HomeMy WebLinkAbout079-200-062I
warren Ambrose 2646 Brougham Dr.
2A46
n-O—ro vi I lePermit #556-V9p(utij.M) NEED CLEARANCE FROM7LAKE
0ROVI�Li7ELEC. PUBLIC :UTILITY 'DISTRICT BEFORE MHI
A 67q -?JD -052 -
SUPPORT STRUCTURE UQ.
COMPACTION
. TEST REQ.
oil
contra Loyd
's Elec., 0 ovill
Permit #1700-79E(elec. & and light,!
ightl
#98-247_' V
AMBROSE, W.T.
2646 BROUGHAM DR. OROV11L]
BRUC 1+C4v
/ar 9
99-1457
AMBROSE, W.T.
2646 Brougham, Oro
ville
Contra Owner
6X20 -6X8; Decks r
00-1203
AMBROSE, W.T.
2646 BROUGHAM, OROVILLE
CONTR: OWNER
CARPORT/1&
fi/17
-,4.
RESIDENTIAL
036-78-0-062;" 00-1203 }
PERMIT NO.., _
AMBROSE; W.T: ..
2646 BROUGHAM, OROVILLE
CONTR: OWNER
CARPORT
II SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature
CHECKED
BY
,/ = OK
0 = Not OK
= Not Applicable
` = Not Ready,
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Ur3.
4.
1.
Zoning Requirements -Setbacks -Easements
5.
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/O -Concrete
7.
4.
Water; Location -Test -Easement Needed (Sketch)
8.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
9.
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /"L"ft./ PLPG
10.
7.
Well Clearance & Disconnect
11.
8.
Utility Clearance
12.
Braced Wall Panels
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COYRRS,
CARPORTS GARAGES (Plans) OK except #'s
1.
Ur3.
4.
Z g Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rttrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability )
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date - Card B-1
Date
Card B-1 Date Card B-1
V= OK
0 = Not OK
- = Not Applicable = Not Ready
RESIDENTIAL (;
Date
Underfloor (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
= i
2.
Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth
�•
3.
Fig., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel -Blackouts -Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -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
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
PLUMBING (Permit) OK except #'s
63.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
64.
18.
Water Pipe; Test & Anchor -Nail Protection
65.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
66.
20.
Shower Pan; Test, First Floor -Tub Access
67.
21.
Test Tub & Shower, Second Floor -Tub Access
68.
22.
Gas Pipe; Sixe & Anchors
69.
Stairs & Rails
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
23.
Fixture & Transformer Clearance -Ins. Protection
Elec. Outlets & Receptacles at Kit. Counter
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
Garage Fire Door; Swing -Landing -Closure
25.
Size Boxes & No. of Conductors Stapled
A.C. Duct in Garage -Damper
26.
Romex Installed Close to Edge of Studs & C.J.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Plb., Elec. & Mech. Equip. Listed for Location
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
Insulation -Foam -Looked in Attic
30.
Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral p Yes ❑ No
Guard Rails & Deck Construction -Post Caps
31.
Service -Riser Conductors & Ground Main Disconnect
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
32.
Equip. Clearances Panels-Motors-Mech. Equip.
Clearance Looked under Floor O Yes
33.
Clothes Closet Light -Shower Light -Spa Light
Following Instld./Drive Q Yes ] No/Walks 0 Yes 0 No/Planters 0 Yes p No
34.
Smoke Detector
Stucco Brown -Finish
84.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
86.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Card B-1 Date Card B-1
40.
Sits Proper Materials & Anchors
Date
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
;tingle & Duplex) r
Date
FRAMING -(Continued)
46. -Hangers-Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng.
= i
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
�•
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
82.
Following Instld./Drive Q Yes ] No/Walks 0 Yes 0 No/Planters 0 Yes p No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
p. 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
01 _ _
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
533-8285
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
Oq
a
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
V
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
2
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: CARPORT
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zo.A OR LESS
23.00
LICENSED CONTRACTOR'S 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 the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00NEW
CONST. DWELLING OCCUP.
ADDNS. ( a ACC. BLns.
SO
3.5¢FT:
NEW
y0"�.palpT MULTI -OUTLET
@7,50
POWER APPARATUS
8 SINGLE OUTLET CSI R.
Ex. Occup. OUTLET OR FORURES
20 °
BAL @ ,50
Ex. Occup. oUIx Aa OR
5.00
Tem orar Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE t
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
he above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 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.
X 1 _ Date _
Signature of Applicant - Owner ❑ Contractor ❑ Atfent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee 1 $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAz
I OD CDF C U
This permit is hereby issued under the applicable provisions
of the Butte County Code an Resolutions to do work
indic e b for hicfi fees have been paid.
, 1 ��7 0�
By /v— Date
PERMIT EXPIRES ON 7//7-70
�
Date
Receipt No. ,
I
WHITE-D.D.S.-B.D. CANA Y -ASSESSOR P -INSPECTOR GOLDENROD -APPLICANT
I
COONTEOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
BOUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PER1tyIIT APPLICATION DATA SHEET
OWNER JA A ASSESSOR PARCEL +BER:�
Proposed uilding Use: Building InspectorW1 Date:-- _ 3 <25b i
At time of permit application, I . as advised the following data muutedprior to permit processing and/or issuance:
_/1 Z;11� Date Received By
iiems have been submitted --------------------------------------------------------------------------------------
: plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------
Zomplete plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------11--------
Es�ineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plansN'A'
F,ngineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
Energy Design Compliance and supporting documentation. R h4---rn --------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications --------------------
El10. Fees of $-------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------
❑ 12. California Department of Forestry plan approval/fees.---------------------------------
F
--------------------------------
Flood elevation certificate. ----------------------------------------------------------------
Sanitation and plot plan approval Health Department. ------------------
City of Chico plumbing permit. ----------------------------------------------------------
1 of an and business license approval from the City of Biggs. ----------------------
anning approval for (A) Use: (B) Parking: -•
❑ 8. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
1119. Encroachment Permit for driveway (construction approval prior to occupancy). ---
1120. Pre -inspection for
required Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification).
C1 22. Workers' Compensation carrier and policy number. -----------------------
023. Owner -Budder Verification (Given to owner ❑, Mailed to owner ❑). -
024. Letter of signature authorization. --------------------------------------------
025. Recorded copy of Agricultural Acknowledgment Statement. -------------
026. Letter of intent on building use. ----------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------
028. Existing violations and/or expired permits. ---------------------------------
0 29. E143 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
W P you issue the permit, process as follows -❑ Mail to owner, ❑Maio to contractor.
Telephone _'a . >3--r34644P5 and hold for pickup at 679e�6 office. ❑ Deliver with inspector.
Applicant: ;r't Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department,'❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, o Oiler: , j %JCN. Date: By;
Index permit application for the above items numbered:
(Date)
7d -.2o�
❑ Plan Check List
2. Additional items required: / \.t'
Contractor, designer, owner, as advised of the above required data by ❑ ph neAmail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ g Division counter, by Date:
Plans reviewed by: Date: Plans approved by:din-► :., Date: — ;
Sets of plans on hold in 11 Plan Cabinet„ !� A.P. folder. Note transfer by: �— Date:
Yellow Copy - Department of Development Services, Building Division.
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
w
signature.
Please complete and ;.return this information at your earliest, opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit .will
be issued until this verification is received.
1. I personally plan to provide the =major la r -andmaterials for construction of -the .
proposed pr9j),6rty improvement: YES[ ✓ NO[
2. I HAVE[L/] HAVE NOT[ € ] signed_ari,apphcationpfoc a builamg permit for the
proposed work. .
3. I have contracted with the •following .person (firm); to 'provi_de 'theproposed 'v
construction:
NAME:
ADDRESS: -.; CITY: _.
PHONE: --_ ._ __. _ _. _ _-CONTRACTOR'-S LICENSE NO.. -----7-
4.
O..=---4. I plan *to 'provide' -portions of -this wdik,`�but I -have' hired the following person -to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY: -
PHONE: CONTRACTOR'S LICENSE NO.
5. .I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
DATE:
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
May 1995 2.26
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not, required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law .to put their license number on all permits
for which they apply. 3
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information `for your benefit and protection: '` -
0 If you employ or otherwise engage any ' persons other than your immediate family, -and_ the- work (including
materials and other costs) is~ 5300 ,or more for the entire project, and such persons are not licensed as
contractors or subcontractors "then you may be an employer.
0 If you are an employer, you must register'with the State and Federal Governments as an employer and you. are
subject to several obligations including state and federal income tax withholding, federal social -security taxes,
workers compensation insurance;disability-insurance costs, and unemployment'compensation contributions. _
,..:.
0 There may be financial risks foru . iyou `yof do. not, carry out these 'obligations, "and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under +Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information: about your
obligations -under State Law;contact the Department of Benefit Payments and the Division of Industrial
Accidents.
. If the structure is intended for sale, property owners who are not licensed contractors -are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions. t -
A frequent practice of unlicensed persons professing to be` contractors is to secure an ."ownerbuilder" .
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their o4i
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This O%rner-Builder Information is required by Section 19830 of the California Health and Safety Code.
May 1995 2.27
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June 8, 2000
W. T. Ambrose
104 Lone Tree
Oroville, CA. 95965
Department of.Develo Ment Services
p
Building Division
7 County Center Drive
.Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
Assessor Parcel Number: 036-780-062
Building Permit Number: 00-.1203
This office reviewed building plans for the permit application referenced above. The plan
examiner's comments are listed in PART - I below. Please respond in writing to each comment
in PART - I by completing and returning the enclosed PLAN REVIEW RESPONSE FORM.
