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027-350-195
w.. TRANSFER 6WNER/93-168 ► PERMIT#95-L333 r 027-350-195 ��;• °' •RODRIGES, Alverto f, 1745 Cox Ln. , Oroville /' Complete Util for BP#93-168/MH '` 027 PERMIT#95-1334 =350-195 RODRIGES, Alverto, ; 1745 Cox Ln. , 'OYoville g �z� 9 Mobilehome Installation 'i,L, it ,e :fir @� LCs Lo vim t VIOLATION CHECK LIST A. P. # �2-y 3 0 —1K Address/ Owner Owner's Address Owner's Phone No. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. Specific Plot Plan with C/V Noted _jes no -Penalties Required 1st. Notice Sent ate Comme is and/or Determination 7��G3 ; ou 2nd. Notice Sent ate r Disposition For Citation Citation (RateDate Department Recommendation to Court Court Action Notice of Violation Recorded (Date) REQUEST FOR INSPECTION Location: 0 Owner: (:nmmont- Permit No. Date: Call L] Phone: BLDG. PLUMB/MECH ELECTRIC -M.H.I./M.H E - Form Frame/Underfloor Stucco Lath Stucco Brown Woodstove Brace Panel Rough Top Out Gas Pipinglrest Temp. Gas Sewer Piping Water Piping Rough Temp. Service Main Service Underground Well Circuit Fnd/Ftg Corrections Final INSPECTION J b Stat Permit Renewal Verify Utilities Ex Mobile Site POOL Insulation Shower Pan Nailing Demo a _...— Gunite Bonding 11A Corrections orrections Corrections Light Niche L Final Fin Final Corrections Ready for V1 Final Inspec. on: . Date: Call L] Phone: aAe /dot -- T- 7,'s i A-e,� 7 Butte County Departrnent=ofDevelopment Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile April 10, 2003 Alberto and Mariadel Carmen Rodriguez 1745 Cox Ln. Oroville, Ca. 95966 RE: Building Code Violation Location: 1745 Cox Ln., Oroville, CA. AP # 027-350-195 Dear Alberto and Mariadel Carmen Rodriguez: This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced. location, as follows: Failure to obtain the required permits, inspections and approvals from this office for construction of a barn and conversion of barn to living area. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has. an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, W Scott Rutherford Chief Building Inspector SR:1 j cc: Assessor :¢sfKYT'A3Nf9 r1.r'nTteewmv-hr '.Lm9eJ•sw^5 ,ru %c•hTK•'rv'vn++CAtsAt' _.... _... NEW MENHOMM M o I� Feed# 027 3 0195'000 411�e�Rl.��a�•{�8��0&�MARI:4DEL�CAFiME- ; x ,. r - - z Status ACTIVE , w Status Dates 8111 ads i 811992 Addr11-745 1 , M���� Tax 000 NORMALSHIP� TRA 092OOp °Adr2 d' OROVILLE, MEN I3 i ',2. r __ t CAL95966 r �. �''� ��- -�S :1{745 COX�LN,�PALERMO•������������ €�Addr3,•'� ,k a �`� � Base Dt " • � ''�, ?Addr,�p Land '474979 'u^ a 4�oS timber Preserve 622 vo menFs WAS'027{350y186 SLIT@ Q1"+ItJERS = k FutturesMINK ; 4VGraHnn 57622 b Creatmg�Doc# 19931MP00012 '' s Date 1111181ti1992 I� Notes AMS ' w�� Bonds TotattL&I�56223 SCurrent Doc# 1995R221'28R Dates 0710fi11995 - � ( k� MuluSrtus Fix ?eMIM J �g M�H�PP 0 Fla 1 �AsmtyDesc: 1,7,'45 COX LNan� SuPIr'�C►>t 0 fpP Og {�— (� FIag2 F Y91 �DweA'1� r-1 91H aExempt�� 0 z - NAcreslSgEFtA 10? � NlC 027 � .,�� Asmt PP`Pen `Netsoni �;56 22 •' R APPeaI'Pendrng T{1RyDt t - �� PHY 01�11!l EXPw, _t �T }{` F9®Id. u3: TiT OR 0?CL �� t%`� ��j- ( �y ��' }r'f •�a ��: n q. `. aQ��iY.?3�t4�.fi�fc$� 4•`-"�"4R*}� b-1, Can✓^ �..✓ Vi.,t..' . � ,. a .r. - • - .. � Y .'As!§e"s'so I r1riquirv'. '19,'.2002 V9:04 02773-5 0-1 95-OOCE r N M R 4 , IN , M R�W TA:ROLL. 7 027-35-0-195 ALSTON, IlElna 1745 Cox Ln, Oroville mh utilities ELEC ,700 GAS 't " COMPACTION TEST REQ A SUPPORT STRUCT REQ .4 93-168P,E 027-35-0-135 93=1906 B FRITCH, ELMER `��� 1745 COX LN, OROVILLE �/ TRANSFER OWNER/93-168 MHU g/ Y 6 027-35-0-195 93-1-905 P,E FRITCH, ELMER 1745 COX LN, OROVILLE TRANSFER OWNER/93 168 `6 027-350-195 PERMIT#95-1333 RODRIGES, Alverto 1745 Cox Ln., Oroville Complete Util for BP#93-168/MH 027-350-195 PERMIT#95-1334 RODRIGES, Alverto 1745 Cox Ln., Oroville Mobilehome Installation 02-70-03.<04100 7 RESIDENTIAL -S-5 -T -5- 027- -0 3-168P, E 1745 Cox Ln, Oroville mh utilities 2 f j� OFFICE COPY Address GAS D kk -Meter By c>. ELECTRIC D Meter By --------- JOB FINALEDZ,te) Signature ' 1 V=OK t O = Not OK 1 =Not ,ReayApplicable MOBILE HOMES =Not dy Date IL E UTILITIES Plans OK except #'s oning Requirements -Setbacks -Easements ) •2.• Soils;,SpecialtMH Support Sketch Sewer; Location -,Test -Fall -C/O Concrete ater; Location,Test.Easement Needed (Sketch) 5. ectrici,ty; Location-Clearences-Grnd-/ /Amp -Concrete MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓7t<..Gas; Locatio - est-Wrap/"L"ft. o"' 'L" ft` LPG -7. W learance & Disconnect Utility Clearance Dat 9 Date 00t =' G ? d B- ` Date Card B-1 Card B-1 Date Card B-1 Date MQd1LE HOME INSTALLATION (Plans) OK except #'s 1.zoning Requirements -Setbacks Easements Footings; Size -Spacing -Marriage Line Gas; MH Test-Demand-Valve—Connector . ectricity; MH Test -Crossovers -Breakers -Clearances t . Drain; MH Test -Fall -Flex Connector t ---e Water MH Test -Regulator -Connector (67. er an -Sewer Connected -C/O to Grade -HD Approval 8. Ga5olld Electricity Tagged xits; I .-Sketch 1 rt. of Occupancy Da Dat— _— rd B- Date Card B-1 Card B-1 Date Card B-1 >r. {. t MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except tt's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except 4's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----------- --------------------------------------- 17. Water Pipe; Test & Anchor -Nail Protection --------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection --------------------- ------------------- - -- 19. Shower Pan: Test, First Floor -Tub Access --- _ 20. Test Tub & Shower. Second Floor -Tub Access - - - ----- ------------ 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ---------------------- ---------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection ------------ --------------------------- --------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -------------------------- ------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled --------- - ---------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------------------------------------------- 26. Equip. Ground made up w/Meeh. Fastners-Bond Gas & Water -------- ---------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI - ------------------------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ga. Cu or At - --------------------------------------------------- 29. Range Circ ! r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral O - Yes 0 No --------- - ----------------------------------------- --- --- 30. Service -Riser Conductors & Ground -Main Disconnec -------- 31. Equip_Clearances Panels-Motors-Mech. Equip. ----------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ---- - --- --------------------------------------------- 33. Smoke Detector ----------- -- ---- ----- -- -- - -- --------------------------------------------- Date --------------------------------------- Date Card B-1 Date Card B-1 ------------------- --------------------------------------------------- ---------- Date - ---------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34.--A.-C.- Ducts Insulation & Support ------------------------------------------------------------------------------ 35. Vent Fan: Exhaust above insulation ------------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade --------------------------------------------- ------- ------- -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- - -- ---- -- -- -- - --------------------------- 38 Attic Access & Platform if Furnance in Attic ------------------------------------------- -------------------------------------- Date Card -B-1 Date Card B-1 ----------------- ---- -------_-------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors ------ ------ ------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------- ----------------------------------------------...