HomeMy WebLinkAbout079-210-050Ro�.e rat Simpson --2 i Q Sv r
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NIS�Mante Vista Ave., 'app.800'E.o° t {
„WynokaNay, Oroville
Permit #402 4-80P,E(uti1.,MH)
• '• ELEC 9-/5ld ZOO 4 -
GA S
GAS -A97- Fb
UPPO RT STRUCTURkRg.Q .
'\ C@PACTION TEST ,
yIT
Contr: Rather giver �o'es �,C.
Permit.#.4 OMHI
contr: AAPCO, Sacramento a +�
Permit #5129-80B(2 new awnings/MH) F
r i .L � y
BERT OHLHAUSEN
2625 Monte Vista, ORoville �+ 1
+ Contr: Skilled Builders'
PErmit#332-88B,E(new private garage) d
• tl
Temp. Power Pole —
Called PG&E
Temp. Elec. Service _
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date
Signature
i
PERMIT NO.
–
PERMIT EXPIRES
OWNER
Q-(I$�4�1��1f.
.
j
CONTR. Skilled,
&41 -1d -tar-
R _1241&r44e
i
:ASSESSOR PARCEL.
36-70-50
LOCATION 2625
Monte Vistai-Oroville.
t
f
t
r
Temp. Power Pole —
Called PG&E
Temp. Elec. Service _
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date
Signature
i
= OK
'0 = Not OK
= Noi Readyable MOBILE HOMES ` ' MISCELLANEOUS
Date'
MOBILE HOME UTILITIES`(Plans) OK except ft's
Date
E S, OVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning, Requirements -Setbacks -Easements
/gEK.
Zeifing Requirements- etb ks-Easements
2..S6ils; Special MH Support -Sketch
1
. Footings; Soils -S' -De-SpaekV-Connecters-Steen
3. Sewer; Location -Test -Fall -C/O -Concrete
.3.4;1. - irde7sen or oists-Decking-Bracing-Stairs-Rails
4. Water; Location -Test -Easement Needed (Sketch)
sts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
,, 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPGows-Wo—ors
5. ns,;Zonnections-Splice- Decal-Enclosures' .
7. Utility Clearance
Elec.
jr; SdNs--Anct4 s-Studs=Fff - ru s
i
i g; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -131 Date
i
. 6of; Shthg-Roofing
Card -B1
Date Card -131 Date
Tf. E k"5teps-Doors-Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
f=' �
4w
1. Zoning Requirements -Setbacks -Easements
Card -B1
- Dato - Card-B1ate
2. Footings; Size -Spacing -Marriage Line
Card -B
Dat - / B�Card-B1 Date
3. Gas; MH Test -Demand -Valve -Connector
t
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy.
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 -Enc losures-Panel boards- Ins. to Main in Conduit
Card -131 ' Date Card -81 Date
Card -81
Date Card -131 = Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -131 Date
Card -131
Date Card -131 Date
= OK
o = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable
" = Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
• Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
46. Fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
51. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Siie-Anchors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