Indicate which detail, specification, or calculation shows the requested information. Additional
response information is included on the response form. Your complete and clear response will
expedite the re -check and approval of this project.
PART — I
Provide additional information and/or make revisions to plans, specifications and calculations as
follows:
1. Plans and specifications shall be drawn to scale and shall be of sufficient clarity.
�. Provide two complete sets engineered truss details and layout. Required prior to plan review.
lease do not fax!)
Oti Provide engineering for the metal post supporting the carport. Please be sure to include on
the resubmittal the engineer's "wet" stamp, signature, registration number and expiration
date on all sheets of plans depicting the designed elements and cover sheets of calculations.
4. Plan review will continue upon receipt of the above items. Additional comments may be
generated from your response above where plan documents were incomplete, inconsistent, or
not adequate to depict code compliance.
PART - H
The items identified below must be submitted prior to permit issuance. These items were noted
at time of permit application on the PERMIT APPLICATION DATA SHEET.
Sanitation and plot plan approval is required from the Butte County Environmental Health
Department.
2. Contact the Butte County Planning Division to obtain approval.
1 of 2
dI
If you wish to discuss any requirements in PART - I, you may contact me at (530) 538-7541
between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. The attached checklist
must accompany corrected items.
Sincerely,
Glenn Gibbons
Plans Examiner
2 of 2
LONGFELLow LUMBER CO. INC.
■ Quality Truss Design
■ Roof & Floor System's
(800) 678-0112
(530) 893-0112 •FAX (530) 893-0140
89 Loren Avenue
Chico, CA 95928-7434
Customer: �i��•
Address: Z6,, yto 25'a/;17a w /6r
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AP#: nr"
Job No:�por�
Alpine Engineered Products, Inc.
z
Christian W. Chappell
N5'
8351 Rovana Circle
>>
Sacramento, CA 95828-2522
N
v
(916) 387-0116
ZCD
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APPROVED� INSPECTIONAGENCY,
m
_
Timber Products Inspection, Inc.
P.O. Box 20455
Portland, OR 97220
(503) 254-0204
LONGFELLOW LUMBER CO. INC.
Quality Truss Design - Roof & Floor Systems
(800) 678-0112
(530) 893-0112 - FAX (530) 893-0140
89 Loren Avenue
Chico, CA 95928-7434
Important Information for Users of Wood Trusses
Longfellow's goal is to supply superior quality trusses. Sensible truss designs, the best available lumber and exacting
workmanship are the key ingredients of our quality control program. (Once trusses arrive at the job site, quality control
becomes the responsibility of the builder.) For best results we suggest:
DO'S DON'TS
❑ Do review your field copy of truss engineering for important bracing, ❑ Do Not cut, notch or drill chords or webs of trusses.
bearing and connection details. (Exceptions will be clearly marked on engineered drawings.)
❑ Do review the HIB -91 Summary Sheet's recommendations for
handling, installing and bracing of wood trusses.
❑ Do install roof sheathing ASAP. Trusses hold their profiles best when
they have been plumbed and braced with roof sheathing. Especially
in hot weather, we recommend sheathing be applied over as much of
the building as possible before installing outriggers and gable -end
siding.
❑ Do inspect trusses for missing plates or broken lumber
defects to Longfellow immediately.
❑ Do Not cut or remove plates.
❑ Do Not overload single or groups of trusses with plywood, roofing,
tools or other construction materials.
❑ Do Not make field repairs without written approval from Longfellow
Lumber Co.
❑ Do Not load HVAC units, solar equipment,. fire sprinklers, etc. on
Report trusses unless truss engineering has been designed to
accomodate the specific point loads.
❑ Do secure tails with fascia board. In recent years, the production of
lumber from second -growth timber has resulted in an increased
tendency for unrestrained tails to twist. We recommend a sub -fascia
be installed behind gutters.
❑ Do call Longfellow if you have questions or need additional
information.
BEFORE -INSTALLING:
Make certain truss sequences and
end -for -end orientation are correct.
GABLE E140 DETAIL
SIRONGOACK
(NAIL TU LEDGER 12' O.C.)
(BRACED AT 55' O.C.) -- ,
TANS UNG, PREPARED FROM COMPUFER INPUT (LOADS & DIMENSIONS) SUBMIffED BY TRUSS MFR.
0:
ROC- MATERIAL
LEDGER (NAIL A35
TO VERTICAL HY K I ( C )
W/2-IOLI NAILS) GAOL OUTLOOKER
GaELE ENO 2X6 UTAG@TAI
(K) SPACING FOR H3 = 56.0' O.C. ACE '
REFER, 10 SINPSON CATALOG C-9411-1 FOR / 15
PRODUCT A11ACHItENT SPECIFICATION (ATTACH
A35 IN FI DIRECTION 2X LEDGER C0T410)N
TRUSSES
(PI) SfRONGBACK
BRACED AT 55' O.C.
(C) IX4 CONTINUOUS LATERAL BRAC114G FOR
/j �)�n
BRACE (STRONGOACK) MEMBER LONGER THAN
/(M) BTF. $TP.ONGBACKFBRACE� %/2-8d TTACH
Of EACH GRACE
(S)
3N
'0.0
MAX
(SI)\ \ \ (III)
24' MAX ->,_ /GABLE ENO
OUTLOOKER
(PI) PEAK PLATE 10 MATCH COMMIN TRUSSES. NOTE: CI1QP.OS TO BE 2x4 FIR -LARCH A2 Hill.
(SI) SPLICE PLATE TO HATCH COHHON TRUSSES. NOPE: THIS DETAIL MAY BE USED FOR
(111) FEEL PLATE 10 MATCH Com -un TRUSSES. TRUSSES WITH PITCHED O.C. ALSO.
(0) OPTION TD WEB FLAfING: USE (3) -2 -
WIRE STAPLES (0.072 OIA./15 GA.)
10ENAILEO THRU CHORD TNT[] WEB 6 PLATE MAX. WEB LENGTH
IMU WEB 11110 CHORD 011 ONE FACE 1X3► 2 -0 -
FOR A TOTAL OF 6 STAPLES. (PI).
( SI ) L (III ) MUST BE PLATED. 2X4• 0-1-0
(G) GABLE END DESIGN BASED ON 75MPH WINO 3X4•
LOAD. EXPOSURE 'B' AT 0-25 FT. MEAN 13-6-0
PEIGHT, ,
PLT TYP. Wave TPI 95 R Design Criteria: TPI 95
O Q Q ••YARNING•• TRUSS'S RfQU"Q: EIIRf Nf CAA( IN FABR ICAI ION, HANDLING, SHIPPING, INSTALLING AND
O Bq ACING. IT 10 HID -91 (HANDLING INSTALLING AND BRACING), PUBLISH(D BY IPI
RfFE
Q Q IRSIIIDIF. SB) 0.OROFIO OR., SUIT( 200, MADISON, WI S]719), FOR SAFETY PRACTICES PRIOR (PLATE
P(RFORMINO (MIS[ FUNCTIONS. UNLESS OTHERWISE INDICATED, IOP CHORD SMALL HAVE PROPEpLY ATTACHED
O O STRUCTURAL PANELS, BOTTOM CHORD SNAIL HAVE A PROPERLY ATIACHED RIG10 CIELINO.
.1 MPORTAxr-- PRODUCTS- INC. SMALL(SH NOTA 01 COPY
RESPONSIBLE FOQOF IN'S GN TO ANY i DEVIATION FROfN15 DESIGN: ALPINE
(FAILURE E IO
o ALPINE BUILD THE TRUSSES U CONFORMANCE WITH IPI: OR FABRICATING, HANDLING, SHIPPING, INSTALLATION OR
BRACING OF IRUSS(S. THIS DESIGN CONFORMS YIIN APPLICABLE PROVISIONS OF NOS (NATIONAL DESIGN
SPECIFICAT
CONN(CIORSION ANE PUBLISHED
Of TOGA IASIMAMERICAN
CR]2FOREST
GALV,AND
SIE(L`R EXCEPT ASSOCIATION)
NOTED. APPLY CONNECTORS 10
ZTIPI. ALPINE
RUISS S EACH FACE OF INUSS, AND UNLESS OTHERWISE LOCATED ON THIS DESIGN, POSITION CONNECTORS i(p
�i 1. _I "-'
DRAWINGS
GUSS 0(P IC 110 HIREAAND SHALL NNOI(B( R(l l(0 UPOMHIN ANY DRAWING
1( p APPLIES ONLY 10 THE DESIGNWAY
D
OUTLOOKER M TERIA
3.5' MAX.
1'FP, NOTCH
a 24' O.C.
1.5' MAX,'
12' MITI
24' ?TAX
TC LL 30.0 PSF
TC DL 15.0 PSF
p OC OL PSF
OC LL 0.0 PSF
* TOT.LD. 50.0 PSF
DUR.f•AC. 1.15
SPACING
REF R992
DATE 03/19/98
DRW CD112
SEQN - 25458
FROM POC
ti
(BROU0616-AMBROSE / CAR PORT - Al 14'
IvT^P CHORD 2x4 DF -L #1'
T CHORD 2x4 DF -L #1
N WEBS 2x4 OF L Standard
3-:ATES DESIGNED FOR GREEN LUMBER PER NDS -97 TABLE 7.3.3.
0
z
W4X41;z
WT_5X4 2
THIS DWG PREPARED FROM COMPUTER INPUT (LOADS 6 DIMENSIONS) SUBMITTED BY TRUSS MFR.
IN LIEU OF STRUCTURAL PANELS OR RIGID CEILING USE PURLINS:
TO BRACE TC 0 24.00' OC, BC 0 72.00' OC.
DEFLECTION MEETS L/240.00 LIVE AND L/180.00 TOTAL LOAD.