-- 41. Bearing Walls over Girders & Floor Nailing -- - - - - ----------------------------- --------------------------- 42. Draft Stop in Walls (rat proof) --- ------ --- ----- - - ------------------------------------------------ 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub - -------------------------------------------- 44. Headers & Beam -Size & Bearing Angle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------ - - 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic --------- ----------- 58. Shear Walls; Nailing -Bolts 59.- Insulation -Walls -Ceilings ------------------ 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 ------------------------------- -- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings ---------------------- -- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------- -------- 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------ - 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------- ------------- 67. Stags & Rails ------- -- ---- -- ------------------ 68. Fireplace or Stove: Clearances -Hearth ------------ ----------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance - -- - -------------------------- - 71. Elec.-Outlets & Receptacles at Kit. Counter -------------------------------- -- --- 72. Garage Fire Door: Swing -Landing -Closer -------------------------------- 73.-A.C.-Duct in -Garage- Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. , In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & M_ech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---- --- ------- 7-,-.- Insulation -Foam -Looked in -Attic 0 Yes --------------------------- - 78. Guard Rails & Deck -Co nstruction-Post Caps ---------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------ ----------------------------- ---- 80. Following instld.: Drive ❑ Yes ❑ No: Walks 0 Yes O No: Planters ❑ Yes ❑ No ---------------- -- 81. Stucco: Brown -Finish --- -- --- - -- 82. A.C. Unit: Disconnect. Electrical, Plumbing - - - -- --------------------------- --------- -------- 83. Vents Above Roof: Plbg.-Appliance-fireplace.-Clearance to Openings _ 84._'Water Well; -Disconnect. Electrical, Plumbing - ------------ -------------- -- ---- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House ------------------- 87. -------87. Glass Protection -------------------- - ------ 88. Corrections from Previous Inspections ------ ------------------------ -------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ----- -- ----------------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------------------------------------- -- 91. Energy Compliance Certificate -Other Certificates -----...------------------------------------ ------ ---- Date Card B-1 Date Card B-1 ------------------------------------- ---- - ------ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. �. ASSESSOR PARCEL NUMBER 027-350-195 ZONING A-5 BUILDING PERMIT OWNER Elmer Fritch TELEPHONE 532-0672 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1745 Cox Lane, Oroville 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ PLUMBING PERMIT FilingFee 15.00 1745 Cox Lane, Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[A Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 615.00 TYPE OF WORKYI Newa Addition LJ Remodel ❑ Utilities U Installation❑ Other ❑ Describe work: MHU Transfer Owner Permit # 93-168 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License Ao. Classification I, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP oR ADDNS. ( ACC. .� 3.54sq.ft. NEW CONSTR MULTIT LET .OU NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 764 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.1 EA.) j .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 FilingFee 15.00 Heating Cooling FHood 6.50 I 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 agar s said County in o�nsequen of the granting of this permit. � Date Signature pp ❑ 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 30.00 HAz I DFEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIREC By PERMIT EXPIRES D applicable provi- resolutions to do have been paid WORKS toilln z% Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT JL. ; yh� I., i .' r' r .. r�� _. v ..r '-..- k„r+- .v „I J,..ha+r*' r I r -.VeV F w'i'�".'r y�-..-,rr.4,r-vsxr-.n . I., / + 90UNTY'�OF BUTTE - DEPARTMENTOF DkVd'�OPMENTSERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE-OROVILL"E,eALIFORNIA95965-TELEPHONE (916)538-7541 dJ A PERMIT APPLICATION DATA SHEET OWNER l/�''�%L 1'" / / A. P. No. DZ% - 3 JO -- X75 Proposed Building Use - /" it/ l� 0"�'1� Building Inspector IZO Date 6 Z At time 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 . .... ..................... . ............... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ . 6. Energy Design Compliance and supporting documentation . .................... 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . ............................... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ........... . 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............ 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage ............. 19. Driveway permit (construction approval required prior to occupancy). .. ....... 20. Pre -inspection for P`e-Inspection requestrequired. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ......I........ 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .............. .. . 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :............... .. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ..................................... . � 33. �ssve .� .3 � / .;. 34. P el When you issue the permit, process as follows: Mail to owner. Mail to contractor. !/Telephone SaL- 0677- and hold for pickup at 6eoc%/e office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by,_ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department of Public Works 7.County.Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention -Property -Owner: An 'owner -builder" building permit has been applied for in your name and bearing your 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 labor and materials for construction of the proposed property improvement (yes or no) /i 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. _ 4: I plan to provide portions of this work,.but I.have hired -the following person to coordinate, supervise, and provide the.major work: Name Address City Phone' Contractors License No*. 5. 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 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 • LL en - APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-350-195 ZONING A-5 BUILDING PERMIT OWNER Helna Alston TELEPHONE 532-0672 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1705 Cox Lane Oroville 95966 CONTRACTOR' S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ JAR Permit Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 20.00 1745 Cox Lane- le PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NOS S/ UBDIVISION NAME PARCEL MAP 7 —0U Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 3615-00 45.