occup. GROuPTYPE
OF CONST,
PARCEL
PD
ND
ISSUE
1
This permit is hereby. issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
Ey
PEJ3WT EXPIRES Date
the applicable to do
resolutions to do
fees have been paid.
WORKS
Date -7 —.C,/
Z—
Receipt No. �'7 SJ�r!o7r 0-0
WHITE-D.P.W., YELL W- E , PIN -INSPECTOR, GOLDENROD -APPLICANT
i;
f
BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS
'7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's. name • n a -e -a -/a r
(This information not required if pipe length less than 6 ft. on natural gas
or less than -50 ft. on LPG.)
c- -
siteservice?
-------------------------------------------------- Yes
Na
2.
Installer's name: Z/?S' Z�
(Amps)
9.
What
is
the mobilehome site gas pipe size? ----------------------
3.
.Is the site currently under permit? Yes
/✓/
No
the type of gas service? ----------------------------- Natural 17-1
LPG
(If yes, furnish permit number
) OR
11.
What
Is Yes
/ /
No
12.
What
is
the site an existing site?
(BTU)
(If yes, furnish two (2) -plot plans.)
4.`
Will the mobilehome be located at least 5 ft. away
om
septic tank
and leaeh'f ields and
clear of. all setbacks.and easements? Yes
/ /
No
( If no, clarify
)
5. What is the mobilehome electrical rating? -----------------------
Amps
�
6.
What is the mobilehome site service rating?
---------------------
� Amps
7..
What is the mobilehome site circuit breaker
rating?
-------------
/ Amps
8.
Is there any other electric load to be served by the
mobilehome
(This information not required if pipe length less than 6 ft. on natural gas
or less than -50 ft. on LPG.)
c- -
siteservice?
-------------------------------------------------- Yes
Na
(If
yes, identify the load and size: (Load)
(Amps)
9.
What
is
the mobilehome site gas pipe size? ----------------------
10.
What`,,is
the type of gas service? ----------------------------- Natural 17-1
LPG
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.)
c- -
MOBIL•EHOME SUPPORT DATA
If other than single wide,
Mobilehom furnish. Setup Model No.Yea
Width 0 (ft.) Box Lengt(ft.) Tagalong or Expando Sizel --.ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufac'turer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
Footings (check one)
Single `
,Q 1. Wood either
Apressure treated or
foundation grade.
zq o 1 X
2 ./ Ot
�� er: s c ify)
Center support Center support Supporta �- (check one)
.locations* footing sizes
(in.)
ID/l: Concrete block.
.2: Other. (specify)
Tagalong or Expando,'
show support details.
(ft.)(in.) (in.) (in.)
S� 1 -- Typical Support
(in.) (in.) Footing Size.
-
(ft.)(in.) (in.) (in.) .Max. Pier Spacing
(ft.)(in.)
'J x 3d
Y (ft.)l (in.) (in.) (in.)
*If center piers are other than drawn above,
draw in -locations, spacing,, and dimensions.
0 -- Max: Overhang
(ft.)(in.) ,
q--r-
BUTTE
COUNTY
BU I LDI NSG DEPARTMENT
A P'
r� r i R v V C lJ 3/�
(ft.)(in.)
(in.) (in.)
i
.2: Other. (specify)
Tagalong or Expando,'
show support details.
(ft.)(in.) (in.) (in.)
S� 1 -- Typical Support
(in.) (in.) Footing Size.
-
(ft.)(in.) (in.) (in.) .Max. Pier Spacing
(ft.)(in.)
'J x 3d
Y (ft.)l (in.) (in.) (in.)
*If center piers are other than drawn above,
draw in -locations, spacing,, and dimensions.
0 -- Max: Overhang
(ft.)(in.) ,
q--r-
BUTTE
COUNTY
BU I LDI NSG DEPARTMENT
A P'
r� r i R v V C lJ 3/�
Telephone
533.2000
North Burbank Public Utility. District
1960 Elgin Street
OROVILLE, CALIFORNIA 95965 51-81
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 North Burbank.Public Utility District,
must be submitted to Butte County.
Applicant: CLARENCE PRILL
Applicant Address: 2662 Chaise Drive, Oroviiie, CA 95965
Applicant Phone No.:
Property Location(s): 2662 Chaise Drive
A. P. No. (s):
CARRIAGE MANOR - LOT 42
008-12-0-042-0
Fees Paid: ALL FEES PAID.
Application for service ap
MAY 27, 1981
North Burbank "
Public Utility District
Inspection(s) made and successful test(s) observed:
Location: Date:
0
North Burbank Public Utility District release to close permit:
Date: By:
to'
u
ashen T.6B.
o/. Shoe l (2 , /any)
2- 0 Col.