A
W
C14
Cx7
W
z
w W2X4(A1) =
I7-0-0 I 7-0-0 —�
L<
a
0
co
14-0-0 Over 2 Supports I
R-461 W-3.5' R-489 W-3.5'
PLT THP. Wave TPI -95 R Design Criteria: TPI STD
^HARMING^ TRRSSLS REQUIRE E7TREME CARE IR FABNiGTION. tlAtDll tG. SHIPPING. 1R57A11]RN M0
ORACli'. 0.EFTN TO NTB•91 (BAHOLIHG INSTALLING ARD GRACING). PUBLISHED BY 713 (TRUSS PLATE
iISTlTU7E. 567 0.010FRIO DR.. SUITE 200. NAO1S01, 11 57119). FOR SAFETY SMALL HAVE PRROPOPE(PPRIOR TO
PROPERLY
PERFORMING THESE FUNCTIONS. ORLESS OTHERIISE INDICATED. TOP CHORD ATTACHED
STNLN?U0.A1 PANELS, BOTTOM CHORD SHALL HAIL A PROPERLY ATTACKED RIGID CEILING.
^'IMPORTANT^ FIRIISN A COPY OF THIS DESIGN TO THE INSTALLATION COATRACTOR. ALPINE tNGIHE ERE
ANY iA(
PROODttS. INC. $UZI NOT BE RESPONSIBLE FOR ANY DEIIATIOR FRO" THIS DESIGN' LU0.E 7
OtlILO THE TRUSSES 11 CONFORNARCE NITW TPI: OR FABRICATING. HANDLING. SHIPPING. INSTALLING A
DESIGN CONFORMS NLTN
ALPINE BRACING Of TRRSSES. THIS APPLICABLE PROIISOl) OF HDI (NATIONAL OESI
SPECIFICATION PUOLISRED BY THE AKERICAN FOREST AND PAPER ASSDCIATIOry PRO TPI. AL►ItlE
CONNECTORS ARE RADE Of 20" WIN LOSS 6140 GALL. STEEL. EICEPT AS NOTED. APPLY CONNECTORS TO
EAU FACE OF TRUSS. AND UNLESS OTHERMISt LOCATED 01 To
DESIGN. POSITION CONNECTORS PER 4�
OIANINSS 160 A-2. THE SERI OR THIS ONANING INDICAL TES ACCEtTANCE OF PROFESSIONAL ENGINEERING
im a_—� RLSPONSIDILITY SOLELY FOR TWE TAOS$ COMPONENT OESIGI S1OIN. THE SUITABILITY AND RS0i TRIS
ER�IRdla P -&IC ,1116. COMPONENT FON MT PARTICULAR BO110IIG IS THE 21SIONSIBILITT OF THE BUILDING DESIGNER. PER
�P $WGEODEafD. CA 95828 ANStlnl 1.1195 3EC7109 2.
40/0i 00,
X14 40 ��
GA 1 - K
lW. TC LL 16.0 PSF
TC DL 10.0 PSF
0 BC OL 7.0 PSF
BULL 0.0 PSF
20 2000 * TOT.LD. 33.0 PSF
OM1. ,�T OUR.FAC. 1.25
SPACING 24.0'
T
2-7-15
1
Scale —.375"/Ft.-
REF
.375' Ft.REF R427--34820
DATE 06/20/00
D RW CAUSR427 00172086
CA -ENG RWL/GWH
SEON - 19445
FROM GA
This safety alert symbol is used to attract your
attention! PERSONAL SAFETY IS INVOLVED! When
you see this symbol - BECOME ALERT - HEED ITS
MESSAGE.
CAUTION: A CAUTION identifies safe operating
A practices or indicates unsafe conditions that could
Jresult in personal injury or damage to structures.
HIB -91 Summary Sheet
COMMENTARY and RECOMMENDATIONS for
HANDLING, INSTALLING & BRACING METAL
PLATE CONNECTED WOOD TRUSSES °
Itis the responsibilitvof the installer(builder, building contractorlicensed contractor.
erector or erection contractor to property receive, unload, store, handle, installand
brace metal plate connected wood trusses to protect life and propeo. The installer
must exercise the same high degree of safety awareness as with any other structural
material. TPI does not intend these recommendations to be interpreted as superior
to the project Architect's or Engineer's design specification for handling, installing
and bracing wood trusses for a particular roof or floor. These recommendations are
based upon the collective experience of leading technical personnel in the wood
CAUTION: The builder, building contractor, licensed
contractor, erector or erection contractor is advised
Ato obtain and read the entire booklet "Commentary
and Recommendations for Handling, Installing &
Bracing Metal Plate Connected Wood Trusses, HIB -
91" from the Truss Plate Institute.
An
DANGER: A DANGER designates a condition
where failure to follow instructions or hetld warn-
inc w II most likely result in serious personal
injury or death or damage to structures.
AWARNING: A WARNING describes a condition
where failure tofollow instructions could resultin
severe =personal injury or damage to structures.AA
TRUSS PLATE INSTITUTE
583 D'Onofrio Dr., Suite 200
Madison, Wisconsin 53719
(608)833-5900
truss industry, bLit must, due to the nature of responsibilities involved, be
presented as a c uide ferthe use of aqualified building designer or installer. Thus,
the Truss Plate-nstitute, Inc. expressly disclaims any responsibility for damages
arising f-om the use, application or reliance on the recommendations and
information contained herein by building designers, installers, and others. Copyright
by Truss Platr Institute, Inc. All rights reserved. This document or any part
thereof must not be reproduced in any form without written permission of the
publishes Printed in the United States of America.
CAUTION: All temporary bracing should be no less
than 2x4 grade marked lumber. All connections
should be made with minimum of 2-16d nails. All
trusses assumed 2' on -center or less. All multi -ply
trusses should be connected together in accor-
dance with design drawings prior to installation.
s;TRUSSYSTORAGE'� -
CAUTION: Trusses should not be
unloaded on rough terrain or un-
even surfaces which could cause
damage to the truss.
ACAUTION: Trusses stored horizontally should be
supported on blocking to prevent excessive lateral Crated t'� • Trusses stored vertically should be
bending and lessen moisture gain. braced to prevent toppling or tipping.
AWARNING: Do not break banding until installation DANGER: Do not store bundles upright unless
begins. Care should be exercised in banding re- A properly b -aced. Do not break bands until bundles
moval to avoid shifting of Individual trusses. are placed in a stable horizontal position.
AWARNING: Do not lift bundled trusses by the
bands. Do not use damaged trusses.
FADANGER. -Walking on trusses which are lying fla
is extremely dangerous and should be strictly
prohibited.
Frame
Up to 24'
1 3/12
1 8'
17 12
1/4"
Over 24' - 42'
3/12
7'
10 6
36"
Over 42' - 54'
3/12
6'
6 4
4'
Over 54'
See a registered professional engin eer
5'
DF - Douglas Fir
-Larch
SP - Southern Pine
P.
HF - Hem -Fir
7'
SPF - Spruce -Pine -Fir ,y
0
2"
8'
108"
2"
9'
ryPO e
Diagonal brace
also required on
end verticals.
Top chords that are laterally braced can buckle
togetherand cause collapse if there is no diago-
nal bracing. Diagonal bracing should be nailed
to the underside of the top chord when purlins
are attached to the topside of the top chord.
PLUMB
i
i
Truss
Depth
D(in) i
2q.
/Qa3 � -45°
12
—jor
�j3,
Ilk,ter B'
s/
tz6
All lateral braces
lapped at least 2
trusses.
Continuous Top Chord
Lateral Brace
Required
10' or GreL//
Attachment
Required -
WARNING: Failure to follow these recommendations could result in
severe personal injury or damage to trusses or buildings. ( A
I
Lesser of
D/50 or 2"
Maximum Plumb
Misplacement Line
D((In
D 50
V,h(ft
12"
1/4"
1 '
24"
1/2"
2'
36"
3/4"
3'
48"
1 "
4'
60"
1-1/4"
5'
72"
1-1/2"
6'
84"
1-3/4"
7'
96"
2"
8'
108"
2"
9'
i
T
±1/4 .
1
T
±'/1'
L(in)
L(In) U200 L(ft)
50"
1/4"
4.2'
100"
1/2"
8.3'
150"
3/4"
12.5'
Length
L(in)
Lesser of
L/200 or 2"
BOW
L(in)
Lesser of
L/200 or 2"
L(in) I L/200: L(ft)
200"
1"
16.7'
250"
1-1/4"
20.8'
300"
1-1/2"
25.0'
OUT -OF -PLUMB INSTALLATION TOLERANCES. OUT -OF -PLANE INSTALLATION TOLERANCES.
DANGER: Under no circumstances shoultl
AWARNING: Do not cut trusses. Aon
construction loads of any description be placed unbraced trusses.
Frame 6
IAWARNING: Do not attach cab =s, chains, or
'hooks to tie web members.
L61
60'
s orless�
is o Approximately Approximately Tag
Line 1':truss length %truss lery h �. Line
Truss:apans I3ss then 30'. `
Spreader Bar
To> In Toe In
, 2177
/
Apprc:x-Imate Y
'h:ai-.t*USS length
Less than or -equal -a 60'
Tay
LP- e
Spreacer Bar 1
Toe tr
n
_�Frox mately -
'/z to n truss length
Less tha- or equal fc 60'
iAWARNING: Do not lift sfngletrusses with spans
greater than 30' by the, peak.
Lifting devices should be connected to
the truss top chord with a closed-loop
attachment utilizing materials such as
slings, chains, cables, nylon strapping,
e1c. of sufficient strength to carry the
weight of the truss. Each truss should be
set in proper position per the building
designer's framing plan and held with
the lifting device until the ends of the
truss are securely fastened and tempo-
rary bracing is installed.