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities l��Yy � Installation❑ Other ❑ Describe work: MHU Permit Fee $60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS j 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury y (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. ( DWELLING OCCUP.eI\ OR ADDNS. ACC. BLDGS. // 3.64 sq.ft. NEW CONSTR U TI.OUTLET NON BRANCH CIRCQ ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 Ex. Occup. OUED K TLETS ((RESID IEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring -15.00 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 of Consent to Self -Insure. fel I shall not employ any person in any manner so as to become subject F� 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 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Date �3 !�� X �— ^ -�0.nf� gnature of App ' ant —CDnrrDclDr ❑ at enr ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.By Mobile Home Installation Fee S Energy Inspection Fee $ CONST TYPE TOTAL EE $ 128.50 i HAz 1 0FEES I IMP I FL D I CDF PARCEL D I HD U This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees iCT BL`IC PERMIT EXPIRE Date applicable provi- resolutions to do have been paid. WORKS e r� ® 3 Receipt No. 115147 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �'ei�\-..�.-1-.r�M'4'7*tL�i�i..iv�..3�•"lkn.lY'+^Ii,�...lT-rr�^�4-,a''yv.:+.iWiW'"�''Yi'\i�F'.,.. ,._-..r'-c,�-• ... `'!t. '�r•'c.-. ,riY"'.. -. �. , COUNTYOF BUTTE - DEPARTMENTOF D&ELOPMENTSERVICES -BUILDING DIVISION .,,c.�.: . " .. � �' iia,.. +.y S �•R'.a�lf Q 7COUNTY CENTER DRIVE ,OROVILLE;`CAL{IFORNIA95965-TELEPHONE (916)538-7541 0 PERMIT APPLICATION DATA SHEET OWNER L S TOJ A. P. No. 2- 7 ASO - IqS_ Proposed Building Use Building Inspector- Date /-2 At time time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED sY, -� All items have been submitted. . 7Z f Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ..................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. .............................................. 6. Energy Design Compliance and supporting documentation: .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ........................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 1 Flood elevation letter (100 year flood) by California Engineer. ................. . 4 Sanitation and plot plan approval Health Department . ............2 - - — . City of Chico plumbing permit. ....................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............ sa 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy)... - -Freanspedion re4uesr 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner ............ .24. Recorded copy of Agricultural Acknowledgement Statement./ a' f43�tP-Z .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access . .....................:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ........ .".n 33. 34. When oosssue the ermlt, rocess as follows: Mail to owner. Mail to contractor: . y Telephone and and hold for pickup at office. -Deliver with inspector. Other Parcel Creation Acreage /oh -rices Applicant c%�`-n�' �/y`z- Date Copy of Haz-Mat*form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. ire D pt: -,Other Date By The following data must be submitted pr ermit issuance: (Circle new item not checked above). r 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by - Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Count r by —Date Plans checked by Date Plans approved by_� Date � ; 3 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works J\(o C(_41v_s — ' Z' 3 - G I d edit/s. TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance . 141,/.� J �sy y s �x owner location Z-7- �f -- lt'FT AP # <. Driveway permit 3®�% 5"� has been issued for the above property. si ature date TO: Building Dopaftmont FROM: Envif®nmental Health SUBJECT: Sanitation Clearance Owner Location Plan Approved for: Se\ka.,e Disposaly Water Supply: Public. Clearance for-�— be.droom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: / Environmental Health Specialist 8/92 1': 11: 1191,: 11611 1111m Alla hal V _ Hoof Him Aludied— _ grill lu Il: D: -_ ---- / AP# Private Well Date COUNTY OF BUTTE - Department of Public Works 7'County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No.bui.lding.permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the.proposed property improvement (yes or no) 2. I (have/have not) signed an a ication for a building permit for the proposed wo LlY 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person - to coordinate, supervise, and provide the major work: Name Address City Phone. Contractors License No. 5. 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 Owne , Social S curity Number Date 5'- 19191 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19.832 of the ;CaLifor--nia Health- and•Safe:ty Code.- -- - This verification must be completed and returned to our office before we are per- mitted to issue the permit. _ � a Date: PROPERTY OWNERS: State of o) On this the day of 19, before me, the SS. undersigned Notary Public, personally appeared County of ) ' • a ss (/J �O(� Personally known to me. Q Proved' to me on" the basis 2' J`� of satisfactory evidence.. 3 to be the person(s) whose name(s) w subscribed to the within instrument and acknowledged that executed the same for the purposes=therein contained. IN WITNESS WHEREOF, I,hereunto set my hand and official seal. ' 196 Present A.P. No. Notary Public `xetur n to DPW AGRICULTURAL STAYE.*1ENT OF' ACXNOW=F_—`E:`TT FOR RESIDENTIAL DEVELOPIMFNT Section 26-8.1of the Butte- County 'Code . . reouires this acknowledgement 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 this property may be subject, to incon- _. mam .' veniences or discomfort arising from the O_Z ten use of agricultural chemicals, including,., 9 ct�ti but not -limited to herbicides, pesticides, m'ZM and fertilizers; and from ' the -pursuit ca 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 agricul- aural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adiacent DroDerty should be prepared to accept such inconvenience ,.,or discomfort from normal, necessary farm operations. 11 that real propertysituate in the Countv of Butte, State of California, described as follows: _ � a Date: PROPERTY OWNERS: State of o) On this the day of 19, before me, the SS. undersigned Notary Public, personally appeared County of ) ' • a ss (/J �O(� Personally known to me. Q Proved' to me on" the basis 2' J`� of satisfactory evidence.. 