SC NEO uL E
Pitch - f; per foot
Deck
SECT. B,
- !''85M5 S 12"c. (Erni_.. on.
/6 •'c. 'o r?retro/e
So/id wood mamur. r
of rr,2bi/r-n,,e.
...ice N.oGi,2aon:".
Yg
0 r8 Sc c T. F,-
/37T_ _
CONN. - 'COL. TO CO✓VC. SLAB { l
in sh: Sgfefy Stoke sho7/ be G I / F'' /px / /2 Go.
AG T•'A 36 -`tee.'
SAFETY STAKE
G/GGf� toted. �� Co" '-Co
Or
EDU E-Aw.V/N - W T D E HAN \
*NE: Use stoke
Or .own;,y, anchor
iv%7Yi P`/� � Ce/umn:
.an/y.
MODEL PROs.
MAX.
0-7 O COL
U EA
No. P.
in As�--
%1 Kwih bo/t w//4 embed.
%s"Kv✓ih Ln// w/24,em0ea i
AS -40 8-0"
I
9'//"
0/-2ti$ 0 ua.
wire o/low. pu//o yt
valve = /54 �oncF. or.
wi/i 9;/o
✓o/ue = 3o8�anchor
_�.
/=0"
I
5/0&
Stoic: ort
A36 S'reel, '
t
with l'0 x 14 voce washer
7*6"
Awn: n_
Anchor.
;
Al/ -/0 i//' -O"
W/THw CO/-. S
W/TH_ 3W 3 "COL. N
I
�' .-- L `o/u A3>`S Go9e
CONN. - 'COL. TO CO✓VC. SLAB { l
in sh: Sgfefy Stoke sho7/ be G I / F'' /px / /2 Go.
AG T•'A 36 -`tee.'
SAFETY STAKE
G/GGf� toted. �� Co" '-Co
Or
EDU E-Aw.V/N - W T D E HAN \
*NE: Use stoke
Or .own;,y, anchor
iv%7Yi P`/� � Ce/umn:
.an/y.
MODEL PROs.
MAX.
0-7 O COL
U EA
No. P.
OVERHANG
SPAN: L
F76.
AS -40 8-0"
/'-o'
9'//"
__
_�.
/=0"
I 8'_2'•
5/0&
Stoic: ort
AI}/0 /010"
/'-0
7*6"
Awn: n_
Anchor.
;
Al/ -/0 i//' -O"
N "!_ m •/15R �~ -�I -' o Thickness= -018" N r• Ily.w
m ro h a 1
' /.5
Thlclkness "8. /•2R
a I I p 30 2
cy _ R -.060
m ' 25 ' 12s �I i 2s 23 ,
.Bl eae
a
mei! 6e _lo-._._�.1. -
.2B/./2 2.E0 �/./250/.i2�2.20 T/•/262
/E.pA
/2.00 _-- L 11�2 SQUARE COLUMN
3004-H36 A/vm
_DECK L00 DECK 2
e 3004-H36 A/vm, 3004 -14°6
-kj-' Thickness=.0/8
Lys LO` /.O I T
25R
QW 28
__...t_. ✓ tyP �:� ;mla `^ In� til Q- I . � �� � (Typ) I
.33 33
25 •25 �25
25
5 22.2fbl -
48
- I qI I OI N: I N� .074 o el
.065 T N . tYP .3 SOUARE CDC LIMN
DEcK 3I-' /s4 1 60' ! ./54 6 -de C A5TM-A446 Miny-P 40al
065 ^.
I
3004 -H26 Alum. cam`+ d •Q@? � I
Fascia sp/ice (/ BEAM c
24• member 6063-T6 Alum. b! R
/.7
FASC%¢ GUTTER ,/all
1 I - + 'trP'
l` 00 h' - v9 6063-T6 Alum.
! �I f
N O J -+PI - 7 Ga (180 )
•-` ' -[� 'a 134 /OGooe. A
r U BEAM SPLICE MEMBER l
I I
PLAN !rf i --'-- _.- o oI -TAB DETAIL 6063-T6 Alzln
6063-T6 Alum.'
!l' wide
o"
h j__2.34 _.i p yl/ Des7yn /nods: 17ve loo a` lops fj h
yb' Rod �� o PLAN ml Wind /o od=/OpSf; Up/7ft�_/OPs.0 -.- Iopen mesh -sear screen/' 9 or with6 `�.._reodi/y removob/e frons/ucenT or
"q' I Cen th=2.30" tronsporenr f'fexib/e olostic Screa17in9
END TRIM 9 qF nor more than 20 m,Ys. thickness.