Tag
Line
Strongback/
SpreaderBar
At or above
mid -height
Tag Tag
Line Line
CAUTION:-empot!ary braking shown in this summary sheet is adequate for the installation of
trusses -Mth Sim lar configu-ations. Consult a registered professional engineer if a different
bracing arrangement is desked. The engineer may design bracing in accordance with TPI's
Recommended Design 5cec°fication for Temporary Bracing of Metal Plate Connected Wood
Trusses,.C'5E-89, and in spm= cases determine that a wider spacing is possible.
Frame 2
Typeal horizontal tie member with
mL* iple stakes (1111T)
to use of braced
nn of trusses
(ES)
DF - Douglas Fir -Larch SP - Southern Pine
HF - Hem -Fir SPF - Spruce -Pine -Fir
I
e �`0� i
L The end
diagonal brace
for cantilevered
trusses must be
placed on vertical
webs in line with
the support.
Continuous
19MM
Top Chord
Lateral Brac
TOP CHORD
DIAGONALBRACE
MINIMUM
LATERAL BRACE
SPACING (DB
"'SPAN
:::
DEPTH
$PACING(LBs)
#trusses
nal bracing. Diagonal bracing should be nailed
Up to 32' 1
30"
8'
16 10
Over 32'- 48'
42" 1
6' 1
6 4
Over 48'- 60'
48" 1
5' 1
4 2
Over 60'
See a registered professional engineer
DF - Douglas Fir -Larch SP - Southern Pine
HF - Hem -Fir SPF - Spruce -Pine -Fir
I
e �`0� i
L The end
diagonal brace
for cantilevered
trusses must be
placed on vertical
webs in line with
the support.
All lateral
braces lapped /
at least two
trusses.
End diagonals are essential for
stability and must be duplicated on
both ends of the truss system.
-450
Attachmer
Required
—1---201(013)
es
t-.2Pf/Hr 2,0 -cc.
,°•c.
® `eSS
32
01
WARNING Failu6etofollow these recommendations could result in
A' severe' personal Intury or damage to trusses or buildings.
A-
Topchords lhatare laterally braced can buckle
togetherand cause collapse Hthere is no diago-
nal bracing. Diagonal bracing should be nailed
to the underside of the top chord when purlins
are attached to the topside of the top chord.
All lateral
braces lapped
at least two
End diagonals essential for
stability and must be duplicated on
both ends of the truss system. __�
0,10061-1�.._
-450
Frame 5
Continuous
Top Chord
Lateral Brace
Required I
10° or Greater
Attachment
Required
30" or
greater
Trusses must have lum-
ber oriented in the hori-
zontal direction to use
this brace spacing.
Continuous
19MM
Top Chord
Lateral Brac
Required
Top chords that are laterally braced can buckle
togetherand cause collapse if there is no diago-
10°
nal bracing. Diagonal bracing should be nailed
to the underside of the top chord when purlins
are attached to the topside of the top chord.
All lateral
braces lapped /
at least two
trusses.
End diagonals are essential for
stability and must be duplicated on
both ends of the truss system.
-450
Attachmer
Required
—1---201(013)
es
t-.2Pf/Hr 2,0 -cc.
,°•c.
® `eSS
32
01
WARNING Failu6etofollow these recommendations could result in
A' severe' personal Intury or damage to trusses or buildings.
A-
Topchords lhatare laterally braced can buckle
togetherand cause collapse Hthere is no diago-
nal bracing. Diagonal bracing should be nailed
to the underside of the top chord when purlins
are attached to the topside of the top chord.
All lateral
braces lapped
at least two
End diagonals essential for
stability and must be duplicated on
both ends of the truss system. __�
0,10061-1�.._
-450
Frame 5
Continuous
Top Chord
Lateral Brace
Required I
10° or Greater
Attachment
Required
30" or
greater
Trusses must have lum-
ber oriented in the hori-
zontal direction to use
this brace spacing.
Top dhorda. that are laterally braced can buckle
togerier 3rd cause collapse if there is no diago-
nal braci,w_
iago-
nalbraci,w_ Diagonal bracing should be nailed
to the urge raide of the top chord when purlins
are adachtd to the topaide of the top chord.
Up to 32'
1 4/12 1 8'1
20 1 15
Over 32'- 48'
1 4/12 1 6'
1 10 1 7
Over 48"- 60'
1 4/12 1 5'
1 6 1 4
Over 60'
1 See a registered professional engineer
AWARNING: Failure to follow these recommendations could result In
severe personal injury or damage to trusses or buildings.
up 10 73' 1 2.5 1 7' 1 17 1 12
Over 29' - 42' 3.0 1 6' 1 9 1 6
Over 42' - 60' 3.0 1 5' 1 5 1 3
Over 63' See a registered professional engineer
DF - 3olglas Fir -Larch
DF - Douglas Fir -Larch SP - Southern Pine
HF - Hem -Fir
SPF - Spruce -Pine -Fir
Contin -sus Top Chord
Continuous Top Chord
All lateral braces
Lateral Brace
lapped at least 2
Required
—�
trusses.
Required
10° or Greater
lapped at least 2
trusses.
Attachment
0°,� Greater
Required
L
AWARNING: Failure to follow these recommendations could result In
severe personal injury or damage to trusses or buildings.
up 10 73' 1 2.5 1 7' 1 17 1 12
Over 29' - 42' 3.0 1 6' 1 9 1 6
Over 42' - 60' 3.0 1 5' 1 5 1 3
Over 63' See a registered professional engineer
DF - 3olglas Fir -Larch
SP - Southern Pine
HF - .-le-t-Fir
i
SPF - Spruce -Pine -Fir
Contin -sus Top Chord
Lateral =race—�
All lateral braces
Required
lapped at least 2
trusses.
0°,� Greater
L
Attachment
Requi�ed
?e, s
01-/
s /IL =45°
Frame 3
a
0
ti ¢y �Q Top chords that are laterally braced can buckle
yri Q\ togetherandcause collapse Nthere isnodiago-
J 5Q nal bracing. Diagonal bracing should be nailed
to the underside of the top chord when purlins
are attached to the topside of the top chord.
SCISSORS TRI�SS
12
-� 4 or greater
's
Gss�Os /O�s/
Bot-.om chord diagonal bracing repeated
at each end of the building and at same
spacinc as top chord diagonal bracing.
o5
DF - Douglas Fir -Larch SP - Southern Pine
HF - Hem -Fir SPF - Spruce -Pine -F!.
-- All lateral braces
lapped at least 2
trusses.
AWARNING: Failure to follow these recommendations could result in
severe personal injury or damage to trusses or buildings. A
E,
WEB 1AEMBE R PLANE
Permanent
AO
Gss moo.
PS
continuous
lateral bracing
as specified by the
truss engineering.
Frame 4
=45°
Cross bracing repeated
at each end of the
building and at 20'
Intervals.
4A �' .
NOTES- RESIDENTIAL
---; 036-780-062 , 99-1457
PERMIT NO. AMBROSE; W.T.. .
2646 Brougham, Oroville
Contr: Owner
6X20 -6X8, Decks r7
. r
f
f
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature
1
t
i
r
.i
t
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature
✓ = OK
0 = Not OK
= Not Applicable
= Not Nady
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except ti's
Zoning Requirements -Setbacks -Easements
1.
Zoning Requirements -Setbacks -Easements
Foo ' s; Soils- Size• pth-Spaci Conn rs- eel
2.
Soils; Special MH Support Sketch
Decks; Girders and/or Jois - ecking-Bracing•Stairs-Rails
Wood Awn.; Posts- Beams- Rttrs.-Connectors
Shthg.-Frg-Bracing '-
3.
Sewer; Location -Test -Fall -C/O -Concrete
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
4.
Water; Location -Test -Easement Needed (Sketch)
Carports; Windows -Doors
5.
Electricity; Location.Clearances-Grnd-/ /Amp -Concrete
Electric
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ /LPG
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
7.
Well Clearance 8 Disconnect
Siding; Nailing -Veneer -Stucco -Mesh
8.
Utility Clearance
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
9
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
1.
3.
Gas; MH Test -Demand -Valve -Connector
2.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
3.
5.
Drain; MH Test -Fall -Flex Connector
4.
6.
Water; MH Test -Regulator -Connector
5.
7.
Water and Sewer Connected -C/O to Grade -HD Approval
6.
8.
Gas and Electricity Tagged
7.
9.
Tie Downs -Type -Installation Cert.
8.
10.
Exits; Insp.-Sketch
9.
11.
Cert. of Occupancy
10.
12.
Permanent Foundation Only; License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except k's
1.
Zoning Requirements -Setbacks -Easements
2.
Foo ' s; Soils- Size• pth-Spaci Conn rs- eel
4.
Decks; Girders and/or Jois - ecking-Bracing•Stairs-Rails
Wood Awn.; Posts- Beams- Rttrs.-Connectors
Shthg.-Frg-Bracing '-
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
9
Card B-1 ` Date Card B-1
Date
FINAL (Pians) OK except ff's
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
V = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (;
Date
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng.
2.
3.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Ftg., Garage; Soi -Steel-Elec. Grnd.-/ /" Ftg. Depth
0
Fig., Porches Dec ; Soils -Steel-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5.
Stemwalls, Main, eel-Blockouts-Wrapped
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Garage Fire Protection Framing
6a.
Hold Downs and Special Anchors
Property Line Firewall & Openings
7.
Slab, Steel -Wrapped
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
8.
Piers -Fireplace Ftg.-Steel
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Siding -Nailing Veneer
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
12.