3 to be the person(s) whose name(s) w subscribed to the within instrument and acknowledged that executed the same for the purposes=therein contained. IN WITNESS WHEREOF, I,hereunto set my hand and official seal. ' 196 Present A.P. No. Notary Public 93-A32351 93-00323593-003235 T 9.3--odkie. Rec Fee O I ChorOi 8.00 Records I Official Records I - /.County Of . f a \Candace J. Grubbs I -92ps 23 VUSL xx 21 \'�1\11111\\1ti\1ti\1'`11'\'"1111'`11-`11'`11 State of County of On L. — tj before me, DATE �ME. TITLE OF OFFK E.G., "JANE DOE, NOTARY PUBLIC" ' No. 5193 OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER Though statute does not require the Notary to fill in the data below, doing so may 'prove invaluable to persons relying on the document. INDIVIDUAL CORPORATE OFFICER(S) personally appeared`' .. NAME(S)0F SIGNER(S) TITLE(S) F1personally known to me - OR - proved to,me,on,the basis of satisfactory evidence ❑ PARTNER(S) LIMITED to be -'the person(e) whose name(q) is/are GENERAL subscribed to the within Instrument and ac- ❑ATTORNEY-IN-FACT knowledged to me that he/she/they executed TRUSTEE(S) the same in h+e/her/th•e-r authorized GUARDIAN/CONSERVATOR capacity(i"), and that by tis/her/t#etr OTHER: � PATSY L. CARTER signature(s) on the instrument the person(s), comm. #9665% y :j• NoAary P�bac-Co�ftxNa upon or the entityon behalf of which the 6UrrIE COUNTY person(s) acted, executed the instrument. comm. •spire• MAY 17.19% g SIGNER IS REPRESENTING: WITNES y hand and official Seal. NAME OF PERSON(S) OR ENTITY(IES) i� ATURE OF NOTARY OPTIONAL SECTION�- THIS CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENTc-t'L2 THE DOCUMENT DESCRIBED AT RIGHT: NUMBER OF PAGES — DATE OF DOCUMENT Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form. SIGNER(S) OTHER THAN NAMED ABOVE ©1992 NATIONAL NOTARY ASSOCIATION • 8236 Remmet Ave., P.O. Box 7184 - Canoga Park, CA 91309-7184 �O �G � ��� '. ��� FORNIA ALL-PURPOSE ACKNOWLEDGMENT 93-03235 L.. 5193 State of County of On, DATE before me,; personally appeared-/�A'l , TITLE OF OFFICER - E.G.; -JANE DOE, ❑ personally known to me - OR - proved to me on the basis of satisfactory evidence to be the person(e) whose name(s) is/are subscribed to the within instrument and ac- knowledged to me that he/she/" executed the same in hie/her/theft authorized capacity(ies), and that by ha 6/her/the+f PATSY L. CARTER signature(s) on the instrument the person(s), COMM.#9&%% or the entity upon behalf of which the Notary P blicCaBfoRlb SUM COUNTY person(el acted, executed the instrument. My comm. a q*es MAY 17.19961 OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER Though statute does not require the'Notary to fill in the data below, doing so may prove invaluable to persons relying on the document. Itm INDIVIDUAL 11141 ❑ CORPORATE OFFICER(S) TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: WITNES,"y hand and official seal. - I NAME OF PERSON(S) OR ENTITY(IES) %d AATURE OF NOTARY 1 TIONAL SECTION THIS CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENT TF E DOCUMENT DESCRIBED AT RIGHT: //� �+ NUMBER OF PAGES -- DATE OF DOCUMENT Though the data requested here is not required by law, t�, of lV�I E�M�+UMENT it could prevent fraudulent reattachment of this form. SIGNER(S) OTHER THAN NAMED ABOVE �6�� ©1992 NATIONAL NOTARY ASSOCIATION • 8236 Remmet Ave., P.O. Box 7184 • Canoga Park, CA 91309-7184 7'" � �,�ceturn to DPW AG2ICULTU�ZAL STATEMENT OF AC�IOWLEDGFr`�,ZT 93-03235 Y , . . FOR RESIDENTIAL DEVELOPMENT Section 26-B.1 of the Butte County Code y requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 930032351, Rec Fee 8.00 to land or included within an area zoned I Check 8.00 for agricultural purposes, and residents Recorded I of this property may be subject to incon- official Records I veniences or discomfort arising from the County of County C I use of agricultural chemicals, including, I but not limited to herbicides, pesticides, but Candace J. Grubbs I and fertilizers; and from the pursuit of agricultural operations including, Recorder 1:52pm 25 -Jan -93 I 1 PUBL XX 2 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property. situate in the County of Butte, State of California, described as follows: I Date: /-�-- 9.5 PROPERTY BUILDING DEPT JAN 2 9 1,993 State of ) On this the day of 19 before me, the SS. undersigned Notary Public, personally appeared County of ) 1 Personally known to me. E] Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. 'IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleastact this office immedi l 7,v/! y. z Date Inspector REV 10/9 \ - COUNTY OF BUTTE , BUILQ!NGAIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 "< '. 7 County Center Drive, O�oville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 = CORRECTION NOTICE A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleastact this office immedi l 7,v/! y. z Date Inspector REV 10/9 \ COUNTY OF BUTTE . BUILQING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE �A /I/) / /' ES q,4- A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date �nspector REV 10f COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Croville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please cont peT this office immediately. rL.'10Tli�l�'l._ ♦ Lam!, e REV 10192 COUNTY OF BUTTE 'BUILDING DIVISION + DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 -! RFRECT� t NOTICE PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, - please contact this office immediately. aV: Ap r �- OWNER PERMIT it G, c MH UTILXLFAPYCE DAT INSPECTOR ELECTRIC GAS Support Struc. Compaction '.Gest Ite . rvice ze Other Load Type Pipe Size Length YES NO YES NO lAP �� .,r+r..s;aofT� }twlls�.:a� 'v �+a .7 ,,,. /w�" +., ,-`,Y:�: i MOBILEHOME INSTALLATION ACCEPTANCE ' COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN:* r PERMIT NO.: t j '� ri• ti Owner's: j P4P Name: Owners: Address: ) / Mobilehome Twoozi Year of l Manufacturer Manufacture: / Serial number Insignia or ` C� Z or V.I.N. HUD number: J Official pproving insta ti3n: Date. If the mobilehome is moved or r%—.'elted, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. C. 5138 * 1 `i White- her, Yellow stalle'Pink'Bldg., Gold -Assessor COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 - PERMIT NO. APPLICATION AND PERMIT �3 ASSESSOR PARCEL NUMBER 027-350-195 ZONING A5 BUILDING PERMIT OWNER ALVERTO RODRIGES TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1745 COX LN OROVILLE CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. " Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1745 COX LN PERMITFEE $ 43,00 OROVILLE CA PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Add -Rion ❑ Remodel ❑ Utilities ❑ Installation EX Other ❑ Describe Work: REPLACES #93-1905 Mobile Home I S I GI W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service / 000V OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 1 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 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 NEW CONST. DWELLING OCCUR OR ADONS. ( 8. ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET us Ex. Occup. (OUTLET OR FIXTURES) 20 @ +•50 BAL .50 Ex. Occup. (oFI EAPPLN . OR LET 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE g Contractor 4, MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor 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.) Rf 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—� — Date ----- Signature of Applicant - ❑ OwFf=ner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" d ep nd demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100,00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. 1 D. F IMP FLOOD CDF PARCEL PD HD / .� tSSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. /Z /7,5' By to PERMIT EXPIRES ON 2 (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT UNTYOFBUTTE' DEPARTMENT OF _EV ELOPMENTSERVICES - BUILDING DIVISION y 7 COUNTY CENTER DRIVE -;OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT�APPLICATION DATA SHEET r / OWNER _ /� No. Proposed Building Use ` Buildin Inspector Date %�1 �Z At time 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: . 4 2. Plot plans, 3/4 sets, signed eparer. of plans. I 3. Complete plans, 3/4 sets, signed by preparer of plans. ...... ............. . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ........... ............................... . 6. Energy Design Compliance and supporting documentation . .................. 