54. Siding -Nailing Veneer
12. Electric; Underground
55; Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
56. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15. Insulation
58. Insulation-Walls-Clg.
59. Infiltration-Walls-Wndws
Card -131
Date Card -B1 Date
Card -B1
Date Card -131 Date
Card -131
Date Card -81 Date
Card -61
Date Card -81 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
60. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
61. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Date Card -81 Date
66. Stairs &Rails
Card -B1
Date Card -131 Date
67. Fireplace Stove; Clearances -Hearth
or
Date
ELECTRICAL (Permit) OK except #'s
68. Elec. Outlets at Wood Panel; Int. & Ext.
22. Fixture &Transformer Clearance -Ins. Protection
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
71. Gara
G ara ge Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
72. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuits in Kitchen &Conductor Size
74. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
76. Insulation -Foam -Looked in Attic ❑ Yes
77. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
80. Stucco; Brown -Finish
Card -81
Date Card -81 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -131
Date Card -131 Date
82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
83. Water Well; Disconnect, Electrical, Plumbing
33. A.C. Ducts Insulation & Support
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
34. Vent Fan; Exhaust above insulation
85. Ventilation throughout House
35. Condensate Drain & Overflow; Size & Grade
86. Glass Protection
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Corrections from Previous Inpections
37. Attic Access & Platform if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -B1
Date Card -81 Date
Card -131
Date Card -B1 Date
Card -131
Date Card -B1 Date
Date
FRAMING (Plans) OK except #'s
Card -61
Date Card -81 Date
38. Sills, Proper Material & Anchors
Card -131
Date Card -131 Date
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rat proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER i NO., /
' 7 County Center Drive-.Oroville, California 95965 - Telephone: 916/538-75 1 3 X
APPLICATION AND. PERMIT (�-
AS�QR P�R EI NxM
66 S
ZON
BUILDING PERMIT 4.
ow
lie r Y1
TE EPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER MAILING AfdDRESS
-
/j'/ 'S t4l v F 9
CO SLACT 'S AME
�" l C �S
TELEPHONE
CONTRACTOR'S AILING DRESS _
eix Q �r{1'i 299d,
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ Ll —
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 6 OS
2
O'/
Permit fee
$ 1
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
ro V '
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP`
J1 g3
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTU E
SF ❑ Duplex❑ Mobilehome❑ Other ✓f t t !�
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer5.00
Mobile Home S G W
O.00ea
TYPE OF WORK
Newts Addition[:] Remodel❑.f Utilities[] Installation❑ Other❑ 1
Describe work: r X y- '
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eoov OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
P -'I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code I and my license is in f force and effect.
_
License No. ��e ���Classification
'Ex.
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW OR ADDNS. CONST. � ACWC. BLDGS. ELLING OCc ` ,�,Csgft
/ ,
/
NEW CONSTR TI-OUTLE 2.50 ea
NON-RESID BRANCH CIRCUITS)
POWER APPARATUS &)
(SINGLE OUTLET CIR. 1
20050c
Ex. Occup�OUTLETS OR FIXTURES 5AL9ALo 30
FIXED
Occup. OUTLETS PLN (RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9
Permit Fee $ ,
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai id Country in co sequence of the granting of this permit.
X ` Date
of Applicant - Owner❑ Contractor EL Agent ❑
eOtSHApermit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occu P.
NST COC
SCHOOL
FLo
PAR CgC
PD ND
;01
-
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
P T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Datea✓���P
7, P,J_
L..T.,:ecelpt No.
-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
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{ , ., .,� r;v .> w ���r J"a.fu `�� V� l "\� <'`^.w+A ,,,�, ��. r "i,y 1 re r, e {, u''`' '�-� a v':�• . v _
COUNTY OF BUTTE - DEPARTMENT OF PUBL C"WORKS - BUILDING DIVISION
~J7 COUNTY CENTER DRIVE � 04MILCE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPOCAiTON-DATA SHEET J
f` Permit No.
OWNER. �F r tDA I �l C(�5 ?IA. P. No.
Proposed Building Use A0YG{!a(s Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or i - uance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . .
2. Plot plans in duplicate/triplicate, signed by preparer of plans.
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans,
5. Plans with Energy Design Compliance Statement. . . . .
6. School District ''Fees Paid" Stamp on Floor Plan.
7Statement of Intent for Non -Heated and AC Buildings. . . . .
8. Fees of $ . . . . . . . .
.11, 9. Letter of signature authoriza 'on.
X10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
_14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
_._._15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . , . ,
Pre-Inspec.request to (Date)
17. Pre -Inspection for___...__ _ ......__y _ Required, Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
_ 20. Plot plan approval from city of _
21. F�.,;ncnrori tr�tc+oca ��i—c --- ate —(requir-et prior- t"v--plan -- —
o -
22. _ — --
When, you issue the permit, process as follows: Mail to owner; Mail to contractor_
Telephone .� C/ and hold for pickup office, Deliver w/inspector.
Other
Applicant �( Date P���7_a—
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone _--nail—counter by date
Contractor, designer, owner, was advised 0 above required data by—phone —mail —count er date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
This sot of plans card speciRc 4im MUST 'b@
kept on the job at all times and it is gnlawfll to
I►eM any chancos or alt -rations ®n sane w4h®yt
WHOkn,permission from 'the DepairtmentPublIGAOI ':
Wait, County of Butte.