Electric Underground
Glazing Area -Glass Protection -Skylights -Plastic
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Shear Walls; Nailing -Bolts
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Brace Interior/Exterior Wall Panels
15.
Access & Ventilation
Insulation -Walls -Ceilings
16.
Insulation
Infiltration -Walls -Windows
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
Date
PLUMBING (Permit) OK except #'s
FINAL (Plans) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Ext. Steps -Door & Sidelight Protection -Landings
18.
Water Pipe; Test & Anchor -Nail Protection
Smoke Detector
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20.
Shower Pan; Test, First Floor -Tub Access
Bedroom Exiting
21.
Test Tub & Shower, Second Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
22.
Gas Pipe; Sixe & Anchors
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Date
Card B-1 Date Card 3-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
23.
Fixture & Transformer Clearance -Ins. Protection
Elec. Outlets & Receptacles at Kit. Counter
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
Garage Fire Door; Swing -Landing -Closure
25.
Size Boxes & No. of Conductors Stapled
A.C. Duct in Garage -Damper
26.
Romex Installed Close to Edge of Studs & C.J.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Plb., Elec. & Mech. Equip. Listed for Location
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
Insulation -Foam -Looked in Attic
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral Q Yes O No
Guard Rails & Deck Construction -Post Caps
31.
Service -Riser Conductors & Ground Main Disconnect
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
32.
Equip. Clearances Panels-Motors-Mech. Equip.
Clearance Looked under Floor Q Yes
33.
Clothes Closet Light -Shower Light -Spa Light
Following Instid./Drive 0 Yes J No/Walks CJ Yes ].No/Planters G Yes 0 No
34.
Smoke Detector
Stucco Brown -Finish
84.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Exterior Elec. Trim, G.F.I. Receptacle -Underground
35.
A.C. Ducts Insulation & Support
Ventilation Throughout House
36.
Vent Fan, Exhaust above insulation
Glass Protection
37.
Condensate Drain & Overflow, Size & Grade
Corrections from Previous Inspections
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
Gas Test -Meters Tagged, Gas -Electric
39.
Attic Access & Platform if Furnace in Attic
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
FRAMING (Permit) OK except #'s
Card B-1 Date Card B-1
40.
Sits Proper Materials & Anchors
Comments at Final:
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
jingle & Duplex)
Date
FRAMING (Continueq.)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
82.
Following Instid./Drive 0 Yes J No/Walks CJ Yes ].No/Planters G Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
— COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 036-780-062
ZONING
BUILDING PERMIT
OWNER W.T. AMBROSE
TEM 18285
BUILDING VALUATION
SQ. FT. OCC.
0 117-6-
OWNERS MAILING ADDRESS 104 LONETREE ROAD, OROVILLE 95965
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 1176
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
11225
BUILDING ADDRESS
2646 BROUGHAM, OROVILLE
Energy Plan Checking Fee $
$
FEE $
LOT NO.
SUBDN'S
ISIONNAME CARRIAGE MANOR
MANOR
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap 1
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 6 X 20 DECK, 6 X 8 DECK
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S 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 the Business and Professions Code,
and my license is in full force and effect.FOWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law ! the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
�f one hundred dollars ($100) or less.)
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 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.
c�
X Date �� �/ `
Signature of Applicant - 'Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service zoOA TO I000A
46.00
NEW CONST. OWING CUP. so
OR ADDNS. 6 ACC. BLDS. 3.5¢FT,
T.
NDN-R61D. 0=OUTLET CIRCUITS
@7.50
APPARATUS
8 SINGLE OUTLET CIR.
2101-1
Ex. Occup. OUTLET OR FIXTURES BAL @ .50
Ex. Occup. .FIXs Ra o,oE 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ ! 7.85
8
HAZ.
D. FEES MP
FLOOD
CDF
PARC
Po
ISSU
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.
^� �7 Q
By /Dat /
PERMIT EXPIRES ON 1 - dt
I ffiate)
Receipt No. 273260/$67.85
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
v JP
's FINTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95,965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: 61 % %J!2lx ASSESSOR PARC ER: ? ` /9r d -G Z_
Proposed Building1 Use: r"La/ C Building Inspector: Date: /„ _ -7 _5 f �j
At a of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
1. All items have been submitted --------------------------------------------------------------------------------------
112. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
03. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑ 6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
El8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $-------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -------
❑ 12. California Department of Forestry plan approval/fees.
❑ 13. Flood elevation certificate. --------------------=----------
❑ 14. Sanitation and plot plan approval I Health Department.
Ell 5. City of Chico plumbing permit. ------------------------------------
I
El 16. Plot plan and business li qr e approval from the City of Biggs.
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
1:119. Encroachment Permit for driveway (construction approval prior to occupancy).
020. Pre -inspection Pre -inspection for
required Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification).
022. Workers' Compensation carrier and policy number. -----------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -
024. Letter of signature authorization. --------------------------------------------
E325.
-------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------
❑26. Letter of intent on building use.'----------------------------------------------.
027. Manufactured Home utility clearance. ---------------------------------------
028. Existing violations and/or expired permits. ----------------------------------
1129. 0433 A, El Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
❑30. Other:
(Date)
;Telephone -57
h .you issue �tthe permiit,, process as follows ❑ Mail to owner, ❑Mai�/o�°ntractor. A5
UTelephone and hold for pickup at 0/JP10 office. ❑ Deliver with inspector. E
Applicant: �. / ' Date: 4� -
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other:. Date: By:
,z"P -��
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: -
Date:
Sets of plans on hold in ❑ Plan Cabinet, C1A.P. folder. Note transfer by: Date:
OWNER -BUILDER VERIFICI=N-
:L::
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your sign$pxe;
Please complete and return this information at your earliest opportunity to avoid unneeessaryde;y`
in processing and issuing your building permit. No building permit will be issued until fids
verification is received. .�.�
1. I personally pian to provide the ajor labor and materials for construction of the proposed;
property improvement: YES NO O
2. I HAVE dHAVE NOT O signed an application for a building permit for the proposed *9
1-
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME: ::..
ADDRESS: CITY:.
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of flus :work, but I have hired the following person to com i11; ..
supervise, and provide the major work: •"
NAME: , r....
ADDRESS: CITY:
PHONE: CONTRACTOR'S -LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to pt+pvW
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
J1UNED:
PROPERTYOWNER: fir/
SOCIAL SECURITY NUMBER:
DATE:_ 4-' - 2
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of tha.
California Health and Safety Code. This verification must be completed acrd
returned to our office before we are permitted to issue the permit
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the, builder of property -
improvements specified.
For your protection; you should be aware that as "owner -builder" you are the responsible party ofrecord on'such
a permit. -Building, permits are not required,to be siped•by property owners unless they are personally perfortnirig their
own work. If your work is being performed.by someone other than yourself, you may protect yourself from possible'
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have'a business
license from the city or county. Tfiev are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should:
be aware of the following information for your,benefit and protection:: �' Y
If you employ -or otherwise engage any persons other than your immediate family, and the work (including `materials
and other costs) is $300 or. more for the entire project, and such persons are not: licensed as,contraetors or
subcontractors. then you may be an employer.
♦ If you.are an employer, you muse reiister with the State and Federal Governments as an employer and you are
subject to several obligations.including state.and.federal income tax withholding, federal social security.taxss,..
workers compensation insurance, disability insurance costs, and unemployment compensation eontniiutions.
♦ There may be financial risks for. you i you do not carry out these obligations, and these risks are especWly.se&us
with respect to worker's compensation insurance. '
♦ For'more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
w. if you wish, the U.S. Small Business, Administration). For more specific information' about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale;property owners who are not licensed contractors are allowed to perform their
work personally or through their,own employees, without a licensed contractor or subcontractor, only under'limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner.buildee, building
permit, erroneously implying that the property owner is providing his or her own labor and material personallj . Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contrac�Prs may be obtained by contracting the Contractors State License Board in youir
community or at 1020 N Street, -Sacramento, CA. 95814.-
Please
5814.Please complete the "Owner Builder Verification" �n the reverse side of this form so that we can confirm that you..
are aware of these matters. The building permit will not be issued until the verification is returned.
1 rely,
Mic el C. Vi era, C.B.O.
NI ger, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code-
OVER
oda
OVER
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All Mq.tarials & Worirnaanship Shall Be in
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Accordance with R,ecojin d Good �'ractiCes ate--- - - ----
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a = Prescribed for the Specified use
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in
the Uniform Building, Plumosn� �fi9ch;a� .;--
'
—
Codes
and the National Electrical Code
estiftftwt ns METSTba--�-
.d :. kept on the job at all times and it is unlavnV to
out •s. '
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4,X-41, POST
- ADEQUATE DIAGONAL
l3RAC1 NG. TYPICAL R - 5l nL Alrll;l JT�/�•S .4N0/,� p�-cK
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville. California 95965
Telephone: 538-7541
MOBILDMAX.MTL.
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MAX. CLIP (EA.yMIu
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4,X-41, POST
- ADEQUATE DIAGONAL
l3RAC1 NG. TYPICAL R - 5l nL Alrll;l JT�/�•S .4N0/,� p�-cK
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville. California 95965
Telephone: 538-7541
98-2456
RESIDENTIAL
PERMIT NO.
PERMIT EXPIRES 10/27
OWNER W.T. AMBROSE
oNTR. BRUCE BRODERICK
ASSESSOR PARCEL 036-78-0-062
LOCATION 2656 BROUGHAM DR, OROVILLE.
?V.,MHI/EXISTING SITE
�). OFFICE COPY
N.