7Statement of Intent for Non -Heated and A/C Buildings . ...................... . Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. . 10. Fees of $ .......................................... Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees. ............. Flood elevation letter (100 year flood) by California Engineer. ............ . 14. Sanitation and plot plan approval Health Department . ........... . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ......... . 17. Planning• approval for (A) Use: (B) Parking: .,r . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. - 19. Driveway permit (construction approval required prior to occupancy). .. ... . �, P 4nspeotion request 20. Pre -A pection for required. to B. id.n9 inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). . - .......... Certificate of Workmans Compensation Insurance. ........... OwAer-Builder Verification (Given to owner , Mail to ow.ner �) ......... Recorded copy of Agricultural Acknowledgement Statement . .................. -�+- Letter of signature authorization . ........................ . 26. Copy of recorded deed of parcel creation and 60 right of way toa public road. ..... Letter of intent on building use. . Mobilehome utility clearance . ........................................... 2��`�-- 29. Documentation of legal access. ......... .............:................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ............................. ` 1 P I When you issue the perryAt, process as follows: Mail to own e . Mail to contractor. Telephone Y and hold for pickup at office. Deliver with inspector. Other - - # - - Parcel, Creation '// spc, Acreage Applicant 2(" AIIL ate G - Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior t e it issuan e: (Circl new ite not checked above). 1. Index permit for above items No. g 2. Additional items required: t _ r C/ Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by G (4ger%S Date eo -eR.qS Plans approved by (T t B SaL,1.3 Date 9-27- !I _ ? Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARM-UNT OF PUBLIC WORSS' - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 �:v.it'aR /T L TU ✓V A.P. NO . Z % :� S O -19, PROPOSED BUILDING USE � ' � DATE /-'Z ' CI REC . : DATE_ REC 1. School Distric Fees 6 U✓J�D✓v H r ( paid at District Office) 2. She_-..ff Fees (paid. at -Building Department) yr Residential X _$ C unit amt. Commercial(per sq . f t .) X =$ sq.ft. amt. 3. Urban Area Fees .(paid at Building Department Residential (per unit) '1 _ � units amt. Commerical(per sq . f t.) X _ sq.ft. amt. 4. Reis eation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other 1-25-93 t time of permit application, I was advised the above fees are required to be paid pr co=ssuance of the permit. :,?DLICANT DATE Jo9-Dove��; School District BUTTE COUNTY SCHOOLS IMPACT>FEE CERTIFICATION FORM (Oise Form Per Building) VWp Building Department No. A.P. Number Z %j 3SO lc%S Jurisdiction City 0County Property Owner .4 J z/ A , — . / 1. Y Property Location/Address �iC L/(% �! ► 9 .S S66divison Lot No. � w5 (Residential Development 0 Sq. Footage 72 (� ' - ' No. of Living �iVIHI Addition (Group R) t Units' Commercial/Industrial New COUNTY OF BUTTE " BUILDING DEPT IAN -7 A 1993 Building Depa entRep sentative J 0 Sq. Footage Addition (Including Exterior Roofed Areas) Date (Floor Plans reviewed by School District Personnel) District Identification No. r— I &220' & School District certifies that (Applicant) (Street Address) .� IG (City) (State) has complied with the requirements of Resolution No. ld5-� representing / c:�square feet (Phone Number) (Zip Code) pav by payment of $ i-a`C5 -(? a Date Paid by Check Number Bank Number 1�-- Paid by Cash n 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.wkf (4/92) ,f COUNTY OF BUTTE -"Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing. .your 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 "ss until this verification is received. 1. I personally plan to provide the major labor and materials for construction of t e=proposed property improvement (yes or no.) 2. I (have/have not) signed an ap ication for a building permit for the proposed w 3. I have contracted with the following person (firm) to provide the proposed construction: -Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. 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 �o a,. ^ Social Security Number Date a2 S_ /993 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832.of.the California.Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. i -WOM An Materials ®r Workmanship fa Quality. Prescribed for the 8pac=ad use I ::.he Uniforin Build, Plumbing N Msaban �I 'odea and the DTsMtanai iWsafriaai OoQa. TDls set of plans and spedflcatlOns kept. ontrLajob at all Limes and it is u ma.• �: any changes or alter ations " vvrit.Len permission from the DeFaris �vrks, County of Butte. rt A to withpmt of puma N T` i 10 44u1ofb�'ED hcQT�o� 12 x bo t%. FQ OR _ foo osvloow :IAVI, FS . ro P#w_ - — -5a, 583.07 Cdr L kl£ e I u mIN, Mt►sT a E Lo cA eTej N EX -A CT - 100 T100 LOCA C W4 To £KEAAFT . A'P?L (QATio,J FR -a&% S ZA + T-tF owrJ (Z E(X14RCM£,JTS BUILDING MPAPTMENT `-;PROVED r-;P �R ei ..,� �� ods -1333 "� 4 Mobilehome Manufacturer: Manufacture Year: If other than single wide, furnish `Setup Model Number: N O Width: . _(ft.) Length:_6 D (ft.) Tagalong or Ezpando Size O (ft.) x On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade] Other: SUPPORTS: Concrete block[x Other:' Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE ;-Liwae e 2 Lim 1 Line 2 . -•- --..0 ..... �........®.......... �.... j1..�.....9.......0�....�....Q ..:: Liao 2 Line 1 e 3 2 ................................................................................................ Main Beams ............................................................................................. Line 2 l Line 1 ..................................................s Tag or Triple e 4 ine 1 Line 1 Piers: Size minimum: j ] x [ ]. Spacing maximum: x From ends -maximum: [ ] x [ ]. Line 2 Piers: Size minimum: [ I -e- ].x [ 30 ] Spacing maximum: [ y'] x [ 6'']. From ends -maximum: [ 1 ] x [ p'1]. Line 3 Roof Loads: Size minimum Location (from front): Line S Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: [ ] x [ ]. Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: [ ] x [ ]. From ends -maximum: [ ] x [ ]. BUILDING • 1. Owner's Name: 2. Assessor's Parcel Number: / 1 ` 3. Installer's Name: 0 WAV E k< 4. • Is the site currently under permit? YesM No[ ], Permit No. .� 5.. Is the site an existing site? Yes No[ ] (If yes, furnish two plot plans): t - =;cal satin of the mobilehome? oC Am ares. -6. What is the electrical g P 7. What is the electric service rating of the mobilehome site? S. 8. What is the mobilehome site circuit breaker rating? Amperes. 9. What is the main service breaker rating at this location? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] NoIf yes, please identify the load and size: (Load) �� (Amperes) 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: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?