Li 6063-TSA/u7n. COLUMN IN5'ERT 2 3. Each owning stivc tLre sho
t✓/J I hove otfcched f/,evelo 7n o v,:7l e
ELEv 606/-T6 Alum.
---�- I 1 /OCo7✓Gn� on approved ✓denfificofion '
6 COL. INSERT / h ,075 /n4. As�n✓o.
' .. luminum gg
if He/ix -9 Go. C•/so'f, GradeA Steel ASTM A 44 6 N des"and Stresses
ore accord7ny to AZInn. Assoc. /976 1
4"Diometer lh specs. -iA o factor of sofery {or !
t m, 9 P
ELFV i �L 687 I _ [ONSTRC c r e,1y NOTES '
AwN/.vG ✓QN H•7re
eR t LIMN SHOE /' Co°/" foorinys down fo fiix>,
> e /r:ASTM A5ce rS=e5Rs�T•s.=4$ksi O O l y [O L I d✓nd✓slurbe so;/ 440Kdes✓yn s0,/ l
R ::1040 Stee ; y�:= 48 mss,: r.S. = 84iri. 6063 -T6 Alvrr.. ,pressure = SOOpsf. ;
'-,• � - --m--' =— -'--w' 2. Concrere sho7/ have a strenyM
F• 's Anchor shot/ be tooted' w✓Mhl
Z OOO psi . ®2 8 days.
—� c/qss / Linc electro p/o ting, PLAN 3. A// hominy sho/i be o/uminum i
from 0.5 to /O mr% 1b4:kncs,s ..75 75" .75.1 unless orherwrse shown. Steel ports
_- sho// be ya/vonized Or
d /ooinfedwYh
' I Steel primer anenome/ fis✓'sh.
3.�5
� •ryF' (--------`---'---'---'--I �' 4. Steel fosterers foin.e
osteres sho// be sss, !
o ^7! O O .T aluminum or codmrpm p/°fed.
S. SMS- Sheer metol screws SMS
for roof pone/ SAO// hove %' io•
p+!� T ELEV. Composite mero/f'negoesne woshers.
. .rm 6. Enclosures Shol/npt be ottoched
COLf.IMIV SHOE 2
F To columns.
LCa/.✓mn Shoe2 Avvt.//NG ANCHOR N0TE5
ASTM A 36 Steel
unin3 Anchor ,,,,,�,. Awlo cr red Or Sho/tie ;s
14 _ 318SrL!S mono fo atoned by Aoecco Dis tr%.h. int.'
2 -.Near Gide 2. Aviwurb uncnor .nay bd vsea, .'n /he
/ -For ;ide fo/iowins soi; typcs:
ROLLED FORMED HANGER �_.__ •_ o- _•.__ �`1 9 or 0. sono grovel grovel.
3004 -N36 A/um. I � ' b. Snr. d,, :;iffy arra, clayey sun...; silty
grova;, oa . /cyey greiel.
t , . + I +- ---+ ; �.+^ Fascia S�/ice
1 ' ' member c. C/off, c•ndy' cloy✓ s:/ry cloy, and
C/Oyef Sr/i.
+ + + + j
TO A'Wvlvs A CH -)Ft FASCIA SPBUTTE COUNTY
LICE
4- BUILDING DEPARTME 1
I
4 'BSMS eo side.
1
IL-1 �u Beam Sp/ice
-4 -- j Member �4
�A
T`:TACHEO MOBIL EHOME AWN/NG-TOLL.
DURAL UM INC.
f ' 7. `•' """�.° _ 430/ :=o-eA ;— �o.0
5„ ate," ��^�,••�v S,�c To
CA. s 9e6 :
AY&V 9/6-.45 70M
DATF: 3-R 76 :s
r o OCT 2 4191 •770
Ap
U- BEAM SPLICE
rPA NO. U-66 . '. ... ..
OCT241111 DRAW/A/s v0 //
' F Pt- pmal r�'�.� �
ANDERSON AWNING
AND
MOBILE HOME _Q=owic
Lic. No. 376187
P.O. BOX 487 - Chico, CA 95927 1=
(916) 342-6881 wl
ATf'XX's
TIC\
--p
tilt_ -
C
01
fs
4-
Y
"\�00
ov"
0
A setback of 5 ft. from the
property lines and 6 setback
of 56ft. from the road
centerline shall be clear of
sftudures or equipment &Z6011
'foT a 2 ft. eave overhang.
V,
Qkbi�'," U'VrV
of-Vtj
APApp
T101it /V