Address
GAS �Dates
{s Meter BY
-97
,. ELECTRIC Date
Meter BY
-- _ -- — CHECKED',
BY
SFr SRA
a
It FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
Temp. Power Pole
f:
1" Called PG&E
Temp. Elec. Service
Y Called PG&E
YTemp. Gas Service
Called PG&E
JOB FINAL D (Date),, -.4 4TJ? 1�
Signature `�`
V=OK
O = Not OK
Not Applicable
Not ReMOBILE HOME&
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location-Test-Fall-C)O-Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / /'L9t
/ /Nat. or/ /"L"ft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Cana B-1
Setbacks Easements
Line
nector
lectricity; MH Test -Crossovers -Breakers -Clearances
5 in; MH Test -Fall -Flex Connector
fl ater; MH Test -Regulator -Connector
? 7--d Sewer Connected -C/O to Grade -HD Approval
Gas and Electricity Tagged
ie Downs -Type -Installation Cert.
Exits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
Date AFCard B-1. _ Date Card B-1
Date Card B-1 Date Card B-1
1
u { 7
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements.
2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel
3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails
4. Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg.-Rfg: Bracing
5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Fnng.; Sils-AnchorsStuds-Rttrs-Trusses
9. Siding; Nailing-VeneerShxxo-Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/8 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards4ns. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. TestWater Supply Test
11. Light Niche
Date
Card 8-1 Date Card B-1
Date
Card 8-1 Date Card B-1
o = No OK RESIDENTIAL (Single & Duplex) i.
N 1• bl
- App
=
of ica e
Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1. Zoning-Setbacks-Easments-FloodSlope r
47.
2.
Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth _
48.
3.
Ftg. Garage; Soils-Steel-Elec. Gmd/ N Ftg: Depth
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4.
Ftg. Porches & Decks; Soils -Steel-/ • /' Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
5.
Stemwalls, Main;'Steel-Blockouts-Wrapped -
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors `
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits -
7. `Slab,
Steel -Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
Glazing Area -Glass Protection -Skylights -Plastic
12.
Electric Underground
Shear Walls: Nailing -Bolts
13. Pienums & Ducts; Clearance -Material -Support -Ins.
60. Brace Interior / Exterior Wall Panels
14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies
61.
15.
Access & Ventilation
62.
16: Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s -
17. Water Htr.; Vent -Access -Combustion Air Baffle
Ext Steps -Door & Sidelight Protection -Landings
18.
Water Pipe; Test & Anchor -Nail Protection
Smoke Detector
19. D.W.V.; Test Fittings & Anchor -Nail Protection
65.
20.
Shower Pan; Test, First Floor -Tub Access
66.
21.
Test Tub & Shower, Second Floor -Tub Access
67.
22.
Gas Pipe; Sixe & Anchors
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
Date
Stairs & Rails
Card B-1 Date Card B-1
Date
Fireplace or Stove, Clearance -Hearth
Card B-1 Date Card B-1
Date
Elec. Outlets at Wood Panel, Int. & Ext.
'ELECTRICAL (Permit) OK except #'s
72.
23.
Fixture & Transformer Clearance -Ins. Protection`
73.
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
74.
25.
Size Boxes & No. of Conductors Stapled
75.
26.
Romex Installed Close to Edge of Studs & C.J. '
76.
27.
Equip. Ground made up w/Mech Fastneis-Bond Gas & Water
77.
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
78.
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size/ / ga Cu or Al
79.
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neutral 0 Yes 0 No
80.
31.
Service -Riser Conductors & Ground -Main Disconect
81.
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
82.
33.
Clothes Closet Light -Shower Light -Spa Light
83.
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Card B-1 Date Card B-1
Date
Water Well, Disconnect, Electrical, Plumbing
Card B-1 Date Card B-1
Date
Exterior Elec. Trim, G.F.I. Receptacle -Underground
MECHANICAL (Permit) OK except #'s
88.
35.
A.C. Ducts Insulation & Support
89.
36.
Vent Fan, Exhaust above insulation
90.
37. Condensate Drain & Overflow, Size & Grade
38.
Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
93.
Energy Compliance Certificate -Other Certificates.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Date
40.
Sits Proper Materials & Anchors
Comments at Final:
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat pmol)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits -
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56. Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls: Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s -
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.FI.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hale Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
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:
'.."".'•-,y¢'3(:�?.-i'..,n,.�'�St'.;�'�v�r`t. �i�'r idvYk"l �. t?±. ,;�,. .�..; .,,r ._�µ, �, _"'.,nw' •�;s ..: _:�,iF.: •:rr
s
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION --7 COUNTY CENTER DRIVE
OROVILLE, CA 95965 --PHONE (916) 538-7541 ,
APN:
PERMIT NO.:
--f -
�!
Owners:
Name:
„
Owners:
Address:
( pj _
`f "��"1��
Mobilehome
Manufacturer VA
G f'V 4 .A)2./) A /'
Year of
Manufacture:
Serialn m~~brrer�
,/ !
Insignia or ff _
or VAS, C
HUD number.
Official approving instal tion:
Date:
7-7
If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall
not be used when the mobilehome is installed on a foundation system.
5138 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor
^r
CERTIFICATE OF ANCHOR INSTALLATION
Title 25 CCR Moblehome Parks Act Section 1326 (W)
I certify those portions of the tiedown system installed below grade were not damaged prior to or as a .. _
result of the installation, were not modified prior to or during the installation, and were installed in
accordance. with the manufacturer's installation instructions, plans and specifications of "the engineered
tiedown system referenced on this certificate.
Tiedown System:
Manufacturer. - `l�
1
Model: lwn 19•x- — �Z�� 29
C
Installed.by: CE Jitiwror l —_ Date•
UntrAwner. _ ., 4IT40 f/ _ license No.:
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION �-y s
7 County Center Drive Oroville, Californta 95965 • Telephone (530) 538-754 (o
P al
n.
(Rev. 12/96) APPLICATION AND -PERMIT"
ASSESSOR PARCEL NUMBER ZONINA (4D BUILDINGPERMIT
036-780--062 (�
OWNER TELEPHONE
T.1 T .1TSO. FT, OCC. BUILDING VALUA ON
TTlTI /�nr
OWNERS MAILING ADDRESS - -
104 LONF. TRF7,T 95066
CONTRACTOR'S NAME TELEPHONE
'.3PUC
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER I I LICENSE NO.
ARCHITECT OR ENGINEERS MAILING ADDRESS
BUILDING ADDRESS
LAT NO. I SUBDIVISIONS NAME 1 PARCEL MAP
USEOFSTRUCT�U/�RtE`-�^
SF ❑ Duplex [3Mobilehome �; Other Ir �'�C-1.
TYPE OF WORK
New ❑ Addition ❑ Remodel �❑ Utilities ❑ Installation,a Other ❑
Describe Work: dvcf
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
IK, I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit Is for work of a valuation
/ of one hundred dollars ($100) or less.)
H/ 1 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 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. Q�
X� (' G— Date l d " ? 2IJ
Signature of Applicant -d Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Receipt No. _ "
NWHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
f
Total Valuation is
PERMIT FEE
$
Filing Fee
$
Main Service
Permit Fee
$
Main Service
Plan Checking Fee
$
NEW CONST.
OR ADDNS. (
Energy Plan Checking Fee
$
NEW CONST.
NON-RESID.
MULTI -OUTLET
BRANCH riariffm
$
PERMIT FEE
S
PLUMBING PERMIT
Fling Fee
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
20.00
20.00
Ex. Occup. OUTLET OR FIXTURES N CW ''°°
BAL a .w
EX. OCCU FIXED APPLNS. OR
OUTLETS R=. El 5.00
—Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring1E 23.00
PERMIT FEE 1 _ ,
L MECHANICAL PERMIT I Filing Fee 1 20.00
Hood 1 1 6.50 1 1
PERMIT FEt $
Mobile Home Installation Fee $ 100.00
Energy Inspection Fee $
OCC CONST. TYPE TOTAL FEE $
143.00
_PZ. I D. FEES I IMP FLOOD C PARCEL PD HD U
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. ry
By Date l ����
�/
PERMIT EXPIRES ON lZ7/%`�] /
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service
_noon oa mss
23.00
Main Service
200A To 1000A
46.00
NEW CONST.
OR ADDNS. (
- DWEWNGOCCUP.
6 ACC. BLDS.
3.5Qso.
FT.
NEW CONST.
NON-RESID.
MULTI -OUTLET
BRANCH riariffm
@7.50
Ex. Occup. OUTLET OR FIXTURES N CW ''°°
BAL a .w
EX. OCCU FIXED APPLNS. OR
OUTLETS R=. El 5.00
—Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring1E 23.00
PERMIT FEE 1 _ ,
L MECHANICAL PERMIT I Filing Fee 1 20.00
Hood 1 1 6.50 1 1
PERMIT FEt $
Mobile Home Installation Fee $ 100.00
Energy Inspection Fee $
OCC CONST. TYPE TOTAL FEE $
143.00
_PZ. I D. FEES I IMP FLOOD C PARCEL PD HD U
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. ry
By Date l ����
�/
PERMIT EXPIRES ON lZ7/%`�] /
VN -IX Nr
* v
COUNTY OF -B 7`TE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: 18 ASSESSOR PARCE=!�
0 >Proposed Buil ingUse: Building Inspector: Date: Jtj ^ o2vZ
At time of permit applicatio , I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
r ❑ 1. All iiems have been submitted .--------------------------------------------------------------------------=---------
02. Plot plans, 3/4 sets, signed by the preparer of plans. --------------------------------------- - -------------------
❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑aa
gy Design Compliance and supporting documentation.---------------------------------------------------- \
❑ment of Intent for Non -Heated and A/C Buildings. --------------------------- ==--------------------------
rdousMaterial Form. ------------------------------------------------------ -------------------------------=--
ufactured
dHome data and installation instructions including Tie o Specifications.--------- T
❑ 10. Fees of $ -------------------------------------------------------------------------------------
J�Im ct fees as shown on the attached schedule. j, ,�{_ -- yVE------1Q
California Department of Forestry plan approval/fees. ---------------------------------------------------------
1 . Flood elevation certificate. ---------------: ---/I-/----------------------------------------------------------------------
Sanitation and plot plan approval` O+P ti Health Department. ------------------------------------------- 10 —2ZOil 5. City of Chico plumbing permit. -----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking: -------- := -------------------
0
--------------
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel .------------------------
111. 9. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
❑ 20. Pre -inspection for required Request to Building Inspector on (Date)
021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =-------------
❑22. Workers' Compensation carrier and policy number. -----------------------------------------------------------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
❑��- -
tter of signature authorization. --------------------------- ----------------------------------------------------
� = -�V
. Recorded copy of Agricultural Acknowledgment Statement. -------- --------------------------------------
❑ 26. Letter of intent on building use. -----------------------------------------------------------------------------------
❑ 27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑28. Existing violations and/or expired permits. ----------------------------------------------------------------------
❑29. 1143 A, El Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .---------------
❑ 3 0. Other: -------
When you issue the permit process as follows ❑ Mail to owner, ❑Mail to contractor.