�� (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not re ired if the pipe length is less than 6 feet on natural gas or GC less than 50 feet on propane THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION 0 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION t 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754y, PERMIT NO. APPLICATION AND PERMIT `� -1333 ASSESSOR PARCEL NUMBER 027-350-195 S ZONING BUILDING PERMIT OWNER ALVERTO RODRIGES TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 1745 COX LN OROVILLE 95965 CONTRACTOR'S NAME TELEPHONE OWNER CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 1745 COX LN PERMITFEE $ ROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Iff Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑X Installation ❑ Other ❑ Describe Work: (',OMPT.F.TE UTILITY PF.RmTTC gilh3 Mobile Home ISI,'PI W 1 920.00 20.00 PERMITFEE $ 40.00 ontractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service ( OOOV200A OR LESS OR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: It 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. ❑ 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 NEW CONST. DWELLING OCCUR OR ( 8 ACC. ) so. 3.5¢ FT. CNS. NEW CONST. MULTI.OUTLETLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 209 1.00 BAIL 0 .30 Ex. Occup. (OUTLETSIXAPPLINI.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 63,00 Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 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. ��_Dwat�� A (an�aturefant - Ow er ❑ ontractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HA2. 1 D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a ve for which fees ve been paid. .4 7 B Dote '7/17 PERMITEXPIRESON (Dat Receipt No. WHITE-D.D.S.-G.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �• r„ \. 1 : � ' ti�"'"��-'�"�-,.fw"/r"'^c"�'"•f-'"`'"'+^r�..<....+t �r,.�...""y.r,•,.r'.+�►� r;,rJ�•�.,"�,"�„'� j.[ai�":�',v.:,_,.n�.�, �.�.++..;:.,�:. .r'k!'`R,... J�.. 7 1 r `£dUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER r� A. P. No. 7-3 —/ Proposed Building Use Building Inspector Date ,$— At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ' DATE RECENED BY 1. All items have been submitted. ....................................... . r Plot plans, 3/4 sets, signed by Dreoarer of plans._ .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department -of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: + �' (81 Parking: : 18. Contact Land Development about, (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction ap rovat required prior to occupancy). . . Pre -Inspection request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). .......... Certificate of Workmans Compensation Insurance. 'Y Owner -Builder Verification (Given to owner Mail to owner Recorded copy of Agricultural Acknowledgement Statement. ..... .... ....... . <' W Letter of signature authorization . .....................................:.. 26. Copy of recorded deed of patcel creation and 60 right of way to a public road. .....� i27. Letter of intent on building use . ................................... . 28, Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permi process as follows: M to owtae Mail to contractor. Telephone and hold for pickup at rW l office. Deliver with inspector. Other Parcel Creation ���^'�' Acreage Applicant �i�� ?�Nb Date G Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submittedrior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. . Z 3 -?q 2.,; Ndditional items rL-quired: M "1I, M U St - La CA r& Ind 7N C SAan F- L o cA n -mV Of- TRE ftf-OkOLAc A??,-1Ctrranl T-6 xEm?l TNs- M R, F-e-oe , SRA + NES✓ Pthds Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Plans checked by Date Plans approved by G\taaor45 Date fa ?i!JJS 'J Sets of plans on hold in File cabinet P'4 AP folder Copy - Department of Public Works f . ' r � Y t - !": + r .� J J r' 1}. � � � r L' 1 ,.� '' ) � t t � .� ti_ � _� �� � , r • i \ . �. .� � - y __ y� --'I oar -3s o �9s Attention Property Owner. An "owner -builder" building permit has been applied for in your name and bearing your 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 labor and materials for construction of the proposed property improvement : YES[ ] NO[ ]. 2. I- HAVE[ ] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I pian to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAiINIE: ADDRESS: Com' 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: Av RES� PHONE TYPEOFw'ORI{ O / r L SIGNED: .. ro, PC SOCIAL SECURITY NUMBER: DATE: r / fi 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. 1,2? P. �r 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. 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 S300 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 tar withholding, federal social security taxes, workers compensation insurance. disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you 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. 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 personaily. Buiiding permits are not required to be signed by property owners unless they are performing their own 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. Veu* -a, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. COUNTY OF BUTTE - DrEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C131iforni6-95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 027-350-195 ZONING A-5 BUILDING PERMIT OWNER Helna Alston TELEPHONE 532-0072 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1705 Cox Lane Oroville 95966 CONTRACTOR• S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 35,00 174S Cox Lanp, Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME \ \\\ PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECI F / Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationE her Describe work: M 1 ay=ff,2 lei Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 ain service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the usiness and Professions Code and my license is in full force d effect. License No. Classification ® I, as the owner, or my employees with wages as their s le compen- sation, will do the work,and the structure is not intend d or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with lice sed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Pr essions Code for this reason Nbkn service 200ATO1000A) 37.50 NEw ONST. DWELLING OCCUP.&\ ORA NS. ACC. BLDGS. // 3.64 sq.ft. NEW co STR U TI -OUTLET NON.R ES BRANCH CIRC ITS @ 5.00 POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. OCCUp(OU LETS OR FIXTURES 20 75 JAIII 45 Ex. Occup. ourL TSP (RESID )KEA,) 3.00 Temporary service 15.00 Mobile Home Facilitie 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ' E] I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequ nce of the granting of this permit. Date / � > K nature of licont — Owner 9 ® 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 $ 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 105.00 HAz 11 FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the p y sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable rovi- Pp p resolutions to do have been paid. WORKS Date Receipt No. 135147 W NITC•D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ,.1`'7✓./ltd-...�k'�s*..'`3r`�y'^'r`.-'1i''L�rl.d^Yl..�..�yy-/'�'- ;,4►-.. Jk .�., .,�!..._.b +.r•?,T��,•;....,.:.a�...tr. ;..'�:,s.f.., ... COUNTYOF BUTTE - DEPARTMENTOF DEVjds9PMENTSERVICES -BUILDING DIVISION 7COUNTY CENTER D13JVE -.OROVILLE, CALIFORNIA95965 -TELEPHONE (916)538-7541 m. PERMIT APPLICATION DATA SHEET OWNER A � ,� 7-O ✓ J Proposed Building Use A. P. No. 2 % JSd-lqS Building Inspector :9 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:- , DATE RECENED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . C 3, Complete plans, 3/4 sets, signed by preparer of plans. .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ...._ Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . 0. Fees f $ 11. Impacttfees as shown on attached schedule. .. .. .....� .-. C �"� 12. California Department of Forestry plan approval/fees. ..... . 13r Flood elevation letter (100 year4lood) by California Engineer ................... �~ 14. Sanitation and plot plan appeoval Health Department . ............ '15. City of Chico plumbing permit . ......................................... 16. Plot ,plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development,about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (constructiowapproval required prior to occupancy). .. 20. Pre -inspection for P`�AAsDect'°" `6Que- required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... ZMobilehome utility clearance. . Documentation of legal access. ..................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list . .................................................... . 33. 34. When you,issue thepermit, process as follows. Mail to owner. Mail to contractor. elephones 32 0672 -and hold for pickup at office. Deliver with inspector. Other i Parcel Creation Acreage _ Applicant 1s Date "/mss /i3 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1.; Index permit for above items No. _ 2. Additional items required: issuance: (Circle new item not checked above). k "• • Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date `Contractor, designer, owner, was advised of above required data by _ phone _ mail C nter by _ Date 01ans checked by Date Plans approved by42 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works dr f L 5 - /-07-13 6f j9t?dWS COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ` 7 CcMnty Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO.ro� ASSESSOR PARCEL NUMBER 027-350-199 ZONING A-5 BUILDING PERMIT OWNER TELEPHONE 532-0672 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1745 Cox Lane Oroville 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 115.00 174c; Cox Tone, Oroville Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARC9 !S� �P Water piping In 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[3 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New a Addition LJ Remodel ❑ Uti lities ❑ Installation Other ❑ Describe work: MH1 Transfer Owner _ Permit # 93-169 Pe it Fee $ Cont actor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1o00A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason OCCUPM NEW CONST. (ACC. OR ACDNS. ACC. BLDGS. / 3.60 sq.ft. NEW CONSTRULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 0 46 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring .15.001 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 15.00 Heating Cooling Hood 6.50 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 aga'n t said County in a nse ence o the granting of this permit. lh_ Date signature of Applicant — Owner 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $15.00 HAz 1 1) FEES I IMP I FLOOD I CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 143291 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDEN ROD-APPL I CANT -- ___ l S5L(�e—CelCd� �3- (6q �. , .wy...r. ` f• + v :fir r , Ct ' . i �• l• '�" •. -114 ,.r xr .:Y1;a1 wily r,.' 'COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION . :• 7COUNTY CENTER WIVE - OROVILLf; CAQFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET ' OWNER /�" A. P. No. -7 Proposed Building Use Ir,*WFege Building Inspector Date g At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3- A. 5. 6. 7. 8. 9. 10. 11. 12. 13: 14, 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25., 26. 27. 28. 29. 30. All items have been submitted . ....................................... . Plot plans, 3/4 sets, signed by preparer of plans ........................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ . Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 yea, flood) by California Engineer . ................. . Sanitation and plot plan appro-val Health Department . City of Chico plumbing permit . .......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ........ Contact_ Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy) Pre Inspection request Pre -inspection for required. . to Bui1aing Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . ....: .. . . . . . . . . . . . ... . .r. . . . . Owner -Builder Verification (Given to owner , Mail to owner _ )............ Recorded copy of Agricultural Acknowledgement Statement . ................. . Letter of signature authorization . .......................................... Copy of recorded deed of parcel creation and 60 right of way to'a public road. ..... Letter of intent on building use........:.I.................................. Mobilehome utility clearance. .....':-. .................................. Documentation of legal access . ......... ............ :..................... Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning Narea and frontage requirements . ............... Existing violations/expired permits . ...................................... • Plan check list. ................. .................... . h .� When you issue the permit, process as follows: Mail to owner. Mail to contractor. ✓ Telephone61o72- and hold for pickup at office. Deliver with inspector. Other Parcel Creation / ., ���� Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permiffor above items No. ` 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date \ Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works f COUNTY OF BUTTE - Department of Public Works 7.County.Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your 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 labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit forte ►fie proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4: I plan to provide portions. of this work, .but I .have -hired- the .following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors'License'No. 5. 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 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of -the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: Amps- 6"G 2. Installer's Name: Amps What is the mobilehome site circuit breaker rating? ----- 3. Is the site currently under permit? Yes (If yes, furnish permit number _C -M /(Q d ) OR Is°the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located -at least 5 ft. away from,.septic tank and leach fields and clear of all setbacks and easements? Yes No 'F� (If no, clarify (If .yes, identify the load .and size: (Load) (Amps) 9 What is the mobilehome site gas pipe size? -------- �SC (in.) is,.the.- type., of _gas service? ------------- Natural �1. What is the gas pipe length from meter or tank to the mobilehome?---------------------------------------------� .) (ft 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe lengt �t .: natural gas or less than 50 ft. on LPG.)10 ,NEXT PAGE MUST BE COMPLETED TO PROCESS.. T AP Wi 0 What is the mobilehome electrical rating? --------------- Amps- 6"G What is the mobilehome site service rating? ---=---------'o( d a Amps What is the mobilehome site circuit breaker rating? ----- o d Amps. ' eIs there any other electric load to be served by the ----------------- mobilehome site service. -------------- Yes •No (If .yes, identify the load .and size: (Load) (Amps) 9 What is the mobilehome site gas pipe size? -------- �SC (in.) is,.the.