ENT "
it , '• _ _ ;,
NM. -All- `Materials 'Workmanships JhdIF go �+
Accordance with Recognized Good -Practic'e's and
of a gaallty prescribed for the Specified use in +he
Unifwm building,.,.ds �
Plumbing & MachanicaJ Ca
4 Narll!wW C. 6
r -
4a I Zo vo -r I>vpt,Ey ftcrrs' a G�oP.A
S j{ Au r6 & Ftl fIrAnFc.TG'U , 1440
(i, itFQv REy
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,,.V.M IUMENUa
C��ss —jC,5X`�
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5129-80B
- � P IT NO.
+ PERMIT EXPIRES Asl
OWNER Rdert Stimpson
CONTR. AAPCO, Sacramento
. r
r ASSESSOR PARCEL 36-70-50
LOCATION 2625 Monte Vista Ave., Oroville
+
yy
A
ti
s
r
Temp. Power Pole
Called PG
+
Temp. Elec. Ser . e
Called Pd&E
s
Temp. Gas Service
Called PG&E
JOB FINALE (Date)
} Signature
V = OK
0 = Not OK
- = Not Applicable
= Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card -BI
10. Plumb; Cir. Test -Water Supply Test
Date Card -BI Date
Card B-1 Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
f
J = OK
0 = Not OK
- = Not Applicable
* Not Ready RESIDENTIAL;(Sing4ei
--
`
and'Duplex)
Date
UNDERFLOOR Plans OK except hi's
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Flg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except H's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Dale Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23.
24.
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes73.
25.
2 Appliance Circuits in Kitchen &Conductor Size
Guard Rails &Deck Construction -Post Caps
-
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes El No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation & Support
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
_
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
_
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
-
-
_Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date
FRAMING(Plans)
36.
OK except q's
Sills; Proper Material & Anchors
_
37.
38.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
_40.
39.
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access_; Size & Romex Protection -Draft Stop -Ins. Baffles
_
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: Anentry must be made each time you visit jobsite)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
• 7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
r, APPLICATION AND PERMIT
VIE�BUILDING
l 49,e
70710
Owner MR. SIMPSON
SQ. FT. OCC. BUILDING VALUATION
/Zoo, aef
Mailing Address
g U& 2625 MONTEVISTA AVE.
a Z 6��
OROVILLE
Telephone No.
Fireplace
Contractor AAPCO
Total Valuation �..
Mailing Address 1926 AUBURN BLVD
Permit Fee
�4w
Plan Checking Fee &/orPenalty gyp
��6 �I
SACTO. , CA 95815 �IL7a� 167
Permit Fee
Building Address 2625 MONTEVISTA AVE.
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
OROVILLE
Each Trap 1.50
PARCEL# 367050
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P JJ ll�J
Zoning & Xnning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F s W . S in
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parke
Plans
arcel
Declaration
[Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval I
Plans Approval
Permit Fee $
NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
INSTALL AWNINGS
Main service incl. 1 meter
Additional meters, each 1.00
Single Family ❑ Duplex ❑ Mobil Home [3 Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures '20b 02
11)
Receps., switches & fix outlets 20 0 2b
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
stY ING & ALLIED PRODUCTS
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. C 61 Classification 275162
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
s
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit ,is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
e -y
TOTAL PERMIT FEE
•�Y•""�•••"•I— � I— —.111y — I.su� — G 1— UVV11 1110
above-mentioned property for inspection purposes.
6
X Date
Signature o Permitee or Agent
Receipt No.
White-D.P.W.— P1nk-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.
DIRECTiOR OF PUBLIC WORKS
By Date PO—DI eo
BKilingI`
permit expires Date
_ - I�• PERMIT APPLICATION WORK SHEET
OWNER
Zoning Use
Permit fee based upon: `1. Complete contract price.
Partial contract price (explain).
3 DPW Valuation (show):
Permit No.
A.P. No.