VOSTelephone S3� O and hold for pickup at office. ❑ Deliver with inspector.
Applicant: Date: / '2
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin Sion counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
'+.i �i-�` Tin _..� �T,CV,.��,.�,,�.'�;r+�� 'r.�.'ra�r '+,,� � �:�1� r�``'� � •t "�s. ',�• '' , ..��y .
�11`1�'Tf, tigt'" "',.�� "�'" ^� '"r -Cly, - � .e �', _!�� � � s�.%r•_.,,ir `d ..��.. ���`•�"�'��,^�.�--r ,..F,. , r ,
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
-1> 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
OWNER
PROPOSED BUILDING USE
s
SCHEDULE OF FEES DUE
1 BUILDING PERMIT FEES •
-- Balance Due ................ $
-- Additional Fees Due ..........
R
-- Additional Fees Due ........... $
-- Revised Plan Checking Fee ....... $
2. SCHOOL DISTRICT FEES
( aid at District Office)
3. SHERIFF FEES. (paid at Building Division)
Residential ........ x $360.00 = $
Units
Commercial (sq.ft.)... x X$0.03 = $
1 i } Sq.Ft. ,..
4. URBAN AREA FEES.(paid at Building Division)
Residential (per unit) . x - = $
. #Units Amt.
Commeicial (sq.ft.) .. x =$
Sq.Ft. Amt.
5. RECREATION DISTRICT FEES (paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division)
10. OTHER
A. P. #,�9 (o
DATE
RECEIPT # DATE REC
I --
At time of permit application, I was advised the above fees are required to be paid prior to issuanceof the building permit.
These fees may be changed during the plan checking process.
APPLICANT. DATE
Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4;5,6,8,9, and 10 above may have been imposed on your
project. You have 90 days from the date of approval of the project or from the imposition of the_ above mentioned items during which you may
protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner �� A(Rev �i/ 7)7
r'
r
F.•+I'N`a.��,�`^' r��'Y"";�1,�.`.�"7.+.+;+n+v:.'���t��.3D*q�!:=�.I � �lvl.�'�'�.J'l;r'ly+�Y14tf�.}.`s•,Y" -r M,'4.'.iY,.;:'r.ro:tcw.r�..w�:•:+�_,i
a'� ! BUTTE COUNTY SCHOOLS IMPACT FEE 'CERTIFICATION FORM Q
.
(One form per Building►
School District. V f�(JV �� t/ ig kCT "• Building Department No:
A.P. Numbe� Jurisdictions , = City County
Property Owner
Property Location/Address
Z4& v 44-,41
1.
Subdivision Lot No.
Residential Development
No of Living Mobile Home Addition
Units Installation
Commercial/Industrial
,n
Sq. Footage
S'
(Group R)
Sq. Footage
uncwaing txtenor
Roofed Areas)
Date
trioor,rians reviewea Dy acnooi uistnct rersonnei)
District Identification No. 990051
(-�l I �' chool District certifies that
U(Applicant)
(,P4LQ ZL2��kQACL AA",— •533-$agS
(Street Address) U(Phone Number)
I C
�(i -� 9S -
(City) (,State) (Zip de)
has complied with the requirements of Resolution No.
ng I/ / D 0 ----ol square feet.
District Representative
.Paid by Check # Remarks:
by payment (f $
J�B 2926 $
ULL MITIGATION $
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
youfrom challenging the imposition of the fees In any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis (2/97)dmm
CONNECTION PERMIT
APPLICATION FOR SEWER CONNECTION AND SERVICE FROM
LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT
hereinafter referred to as
"Applicant", being the property owner or owner's agent desiring sewer service, hereby requests Lake Oroville
Area Public Utility District, hereinafter referred to as "District", to connect Applicant's sewage disposal line to
District's sanitary sewer system and to provide sewerage service. /
Location of property: G A. P.#:
53- Property Annexed
❑ Property Not Annexed
❑ Property Annexation in Progress
Kind of Service:
( Residential
Residence of Owner
❑ Rental (single family)
❑ Rental (duplex)
❑ Industrial
❑ Commercial
t ate_ Lot#: /Q Block#:
No. of E.D.U.'s this permit:_ %
Multiplication Factor:
'Monthly Charges: 7.5"
Connection Fee: O o
Gutitic�.�Ge�tar• � SO . D O
❑ Apartment SC -OR Facility Charge: 0 00.
// Total Amount Payable This Permit: / . O U
Remarks:
The service applied for hereby shall be in accordance with the conditions hereinafter set forth and the
ordinances, rules, regulations and policies adopted, or to be adopted, by the Board of Directors of District, all
of which Applicant agrees to abide by and fully perform. Applicant agrees to pay for such service at rates and
charges as are established by District from time to time.
Signature of Applicant Name of Owner if not Applicant
9Syds
Mailing Address of Applicant Mailing Address of Owner
Phone # of Applicant: 5�.3 —� o2�S� Phone # of Owner:
CONDITIONS OF ACCEPTANCE OF SEWERAGE SERVICE
1. In accepting this application, District does not hold itself liable to Applicant for failure to perform
any of the obligations imposed upon it or assumed by it under this application if such failure be caused by
accident, Act of God, fire, strikes, riots, war, lack of capacity in SC -OR treatment/disposal plant or District's
lines to handle the sewage or nay other cause beyond reasonable control of District.
2. Installation of the sewer service line pertinent to this application shall conform in all respects to
District- is specifications.
3. Applicant shall secure permit(s) as necessary from the County of Butte prior to doing any work,
including encroachment permits when work is within county right of way.
4. Installation of the subject sewer line shall be at the sole cost and expense of Applicant.
5. Actual connection of the subject sewer service line to District's sewer mainline shall be
accomplished by District staff.
6. All work shall be inspected and approved by District.
7. This permit is valid for one (1) year. If work is not completed within said year, permit renewal will
be required, together with payment of any increase in connection fee and/or SC -OR Facility Charge.
8. District verification form must be issued with this permit.
Payment of Fees/Charges required prior to final
inspection. Pay ent received by: '
Date: A Receipt #
❑ CASH CHECK #
00
LAKE OROV E AREA P.U.D. ,
By:
Date:_�T,/ 5' S
Permit #: — �1
"Monthly charge payable at the current rate at time of connection.
• PERMIT NO: 19-98
Lake Oroville Area Public Utility District
1980 Elrin strut
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: October 22, 1998
Applicant: WARREN T AMBROSE
Applicant Address: _104 Lone Tree Rd., Oroville, CA 95965
Applicant Phone No.: 533-8285
Property Location (s): 2646 Brougham Drive
A. P. No. (s):
Carriage Manor - Lot 62
36-78-62
Fees due: All fees paid.
Application for service approved:
LAKE OROVILLE AREA
PUBLIC UTILITY DISTRICT
16spection(s) made and successful test(s) observed:
Location:
Date:
Lake Oroville Area Public Utility District release to close permit:
Date: By:
.rt,
AND WHEN RECORDED TWL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
1111111111111111111111111111111111
1 9'ED 8—mm.c*S947
Recorded
I REC FEE 10.00
Official Records
I COPIES 1.50
County Of
CANDACEutte J. GRIJBBS
I
Recorder
I
02:22PM 22 -Oct -1998
I PagesI of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT n
FOR RESIDENTIAL DEVELOPMENT o�
Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of IvU
this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited
to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation,
plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has
established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the Count, of Butte, State of California, described as follows -
t
oil
,6Z
Date:��&Q PROPERTY OWNERS:
0 WdNO 0 0, /
i
State of California
County of$�� ) )
n before me,
personally appeared, ��_ , \ . ����������� personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and
that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted,
executed the instrument.
WITNESS my hand and official seal.
Signl��'�\����\`�
y8—a�{S� fib'
Ate.
NOTE TO RECORDER: DO NOT RECORD THIS.SIDE A.A. - I
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
Instructions for recording Agricultural Statement of Acknowledgment:
1. Insert the legal description` of the property in the' space provided on the other side of this form.
The -legal description is the narrative description of the property - which will be on your. deed. If
you don't have access to the deed, the Recorders Office can provide this information. (The
description may be handwritten or typed in the space provided or attached on a separate sheet is
more space is required).
2. Property owners must sign in the presence of a Notary Public and have the form notarized.
o
3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County
Center Drive, Oroville (the Administration Center building). The Recorder will record both the
original and copy. They will keep the original and return the copy to you. Just bring the copy
back to the Building Division at 7 County Center Drive.