- type., of _gas service? ------------- Natural �1. What is the gas pipe length from meter or tank to the mobilehome?---------------------------------------------� .) (ft 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe lengt �t .: natural gas or less than 50 ft. on LPG.)10 ,NEXT PAGE MUST BE COMPLETED TO PROCESS.. T AP Wi 0 MOBILEHOME SUPPORT DATA If other than single wide, L D© furnish Setu Model_No': Year�.� c obilehome Mfr. P Width /G —(ft.) .Box Length C (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) FR1. Wood -pressure treated or foundation grade.2. Other (specify) SUPPORTS (check one) 01. Concrete block. F-12. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Main Beams MULTI -WIDE !/ Line i 7 . Line 2 — — — — -----Line 4 Tag or Triple TA ne 4 Line 1 Line 1 Piers: _ Line 1 Openings: Size -Min. ------------ ,k „ Size -Min. ------------------ ux u Spacing -Max. --------- ,_ Each Side of Openings From Ends -Max: ------- '- " With Width Over --------- Line 2 Piers: / Siie-Min.------------ x Spacing -Max.---------,_ „ From Ends -Max .------- '- Line 3 Roof mads: Size -Min. - ----------- Location (From Front) Line 3' Piers: - (Under Bearing Wall_ Only) Size -Min .------------------ "x Spacing -Max.--------------- From Enda-Max -------------- ' "x "x 'k ,k „x „ . „x „ „x 11 „x Line .4 Piers:. Line 5 Piers: (Under- Bearing. Walls. Only) Size -Min.------ ------ ,k „ Size -Min.---------------- -- Spacing -Max.--------- ,_ „ Spacing -Max .--------------- ' From Ends -Max.------- „ From Ends -Max .------------- " Line 5 Roof Loads: Size -Min. -1. "x "x "x "x 'k "x ----- Location (From Front) •ft r' - "x "x VOM All Materials & Workmanship i, a QuWlty, Prescribed for the Specified Esse tine U iforra3 Building, Plumbing d MOOUGWOW 'udes and the Nattonal RIWUIcel Code. TbjS set of plans and speclftcatloOns job at an times and it Is v kept on tha aay changes or alterations on i vgritten permission from the DsparU darks, County of Butte. A P, .'ovO o Pg� �� FP,RJ4 00 �P irbe rfu1 to without of PubU LL N • V4 r qu 'F�fb�ED LuCpT�o� - . .. �12x60' (oo o a �1 • PIAS 1 �` 10�� Cox �n►J� 7 PG e Phew - — - (3a, 585-07 -HU V, W. TO, 1-745 C4 t -6fU V Iwr CA, 150166 r e ix.Vva dance WIM 1wu09ILL4tiu wv" a aww..• of. a Quality Prescribed for the SP60M®d use . in the UWform 8ullding, 1w-abiing & M8011ani* Godes and the National g ectricel Code; etions. MtT ,We set of plans 48 d i;, is kept on lbs• C un]a to St all rations on % maka &uy ch as O1 elle eut of l vnlittan pQ�e sion Ecom the Dep�m QgUAl"Of -Butte. � N � r r itct-uvwa rRES AND E(�U1t'MIEt�AEt• LL S�MUSVALL O F -AR OF AiLL ��� B�"K OF — :� j3 (t te4. �11n1 1Loi,Jti* 7.71 SEY ��C. F -!E 3. - •FRO" �Rl-INS ENAu- �� . FROM -11- _ RJAD CCS � � 1� u�ruc� %S AM'D - U E DwC o P. S ovE o' AZF'T..t�+ o u� F POS .. OR 0. CES / 40o - - foo o C,p1.St. �ip.�• 3x tool,L 1 o go Cox 1p�U 583.07 ,PGi Pote--- -3s� fl / _xo ✓iwC OA. A5966 .1 #10f ip �.Q q3 - �� �r, -.-- BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: rm 2. Installer's Name: 3. Is the site currently under permit? Yes ,f7l. No (If yes, furnish permit number � � _ � &T ) OR Is the site an existing site? . Yes F] No P (If yes, furnish two plot plans.) 4. Will the mobilehome be located -at -.least 5 ft..away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 9: What is -the mobilehome site gas pipe size? ----- -------- (in.) 10. What is the tEl ype of gas. serdice? -- _----.- Natural LPG:, 11. What is the gas pipe length from meter or tank to the ---- v mobilehome?----------------------------------------- g ------------------- 12. What is the mobilehome as demand. -- - ( TU) *(This information not required if pipe length less thl�nN�0t. on natural gas or less than 50 ft. on LPG.)( NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. 'C 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- ( Amps 8. Is there any other electric load to be served by the } -' � mobilehome site service? --------------------- ----------- Yes No (If yes, identify the load and size: (Load) (Amps) 9: What is -the mobilehome site gas pipe size? ----- -------- (in.) 10. What is the tEl ype of gas. serdice? -- _----.- Natural LPG:, 11. What is the gas pipe length from meter or tank to the ---- v mobilehome?----------------------------------------- g ------------------- 12. What is the mobilehome as demand. -- - ( TU) *(This information not required if pipe length less thl�nN�0t. on natural gas or less than 50 ft. on LPG.)( NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. 'C MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. Year , Z Width_t 1" (ft.) . Box Length-. (ft.) Tagalong or Expando Size ft, x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check -o.ne)1. Wood-ptessure treated or foundation grade. 2. Other (specify) SUPPORTS (check o.ne) 1. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE tt > 1 Line 1 Line 1 Piers: Size -Min. ------------ Spec ing-.Max. -1 ------- From Ends -Max. ----- Line 2 Piers: /� Size -Min. --------=--- �„x 3 �, - Spac.ing-Max. -- ----- I- !;4` 6 From Ends -Max.------- / '- d Line 1 Openings: Size -Min. ----------------- -Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- _.Spac-ing-Max----------------- _ „ From Enda-Max-------------- Line -3 -------------Line=3 Roof Loads: - Size -Min.- ------------ - „x ,.x Location (Prom Front) _ Line 4.. Piers:, _. _ ...__ _ Line S .Piers:._.(Under -Bear ing.Walls Only).- s.. Size -Min------------- ,. Size-Min-------------------- Spacing-Max ---------- ------------------ Spacing-Max.--------- ,_ n Spacing -Max ---------------- f � _ "From Enda-Max.------- „ From Ends -Max -------------- y� 1 , Line 5 Roof Wads: Size -Min.---- r „ „x k „ x „ k „ x „ k „ x -_ • f 7 Location (From Fiont) -r ` S ;. . e { nom.• (. i r - .•.',� iti v� r ai• CFI: A t >�• c ' S- 4 . e { nom.• (. i - .•.',� iti v� r ai• CFI: t >�• .. •. - � }i.� Y. �- � • S 1 � Z :' �cl 1.<: ,jam S 1 Y. ?�yy�J O it SA� i T7r'•^ tf - _ ��'' t �'C S'h�Y, r'x Syn' .,}i' i '�y7��'�• t-. 't. ':.'a- y2tY'yps���j..s fS'�Sisf �4,h 5 T f• �.ia 1ts.. x •'L..iiif'd • - _ ,a +. �<: .,:�tw .� S'..:-✓',,,,",.;'.: � '�`I g�" .�»+'��' a.:- :j.,, �;,__yyL�Rz�i',� ��:'�� J ~ f4 �J,� ��1 . � t ��ti �`•t:. � S ' • .. .... - .. .. ..Jf•�'ar'..:f -.;n ,. �.. . "-iT .rte`". s.. .I K �.� C4 �Y3�•! iy,.y w � �' #s e'�b:tj y'��I i. ��"4�, �. �. - � �q� "I t.._ ...,t. 'ti:^ :•h, h,-. ,�{. :h�i,.J;w,wsgrfs;i, j SEC 28 1/8N R. 4E. .'M.Gta 8...M. "I 3 23a.+ At Z — BOAC Jim 33lxf83r I � / 12 3 .4 3 , 6/ 7Q 8© 1 C / ® ® ` /D.OAt /O.OAt 10.OAc 9.3 .OAt /O.00A# 10.00AC 10.00Ao RsnO VALEN !A J �`1 j TRACT 6 706.37 20 1 /9 /a' /7 /6 /3 M in �O I /O.OAt 10 OOAo 20 -OC 29.6At � 30 DAt _ _ 20 27 � 2/ '� /Sb 23 24 23174 /8 /8 �o /O.OAt /O.OAt o /O.OAt Q 671 706.37 PM l/7—a7 W � f f . J.O.M. VAc r#Acr 7 sa : _ PDO07 COUNTY OF BUTTE 03/16/94 PROPERTY SYSTEM 10:55:14.4 ASSESSOR INQUIRY FEE PARCEL PARCEL: 027 350 195 000 STATUS: A 11/18/92 CREATED: 93IMP00012- 11/18/92 SEC .TRA: 092000 KILLED: DESC: 1745 COX LN Z ASSMT: 027 350 195 000 STATUS: A 11/18/92 CREATED: 93IMP00012 11/18/02 TRA: 092000 TAX CD: 000 BASE: 00/00 KILLED: CUR DOC: 93R25226 06/18/93 DESC: 1745 COX LN FRITCH ELMER L R, ROLL ASSESSES: N RETAINED OWNER: 1745 COX LN ACRES 10.00 OROVILLE '.,: CA 95966 'ET AL 'OWNERS:- 'N SUPL CNT: 3 COMMENT: WAS 027 350 186'SLIT @ OWNERS REQUEST 93IMP00012 SITUS: 1745 COX LN ORO OPTION: NXT' OWN PCL SIT EXP TAX PRE RET SC2 ATT HON APR MEN HLP PHY