Approved
Not approved
At time of permit application, the applicant was advised the following data or information must be
submitted prior to permit processing and/or issuance:
Date received
1. All items have been submitted. --------------------------
2. Plot plans in duplicate/triplicate. ---------------------
3. Complete plans iWj
icate/triplicate-------------------
Complete engineens and calcs. --------------------
Fees of $ � - ------------------
14 4:L2 62 424
6 Letter of-signatu a authorization. -- -------------------
7. Sanitation approval. -------------- ---------------------
8. Planning approval for --
9. Workmen's Compensation Insurance Certificate. -----------
10. Contractors license information. ------------------------
11. Parcel declaration, recorded copy. ----------------------
12. Access declaration. -------------------------------------
13. Aunt Minnie information. --------------------------------
14. Deed of access, recorded copy. --------------------------
15. Deed of parcel creation, recorded copy. -----------------
16. Parcel map, recording data. -----------------------------
17. Pre -inspection request for --
18. Improvements - plans required & DPW approval. -----------
19 Other -- - -
By Date U
Bldg, spec o
During plan checking process, the following data
or information must be submitted prior to permit
issuance:
1. Index permit for items
above and in addition the following:
2. Applicant advised by Telephone
Mail
Other
3. Plans checked bye--�- Date
4. Plans approved bDate/a-(3-60)
When permit is issued, process as follows:.
1. Mail to owner.
2. Mail to contractor.
3. Deliver with inspection.
4. Telephone and hold
for pickup @ office.
5. Other
Before permit issuance, -all of the following
items must be signed or marked NA:
1. Zoning use
2. Legal parcel
3. Envir.Health - Date Plans Sent
A. Sanitation
B. Restaurant
C. Other
4. Public Works - Date Notice Sent
'A.. Street Imp.
B. Drainage
C. Permits & Fees
D. Other
5. Planning
A. Use Permit
B. Variance
C." Other
6. Other Agencies - Date Plans Sent
A. Fire' Dept.
B. Other
;,.
IL
Awning & Allied Products, Inc."
1926-B Auburn Blvd.
Sacramento, CA. 95815
Attention:` Donald William
Gentlemen. '•
October::23 ,. ,1980.
RE: Building Permit Application
No. 5129-80
(AP 36-70-50)
With reference to:the above subject and your letter dated October 20, 1980, concerning
your permit application for the installation of awnings for Robert Simpson at 2625 Monte
Vista Avenue in Oroville, we have no record of your paying fees in excess of $24.00 on
this job.
Our'permit'fees, charged and established'by'the Butte County Board of Supervisors, must
be sufficient to cover the costs of our operation.
On standard plan approvals, we do not charge a plan check fee.:•for the review of the struc-
tural plans but do,charge,a $10.00 review of the plot plan for conformance with County
zoning requirements and to determine the SPA is appropriate for the use proposed.
On the Simpson application, the fee breakdown is as follows:
1. Permit issuance and filing £ee,• =- $10.00
2. Building permit fee ---------------- $28.00
3. Plan review ------------------------ $10.00
Total Fee required ------ -- -- $48.00
You paid ---------------------- $24.00
BALANCE DUE --------------- $24.00
(Please note the error of $4.00•in previous correspondence to you as we indicated
$26.00 was due.)
As soon as we receive the $24.00 --and signature authorization for Henry Bi.sen, we will
issue the required permit. Should you'have any further questions concerning this matter,
please contact me.
Yours very truly,
Clay Castleberry
Director of Public -Works
J.F. Glandes
JFG:dd Chief Building Inspector
AN
uc No. c61-275162 AWNING & ALLIED PRODUCTS EL, lk
1926-B AUBURN BLVD., SACTO., CA 95815
PHONE 925-2767 v
October_20, 1980
Butte County
Bldg Insp Dept-
7 County Center Dr.
Oroville, CA 95965 i
RE: Permit Application Fees
Dear Sir,
In reference to the additional fees that were required to. ^
Obtain a permit for Mr. Simpson, 2625 Montevista Ave, Oroville
Parcel 367050 in which we paid. $28.00 additional to the
orifinal $24.00 submitted with. -application.
Upon Ytalking to, Mr. Roy Smart with. the State of California,
Division of Codes & Standards, according to Title 25 of the
California Administrative Code, Chapter 2 Mobileh.ome Parks
Act, Section 1040B Construction of Alteration'Permit Fees,
Page 272, no plan check fees are required for mobile home
accessory building or structure for which.'a standard. plan
approval has been obtained. from the department.