RECORDER'S FEES: $7.0.01 st Page
$3.00 .-Each Additional Page
RECORDER'S OFFICE HOURS:".,9:00 a.m. - 5:00 p.m. (Monday - Friday)
ORDER NO. BU -168139-3
DESCRIPTION
THE LAND REFERRED TO IN THIS REPORT IS SITUATED'IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:
PARCEL I•
LOT 62, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CARRIAGE MANOR, A
PLANNED UNIT DEVELOPMENT", WHICH MAP WAS RECORDED IN THE OFFICE OF
THE.. RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
OCTOBER 26, 1978, IN BOOK 66 OF MAPS, AT PAGES) 48 AND 49.
PARCEL II: +
NON-EXCLUSIVE EASEMENTS FOR INGRESS AND EGRESS, VEHICULAR AND
PEDESTRIAN MOVEMENT, PARK, RECREATIONAL AND FOR OTHER PURPOSES OVER
THE COMMON 'AREAS ALL AS SET FORTH IN THE DECLARATION OF
RESTRICTIONS RECORDED MARCH 28, 1979, IN BOOK 2383, PAGE 477,
OFFICIAL RECORDS AND AMENDED BY INSTRUMENTS RECORDED NOVEMBER 20,
1980, IN BOOK 2571, PAGE 354, OFFICIAL RECORDS; APRIL 17, 1986,
UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-12040; APRIL 23, 1986,
UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-12768; AND JUNE 4,
1990, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 90-22919.,
PAGE 5
-5'Cq A.
t7i--� �c
Mobilehome Manufacturer: ffAa t47A4 & A /'01,0 Manufacture Year: f $�
If other than single wide, furnish Setup Model Number: TO
Width:- ,C (ft.) Length: . tic r (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.
FOOTINGS: Wood pressure treated or foundation grade[j/] Other:
SUPPORTS: Concrete block[A Other:
Provide Tie Down Specifications for all Mobilehomes:
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line 1
Line 2 -
Main Beams
Line2......................................................'.................................
Line 1
..........................................................
.. Main Beams
. Tag or Triple
...................................
5
4
1
'I•ine 1
• Line 2
Jane 2, .
Line 3
Line 2
Line 2
Line 1
Line 1 Piers: 4 ��'L?e&lLine 1 Openings
Size minimum: / 2 x r 30 1 Size minimum: ( ] x [ ].
Spacing maximum:'"' 6 Each side of openings
From ends -maximum: I' ` with width over: I I`
Line 2 Piers:
Size minimum: [ 1Z ] x [30 ].
Spacing maximum: ` ( `
From ends -maximum: / ` D `
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
Line 4 Piers:
Size minimum: [ ] x [ ].
Spacing maximum: I I`
From ends -maximum: `
OVER
1 a
1. Owner's Name:
2. Assessor's Parcel Number: / (f— /51
3. Installer's Name: ,.s'/g/�" /t%
4. Is the site currently under permit? Yes[ J No[vrPermit No.
5. Is the site an existing site? Yes[✓' No[ J (If yes, furnish two plot pl ns).
6._ What is the electrical rating of the mobilehome? AM Amperes.
7.. What is the mobilehome site circuit breaker rating? %DO Amperes. '
8. What is the electrical ratingof the mobilehome site?
.1zeO Amperes.
- - J
.9. Is the main service remote from the mobilehome site? Yes[Vl No[ ] If it is, what is.
the rating? Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
i.e. wellgarage etc.)? Yes No If es please identify the load and size:
a) The mobile home site:
Load- Amperes- 3.0.
b) The main service:
Load- Amperes- -/tv Q.,
11. Type of gas. service at mobilehome site: Natural[ Propane[ ] None[ ]
12. Size of gas pipe at the mobilehome site from the meter or-
tank:
r .tank: 104 inches.
13. What is the gas pipe length from the meter or tank to the mobilehome? (ft.).
14. What is the mobilehome gas demand? %'&l B.T.U.*
*(This information is not required if the pipe length is less than 6 feet on natural gas or, .
less than 50 feet on propane).
THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
May 1995 . Y
8.5 -
1� '\—
�T T
556-79P
PERMIT N0.
PERMIT EXPIRES 02��•
21OWNER Warren T. Ambrose
owner
�CONTR.
8-12-62/
LOCATION (A.P. - ---
2646 Monte Vista Ave., Sp.#6'2, Oroville
r
V
t
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
Setb@ck
Form
Main I
Foo
Stemv
Slab
Piers
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
isonry Walls
Reinf. Steel
Bond Bea
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
C
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) A PLUMBING
rewall SoX Piping
P a ets 1s Floor
Res oom Finish 2nd loor
Windo s 3rd F or
Sidina To out
Roof ShAthing
Water Pi in
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Water Htr.
Insulation
Heaters
Prov. for physicatly
handica ed
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Final
Sanitation
F RE ACE
Final
Footina
E
Test
Final
Fixture
Motors
Mesh MECHANICAL Grd. Favit Prot.
Scr ch VnIatlot
Servic
B wn T p. Pole
nish Dubs nder round
I erior Lath Permanent
oor Closer Inal Inal
MOBILEHOME TILITIES ------------------ Elec. Service Elec. Pedestal
Water ng Sewer Gas Piping q
OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
!V
6
V
S
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — fJEP�aOTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541 ��
APPLICATION AND PERMIT i7
BUILDING
OwnerSO.
FT. OCC. BUILDING VALUATION
Mai I ing Address 32 ,? 5 �!t
_
telephone No.
j I .- SZ
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building AddressOVI��'V
aU��
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. o. �j`� % �/�—��
_
Zoning 8 Plertm�
Water piping 1.50 /��-
Each gas water heater or vent 1.50
es
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50 /Q,_�
E
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00 1V ✓'
Bldg. tans Recd
Parcel Approval Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Permit Fee $
i$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
OR LE
Main service 1000 AMP ORSLESS 5.00
Single Family ❑ Duplex ❑ Mobil Home)E Others ❑
Main service EA. ADD'L too AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( OR ADDNS. ACCLLING BLOGS.CCUP. 4) 22sgft
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
le of:
style
T
NEW RESID, BRANCH CIRCUITS
NON.CONS ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS d
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTURES B L@;
Ex. Occu 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
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL N0.1 @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood J 1 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$ �
TOTAL PERMIT FEE
77
$
autnonze representauveS or the vounry OT tsulle to enter upon the
above-mentioned property for inspection purposes.
XAf-s 4 dfZ.-�4�� Date I—��-7
Signature of Permitee or Agent
Receipt No.��
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 f which fees have been paid.
AIAECT&AbF PUBLIC WORKS i e
expiresBuilding permit ��
J
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
w 7 County Center Drive = ' Oltoville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
' ✓�� Date IT 7 y
S gnoture of Permit or Agent
Receipt No. /(�
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
B Date -d-7-
Building permit expires Date 3 ���—
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address J
Telephone No.
Contractor
Mailing Address n �
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building AddressPlan
Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
�O
Repair drainage or vent piping 1.50
A. P. Ng.-
Zoni g ning
Water piping 1.50
Each gas water heater or vent 1.50
F s
WVel
eerti-tasasR►
Fire Dept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Parcel Ap royal
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
WAR E3 6-t7
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main Service 600V OR LESS 5.0
100 AMP
Single Family F]Duplex Mobil Home Others
❑ � ❑
L 00 A
Main service EA. ADD - 100 AMP 2.5-0
`L jf
Main 100 OVER 800V
n service AMP OR LESS 25.00
Main service/ EA. ADD'L 100 AMP 1.0NEW
DWELING
CONST.0
OR ADDNS. C ACCLBL GS.CCUP. 41 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
st le of:
y
.Gr
NEW RESID.CONSTRANCHULTI.OCIRCUITS)
NON.RESI D. BRANCH CIRCUITS 2.5Oea
NEWCONSTR. POWER APPARATUS a
NON .RESID. (SINGLE OUTLET CIR.
EX. OCcup(OUTLETS OR FIXTURES 50L�
Ex. OCCU FIXED APPLNS. OR
p•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 S
�5��
License No. .••� b Classification L -1y
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ t
$
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
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
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
' ✓�� Date IT 7 y
S gnoture of Permit or Agent
Receipt No. /(�
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
B Date -d-7-
Building permit expires Date 3 ���—
NOTE: -7 /V' r� �sl _ .Y #r Fp' nship S -hall Be in
Accordance . wit ec ognize oAd Practices ancf'
of a quality prescribed for the Specified use in the
Uniform Building; Plumbing & Machanical Codes an /o
Ae National Electrical Code.
centerline of the doad, perm ffi g � - - -- --- -
mum :of a '.ft. eaye overhan b it ebt _.
out of -cd easemgnts.
—1.9
l ..
BU 7'A'�
his set of plans and specifications tIftW,,ebv
cept on the job at all times a- wfilL+n BUILDING DEPARTMENT
J. /7 -
make any changes or alterations on same without n
n~ritten permisson from the Department of Publi. �r AP P R O V- E I J
Works, Comyty of Butte). -
ss 1-14,t,
AP
OWNER f2o-g
PERMIT #
MH UTIL.CLEARANCE DATE'S
INSPECTOR 9 stl�
a
ELE TRIC GAS Support Compaction
Service Other Pipe St r c. Test Req.
Size Load Tvpe Size Len th YES NO YES NO
.�-004- 15W `,7-tg
55, D
ihis set of plans and specifications. MU,kwlIT
(ept on the job at all times and' it is unlaw' ru(V,
,nake any changes oralterations o -same without
written permisson from the Department of Public
.Works; County of Butte.
S.S. "4
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