If you would please.check your rec-Dpds you will find that
all of our prints have all been approved and assigned a
SPA # by the State of California.
Therefore, I am requesting a refund for"the overcharge on
Mr. Simpson's permit'-application'.
Please handle as necessary. Thank You.
Sincerely,
Donald. William
Owner
cc; Roy Smart
a,���
�pfY.
��i�,JU CT �T ,
illi%®��� 9��
,deg . A�/P9
/5�6,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
A 7 -County Center Drive, Oroville, CA. 95965 PHONE: 916-534-4541-
Donald
16-534-4541
Donald W. Williams
dba AAPCO
1926 Auburn Blvd:
Sacramento, -CA. 95815
With reference to the above subject:
DATE October 14, 1980
RE: BUILDING PERMIT APPLICATION #5129-80
FOR ROBERT SIHPSON, 2625 Monte Vista Ave.
Oroville
A.P. # 36-70-50
XXX/ Attached is
XXX Application for permit (copy) Mobilehome Utilities Installation Sheet
Building Plans Mobilehome'Installation .Information Sheet
Engr. Calcs Typical Plan Sheet
Labor Code Information List of Codes Enforced
OTHER
We'need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ 28.00 add'1 payable to Butte County Treasurer. per attached copy.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractors License Law information or check exemption statement.
X— Letter authorizing signature of Henry Frisen signed by the licensee, Donald Williams.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans in prepared by registered civil engineer or
architect.
Engr. calcs.
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise ,
Planning approval from Butte County Planning Department, 7 County Center Drive,
'Oroville, for
Copy of recorded parcel declaration.
,Recorded copy of deed showing
OTHER PLEASE NOTE: Mr. Williams is licensed as "DONALD W. WILLIAMS"' dba AAPCO so he
should e shown as the contractor and under the Contractors License Law, he would be
licensed under the namesty e o .''Donald W. Williams", not Awning & A ied Products.
•Please clarity t ese items in the future.
We are also attaching a few of our new permit applications and our new fee
scenes.
Should you have any questions concerning the above, please contact this office.
Yours very truly,
Clay Castleberry
Director of Publi Works
Glan er
JFG:�dd Chief Building Inspector
•• I 1__1--�:. _I 1 �_-1.�_�J1�-j}� - - � _i-_.1-�--- I f ++�M1-�--•�-_I--+ - -•-+�- - -- -- �
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290' 1004 N96 A/y •- c JJZ
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•,<epf ice J De d/owed •.n -ono Aoa^ `?, DEC . .. �K 6061 T6 A/wm. 6061 T6 A,.—
wlrn no o•ar✓wn9(Jee ELe v. o••sp ce •ycolroy 300, H36 'AIM - iy'0 ea ,Id•->n.�,
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J :cr D SjENERAL NOTES
` I.5' F
• '.� SEC7A • 7w:no /aod./p,r, ✓pA7t-/OArr• fn
MOBILEHOME ACCESSORY BUILDING OR STRUCTURE—
HEALTH AND SAFETY COD�SION 13,=PART"2
?=PSP,=O:V E_D_ _-
SUB7EC_ TO-CORR°_C-TIO�NOTED
troval does not av;hc-ri2e or eoprove—any—omission or
iali;n from�-r6�iemen.s of—applicable State laws and
iIC:Ions.`
State of Cclifernia
Department-of-Housir-g cnd Community Development
DIVISION OF_CODES;ANDTSTANDARDS1
e_� ::Oh�AY`2 2 1979
_ i.
Fae c
roao5/y.neAt�obAe <vn,enpor yw1
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MOBILEHOME ACCESSORY BUILDING OR STRUCTURE—
HEALTH AND SAFETY COD�SION 13,=PART"2
?=PSP,=O:V E_D_ _-
SUB7EC_ TO-CORR°_C-TIO�NOTED
troval does not av;hc-ri2e or eoprove—any—omission or
iali;n from�-r6�iemen.s of—applicable State laws and
iIC:Ions.`
State of Cclifernia
Department-of-Housir-g cnd Community Development
DIVISION OF_CODES;ANDTSTANDARDS1
e_� ::Oh�AY`2 2 1979
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Aa`c16 9J-2767
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' COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 51 under permit
number for the following location: _
Owner
Owner's Address-"
Mobilehome Mfg. Model Year
J' >'
Insignia No. Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date �� By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
' PERMIT
NO. 4024-8.Op,E
PERMIT EXPIRES
OWNER
Robert Simpson
owner
CONTR.
36 194=13' port
.
LOCATION (A:P.
- c
N/S Monte Vista Ave.,
app.800'E.of Wynoka
NHHH.Way, Oroville
t
1,
SLP
{N
I`
Temp. PowerrPole
k'
Called PG&E
j
Temp. Elea Serv.
ed
Called PG&E
6
b
Temp.Aas Serv.
1g
Called PG&EJOB
W
11f�
FINALED /
(Date)
(Signaturelf
InishD is nder round
ter1, Lath ntilation Permanent
oor Closer anal anal
MOBILEHOMEUTILITIES ---------------- Elec. Service ��f' Elec. Pedestal 777,75-777�,
Water Piping C Gas Pipin
1 EH M 1 STALL TI --------- ----'Support77 2Elec.Continuit
Water Piping Drainage Gas Piping
DATES EMARKS OR RRECTIONS
f
ZG d R-
l _
(NOTE: An entry must be made on this form each time you visit the job site.)
ryOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
VBUILDING
ABUILDING (Cont'd)
PLUMBING
Se ck
Newall
Soil aping
For
Palapets
1st loor
Mai Bldg.
Res oom Finish
2nd F\-oor
Fo tins
Windo s
3rd F1dQr
Stem all
i Sidino
To out
Slab
Roof ShAthina
Water Pi in
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
StemwaI I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sic ly
handicaped
V Conformance of ex.
structure
A liances
Gas Piping & Test
Temp. Gas
Slab
Final A
Sanitation
Patio
IRE LACE
Final
Footin s
Footing
E ECTRICA
Masonry Wail
Throat
Rou h
Reinf. Steil
Final
Fixtures
Bond Be m
FIRE SPRINKLE
Motors
Framina
Test
Water Htr.
Stucco
nal
Sub anel
Med
MECHANICAL
Grd. F it Prot. ,
Sc tch
tHeatlrA
Servi
wn
o g
T mp. Pole
InishD is nder round
ter1, Lath ntilation Permanent
oor Closer anal anal
MOBILEHOMEUTILITIES ---------------- Elec. Service ��f' Elec. Pedestal 777,75-777�,
Water Piping C Gas Pipin
1 EH M 1 STALL TI --------- ----'Support77 2Elec.Continuit
Water Piping Drainage Gas Piping
DATES EMARKS OR RRECTIONS
f
ZG d R-
l _
(NOTE: An entry must be made on this form each time you visit the job site.)
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1.-. Is the mobilehomE located wither gquired separation from lot lines and buildings and generally
conform to plot plan? Yes . G/I�I0
2.' Does the mobilehome have required clearances above ground? (Sec.5085) Yes o/ No
3. Ate footings and supports properly sized, spaced, and braced asp .approved plans? (Note
possible variatat spring shackles.. (Sec. 5082 83) Yese- No
�io �.i�QuGa��.°L''"`°�
4. Is the mobilehome level? (Sec. 5088)'Yes — No 0
5. .'If more �an•a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No—
a
6. Water
A. Is flex' e connector of adequate size and properly installed (1/2" ID min.)? (Sec` 5566)
Yes No '
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes 1/ No,
Backflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes_ No
7. Wastes and Drains i
A. Is connection made with Schedule 40-DWV and have flex connectors at each end? Yes --.1-40
B. Does it have minimum '" per foot slope and is it properly supported? `Yes vNo
C. Are any leaks detected in drainage system after running 3- lloris of water through each
fixture including washing machine standpipe? .Yes_ No
If coach is not State of.California approved, does station have required trap and vent?
Yes— No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector !�Ptmore than 6 ft. long? Note: All piping is to be at least as
large as the mobile me gas line inlet -without reductions other than the mobilehome
connector. 'Yes_ No
B. 'Test OK aser following procedure? Yes - No ,
P g P —
1. Open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
` R
4. Connect gas meter to mobilehome with connector, turn on gas,.test connections with
soapy water.
C. Are all appliance vents properly installed? Yes— No
9. .Electrical
A. Is service large enough to provide adequate amperage to mobileYiotpe (mu�t'equalrat��ng of
mobilehome with a minimum of 1 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes. No
B.- Is there proper clearances around panels? Yes No_
C. Is power supply cord or feeder assembly properly fused? Yes ✓No_
D. Is continuity test satisfactory as per the following procedure? Yes
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnectedo
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6.' Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
y.
MOBILEHOME DATA
Manufacturer and/or Names`t�yle T (�J
Length '57C-) Width T n
Vehicle Serial No. ,7-71S
State Identification No.
Additional Information or Comments:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO
7�County Center Drive - Oroville, California 95965 -Telephone 916/534-4541
APPLICATION AND PERMIT
ASS PA EL NUM ER •
- _ �0 5
Z G
BUILDING PER 4, tibill
Ow V S is
TELEPHO
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAI I G ADDRESS
C,¢L"TRA T R'S NA may+ TELEPHONE
../-•� ,3 6I
CONTRACTOR'S MAILI G A D ESS f, Ty
_ v (! A_
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking F
$ Q
1
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUIL ING DRESS,
ac,�"
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USEOFSRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Additio Remodel ❑ Utilities ❑ Installation ►LSI Other ❑
Describe work:_ it �'f7Q — 2 —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service tOOOV OR O AMP ORSLESS
5.00
Main service EA. ADD'L 100 AMP
Z.SO
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
20sgft
CONTRACTORS LICENSE LAW
I' declare under penalty of perjury (check one):
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code ander license is in full f ce and effect.
:�.—
License No.�^ %"Classification
� � .��
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NE V_CO NSTNON-RESID R BRANCH CI RCT ITS 2.50 ea
NON.CO o e' ( POWER SINGLE OUTLETTUS.& )
CIR
Ex. OCCUP(OUTLETS OR FIXTURES 50@�
BALHIOC
FIXED LINIS
Ex. Occup.(OUTLETS P
(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
*,Xrave placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should,you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 3.00
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to ve, indemnify and keep harmless the County of Butte against
all liabiliti judgment costs, and expenses which may in ay way accrue
against s ' Cou nsequenc f the granting of this per ' .
X Date J
Signature of Applicant — Owner ❑ Contractor KI Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $ 0
Land Development Fee $
TOTAL PERMIT FEE 11��
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
ND
SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO O PUBLIC
BY
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Q—! -2—
Receipt NO.____ �—� '12
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK-I1,15PECTOR. GOLDENROD -APPLICANT
BUTTE COUNTY 'DEPARTMENT OF PUBLIC .WORKS
7 County Center Drive, Oroville-CA.
PHONE: 534-4541
MOBILEHOME- INSTALLATION SHEET
1. Owner's name:
2. Installer's name:
3. Is the site currently under permit? Yes (_�--'1� No
(If yes, furnish permit number — ) OR
R
Is the site an existing site? Yes / / No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft-. away from septic tank and leach fields'and
clear of.all setbacks and easements? Yes A/ No
(If no, clarify )
5. What is the mobilehome electrical rating?--------------------- Amps
.6. •What.is the mobilehome site service rating?---------------------ZC:� Amps
7.. What is the mobilehome' site circuit breaker rating?------------- Amps
8. Is there any other electric load to'be served by the mobilehome
siteservice? --------------------------------------------------- Yes 1_[ No
(If yes, identify the load and size: (Load) (Amps)
_-------------------=
9. What is the mobilehome site gas pipe size?
10. What is the type of gas service? ----------------------------- Natural LPG
11. What is the gas pipe length from meter or tank to the mobilehome?
12. What is the mobilehome gas demand?,------------------------------- (BTU)
(This information not required if pipe length less than 6 ft. on natural gas .
or less than 50 ft. on LPG.)
!' (O</
/
`7 �-6
BUTTE COUNTY .
BUILDING DFPARTMP-NI:
APPROVED �-
MOBILEHOME SUPPORT DATA
1 If other than single wide,
Mobilehome Mfr. /�� ALT` furnish Setup Model No. 2 near
Width(ft:) Box Length (ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973,• furnish manufacturer's instillation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
Footings (check one)
Single T17�-I_.- Wood either.
pressure treated or
' foundation rade
(ft.)(in;)
(in:) (in.)
g
E].2. Other (specify)
Center support
locations*
Center support
footing sizes
Supports (check one)
(in:)
LA" " Concrete block.'
Ore x3
2: Other (specify)
(ft.)(in.)
(in.) (in.)
o ,G
�'(in.) (in.)
(ft.)(in.) (in.) (in.)
(ft.)l (in.)
X�
(in.)r(in.)
*If center piers are other than drawn above,
.___draw. in. -locations,_ spacing, and dimensions.
<- Pagalong or Expando,'
show support details.
Typical Support
(in.) (in.) Footing Size
er-- Max. Pier Spacing
-- Max. Overhang
1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
A 55 5 R P'1
Ey,. N U Ems. Z �g
f/�/"
BUILDING PER
O N- TELEPHON
SO.'FT. OCC. BUILDING VALUATION
O NE 'L AppgE55 r
CONTRA OR'S NAME
OL4tier
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
UNKNOWN
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
Permit Fee
$
ARCHITECT OR ENGINEER
b•`
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUI I G ADD
55 UlPLUMBING
PERMIT
Filing Fee 3.00
k ' , LL% 1
® R m"
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
. too
LOT NO.
SUBDIVISION NAME
PARCEL MA
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex[—] Mobilehome�Other
SPECIFY
Building sewer
®i
Lawn sprinkler system
2.00
TYPE OF WORK
�—%
New ❑ Addition ❑ Remodel ❑ Utilities I� Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP OR1 OR LESS5.00
Main service EA. ADO'L 100 AMP
2.50
NEW CONS. DWELING O
OR ADDNST ( ACCLBLDGS.CCUP,&)
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License
License No. Classification
A l' as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively, contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CO ID R BRANCH CIRCTITS 2.50 ea
NEW CONSTR POWER APPARATUS &
NON•RESID. (SINGLE OUTLET CIR.
0@¢
Ex. Occup(OUTLETS OR FIXTURES 150@L
BA
(FIXED
Ex, OCCU FIXED . OR
p. (RES
(RESID.) EA.) 2.00
Temporary service 10.00
^
Mobile Home Facilitiest6_25
Misc. Wiring
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
shall not employ any person in any manner so as to'become subject,
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee' 3.00
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all I' , judgments, costs, and expenses which may in any way accrue
Ins said punty in consequ a of the granting of this permit.
X74-Il
Dateko—
Sig66/,e of Applicant — Owne� Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD HD
r
ISSUE
�
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF UBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
��
Receipt No. lnc
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
Telephone
533-2000
North 'Burbank PublicUtilit District l
1960 Elgin Street
OROVILLE,`CALIFORNIA 95965
DISTRICT APPROVAL AND 149-80
VERIFICATION OF INSPECTION
BUILDPNG SEWERS
This verification form must be submitted to the Butte County Department of
Public Works - Building Department prior to issuance_ of a building or occupancy
permit, whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a
copy of this verification form, signed off by North Burbank Public'Utility District,
must be submitted to Butte County.
Applicant ROBERT- U. SIMPSON
1218 14th Street, Oroville, CA 95965
Applicant Address:
Applicant Phone No.: 534-0143
Property Location (S): ` Monte Vista Avenue , . Orovi ile
Vista Meadows Unit No. 2, Proposed Lot l of split of
A. P. No. 036 194'013-0-
A.
94 013-9A, P. No. (s): 036-19
Fees Paid: ALL FEES DUE AND PAYABLE.
Application for service approved: C'4zx�
North Burbank
August 1, 1980 Public Utility District
Inspection(s) made and successful test(s) observed:
Location: Date:
By:
North Burbank Public Utility District. release to close permit:
Date: By: