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HomeMy WebLinkAbout027-360-093>�.�} s ,+ rr�� :ori t� t' � }i z�..�►3 ,�� � ;f' t)�d4p{ir!�i,�(�!1 � , +,r I� .':� i lip .k)'" r4 ti �. AP 27- „ `ft1 r#f rh Phi 'JOHN CASTR ij 1(�./ jjjST , D 93 n/s. Private L ane, /iiiii E/P�lermo: COMPLAIN-rTO INSPECTOR" Horicut Hwy Orovil vem> t# 3685 74P E (utildam' -� y t F F it773 -.7yP E AP --27}93 !` Zr 027-36-0-093 93-54 sueory astro_ WOOD, NORM & PATRICIA Cox Lane ,Oroville SY % 1 713 MELODY LN OROVILLE ` /tr': No'rth State Alum, Ch co ,ar Ag Exemption Permit .a -t, - .•, SSSU M, 4 r I i. TRACTOR, FARM EQUIPMENT - • �-.- .� er.m>.t# 4259 74B(awmsng 1�:)�+-+ * • a r, s w—.27- ,`2'L-93• 1 027' -0-093 931345 B COMPLRaIyT ' r JOHN GASTRO 3L' ^ ro rn+sPEcro t �' 1J00D, NORA & PATRICIA -- �t ,tri ns'Prvate Lane app.Z mi off 171 PIELODY OROVILLEy,'�' e/s Palermo Honcut Hwy app OPEN DECK/MH M,1 S. Of Cox Lane, Oroville 027-36-0-09393 , -1434 E Permit # 4.773-74P,E ,)� WOOD, NOiU1AN & ATRICIA 173 1iElADY" OROVILLE k. OMPLAINT CO INSPECTOR »ii ELEC !ERV,41 6, ' + „ SUPPORT,STRUCT _gQ 027-360-093 - - PERMIT#95-1388 + Building Code Violation t I COMPACTION- TESTRE1Q' WOOD, Norman & Patricia y ip Complaint to inspector r sX i, _ _ 171 Melody Ln. , Oroville 7/��j. + . 9j Cont; Sierra Mobile Servic 30 day violation letter $ CONTR: Kopp's MH Servic Orb. 'ale Retro Fit MH on Perm Fnd N' � 10 da violation letter l t y s Permit# 2026-75MHI ;,.. . Abated or Closed x Issued= /� %� 7� +'+ t"." --� f�; Building Code ViolatiodfW O pq + JOHNSON, Bert L. �i75_ 2�72rP�R # ' _ 27-2�' 93 t/ Comp to Ins PR E0S-0108 NORMAN WOOD- SL , - 3634-73P,E 30 -day letter /0.30-0(o 173 Melody Lane, ORoville ;27 - >r/,/ooly27_22- C{r PErmit#2 06-87MHI existing s t���9 1 ' /73 + 10 -day letter o(o ` ` f Resolution ►:,t Issued87 -- e/s of Palerm o Honcut Hwy app. z mi. so. of Cox Lane, Palermo + tv ( 027-3 -093 93-797 P,E { U / 7 y (utilities for mobile home) -#E® (� Z fo . WOOD, NORMA PATRICItk' 1 (utilities -for MH) ' l ",' 191 MELODY OROVILLE 41 9,� �%3 /� Fei•," MHU . 9 ,�-,s r )400 {' �/ ,1 foo l 1 n / g r Rd rP ; 't>ii ELEC O Q m q fi ,.. ._ t �` i ea* i s• y GAS l' • COP9P;ICTION` TEST. RE t tap, SUPPORT STRUCT RE �4 o a'F It w, L1-36-07,093 a +i u! WOOD NORPIAN & t y i tri: y.: �,. x t + ,d!i y' 4 ➢r ' to a MELQD A'TRICIA „yt�a.w+„ww._ ! 4 S d .44111 k�' I f Y {. .• .� . _ a + `+# >Y ,!f _ OROVILI:E L@rcr.�{ _ PERMIT DESIGNAT ON ..—!BUILDING .NII,IZ �-1Y .kms' ' '"it..,•! j� til'r's+c;..� •.° t ,1, .r ..+H..f`v". T` + Y' Jic ITt COMPLAINT- TO INSPECTOR AP 27- n` JHN CASTPO. n/s Private Lane, i i.. E/ermo Honcut. Hwy, Orovil ,i.:Permit## 3685-7.4P,E (util. , l :PlirtiX '773 -7 P, r AP !27 -793 '. r �> John Castro . ' 2726 Cox Lane-,Pl contr:_ North ,'tate `Alum, Ch c� o -; ermit## 4259-74B (awming, r- AP 27-n-93 J JOHN• CASTRO n/s Private Larie,.app:.' Z mi .of,f e/s Palermo HoiicutHwy -app,.. M1's. of Cox Lane; `Oroville. Permit -# .4773-71iy4P,E' (ut l:,MH) ELEC." GASB SUPPORT STRUCTURE C014PACTION'TEST. REQ. aR AP 27 93, CONTR• Ko ' pp s MH.' Servlc Ord—lie, r; Permit# 20267 5MHI Issued .'.'.�. +sa:xs�•*�..; .. -- P .027-36-0-093 X93754x+ Iry -T •-WOOD, NORM & PATRICIA ; '� 713 MELODY -LN' OROVILLE 'Ag ,Exemption Permit. , TRACTOR,..FARM EQUIPMENT -,027 -093, 931345. B WOOD, NORAAk & PATRICIA 1 n ti. 171 MELODY L OROVILLE OPEN DECK/MH, • :� 027-36-0-093.A93-1434- E AN, WOOD, NORMAN & PAj TRICIA 173' MELODY N�ROV•ILLE q IELEC SERV '027-360-093 : PERMIT#95 1388" WOOD;: Norman & Patricia 171 Melody : Ln , ;Oroville ��� xy; : Cont, Sie'rra'Mobile Service` Retro Fit. MH ' on Perm' Fnd- n,.-: iAl 4 I'll yy i$ - r,• y' ? o• ;m. � .Na:� Lis ?_rev t . y a s i ,• t :,j B - 93 y i{F ., ,, NORM WOOD �L ((•, �1_ `4 3034-73P,E 173: Melody 'Lane, ORoville ,:,� 27^4ti—u % i.. " PErm1t#2806-87MHI existing site• � (�•.1 •I ' .,—. - • ' . 1 ;c„r,+c�,. Issued °/s cif 1 -alert Honcut� ritdy. app., _ ir:i so. oC' q`. ' a ,. ti _) ,c: I ane; : a_ ermo { Mi,. ; a=: y., • u a n':rlr ;�f?' — — — �'U_v1.1�15 fOr mOb11P, hoII12 _ c ) �_ �G` J� 027 , 3� • 093 93=7.97. P E ) EXPIRED c . .IZ ` s' . eft �a��� �f r ` j t tri. �, ; ,,>.°, D RP'IAN�.& ) �• �O W00 NO PATRICIA . (utilities for: MH' > �r �4 � 1 MELODYLN,, OROV_ILLE z ellMU 0111 MINOR AN Iffill 1 1 F0 551.0 a ,i:. � � �� � � _ '� �ei�adg4�t � u a � ELEC ) t v a d q .. y;� T � mss: ' RISE', 1J F�'�, ,y c •df,. .} x. GAS; ! I //! /'y%N� ' � � — —'i ° F Z—_j � �,. , _ . L •F '. 11 ',a � + .S' ''�, k/.I �. _. �/ Il'./I. «.F�.. �y+. r.>.C�' "S r awt }f s-�:r.- `f'..�• �;:�7ba �. ''$`[[q. +�'.Z• "!� .W_J»s, C%,/.... 4.;f=,;'¢ ,+:ly.7 d1t=#.«=i: ti'1i �se'1 ';n t,u✓ r., S`,-7 . �. ,.u�,1� ACTION TEST . RE�4� I COMP kt i .-.1?'rSi q�Yd'z nlr'r ,•n . ri t•?,.., ��,,r,' r, r,l I r=.s;.•'�{"^y;.f4=✓�' :�'•�.'Ar.: _Y�,e'.•.,asa4n 3 _ :.' ..:.+ SUPPORT- STR y _: r. s r ri,: a �' �� ,1 1, UCT RE p lac ,7 �i_. �h :af= ;. u . - .. -'� di ,J�i Y't•,. /1- kb+ha•.e+i.. i. ' ynl, :. i =mac yr . 2 S' l 3_ '_.•.TZU e�<. I'•?' .x�. <3 e' t�. 3 �N; a e 5P y.k2>.W;' sll• .+F r '":: ! 4a„ ,.027-36--0-093 r ;f� •,.,:' �. ''-i: tSY. y i t- ;�, ,vy, 6.. Xe..��.a h' fi - 93-79 8MHI ]PEPSI ries•` '�w •�=xr�sie• W pn . q.., a r r r y WOOD NORMAN & ( a , r . • ;, ; ,:.�� ; �•.h �,: � b- Kr.�,+,y , �ATRICIA „ ' Y.. LN, OROVILLE- . e, f•:� 'MIT* j p ) ' ,ate .h +W.Y. b'� -.k+ d�t H���.�-�i��'$�. d ux��, �I . S., .. � sn , l.: z + .::N�e• .r• :n.�t e <r.. .a ''�. ,w��, :rT .• PERMIT: DESIGN TION BU!ILD;I;NG ER� �� " > ,i HM y HOUSE INOVINGam x �i 4 -• COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date 12-2 Q 5 Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 S n � � �. a• ♦ � X •X of � ly • ,e m ra ks G© PL •8! ,7 s ©®rte c 9 Lei s {a. ri is Clio �•' 2 j JI DO �r K fw. 4 • © I ��, �� � R �� E VIi iw u IM oMi �s2L E��u3 9 $ dd € a f �gapfrldl..Qp._ .._rn ..... � �J7......._ J �..Oa� i J5 g &•. �� " �: (3 t ] lJ 4d l+l l� i� ... tY E7 � . � � ]' W F. .Iqa a�mon f i ? 1993 Environmental Heath , co"Morma JAN 2 7 1993, Oroville, California MAR 161993 }` Oroville, Caifomialoo i�. , _ • vii -V t_ a.c.._ +...•.... -l' ��.,.. ! �, y rvz �� �: .�.;aw - 1'Or..em;r ] a..-.+,v.,�..e4 �C..,�e.+_ b y`•.. ... +w_....._....«.... 4-4 ��� t -.. �._a.. ,t. w . • .. ... .xr.� -. . • . ._ »- � 4 . • u.n.+ '•�O � _•__ + ,.w ! �' w*•.1 � ap _ v r +..a� Y.-., ! ow ..-J: ts: r ��. 5 � 01 DEVELOPMENT PLAN _ e, PERMIT VARIANCE ally, ` _ 4 6PQDy�j. V Z: ct a c'+ 13UTT k° COUNTY SEP .2 4 2007• Butte County Department of Development Services7EL0PAMNT TIM SNELLINGS, DIRECTOR I PETE-CALARCO, ASSISTANT DIRECTOR SERVICES + 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile .o AGRICULTURAL WORKER HOUSING AFFIDAVIT The Agricultural Zones A-5 through A-60 allow housing facilities for agricultural .workers as a permitted use (Section 24-90 of the Zoning Code). Please review the zoning code sections below, fill out the attached questionnaire and affidavits, and return the complete packet to the Department of Development Services, Planning Division. Note: Once completed, you must apply for all applicable permits (including building and environmental health permits, and any other applicable permit) to establish the dwelling. 24-90 A-5 through A-160 (Agricultural) (5) Housing facilities (including mobile homes) to accommodate up to twelve (12) agricultural workers and their families employed by the owner or operator of the premises or owners .or operators of other agricultural lands pursuant to section 17021.6 of the California health and Safety Code and subject to state permits. 24-305.020 Agriculture Employee An individual who verifies, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or that his primary source of annual income is, or is anticipated to be, derived from, any of the following described occupations. a. The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agriculture purposes, plowing, discing and fertilizing the soil; - b. The sowing and planting of any agricultural or horticultural commodity; c. The care of any agricultural or horticultural commodity. As used in the subdivision, "care: includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning or tieing, fumigation, spraying and dusting; . d. The harvesting of any agricultural or horticultural commodity including, but not.limited to, picking, cutting, threshing, field packing and placing in field containers or in the vehicle in which the commodity will be hauled on the farm or to the place of first processing; e The assembly and storage of any agricultural or horticultural commodity including but not limited to, loading, roadsiding, banking, stacking, binning and piling; f. The raising, feeding and management of livestock, fur -bearing animals, bees, fish, frogs and other aquatic animals, including but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; g. The operation, conservation, improvement or maintenance of such farm and its tools and equipment. AGRICULTURAL AFFIDAVIT Employer -'s Name: �t 10A 6-6441Lc Phone: 530 Name of Property Owner: -t�C `rx L YY\\CP��\ Address of Main Office: /(a U/ /I'1 - D/ ate-p�, dry, CA. 95!F,65 Address of Employment Location: Q% 'M �-h^�p �� A, v ro, r,4. 9S9lv5 , Employee's Name:° nn i r .Strn eA Phone: X209-7217 Employee's Current Home Address: I -1 I . M M l O ra- Ord V1, die/ (� . �1 jr9� 5 Name of Property Owner (for dwelling):iD--Xn-VQ G,nc� \ ` 1�—,5! Address of Property Owner: - Address of Proposedd-Dwellit Assessor's Parcel Number: �' - 3k��— Parcel Size: Q acres > n We, ��P'.c%c e- COagjt Pc> iPDypnd -JAn4 l c.. Jo1w , do'declare, subject to the penalty (employer) (employee) penalty of perjury, thathe employer of t and will be employed, identified under section 24=305.020, for at least thrity-two (32) hours per week and , for at least sixteen (16) weeks per year as , on Assessor's parcel • (a) to (g) ' number(s): Parcel(s) Size: _ . t- acres Employer's Signature:' _ ' l /,U/ a— . Q, .' Date: Employee's Signature: _ Date: �Q % —�. Planning Division Approval: 4RZone: General Plan: Dwelling on APN: Approved Agricultur (per 4-305. 20): Approval by: Date: K:\Plannirig\Forms\Applications\ADM_Agricultural Worker housing.doc Revised 08/09/06 d 0 AGRICULTURAL -WORKER HOUSING QUESTIONNAIRE' Information for the Residential Parcel APN: 043-no(D Size of the proposed dwelling: 'Sq. Feet Under a Williamson Act Contract: Yes ❑ No ❑ : " Employed'❑ Onsite Offsite Employee residency is F' Permanent ❑ Seasonal - Info`rmation for. the,Employm nt-Parcells) APN(s): Under a Williamson Act Contract: Yes ❑ No ❑ , Describe the agricultural operation, including the type of operation (crop or activity, time of year production takes place), and an accurate size in acres of the operation(s): Type of operation: Size of operation: 15()0 ,P-A4&4il01� If under a Williamson. Act Contract, provide contract details such as; type (e.g., grazing, orchard, or field crop), minimum parcel size, and any other,relevant information: State the jobs and duties of the workers to reside in the building(s), and the expectedyearly work•calendar. 4 Jobs and duties: Yearly work calendar:,�Q�,: " nature: Sig Date: GL 9/13/0 7 Ow /Operator Signature: Date: Applicant • _ 2 . r March 16, 1993 Eu me Count Department of Development. Services PLANNING DEPARTMENT 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 COUN o®FpPTTE f DEPT MAR 16 i9S3 Norman & Patricia Wood 173 Melody Lane Oroville, CA 95966 Re: Administrative Permit, AP 027-36.0-093) Dear Mr. and Mrs. Wood: Enclosed is your validated Administrative Permit No. 93-11 to allow a senior citizen dwelling no larger than 1200 square feet for 1 or 2 persons 62 years or older on property zoned A-5 located on the north side of Melody Lane, Oroville. Every Administrative Permit expires and is automatically null and void without further action by the County if the Activity or use for which the Administrative Permit was granted has not been actively and substantially commenced within one year of the date of its final approval. Should you have any questions regarding this matter, please contact this office. Sincerely, B. A. Kircher Director of Planning BAK:lr Enc. cc: Land Development D' 'sion Building Division Environmental Health Department of Forestry ADMINISTRATIVE PERMIT BUTTE COUNTY PLANNING DEPARTMENT March 16, 1993 93-11 PERMIT NO. AP 027-360-093 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Norman and Patricia Wood is hereby granted an Administrative Permit in accordance with application filed: 1/12/93 to allow a dwelling no larger than 1200 square feet for one or two persons over the age of 62 years old on property zoned A-5 located on the north side of Melody Lane, Oroville. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Section 24-62. 2. Unless otherwise provided for in a condition to an Administrative Permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which an Administrative Permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall be come null and void and reapplication shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1. The "living area", meaning the interior habitable floor space area of a dwelling unit including habitable basements and attics, but not including a garage or any accessory structure, shall not exceed 1,200 square feet. 2. The senior citizen dwelling unit shall be for the sole occupancy of one (1) adult 62 years of age or over or two (2) adult persons, one of whom is 62 years of age or over. An affidavit of compliance with the age requirements of this section shall be recorded in the office of the Recorder prior to issuance of building permits. Said affidavit shall include -the legal description of the lot or parcel and shall constitute a covenant running with the land, binding upon the original owners and �i ADMINISTRATIVE PERMIT BUTTE COUNTY PLANNING DEPARTMENT March 16, 1993 93-11 PERMIT NO. AP 027-360-093 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Norman and Patricia Wood is hereby granted an Administrative Permit in accordance with application filed: 1/12/93 to allow a dwelling no larger than 1200 square feet for one or two persons over the age of 62 years old on property zoned A-5 located on the north side of Melody Lane, Oroville. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Section 24-62. 2. Unless otherwise provided for in a condition to an Administrative Permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which an Administrative Permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall be come null and void and reapplication shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1. The "living area", meaning the interior habitable floor space area of a dwelling unit including habitable basements and attics, but not including a garage or any accessory structure, shall not exceed 1,200 square feet. 2. The senior citizen dwelling unit shall be for the sole occupancy of one (1) adult 62 years of age or over or two (2) adult persons, one of whom is 62 years of age or over. An affidavit of compliance with the age requirements of this section shall be recorded in the office of the Recorder prior to issuance of building permits. Said affidavit shall include -the legal description of the lot or parcel and shall constitute a covenant running with the land, binding upon the original owners and their heirs, successors and assigns, limiting the occupancy of the senior citizen dwelling unit to the conditions described in this section. 3. The senior citizen dwelling unit shall not be sold as a separate unit unless a parcel containing the unit is created in compliance with the existing zoning and subdivision ordinances and the resulting density is in conformance with the General Plan. 4. Two off-street parking spaces shall be provided for the senior citizen dwelling unit in addition to . the parking spaces required for the primary dwelling unit. 5. Adequate sewer and water facilities shall be provided subject to the approval of the Environmental Health Department. 6. All site development standards as required by the zoning district in which the unit is located shall be met. 7. The Senior Citizen Dwelling unit shall be a conventionally constructed building or a mobile home that complies with the National Manufactured Housing Construction and Safety Standards Act of 1974, except that in the "A", "FR", and "TM" series of zones a mobile home, as defined in Section 24-21.28, may be used. Travel trailers and recreational vehicles shall not be allowed as a Senior Citizen Dwelling Unit. 8. The approval of this permit constitutes approval only to the extent that the project complies with the Butte County Code and all other applicable regulations. 9. The requirements of all concerned governmental agencies having jurisdiction by law, including, but not limited to the issuance of appropriate permits, shall be met. 10. Minor changes may be approved administratively by the Directors of Environmental Health, Planning or Public Works upon receipt of a substantiated written request by the applicant and only to those conditions or requirements recommended by their respective departments. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature by the respective/affected Department Head shall require the applicant to submit an amendment. NOTE: Issuance of this Administrative Permit does not waive requirement of obtaining Building and Health Department permits before starting construction and their approvals prior to use or occupancy, nor does it waive any other requirements. Assistant Butte County Planning Director CC: Land Development Division Building Division Health Department Department of Forestry J - Vi .. ... ..... ,�12,,2 A-5 ov-7L 11V f be To � � l�' (�`�/� Gi��� �ctis (��� �%3 - �3g� Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecountv.net/dds ADMINISTRATION * BUILDING * PLANNING February 17, 2006 Joan C. Kahl 173 Melody Lane Oroville, CA 95966 RE: Building Code Violation Location: 171 Melody Lane, Palermo AP#: 027-360-093 Dear Joan C. Kahl: 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 the installation of a mobile home. 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 Bill Barron at 538-7541 or visit our office located at 7. County Center Drive, Oroville. Our hours of operation are from 8:00a.m. to 4:00p.m. Sincerely, Bill Barron Supervisor, Building Inspections BB: ajf Cc: Assessor 6 y Inspector must draw a plot plan with all building locations on the back of this sheet. Revised 10/2003 i1) BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the -public!!!!!!! DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Address: Phone Number.:__... -.:--The.above.information. is -not .available to the public!!!!!!. M_:.... (2) BUTTE COUNTY DEVELOPMENT SERVICES . COMPLAINT FORM This information is not available to the public!!!!!!! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Address: Phone Number: The above information is not available to the public!! ! ! ! ! ! Revised 10/2003 �.i (17 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR o�UTTtc0 0 0 7 County Center Drive o 0 Oroville, CA 95965 0 =_«_ ®- o (530) 538-7601 Telephone 0 yo (530) 538-7785 Facsimile OUN'� www.buftecounty.net/dds ADMINISTRATION * BUILDING * PLANNING April 4, 2006 Joan C. Kahl 88 Meiody'Lane Oroville, CA 95966 RE: Formal Warning Notice Building Code Violation Location: 171 Melody Lane, Palermo AP #: 027-360-093 Dear Joan C. Kahl: Through our courtesy notice on February 17, 2006, you.were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in the correction of the following violation(s). 1. Installation of a mobile home. The failure to obtain the required permits, inspections and approvals from this office for the following: 1. Section 106.1 Permits Required 2. Section 108.1 Inspections Required 3. Section 108.4 Inspection Approval,Required Before Use or Occupancy 4. Section 3405 Change in Use Requires Conformance to Code The above violation(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for the violations) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Bill Barron at 538- 2051. Or visit our office at 7 County Center Drive in Oroville. Our office hours are Monday through Friday 8:00 a.m. to 4:00 p.m. Sincerely, Bill Barron Supervising Building Inspector BB: ajf Cc: Assessor 2 PROOF.OF SERVICE BY MAIL 1 1 am a -citizen of the United States and employed in the County of Butte; I am, and was at the 2 time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within 3 action. My business address is Department of Development Services, Building Division, 7 County 4 Center Drive, Oroville, California 95965. 1 am readily familiar with the County's practice for 5 collection and processing of correspondence/documents formailing with the -United States Postal 6 Service and that said correspondence/documents are deposited with the United States Postal Service 7 in the ordinary course of business on the same day. 8 On April 4, 2006, 1 served the foregoing 10 Day Notice on the person(s) named below by 9 placing a.true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed 10 as'indicated below, and by placing said envelope. 11 12 In the appropriate place within the Department- of Development Services where 13 mail is collected for mailing with the United States Postal Services on the same 14 day. 15 X In the United States Postal Service Mail in Oroville, California. 16 Joan C. Kahl 17 88 Melody Lane Oroville, CA 95966 18 19 1 declare under penalty of peijury under the laws of the State of California that the foregoing 20 is true and correct and that this declaration was executed on April 4, 2006, at Oroville, California. 21 22 Alise J. Foots Office Assistant 23 24 25 26 27 28 027-36-0-093 93-1434 E �QOD; NORMAN-& PATRICIA 173 MELODY LN, OROVILLE ELEC SERV/MH COUNTY OF BUTTE - DEPARTMENT"", F PUBL'iC WORKS PERMIT NO. 7 County Center Drive - Oroville, Califorrnia�95965 - Telephone: 916.538-7541 '- APPLICATION AND PERMIT -� - ASSESSOR PARCEL NUMBER 027-36-Q-093 ZONING A5 BUILDING' -PERMIT OWNER `l P.�" N pPATRICIA1400 TELEPHOPAE 533-4166' So. FT. OCC. BUILDING VALUATION / t OWNER'S MAILING ADDRESS ^ MUIDY LN 0MVILLL''• 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS j. jj Fireplace CONSTRUCTION LENDER UNKNO Total Valuation $ 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 ADDRESSS 73 L ODY U41 ORCIVIILE Permit fee $ 'PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome:0 Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK Newer Addition i_; Remodel Utilitiesg Installation❑ Other [JPermit Describe work: STPZVI�i UPGRADE - Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 rj Main service 200A TO 1o0OA) 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 .Jo. 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.h) OR ACDNS. \ ACC. BLDGS. _37.50 3.64 sq. ft NEW CONSTRESiD. RANCH TLET NON•R ESID BRANCH CIRC ITS CIRCUITS) @ 5.00 POWER APPARATUS p'\ (SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 20 76.1 FIXED APPLES. OR Ex. Occup. OUTLETS (RESID.) EA.) � 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 3.11 S — 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 becomesubject 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 FiIingFee 15.00 Heating ` Cooling g 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 iV�ny way accrue aaggai�nnss'tsaid County in consequence of the 9 1ranting of this pe-rmit./ _ A--. ` 1 O✓ V / vim- �iCt/ 11 ,31y/ ! , Date Signature of Applicant — Owne Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heigkf. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 33.50 HAz I oFEEs I IMP I FLOOD I C.DF PARCEL PD HD ISSUE This permit is hereby iss ed under the sions of -the Butte Co r� Code and/or wor, indi at` abov f r which fees / T R LIC B PERMIT XPDate applicable provi- resolutions to do have been pai RKS /� Date Receipt No. 141187 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone: j APPLICATION AND PERMIT WORKS PERMIT N 916.'538-7 ��7 ASSESSOR PARCEL NUMBER ZONING A5 BUILDING PERMIT OWNER NORMAN & PATRICIA WOOD TELEPHONE 533-4166 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 173 MELODY T.N ILLE 95966 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 173 MELODY LN VI LE Permit fee $ 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[] Mobilehomeja Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK Newr'_; AdditionEl Remodel [i Utilities g Installation❑ Other ❑ Describe work: SERVICE UPGRADE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 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 BusinessPOWER and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr OR ACDNS. ( ACC. BLDG S' 3.60 sq.ft. NEW CONSTRESID, RANCOUTLET NON•R ESID BRANCH CIRC ITS @ 5.00 APPARATUS tr\ (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 @1 16d FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.1 EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 Permit Fee $ 33 50 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 FiIingFee 1 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�unty in consequence of the ranting of this permit. (� c ✓Q t t — /� Date Signoture of Applicant — Ownerij� 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 I TOTAL FEE $ 33.50 HAz 1 OFEES I IMP I FLOOD I CDF PARCEL PD I HD ISSUE This permit is hereby iss ed under the $Ions a to Co Code and/or wo Indi a e ab OV f r which fees LIC B PERMIT XPIRES Date applicable provi- resolutions to do have been pai RKS 5 lg q Da 4 Receipt No. 141 987 WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 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 02 — -36Q 0 ZO/NIN BUILDING PERMIT O'NN ER 1 Q��� ( v✓r�0�' TELEPHON / SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - LaGit�� r?Gt-%G CO r'j?C�TOR'S�t AM_E ,/,/MyAAI/ILIvNG TELEPHONE CONTRACTOR'S[/ ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 AD S„ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 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❑ MobilehomXe Other '''""`"����11 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 WORK New r Addi[ion i_; Remodel , Utilities Installation❑ Other ❑ Describe work: C -S52 UI C_ i ADl� Permit Fee $ Contractor ELECTRICAL PERMITFiling Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 / is Main service 200A TO 1000A1 1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (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) I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.�\ OR ACDNS. ACC. SLOGS. / 3.60 sq.ft. NEW RESID, RANCHLT"OUTLET NON•R ESID BRANCH CIRC ITS CIRCUITS) 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. / OUTLETS OR FIXTURES EX. Occup( 20 764 !JAL- IW 4big FIXED \ Ex. Occup. OUTLETS P(RESID INSREA.1 j 3.00 Temporary service 1 15.00 Mobile Home Facilities 1 15.00 Misc. Wiring g 15.00 Permit Fee $ 3, S Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): [—I The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Penult Fee $ 3 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 an way ccrue against said County in consequence of the granting of this permi X Date S d Si nature of Applicant – Owner Signature pp ❑ Contractor F. Agent �Zition An OSHA permit is required for excavations over 5'0" deep and or construct - on of structures over 3 stories in height. Mobile Home Installation Fee $ 7 Ener Inspection Fee $ Energy p occI CONST TYPE TOTAL FEE $ , S� HAz DFEES IMP FLOOD CDF PARCEL 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 j Receipt No. '.`/KITE-O.P.W.. YELLOW -ASS C330 R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - De'partment 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 for the proposed work. 3. I have contracted .construction: Name Address Phone th the following person (firm) to provide the proposed uonLractors License ivo. City 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 Own Social Securit Number Date 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. •f t M s .k �r M I4 N'0�' . /7'3 -74P -E- P E �.i MW UTI L. PERMIT NO;' i — ' PERMIT EXPIRES • ;, i John Castro TOWNER lC CONTR. t LOCATION (A.P. n/s ofRive. Laney app. z mi. off e/s Palermo Honcut Hwy, 2 mi. S. of �# Cox, Lane g Oroville . f = • 1 r` t r r • 1 Temp. Power P,.eo, Called PG&E zeaip. Elec. Serv. t r Call'Iy d PG&E OV 4 _ Tem Gas Serv. C�� �� 7u. Called PG&E OB FINAL (Date) G (Signatur SGS i DATE REMARKS OR CORRECTIONS OF/— 1eAV Q< �d�t2� ��. -gG Guo ���• _. �/p a o O GG� e'o"✓l l/ V— �� c 1/7 Q • COUNTY OF BUTTE'— DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) ' PLUMBING Setback Firewall - Soil Piping Forms r Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing -Water Piping Piers Roofing Sewer — a� Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr.�8 '2fs StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test 8 7 Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Sub aneIs Mesh MECHANICAL Grd. Fault Prot. Scratch Heatinci Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS OF/— 1eAV Q< �d�t2� ��. -gG Guo ���• _. �/p a o O GG� e'o"✓l l/ V— �� c 1/7 Q F, W TO Building Department _ FROM 'EnvironmenLal Heeltn ��� � 1. RE: Sewage and/or Water Clearance 22 LCC ".^ZION A. P# Has been approved for SL ,AGE DISPOSAL O� V.1.4. TER SUPPLY d� , U itarian Date _ T 9. `.Electrical ,:.A. -.Is service large enough to provide, adeq`kate amperage- to .mobilehome (must equal -rating mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana,. etc.? Yes No .-B. Is there-proper.clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes No De -energize electrical wiring system of,the mobilehome at the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. i Switch all breakers and switches. in the mobilehome to the "on" position. (.t: Connect one lead of a test instrument to the mobilehome grounding conductor and f / apply the other lead to each mobilehome supply conductor; including neutral. �5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,. water line),,including fixtures and appliances, shall be tested for continuity from ' / such equipment and the grounding conductor. (6/ Upon completion of the above pro,cedure,.the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. _.'10.: Is job card signed by Health Department for water and sanitation? If everything okay, sign off card and' tag services. 'MOBILEHOME DATA .Manufacturer and/or Namestyle �rrl Length Width Vehicle Serial No. / i",'UC�U 1 2-5.001 State Identification No.caLja-7 1). OQt'� Additional Information or Comments: P .0 qG��� _/'10 d Y. JC) 1 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_ No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yqs,Y,'_ No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No ' 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_'�,,_No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach is not State of California a p oved, does station have backflow device and pressure -relief valve? Yes_ No P 7. Wastes and Drains A. Is'connection made with Schedule 40 DWV and have flex connectors at each end? Yes{ No B. .Does it have minimum 4" per foot slope and is it properly supported? Yes X No' C: Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?,.Yes No�4 D. If coach isnot State of California approved, does station have required trap and vent? Yes No r 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected.to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line if►let without reductions other than the mobilehome connector. Yes,YNo B. Test OK as per following procedure? Yes No (/r. Open all appliance connector valves. L2: Shut off appliance burner and pilot valves. 6,a. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments.. Test for 10 min. without drop. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_No'- o . r MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_ No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yqs,Y,'_ No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No ' 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_'�,,_No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach is not State of California a p oved, does station have backflow device and pressure -relief valve? Yes_ No P 7. Wastes and Drains A. Is'connection made with Schedule 40 DWV and have flex connectors at each end? Yes{ No B. .Does it have minimum 4" per foot slope and is it properly supported? Yes X No' C: Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?,.Yes No�4 D. If coach isnot State of California approved, does station have required trap and vent? Yes No r 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected.to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line if►let without reductions other than the mobilehome connector. Yes,YNo B. Test OK as per following procedure? Yes No (/r. Open all appliance connector valves. L2: Shut off appliance burner and pilot valves. 6,a. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments.. Test for 10 min. without drop. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_No'- o . COUNTY OF BUTTE i - C;J'NTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 1 APPLICATION AND PERMIT autnorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �������pate Signature of Per itee or Agent, Receipt No. ,���10.3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. :��UBLIC WORKS ByDate'� �Z Building permit expires Date................`�� BUILDING Owner G C A T SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 7- Z 2 7 Z Z .0' FZ0 U L c Telephone No. �y �� Fireplace Contractor — Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Building Address N An/ - PLUMBING No. @ FEE PERMIT FILING FEE $2.00 �j p c C Each Trap 1.50 LOA L LF 9A d NG u T w Repair drainage or vent piping 1.50 Water piping 1.50,/. V YZ U a o f^ CO A F Each gas water heater or vent 1.50 A. P. No. — z — 3 �. 'n Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 t — S n Fire Dept. Fire Zone Use Permit Building sewer 5.00 0Q EQA Parking arcel Plans Declaration Parcel Ma P 60' R/W Im r ments P Lawn sprinkler system 2.00 Bldg. Plan�ec'd Parce 4proval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .GO Main service incl. 1 meter 3.0o Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less)' (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures(a 35 bal 10 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 _5-,0f3 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ U( WORKMEN'S COMPENSATION INSURANCE 11 am aware of the provisions of Section3700 of the California Labor 'Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application'and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ /1 Z� v autnorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �������pate Signature of Per itee or Agent, Receipt No. ,���10.3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. :��UBLIC WORKS ByDate'� �Z Building permit expires Date................`�� key 2iset of plans $T` ' s�/NUST t kept on the .job at all time's and it is unlawful to make any changes -or alterations on same withote written perm isson from the Department of Public Works; County of Butte. . the center ine a. -maximum of a 2 ft. eave overhang. - Oaks R 6 4 �x All utility -connect'ioris shall be, located within 4 ft. outside the rear third section of the mobile home on'the left (road) side of the mobile home. o BUTTE COUNTY, BUILDING MP�'ir9ENi . APPROVED e tic system and locatione as 'Per S p . to h iHealth Dept. Re - Butte County quiretnents. ,q P-�` z 7- A-3 z�c t+0Mer- I U��tr��s The B1d#-Setback shall be 5 ft. from the side property line, and50e ft. }n r0 of I' the road p the center ine a. -maximum of a 2 ft. eave overhang. - Oaks R 6 4 �x All utility -connect'ioris shall be, located within 4 ft. outside the rear third section of the mobile home on'the left (road) side of the mobile home. o COUNTY OF BUTTE , - A DEPARTMENT OF PUBLIC Wfi 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4549 APPLICATION AND PERMIT '-5fignature of Permitee or Agent Receipt Nol 417,d 0 t White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant By��,�,� Date rB 977r it7e�lres Date............... s ��.......... BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address /f 7. a Telephone No. Fireplace Contractor /0�10 % 6/ �,p arJyt,p .�pnN/ c� Total Valuation Mai Iing Address ,, /�� a s�'� �a,yt Permit Fee Plan Checking Fee&/or Penalty 0. 0/7,1 T le2honeNo. -;t l� /3`z S Permit Fee $ $ Building Addrt3s S cT(/ ���� N �D ocA=�t PLUMBING No. @ FEE PERMIT FILING FEE $2.00 VV a c&l V- �w /Z Ste SEaCh Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. No.-27—ZZ — 9,3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeeTt W. Sa#e,1 I FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration parcel M 60' R/W Im rove ents P Lawn sprinkler system 2.00 L/g��l EI g. tans Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [�' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home R1 Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal�dl0 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style//of: , /1 04S ��Uh� �O02Si�—d�•�I`�� G✓� Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No:?J 7o 7a Classification C Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representati es of the County of Butte to enter upon the above entioned prop y fori spection purposes. X Date 5- 1;2 _7 S; TOTAL PERMIT FEE $ .3Q 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. A D RECJPR OF PUBLIC WORKS '-5fignature of Permitee or Agent Receipt Nol 417,d 0 t White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant By��,�,� Date rB 977r it7e�lres Date............... s ��.......... COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, California *_ PHQNF -,, 534-x+541 Longth = �I utility 20' min n M. M r 0 r't rt C. F' - It C M If so, specify *For plans and specifications of support system, see other side. Length = H z: H z .. MOBILEHOME INSTALLATION INFORMATION o Lot Facilities Plobilehome Data H 1. Plot plan dimensioned, location of mobile 1. Length 6 Width o_ and utility connections? ManufacturerJw.*c„Q-,'* G� /%lpr �w�•u� Yes_Z No Vehicle Serial No. c9 $ -7, tx y 2. Electrical. service equipment ampacity /le Insignia Control No. ' Circuit breaker ampaci.ty 2. Feeder assembly an acity Permanent Wiring Connection "fie S Conduit size Ampacity `o �-J Power supply cord (amp.$) ReceptacleAmpacity ti/ b 3: Gas inlet size 3. Gas: Natural _- LPG X Mobilehome connector size Gas riser size , ^ Capacity. 4. Drain inlet size/ r f/ i 4. Drain connector: describe on reverse side 5. I -later riser size �/ �/ � 5. Water connector: describe on'reverse side 6_ Are utility connections located outside 6. Designed loads: the ream 1/3. of the mobilet:ome ithin Roof live load .2 a psf. . 4 feet of the left wall? Yes No Wind load % J psf. If not,- show di.mensions.above. (only for mobies manufactured after 7. Is the mobilehome clear of septic tank, October 7, 1973)' leach fields and locate side public 7. Manufacturer's installation instructions? 'o utility easements? Yes' No Yes No 8. Do you propose to do other work on the 8. . Will the mob ile.home .be instal led'on_a.._.. ..�� property other than the mobilehome separate support structure. installation hich will require a permit! Yes No X Yes No If so, specify *For plans and specifications of support system, see other side. ADDITIONAL COrD!171TTS Drain Connector, Describe _J7 Water Connector, Describe �1 ; :s 1\ O p 9.1 0-�LOiVJ BEARING SUPPORTS 4' LOAD BEARING SUPPORT AND VOOT'ING INFORMATION C Pier Spacing Used Maximum Pier Load ©--AZr— Maximum Column Load (multi -units only) Soil Bearing Capacity. 4'--)t0A Footing Dimension Used`i�- TYPE OF PIER. USED Steel Concrete . Concrete Block Other TYPE OF FOOTING MATERIAL USED Pressure Treated Wood Concrete Redwood (Grade) ,Other Approved Type F ma?(, -(-V'O4l/ Comfit 0 BUTTE COUNTY BUILDING DEPARTMENT APPROVEa `PERMIT NO. 4259-74B P E M MH U T I L. ' PERMIT NO. / PERMIT EXPIRES OWNER John Castro '.�CONTR. North State Aluminum, Chico r? LOCATION (A.P. 27-22-93&96 ) 2726 Cox.Lane, Oroville i n -r r . Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. / Called PG&E f JOB FINALED (Date) / C t (Signa K M) a i' COUNTY OF BUTTE — DEPARTMENT OF.PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DF-PARTKENT OF PUBLIC W S 7 County Center Drive — 'Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property foi inspection purposes. X Ne &�/� t Dat Y+2 Signature of Permitee or Agent Receipt No. r�L? �Q 49 / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been DIRECTOR OF U LIC WORKS BY I Date ilding permit expires Date.................l.y.Z`r'%. BUILDING Owner SQ. FT. OCC. BUILDING VA UATION 00 J 1-)06 hh Mailing Ad ss 7.24, 0,,X � CN" Telephone No. Fireplace Contractor �rrw.. — Total Valuation Mailing Address f 6 Permit Fee Plan Checking Fee &/or Penalty aV„ur� Telephone No. 3s�3_79, Permit Fee $ $ Building Address a %=2G PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. _ 523 9 6Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 4611F W . S ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel p 60' R/W Improvements p ovements Lawn sprinkler system 2.00 BArg. Plans Rec'd Parcel Approval pk,,g Approval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 j Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal(610 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 'w ^ Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 2��e__LA_ 14 (a/", ok�/1 Temp. Power Pole 5.00 License No.-? V — Doi'Classification_ /3/ Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. EJ_fhave placed on file with the County of Butte a certificate of workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ /02 oU authorize representatives of the County of Butte to enter upon the above-mentioned property foi inspection purposes. X Ne &�/� t Dat Y+2 Signature of Permitee or Agent Receipt No. r�L? �Q 49 / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been DIRECTOR OF U LIC WORKS BY I Date ilding permit expires Date.................l.y.Z`r'%. PERMIT NO. i P E Y, M U� }MH UTIL. ;!PERMIT NO. 3685-74P,E PERMIT EXPIRES ?OWNER John Castro CONTR. ';LOCATION (A.P. 27-22-93&96 ) p n/s Private Lane, mi. E. of-Palermo- 12Honcut'Hwy, Oroville (app. z mi. S. of Cox Lane) o • y e 1� z74 X03 j cJ Z-7 �a39x r . G UO i� N1 i= i7 37 Temp. Power Pole Called PG&E Temp. Elec. Serv. - Called PG&E 1 Temp. Gas Serv. Called PG&E / .l_ JOB r \/ FINALED Gr (Date) 9 (Signatur ) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab ` Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco -Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent — % Door Closer Final Final DATE " REMARKS OR CORRECTIONS T, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Cepter D.rive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -mention d property for inspection purposes. X Date ^ �d Signature .1 Permitee or Agent R eipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS By Date 2 —1 %— 7 ding permit expires Date .................. 1...—�.7..�.� BUILDING Owner s y— SQ. FT. OCC. BUILDING VALUATION Mailing Address 742—Co ® 100 v r Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty ot Telephone No. Permit Fee $ Building Address XMS!/J --� PLUMBING No.1 @ FEE PERMIT FILING FEE / / ZVI ,G - Lam• D E,,e Each Trap 1.50 ttJ ai Repair drainage or vent piping 1.50 Water piping 1.50 �� vr� �•- G✓ /�'� Each gas water heater or vent 1.50 .Gr ��� A. P. No. ��yy �7 9lO�nP g Gas piping system 1 - 5 outlets 1.50 , Eachadditional outlet, .30 F Sa Fire Dept. FireZone 4ise Permit Building sewer 5.00 S .. EQA Parking P ans ParcelParcel Declaration Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 g. Plans Recd P pproval PIar45�iipproval Permit Fee $ .00 $ A-Izz NEW ❑ ADDITION ❑ UTILITIES'O OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 3 6O Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 :57Water Q �� Heater or Space Heater 1.00 Light fixtures bal_�fd10 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Receps., switches & fix outlets Z Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump _ 0d Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -mention d property for inspection purposes. X Date ^ �d Signature .1 Permitee or Agent R eipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS By Date 2 —1 %— 7 ding permit expires Date .................. 1...—�.7..�.� Y .'tel'' � 1 i�p �•. .A + t All utility connect-ions shall be rhis.set of plansf located within 4 ft. outside the rear 'cept on the job at all times and it is unlawful' b� third section of the mobile home make any changes or alterations on sam on the left (road) side of the mobile to home.; -written a without - permisson. from the Department of public Works,. County of Butte. .t . Septic systea im nn _d��;I, 4• Butte to be' as '''per Count y Health De qu i rements, pt, Re- • BUTTE CUNT, BUILDING DEPARTMENT .APP=ROVED 1 f BUILDIN0 DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES / 7 COUNTY CENTER DRIVE — OROVILLE. CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMITN Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 0 *2 7, 366 - 09� ZONING l _ l OWNER 7T /� Nor ft f 2'�'�' I %� ' PHONE NO. .6-3-7- 1/ q OWNER'S ADDRESS --7 /3 Me/bq'� Z4.v Date LOCATION OF BUILDING d o' USE OF BUILDING SIZE OF STRUCTURE / 20 Z G X _ SO. FT. TYPE OF CONSTRUCTI N: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING//ROOF COVERING FLOOR TYPE o ESTIMATED COST OF CONSTRUCTION S AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: 5d 16 ' 16 SIDES REAR FRONT � AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG Building definition. If anv change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, ana approvals to comply with the requirements in effect at that time and beforeoccupancy. Date / Signature of Ow er r r 0 Permit Fee - $50.00 /Z/0,5sy Receipt No. The above described AG Building is exempt from a building permit. rLOO,7 i PAR9EL I P.� ROOF G ISS Manager Building Division By Date 'Nha,! -:117W Ynuow COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUILDIN DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER _ / ax Proposed Building Use A. P. No. U 2 7 - 6Q - O 5.3 Building Inspector I%7 Date , At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: / DATE RECEIVED BY All items have been submitted 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. 31. 32. 33. 34. 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 . ............................................. x Energy Design Compliance and supporting documentation . .................. 11. 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 year flood) by California Engineer . ................. . Sanitation and plot plan approval 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 re.quest Pre -inspection for required. .. to Building Inspector Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner _). .......... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ................................... 0 .... Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance. .............. . Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list . ......................................... 0 ........ 0 . . When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applican %-�-o✓ ate 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 JOB FINALE Slgnsture s V=OK O=Not OK - = Not Applicable Not Ready MOBILE HOMES ' = Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements Z Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fell -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) S. Electricity; Location-Clearencea-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L" ft. / /"Net. or/ /% "ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water. and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS CARPORTS GARAGES, Plana OK except #'a 1. Zoni requirements -Setbacks -Easements _ oogs; Soils -Size -Depth -Spacing -Connectors -Steel cks; 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 . - t.; Steps-Doofp-LandingsT Q . ✓ L/ Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip :Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-PaneIboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth r 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth S. 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.; Fell -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 4" 12. Electric; Underground 3 = k 13. Plenums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except #'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/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'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/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Naggers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Puri In=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 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 Wells; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. • Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Pib., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ 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. 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 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATIQ,N AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 027-360-093 ZONING A-5 BUILDING PERMIT OWNER NORMAN & PATRICIA WOOD TELEPHONE 33-4166 so. FT. occ. BUILDING VALUATION 96 0 672 OWNER'S MAILING ADDRESS 713 Melody Lane Oroville 95966 ' CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ 672 . Filin Fee g C 15.00 $ LENDER'S MAILING ADDRESS Permit Fee $ 18.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS None Penalty $ BUILDING ADDRESS Permit fee $ 53.00 PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 1 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 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: open deck _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 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 No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.OR ADDNS, ( / ACC. BLDGS. DWELLING OCCUP.81 3.6Qsq.ft. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. 1 Ex. Occup( OR FIXTURES 20 760 AL. 1111 4F;dA \ Ex. Occup. OUTLETS FIXED PRESID )REA.) I 3.00 Temporary service j 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 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 agai t said County in consequence of the granting of this permit. ` ) � e L Date — �-- /� Signature of Applicant — Owner Contractor E]Agent11sions An OSHA permit is required fore conations 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 $ 0 HAz 0FEE5 IMP FLOOD CDF PARCEL PD HD U This permit is hereby issued under the of the Butte County Code and/or work indicated above for which fees C LIC PERMIT E� Dat applicable provi- resolutions to do have been paid. WORKS gate Receipt No. 141251 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT +i 1(•�4.'.`.Y..''.{1^ ,�r�`Y�f-nti�'�''1M4Jrr-+.. „�..y^...x.�w.. .y, � 1�,,�+f, p•�i+.f� , y,�4 1T � H +� �t , r r t, Lr � r •'t`�'"%xpla3" �+�V , !P CJ, afi,,`,�•��� y,.. py �i""},'k�n'.'f ..J.v� Hl'K'..��.� l�. COUNTYOF BUTTE - DEPARTMENTOF ELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; (,LIFORNIA95965 - TELEPHONE (916) 538-7541 fit. .j+ PERMIT APOLttAno ATASHEET VAl %�� OWNER �' IN! it lr C t l.kk «c A. P. No. 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 RECEIVED BY 1. 2. 3.. .4. 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. 31. 32. 33. 34. 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 (1'00 year find) by C ifornia Engineer . ............... . Sanitation and plot plan approval CJP V r ealth 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) Ire -inspection request Pre -inspection for required. . to Building Inspector. (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... 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 . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... . Existing violations/expired peimits................................... Plan check'list...................................................... When you issue the permit, proce s as follows: Mail to owner. Mail to contractor. Telephone and hold for pi kup at eD 22 €? office. Deliver with inspector. Other Parcel Creation r�� � a7 ✓(� �� �� Acreage Applica /�-c,•.u� 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 1W Sets of plans in F-ileeabi4,--A-folder Copy - Department of Public Works r Ar- �I.Y Plot I'I;ut Attached Floor flan Atutchad� Sent to B.D. TO: Buildinb Department FROM: Environmental Health SUBJECT: Sanitation Clearance Z-749 e,16 C/I/ Owner Locatio AP# Plan Approved for: Sewage Disposal Water Supp: Public Private Well ar o, bed »0111 c. Other }C c�a Hold final for: Final clearance O.K. for: NOTE: h-3.1 Environmental Healt ecialist I ate 8/92 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916 538-7541 APPLICATION AND PERMIT ASS ESS SyOI� ?-ARCEL NUMBER Up',) {(j ZONING BUILDING PERMIT OWNER Q r I.tJQ T oNE 11116 SO. FT. OCC. BUILDING VALUATION O NE 'S MAI LI A DRE 5 ^ l � h � ; Sr C TRACTOR'S NAME ITELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO LENDER LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ Q� ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $_eu Energy Plan Checking Fee $ ARCHITECT ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS f Permit fee $ �c.7 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[] Mobilehomea Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New �.7 Addition Remodel;_ Utilities} In(sttallation❑ Other ❑ Describe work: D �� n () CSC' l\ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 20CATO t000A1 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.SINGLE 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) ElMobil 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 OCCUPM OR ADDNS, l ACC. BLDGS. I 3.64sq.tt. NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS o-\ OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 @ 764 R Ex. Occup. OUTLETS IRESID )EA.) 3.00 Temporary service 15.00 e Home Facilities 15.00 Mobil Wiring 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 FiIingFee 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. X Date Signature pp ❑ Contractor LJ Agent ❑ Applicant An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 1 3 HAz I DFEES I MP I FLOOo I CDP I PARCEL PO HD SSUE 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 I Receipt No. 4[ _ WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Arive, 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 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 . 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. unvigm­ l ■30on we■a so Eton ■a oommonamommu s oom SON JM 0■ ■ ®®o®®®omseMINN3511101man 0801113 miummommal goNUMMEN ee.�■l®■ raNSMonagamin 91 ikk=w 1010 a a MOM assms a a on [legal !;16' & Ma In _uVE"I al, a a IS 111112010 man■No a on loom a on sit main ]ll0 a a E a a a amomms I a a wmmmm momm a no no■ n a Imam 9,00, ra, all 0 a am 0 K Nannies rum ME med N as mmmly"VEAN 0 us Ell M111111111111 I mom I MIJ it 4 4— as. Nat�h .-Lj I tt 44 ..-i._1-._t.-__,_i..._ -X.! 14 L Muft AND EQ. Ict_u DING. LEAR-O':i fqT --w _k KA FT FRO A J­P�T__ -FT.-FROM PR0_PEAT-Y­LiNE�-.- _­ -APPROED_ Fr. FROIW-THE ROAD CE RLQ�S-RAE UE ouj7ty CLEAR OF 8TRUCMAE3 AND EQUIPMENT Exq rro .FOR A_kFr.'EA'VtOVS41ANG. L 1§neture T i -I J_ j__ KY_ _ _ . _ _. BUTTEO_ . -_._-_ __ _� _. 0. U N Y 4 4� I WH4 cl , �VV/ µ t 1 16 �«.i.+��. �.. •� .� _��w�-Zw.� ! .I. ....I. I `— ..�Y� '�• 1 1 A' ��l is � .� f+N •i1 �. �e f" ISS .;. _ I. 1' �- 1 �_�_I_r. }_1 1� 1 I _ !•_ r i" �"� � 1* ::-f•^ -��` :b si• �-F � .;._� _;.._,..•�'-,i��._ .-� - _�-�_. � � �. 5.-- � _ p7 -7� rli� `� '�-0! ��:� %'`b Yj � � Yt �-� y- - - -' _!_. � _�. � L ! _,� �. _! _R. :: jam. ��,/� p �� f �a,�►..,L ^( '�-- �",� �-+J�--.�j/ k �-� ,. Y � ' I- i I-- -1-- - +-� �. i_ �t i_i _.j_j..f 1 F �- _ll�_ rS, ? �4�• yjr h.ry _ -rt '-t'yy'wi� j11 ' — j1 r�i/ i /Yf ..�.. • a l .�.��.�r`- '..fLama �"1 ! -1 'Y 17, x li .is lifeuls.18. is�- 177 — .�—�_, a I • I �— — •�—�=t=ip 1�=�- --- — —, — — � :� � :�' ,, Ir - - -- l i -'-�- 1-1•-j -I ` (_ I I 1 1 �_.l._I_ S �_`-F-� _ _ .. �iEiy*-,, .� t� ,. JJ s'Iola'.�.jX�i.. f-►-• i ! L_ T ��; �z .1 ! ' I_ _i y I.� �.J_-L 1 A �'r','_ "ti f ��_ _ .1 � • _��_I_f{� � f _1�_ l � I i J , � + ! i i i_j �_�- ' � , I � I f i I I I � I (- -, �' 7% ' I (� 1 1' I 1 1 f_1 . frt ' ELECTRIC ,�. _. Meter By Date' JQ6 FIN*LED instal SIgnityre V=OK e+ O = Not OK .. t - = Not Applicable Not Ready MOBILE HOMES ' = L a Date/Initials 1111101SWIf HOME UTILITIES Plana OK—except #'a - 'YZ g Requirements -Setbacks -Easements Soils; al MH Support Sketch 3 ,-Ldcatlon-Test-Fell-C/O Concrete 1 % at • Location -Test -Easement Needed (Sketch) leytricity; Location-Clearences-Grnd-/ /Amp -Concrete i was; Location-. est -W p: / P'L"ft. / Nat. ord�1"L"ft 'LPG 7:` Well.Clearence & Dis&nnect tility Clearance i Date/Initials WILE HOME INSTALLATION Plana OK except #'a 1;.Zoning Requlrements-Setbacks Easements MISCELLANEOUS r Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Raffle 4. Wood Awn.; Posta-Beams-Rftrs.-Connectors Shthg: Rfg -Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 8. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings �Qttings; Size -Spacing -Marriage Line t S-das; MH, est-Demand-Valve—Connector Date/Initials POOLS (Plans) OK except #'a 4 lectr ity; MH Test -Crossovers -Breakers -Clearances ' 1. Setbacks -Easements D ; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability -Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness er and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining F Suss and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI 9. EEjits; Ing -P. -Sketch S. Elec.; Pool Lighting; 15 volts-GFI crt. of. Occupancy J8. Elec.;Enclosures; Conduit Entries -Terminals -Listed I 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater r i 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 ( i I V=OK O = Not OK „ - = Not Applicable = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd -/ P' 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. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16.. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. O.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; Siie & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 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/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes O No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'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 RESIDENTIAL (Single`,& Duplex) Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Materiel & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Da"/Initials i FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Purling roof Brac-Trues-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 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/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive O Yes O No; Walks 13 Yes 0 No; Planters O 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. 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 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-75411- PERMIT No. � 7 ' Address or location of mobilehome 71 c �� Owner's name ;n),,-3 #&z E -f 2� �► Owner's address Insignia or hud number c`/ ' Manufacturer's name E �%`r (& 9 ��/'� --7 Serial number o V.I.N. .. Year of manufacture ' fi ial Approving Installation) (Date 'IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILFHOME IS INSTALLED ON A FOUNDATION SYSiTEM; ;;5.138_, White_ Owner, Yellow ' Installer;�P,nk,;_ D P _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. I• ASSESSOR PARCEL NUMBER 027 -360-093 ZONING.' - A—. BUILDING PERMIT OWNER Norman & Patricia Wood TELEPHONE 533-4166 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 173Melod Lane Oroville 95966 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $(� Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ .BUILDING ADDRESS Permit fee $ 20.00 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 pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome© Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G I W 15.00 45.00 Pf TYPE OF WORK New❑ Addition Remodel❑ Utilities Installation[] Other E] Describe work: 500 Sq. Ft. Min (62/1,200) MHU Permit Fee $60,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p er l y (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 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. DWELLING OCCUP.a\ OR ADDNS. ACC. BLDGS. // 3.64sq.ft. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (ROWER APPARATUS e SINGLEOUTLET CIR. Ex. p OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR 1 Ex. Occup. OUTLETS (RESID.) EA./ 1 3.00 Temporary service 1 15.00 Mobile Home Facilities 1 15.00 15.00 Misc. Wiring -15.00 Permit Fee $48.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 Ventilation E65 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. 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 agai t sa'd County in consequen of the granting of this permit. X Date 3� 3 �! / 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$1 .50 HAz DFEES IMP FLOOD CDF 4 PA EL PD HD ISSUE This permit is hereby issued under the sions of the B Coupode and/or work iridic a ab r which fees I OF PUBLIC By PE IT EXPIRES Date Z applicab a provi- resolutions to do have been paid. WORKS u to IS ?�' Receipt No. 135923 WHITE-D.P.W., YELLOW-ASs[SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT '�1y`►i��i��jyy�''3''''i"�„T't%�t►,►.�.+'„�'>^.y+v'.. T- ' , �d COUNTY OF BUTTE —DEPARTMENT OFDEVSELOPMENT SERVICES -BUILDING DIVISION ( , I 7COUNTYCENTER DRIVE - OROViLLE, CALs[FQRNIA 95965 -TELEPHONE (916) 538-7541. � , PERMIT APPLICATION DATASHEET OWNER !ding Use f At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1, 2. DATE RECENED BY been submitted. All items hEp5ns, Plot plans4.sets, signed by preparer of plans . :..............".......... . 3_ Complete 3/4 sets, si �9 ned b preparer of plans. ...... Y 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 fl9nL- �eated pind��11�A/C Buildings . ...................... Engineered truss -de( ila..and3layout 6n-Aplicate (required prior to plan check). .:. . 9. 10. Mobilehome data andm nufacturer's installation instructions, 2 sets. . Fees of $ ...................................... O -� 11. 12. Impact fees as shown on attached schedule . ................................. California Department of Forestry plan approval/fees. ....................... . 13. tqjL 14. Flood elevation letter (100 year' flood by California Engineer. . . Sanitation and plot plan approval 6 a t/' 1 Health Department . ............. 2 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: ........ Y 18. Contact Land Development about (A) Improvements (B) Drainage. ........... . 19. Driveway permit (construction approval required prior to occupancy). ...P��� *;r6, 20. a ,Pre -inspection for required. . to Bu",i.g 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. R�prded copy of Agricultural Acknowledgement Statement. f ...... : ........... 28. 'Le ter 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. . . . . . . . . .r: . . . . 31. Existing violations/expired permits. When you issue theermit, proc ss as tollows: V Mail to owner. Mail to contractor. Telephone �33 y/��v and hold for pickup at office. \ Deliver with -inspector. Other Parcel Creation Acreage" Applicant (5a 11 -� 0,0-�Date-3--3�—�3 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 pri to. i 'issuance: (Cir item not checked above). 1. Index permit "for above items No. 2. Additional items required: Contractor, designer, owde,f'w vised of above required data by _phone _ mail �ounter byff15 Date ' _ -Contractor, designer, owne , was advised of above required data by v�phone _ mi' Counter by Date \,-rPlan" checked by, I ; ,r -f Date 319 Plans approved by Gum . , Date `Zy� Y "t-L—K le.- wl � P Sets of plans on hold in File cabinet AP folder - Copy - Department of Public Works . Q ^ IIID t)VL1' v^e♦ I'6,t Plan Ana died Floor 1'lom Alt:,chvd . lent to IS. U. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 14 rm CA I�J 1.93 l �- �- Owner Location AP# Plan Approved for: Sewawe Disposal "later Supply: Public. Private Well_- Clearance for W bedroom mobile home. Other Hold final for: Final clearance O.K. for'. NOTE. 621 PL Environm nal Heal t pecialist 8/92 4 n, (�( I ) (:� -9 lq Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Canter Drive - Oroville. California 95965 - Telephone: 916%538-7541 APPLICATIGWAND PERMIT 3R PARCI J Qrn Ol' aJrirEr, W 1NG/7AO?RE?S / A-% ARCHITECT OR ENG UNKNOWN NAME - IPARCEL M USE-OF•STRUCTURE: SF Q Ouplex❑ Mobilehome�] Other CCT SPECI FY TYPE.OF WORK.: New❑ Addition❑ Remodel Utilitf stXl, Install tionQ other C1 Describe work: �00 Ft I 1/1 CONTRACTORS LICENSE'L.AW= I declare under penalty of perjury (check ane►: ❑ I am licensed under provisions of Chaot. 9, Div. 3 of the Business and Professions Code and my license is in full farce and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation. will do the work,and the structure is not intended or offered for sale. (Sec. 7044) Q 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Q 1 am exempt under Sec. Business and Professions Cade for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check onel: u The permit is for 5100.00 (valuation) or less. r I have placed on file with the County of Butte Building Department u 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. 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 keeo harmless the County of Butte against all liabilities, judgments, costs. and exbenses wnlcn may In any way accrue against said County in consequence of the granting of this permit. �� ✓ J �.V gam" _ Date _ 0 Signawre or Aoplicont — Owner tX Conrroctor i Agent I_ An OSHA oermtt .% Ino Vtrea for excovot-ons over 5'0" :eeo ono demot.tton or construct - on or ,,uc ures over - storms — n,,qn,, PERMIT NO. BUILDING PERMIT SO. FT. OCC. 1 BUILDING VALUATION Fireplace 1@5.00 1 Total Valuation S Filing Fee S Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee S Penalty S Permit fee $ - PLUMBING PERMIT Filing Fee 15.00 Each Trap Solar or heat pump water heater 5.001 20.00 Water piping 7.00 Each des water heater or vent 7.00 Gas piping system 1 - 5 outlets 5.001 Buildino sewer 15.001 Mobile Home S G W @ 15.ot71 Permit Fee $. Contractor ELECTRICAL PERMIT- Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 1 8.50 Main service 200A TO t000At 37.501 NEW CONST. ! OWELLING OCCUP-N) OR AOONS. l ACC. SLOGS. I 3.rid ap.fc.1 NON-RESID 9R4NCH CIRC TS 1@5.00 1 (POWER (/POWER APPARATUS 6+ OUTLET CIR. 1 Ex. OCCUO(OUTLETS OR FIXTURES R 20 7RA 1.@ FIXED APN Ex. OCCUo. OUTLETS P(RESIO IREA.) I 3.001 Temoorary service 1 15.00 Mobile Home Facilities 15.00 Misc. `Miring -15.00 Permit Fee $ Contractor MECHANICAL PERMIT FilingFea l 15.Oo Heating Cooling Hood 5.50 ventilation Permit Fee S Contractor Mobile Home Installation Fee S Energy Inspection Fee $ Q« I CONST TYPE !TOTAL FEE $ nA[ 1 O FEES I IMP I FLOOD COF I PARCEL I POI MO I �Sauc This permit is hereby Issued under the appllcaole provi- sions of the Butte County Code and/or resolutions to oc i worK Inalcatea aoove for ,vnich fees have been para. DIRECTOR OF PUBLIC WORKS By Date E 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,MgLterials for construction of the proposed property improvement (yes or no) ,JG- 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 butI have contracted (hired) the following persons to provide the.work indicated: Name Address Phone Type of Work Signed.: Property Owner Social Security Number Date rip. 9 �' 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. NOTE.—All Materials & W6rkmanihip Shall Be in This set di plans and spWReations MUST be Accordance. with Recognized Good Practices and kept on the job at all times'arid'it is -unlawful to of a quality prescribed for the Specified use in . the make any changes or alterations J on sante without . Uniform Building, Plumbing & Mechanical Codes and vuri*eri permission from the- Dep&rtMef*sof -Pt Ablit the National Electr!641 Code. Works, County of Butte. At) OVE.D* Butte County hP # zn29 Environmental Health Environmental J�2 Date MAR 3 0 1993 oroville, igWat r Q rrr,s4\ . fLl�ly 't V TE2:7] ujc1k 400 SQ. FT, MINIM FOR! MOBILES tr4 4� A, ALL STRUCTURES'AND' &.x .1Z a*.. 4A il ; :1 ; - 9 0 EQU IPMENT NOLU01140 OVERHANGS SHALL SE CLEAR OF -ALL EASEMtNTS'. ; A SET SAcK OP FT. -FDE AO&J- THF S1 AND FT. FROM THE REA R PROPERTY LINES A�b/1-1-9' 5 . : : .! ' FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FPR'A 2 FT­EAVEOVERHANG. L /L -"x J0 Y3 -BUTTE COUN Ty BU I.LDINC _DEPA.RTMENT :J I ®a oil �1. This tet of plans and specifications MUST be kept ori the job at all times and it is unlawful to make any changes or alterations on same without wrillten permission from the Departineiif of public Works, County of Bum. NOTE:—A.11 Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Codes. Butt,-: �ounty P*; -3 Environmental Health _nvironn,ental Heann Date �J MAR 3 0 1903 Celifcrnia Signaa- ee- . -/ 1.5-1: - 66.x• - t/ 0CIA 1 ;a,� +SW-SQ'FT.M'' N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BEftMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 1 ASSESSOR PARCEL NUMBER 027-360-093 ZONING A-5 BUILDING PERMIT OWNER Norman & Patricia Wood TELEPHONE 533-4166 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Melody Lane, Oroville 95966 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 35.0 Melody Lane 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 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation [ Other ❑ Describe work: 2 Bedroom MHI Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2000AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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) El 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 100OAl 37.50 NEW CONST. ( DWELLING OCC UP. III) OR ADDNS. ACC. BLDGS. 3.64sq.ft. NEW CONSTR. FAULT "OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e\ SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLES, OR Ex. Occup. OUTLETS (RESID.) EA.� 3.00 Temporary service 15.00 Mobile Home Facilities 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. 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 County of 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 againstsaii8 County in..{c�nse uen a of the granting of this permit. (� X (_ �l�.I I�1�`rpJ �i I (� 3 ��(� _ `f� Date ,:. Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA ion of structures toverr3gstoriesoinehe excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 105.00 HAz oFEE IMP FLOOD CDF PARC PD 'HD ISSU i This permit is hereby issued under $ions of the Butte County Code and/or work indicated above for which fees DI_RFC BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Da e S� 2 Receipt No. 135923 WHITE-D.P.W.. YELLOW-ASBESSOR. PINK -INSPECTOR, GOLDEN ROD -APPLICANT su—'z--_�...,..n-.,•.,,,:,.,.•,•`�•��rt''�'i'.I�'l3D''.ss''Fr'"+9°.' #�'�"fir::s7�d'�i�'Y�"{'�'•"'!7'''.'�nCC��^i�'�`cc"" Y`�.l''.-R.'ti:r1�'�.""`�t't '#r4:ti• .:.r. a ��'• OUNTYOF BUTTE, DEPARTMENT•OF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET 1-73OWNER At0 Y1 rn Q yl A. P. No Proposed Building Use Building Inspector a& Date /41 A At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 4 11 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. Statemernt1af I t bfor on-H,eat;�t and A/C Buildings . ...................... 8. Engineered",t E t R s and��FFaayy''dd t in duplicate (required prior to plan check). .... 9. Mobilehome data and manufa -t�rip'gr'�installation instructions, 2 sets. ........... Z- 1 Fees of $ 1 D,� / ........................................ 0 -Impact fees as shown on attached schedule. l' 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. ............. z 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). Pre specfl%reque 20. Pre ,/,�Lr �) required. .oto>Buildinglnspador'-��% (Date) -Jv�21!Cont�actoYs>licen einfoFination(No �Name�Style, Classification) . ........ ... . 6 4 Certificate of Workmans Compensation„Insurance. .............. 23. Owner -Builder Verification (Gi:ven,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. .... . X27. Letter of intent on building use. ......... ..... . 28. Mobilehome utilityclearance. ........:................. ° ° ... 'Documentation of legal access. .......... Documentation of 50% subdivision developed or Road improvements completed -3-Q and (B) Parcel meets zoning area and frontage requirements . ............:.. 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. ' 34. When you issue the permit, process as follows: AZ Mail•to owner. Mail to contractor. Telephone and hold for pickup aC' office. Deliver with inspector. Other Parcel Creation ,V J�_ ^ Acreage Applicant 0- ' 6''8�'f�ate �r30=,. L -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 submitte •or to pqrmit Vnce: (Circle n w item of checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, ow ” r, was advised of above required data by _ phone _ mail Counter byA& Date -0 C Contractor, designer, owner, was advised of above required data by _ phone_ mail Cou er y _ 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 - QEPAR•TMENT OF PUBLIC WORKS 7 County Canter Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT iij_T�IlZI�L�� SO. FT PERMIT NO. BUILDING PERMIT OCC. 1 BUILDING VALUATION TYPE.OF-WORW Newo* Addition ❑ Remodel ❑ UtilitiesC] InstailatfonI7� Other ❑ Describe work: 17;,> j6fy Permit Fee S. _ Contractor ELECTRICAL PERMIT' Main service 600V OR LESS 200A OR LESS Main service ro 1000A = CONTRACTORS LICENSE -LAW= I declare under penalty of perjury (check one): ❑NON.RESIO I am licensed under provisions of Chaot. 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 200A t Fireplace NEw COCONSTR.UL�OUTLET 9RANC. CIRC ITS /POWER APPARATUS 4 CONSTRUCTION LENOER Ex. OCCUQ( OUTLETS OR FIXTURES UNKNOWN Total Valuation Mobile Home Facilities Filing Fee 5 15.00 t.ENOER-3 MAILING AOORF-33 Permit Fee S ARCHITECT OR ENGINEER LICE143M NO. Plan Checking Fee s Energy Plan Checking Fee $ ARCHITECT OR ENGINEER•3 MAILING AOORESS Penalty S BUIL-OING AOORESS w / Permit fee PLUMBING PERMIT" Filing Fee 15.00 Each Trap Solar or heat pump water heater 5.001 20.001 LOT NO. SUGOIVISION NAME PAgCEL MAP Water piping. 7.00 Each gas water heater or vent 7.00 USE.OF-STRUCTURE'_ SF ❑ OupiexQ MobilehomeQ� Other SPECT FV Gas piping system 1 - 5 outlets ( S.001 Buildina sewer 15.001 Mobile Home S 1 G I W @ 15.001 TYPE.OF-WORW Newo* Addition ❑ Remodel ❑ UtilitiesC] InstailatfonI7� Other ❑ Describe work: 17;,> j6fy Permit Fee S. _ Contractor ELECTRICAL PERMIT' Main service 600V OR LESS 200A OR LESS Main service ro 1000A = CONTRACTORS LICENSE -LAW= I declare under penalty of perjury (check one): ❑NON.RESIO I am licensed under provisions of Chaot. 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 200A t NEW CONST. OWELLING OCCUP.al OR AOONS. ACC. SLOGS. NEw COCONSTR.UL�OUTLET 9RANC. CIRC ITS /POWER APPARATUS 4 (POWER OUTLET CTR. Ex. OCCUQ( OUTLETS OR FIXTURES Ex. OCCuo. pU LETS RESIO )REA.) Temporary service - Mobile Home Facilities Misc. .Hiring Permit Fee FilingFee 1 15.00 18.501 37.501 3.64 aeJt.{ 1@ 5.001 S 1 3.00 15.00 15.00 15.00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fes 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ru 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. Cooling I I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation Notice to Applicant: It after making this statement, should you become subject Eermit Feeto the W. C. provisions of the Labor Code, you must forthwith comply with suchprovisions or this permit shall be deemed revoked. ntractor 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 aoove-mentioned property for Inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments. costs. and exoenses which may in any way accrue against said County in consequence of the granting of this permit. X _ Date Signarure of Aoplicont — Owner I._ Controcror !._ agent I_ An OSHA oermlt _ reaurreo for excovonons over 5.0" :veo ana demoirtion or construct. .on or Structurea over .1 stolons — n qnt. ik Mobile Home Installation Fee 5 Energy Inspection Fee $ occ I c"" TYPE I TOTAL. FEE. $ "Al* I U rttD I IMr I RUUo I (.Ur I /AM"L I Pu i MU I USUE I ' This oermit is herebv issued under the applicable provi- sions or the Butte Countv Code and/or resoiutions to bo ,.work Inaicatea above for .vnich fees have been pain. DIRECTOR OF PUBLIC WORKS By DZIEe COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER /r�i�%�/�I�%�T���l (� A. P.' NO. 3�Q PROPOSED BUILDING USE DATE REC. # DATE REC 114�1. School District Fees (paid.at District Office) „ ........................ Sheriff Fees (paid at Building Department) Residential ......... X, unit amt. Commercial(per sq.ft.) X =$'" sq.ft. amt. 3. Urban -.Area Fees. (paid at Building Department Residential (per unit) X .=$_ #-units amt.. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees _ (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. r DATE 3d ---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 pexmit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone - Contiactors'License No. 4. !'plan to provide portions o'f this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name.. Address City 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. rl J• r 01416 BUTTE COUNTY SCHQOLS.IMPACT FEE CERTIFICATION FORM (One Form Per Building). School District A.P. Number 0 0-;k7-3 (oo " 0(? 5 Jurisdiction 0 City Property Owner /1/�%%�/!i% 'A-)47 T/z_ / C-114 Building Department No. County Property,Location/Address Z- ,tl&y lea Subdivison Lot No. Residential Development 0 }'� 0 Sq. Footage No. of Living ZH61 Addition (Group R) Units Commercial/Industrial 0 Sq. Footage i New Addition (Including Exterior, Roofed Areas) C ACi B ildin Department epresentative Date (Floor Plans reviewed by School District Personnel) District Identification No. 9306 9 ow gt•� School District certifies that � 0_< + . (Applicant) (Street Address) (City) 01 . ` (State) /1 (Phone Number) 9A__ 9 6 6 (Zip has complied with the requirements of Resolution No. by payment of $ representing School District 7720 %20 square feet. Paid by Check Number Bank Number Paid by Cash Date Remarks: lam. .J 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) teeform.wkl (4/92) 4 AP #/_ OWNER PERMIT ,- 2 M UT IL . CLEARANCE DATE /j i INSPECTOR � 4 ELECTRIC GAS Support Struc. Compaction Test Req. Service Size Other Load Tvi3e Pipe Size Length YES NO YES NO OYG, CERTIFICATE OF ROOF COVERING OWNERS NAME: A.P. #: ADDRESS: PERMIT #: BUILDING SIZE/AREA: BUILDING USE: FIRE HAZARD ZONE ALLOWED ROOFING FROM LISTS BELOW VERY HIGH #1, #2 [] HIGH #1, #2, #3 �] MODERATE #1, #2, #3, #4 LIST #1 LIST #3 F] CLASS 'A' ASSEMBLY CLASS 'B' ASSEMBLY CLASS 'A' PREPARED ROOFING BUILT-UP ROOF PER 3203(e) E] CLASS A OR B PREPARED ROOFING i,TST #2 ASBESTOS CEMENT SHINGLES METAL ROOFING a �] CONC. OR CLAY TILE (OTHER FIRE RETARDANT ROOFING) Q SLATE SHINGLES LIST #4 (O'CIII,R NON-(".0M1:lUST1.IiW-; ROOFING) C[.,ASS 'C' 235# ASI'IWA' SII.LNGLI?S r- . r, N. I HEREBY CERTIFY, I INSTALLED ROOF COVERING AS INDICATEDe�'ON,THE'ABOVE BUILDING, IN CONFORMANCE WITH STATE AND LOCAL REQUIREMEN S:i FIRM NAME/OWNER (Please Print) SIGNATURE OF GENERAL CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. DATE THIS CE'RTI'FICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL. January 1988 0171 ------------- tovy EVANS APPRAISAL SERVICE P.O. BOX -863 CBICO, CALIFORNIA, 95927 PRONE' (916) 895-1212 FAX (916) 312-4453 TELECOPY TRANSMITTAL DATE: 3-10-93 TIME: 12:20 PM 083 P01 MAR 10'93 13:0- CO&* 0 TELECOPY NO. ( 1 ) 5 - 2140 ''%P TO: Building Dept. PROM: Mike Evans The total number of page/this is transmittal e 3 , including this page. If you do not receive ale pages indicated above, or,if-you experience.a problem wittransmission, please call Mike at the phone number above. The document pertains to: BUTTE COLTNTY DEPARTMENT OF PUBLIC WORKS 7 County.Center.Drive, Oroville, CA PHONE: •538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name : p%t !1011 Cc F_Z 611!:P O C 2. Installer's Name,: 3.. Is the site currently under permit? Yes No a (If yes, furnish permit number �J % J� ) OR Is the site an existing site? Yes No (If.yes, furnish two plot plans.) 4. Will th"e mobilehome be_located at least 5 ft. away from septic tank and leach fields and clear of'all setbacks and easements? Yes I No (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- Z fi O 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. g What is the mobilehome site as pipe i e size. -------------- (in.) 10. What is the type of gas service? ------------------- Natural F-1 LPG [X 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- 12. What is the mobilehome as demand. ----- (BTU) *(This information not required if pipe length less than 6 -ft. on 93_P9(- natural gas or less than 50 ft. on LPG.') BUTTE COUNTY ` BUILDING DEPARTMENT APPR^VED`. S f4 193 MOBILEHOME SUPPORT DATA s If other than -mingle wide;' Mobilehome Mfr.jfurnish Setup. Model No.Year Width / (ft.) Box Length �� (ft.) Tagalong or Expando 'Size` -K 0'- £t_,,x ."' ft. On all mobilehomes manufactured after JOctober 7, 1973, furnish man'ufacture'r",'s'ns.tallation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 1. Concrete block.0 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Line 1 Openings: 'a+ Size -Min. ------------ „ Size -Min - ------------------ Spacing -Max. --------- Each Side of Openings From Ends -Max. ------- '_ " With Width Over--------- /Line 2 Pieis;: S;ize7Min i------------ Spacing -Max,. --------- From__Ends�-Max.------- Line 3 Roof Loads: Size -Min ------------- Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size-Min.------------------ Spacing-Max---------------- From Ends -Max .------------- Size-Min------------- Spacing-Max ---------- From ------------Spacing-Max.--------- From Ends -Max .------- - e 5 Piers: (Under Bearing Walls Only Size-Min.------------------ nx n Spacing -Max.--------------- „ From Ends -Max .------------- Line 5 Roof Loads: Size -Min. ------------ "x "x "x " "x 'k "x „ "x 11 Location (From Front) F } 1 AP,--':--OVED Butte County Environmental Health Apt-i-l-ZQ,�1_q�3 Date k4-signu _ Return to DPW AGRICULTURAL ;STATEMENT OF ACKNOWLEDGEMENT RECORDED BUTTE COUNTY FOR. RESIDENTIAL DEVELOPMENT OFFICIAL RECORDS BY, Section 26-8.1 of the Butte County Code requires this acknowledgemen?ARr,( SHOW" be recorded prior to issuance of a building permit. 8'7-3n4?,3 I0 AUG 21 PSI I: 2� The property described herein is adjacent to land. or included CAP$uACE U. Gf;l;C36$ within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from CLERK -RECORDER FEE:' - the use of agricultural chemicals, including, but not'limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning,'and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 3J I .6 ►� I p U �.�+ >, Date: State of SS. County o -PROPERTY OWNERS: Ci On this the a ( day of 19�� before me, the undersigned Notary Publi., pe sonalleared I Personally known to me. Proved to me on the basis s of..satisfActory evidence. DEBORAH A. DAVIS ®to be the person (s) whose name (s) sib bed to NOTARY PUBLIC-CALIFORNIA �+ ®the within instrument and acknowledged that sutte County Q g my commission Expires April 30,1990 wexecuted the same for the purposes therein contained L51vanlaumnBoom man MaGNEM M0.;IN WITNESS WHEREOF, I he7'tgnto set my hand and offs seal. ` Nofary Public Present A.P. No . ��� - 9`3 . "-RESIDENTIAL 027-360-093 PERMIT#95-1388 WOOD, Norman & Patricia 171 Melody Ln., Oroville Cont; Sierra Mobile Service Retro Fit 'MH on Perm Fnd i Y, { r THE HCD FORM 433A FOR THIS MH CANNOT r BE RECORDED UNTIL ONE OF THE FOLLOWING AVE BEEN TURNED IN TO THE BLDG DIVc_f; (1) LICENSE PLATES). (2) LICENSE DECAL=4 (3) STATEMENT OF FACTS ILI f® y JOB FINALED (Date) �— Signature J=OK O=Not OK. Not Ready MOBILE MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: /" L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date MOWf HOME INSTALLATION (Plans) OK except #'s .qt'ring,Requirements-setbacks Easements Date Card B-1 Date Card B-1 F ing ' Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 M Test-Demand-Valve—Connector Date POOLS (Plans) OK except #'s ri 'ty; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements in; M_Fj Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 4. W Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining a,94. Sewer Connected -C/O to Grade -HD Approval G nd ElvAncity Tagged t 4. Elec.; Receptacles and Lighting, Distances-GFI Exi nsp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 1 ert. of Occupancy 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. Date-7//SCard B-1 Date Card B-1 Boxes- Enclosures-Panelboards-Ins. to Main in Conduit Date Card Date Card B-1 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL (: ' = Date UNDERFLOOR (Plans) OK except #'s Y 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 -Bloc kouts-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 #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------= ---- --------- -------------- ----- 17. Water Pipe; Test & Anchor -Nail Protection - -- 18. O.W.V.; Test -Fittings & Anchor -Nail Protection ----------------- ----------------- 19. Shower Pan; Test, First Floor -Tub Access - - ------ ------ 20. Test Tub & Shower. Second Floor -Tub Access - -------------------------------------------------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ------------------- ----------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection -------------------- ----------- ------------- -------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----------- ---------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------------------------------------------------------------ _ 25. Romex Installed Close to Edge of Studs & C.J. -------------------------- ------------------------------------------------- 26. ----------------- 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water --------------------------------------------------------------- -------------- ----- 27. --------- ------------------------------------------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------- - ------------------------------------------ --------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size ! / ga. _ or -Al -___Cu_------------ ------------ ---------------------------------- 29. Range Circ ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------- - ------------------------------------------- ---- -- 30. Service -Riser Conductors & Ground -Main Disconnect ---------- _ - ----------------------------------------- 31-.-Equi-p.-Clearances Panels-Motors-Mech. Equip. ------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ---------------------------------------------------------------------- 33. Smoke Detector ----------------------- --------------------------------------------------- --- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation -------------- ------------------------------------------------------------ 36. Condensate Drain & Overflow: Size & Grade ----------------------------------------------- ----- ---- 37. 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 #'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 t- ,in,qle & 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 #'s. 61.- Ext. Steps -Door & Sidelight Protection -Landings --------------------- --- 62. Smoke Detector -------------------- ----- 63. Furnace; Vents -Clearance -Comb. Air -Connector- ---- 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. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ------------------------------------- -- 69. Elec. Outlets at Wood Panel; Int. & Ext. - --------------- ------- -- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ------ -- - - --------------------- - 71. Elec. Outlets & Recep tacles 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 -Meth. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location --------------------------------- 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection --------------------------------------------- 7 . Insulation -Foam -Looked in Attic ❑ Yes -------------------------------- 78. Guard Rails & Deck Construction -Post Caps --------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ 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 - ---------------------------------- P -- - 85. Exterior Elec. Trim; G.F.I. Rece tacle-Underg round 86. Ventilation Throughout House -- -- ------------------------------------ 87. Glass Protection - - - . _ - - - - --------------------- 88. Corrections from Previous Inspections ----------------------------------------- ----------------- 89. Gas Test -Meters Tagged; Gas -Electric------------ ------ 9O.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: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION yND PERMIT�� 138 ASSESSOR PARCEL NUMBER 027-360-093 A5 ZONING BUILDING PERMIT OWNER NORPIAN & PATRICIA WOOD TELEPHONE 533-4166 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 171 MELODY LANE 840 45 360.00 CONTRACTOR'S NAME SIERRA MOBILE SERVICE TELEPHONE 877-8575 CONTRACTORS MAILING ADDRESS 8965 SKYWAY PARADISE, CA Fireplace CONSTRUCTION LENDER UN OWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ 194.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 171 MELODY IN PERMITFEE $ 237.25 PLUMBING PERMIT Fling Fee 1 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome IM Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.06 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: —gETRO PIT FOUNDATION Mobile Home I S I GI W 1 920.00 PERMITFEE g 65.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main ServiceOOOv 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 orce and effect. License Class Lic. No. �1 o 386 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BUDS. ) s0. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER (a SIINGLE OUTLET CSIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 2L Q I•50 BAL Ex. Occup. OUTLEEOTS �RESID.)Ea ( ) 5.00 Temporary Seryice 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 3.00 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 Dof the work for which this permit is issued. 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 insura ce carrier and policy number are: Carrier �?BTE FV p5 MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 6 U)J LT iq (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. — � —j-)— X ,�,,��__ Date 6 �I ,L� f�-- Signature of Applicant - ❑ Owner [`Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or con truction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE I TOTAL FEE $ 345.25 HAZ. 1 D. FEES IMP FLOOD OF I PARCEL PD HD ISSUE V-11 This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ., D e q PERMITEXPIRESON (Date) ^ ReceiptNo. 83 – 180334 y WHITE-D.D.S.-B.D. CANARY-ASSE R PINK-INSPEC GOLDEN R -APPLICANT _ _ I ' ;A �. = 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 f f 747 Elliott Road, Paradise, CA - (9i16), 872-6307 CORRECTION NOTICE 0 C> OW R 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 -z} is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1 ` - i r a Date 7 Inspector REV 10/92 +, :.: '.:•.:.r�-i'78�.:�i �.✓ " . Li."` ',+r- +'.%}'k'rf� .�H'e�;+!"-,M^ ,r{�'t tr t7� ;A.•:,Yr"".�aa'6:y{ fx7�4rr+jk-:;wurn.wH,,-i "Ntib »*`A 4, f r. COUNTYOF BUTTE - DEPARTMEN'tOF EVELOPMENTSERVICES -BUILDING DIVISION ij 7 COUNTY CENTER DRIVE - OROVILLE, CAL5iFQ`RiW495965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET '/ OWNER 'G�v 4 A. P. o. 7^ Proposed Building Use Building Inspector Date S ` At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . ......................... . eomplete plans, 3/4 sets, signed by preparer of plans. . ngineered plans and calcs, 3/4 sets, with wet signature on plans. azardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 4�{ 8. Engineered truss details and layout in duplicate (required prior to plan check). .... . Mobilehome at and a acturer s installation instructions, 2 sets. ........... ' Fees of $ . .........................................7 t' 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)... .. . Fre-Inspection requeT- . 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. f 22. Certificate of Workmans Compensation Insurance . ..........................� 23. Owner -Builder Verification (Given to owner , Mail to owner ). ........:.. 24. Recorded copy of Agricultural Acknowledgement Statement. 4 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. ................................ 9 �,Zs follows: Mail to owner. Mail to contractor. and hold for pickup at alf— a7 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 1. Index permit for above items No. _ 2. Additional items required: nce: (Circle new item not checked above). ` ont ctor esigner, owner, was advised of above required data by phone _ mail Counter byCj � Date ,G - Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by a(Bfia,./'s Date <5 5- ?-Sets of plans on hold in File cabinet _> AP folder Copy - Dea�artment of Public Works RECORDING REQUESTED BY: 95-022292 95-022292 [96-022-292� - '� �" GG89 G I t Re Fee ' `�-; .�00 • I, Totals . `O0 AND WHEN RECORDED MAIL TO: t Recorded " ' I ;^t Official. Records .1 NAME BUILDING DIVISION County' .of - I > 7 COUNTY CENTER DRIVE Butte STREET OROVILLE CA 95965 Candace J. r Grubbs 1 ADDRESS Recorder, CITY 11 :95am 6=Jul-95.� I CONS XX 2 STATE s and 21P • • SPACE ABOVE THIS UNE FOR RECORDER USE ONLY. NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, � INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordonce.with Calif ornid -Health and Safety Code Section 18551. This document is evidence that such'locol agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of.the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. - NORMAN L. AND PATRICIA L. WOOD • BUTTE COUNTY BUILDING DIVISION and CERTIFICATE OF OCCUPANCY REAL PROPERTY OWNER/LESSOR 173 MELODY LANE' MAILING ADDRESS OROVILLE, BUTTE, .CA •95966 CITY COUNTY STATE' ` ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME• - DEALER NAME (If not a dealer sale, write '•NONE'l UNIT OWNER (If Clio property owner, write "SAME' — , DEALER LICENSE NO. MAILING ADDRESS r CITY COUNTY STATE ZIP , UNIT DESCRIPTION CHIEF -INDUSTRIES 1978 BONNAVILLA MANUFACTURER'S NAME DATE OF MANUFACTURE ° MODEL NAME/NUMBER , 87A7568 66'X14' NEB005568 SERIAL NUMBER(S) tLENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. A#027-36-0-093 SEE ATTACHED LT, DESCRIPTION, LOCAL AGENCY ISSUING PERMIT MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE " ZIP 95-1388 (916) 538 -7541 - BUILDING PERMIT, NO. TELEPHONE NUMBER 7/5/95 SIGNATURE OF LOCAL AGE OFFICIAL DATE NONE �NENT OFH0, .1F • W I TY HCD FORM 433(A) Rev. 8/91 WHITE—County Recorder CANARY—HCD PINK—Applicant 1P GOi_DENROO—Building Dept. LEGAL DESCRIPTION A.P. #027-36-0-093 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: The Northeast quarter of the Northeast quarter of the Northwest quarter of Section 33, Township 18 North, Range 4 East, M.D.B. & M. PARCEL H: A right of way for road and public utility purposes over a strip of land 60 feet in width, shown as Melody Lane, lying 30 feet Southerly of, and adjacent to, and 30 feet Northerly of, and adjacent to, the Southerly boundary line of the North half_ of the. North half of Section 33, Township 18 North, Range 4 East, M.D.B. & M. EXCEPTING THEREFROM all that portion lying within the above described Parcel I. STATEMENT OF FACTS This statement is to confirm that license decal #LAL9891- for the below described mobilehome has been lost and is not available. Manufacturer: Chief Industries Tradename: Bonnavilla YEAR: 1978 HUD #: NEB005568 SERIAL #: 87A7568 (do, PATRICIA L. WOOD 7/5/95 r • r thrtut Nit �� lKr.rw N•r ]-91829 ` 1 1..411 N.., WIICN 111COHOW MAIL TU' Mr. A Mrs. Norman Wood 171 Mutody Lane Orovillu, Ca. 95966 N't I O811T�E �0UN1Y OFFI IA; RECOR S HT MIU VALLEY TITLt: (;U.; 601 JUl { 4 PM 3 So CAUDACE J. GAWSS tx A-RUORO(a 141,....7' ;0ATfCW fl ' 4kr( WILIM BSTTENCOURT ! twlor*+>to •Nvnlf* • feel in!"ub+tM.retw Wd-0s,«r• PAT ROOC RS, who acqutc I 610-^" ` 1` - ;; I.1 i t, ina_�ifienI(�C r -. - _CBNTVRY at/.. RODGER VALT1t C1L t . t , : � ; ,,: >M**4+vr!► bsewn b �+! (d AIc.*1 h " M tow bo1+1 of f.lMr+t►y / *"vol lob* IsslionaJ+'Y slgblo its"Wto Wets w0*trOsd b 1♦y , t`sf ypiso row 1dv+eMt62rr} b �w /tr*t +a! r /� 1tVAfyy .. FcWM MMM. �G•Olnm/.r c 1771). f'' wnArt ear.y1-4end oft* (,s@4, (�11�,j! tet Wits1 tell for Oq�W M4.0 - •! 11lr`H:,. 1' �K V i1 TAX' SfA1EMkNTS AS WhE tO2 Wa21 Y CTED AoOVE .+ 20-A 5TH •ON� SS 0T Sh, ZZ' u'nr�,� _* �� .,• rr M:1 wyryV1 lura IINI tool Ir/nughl NY VII\ MAIC TAX AIATEMfN1S TU: 000AFMAAY TiWiiEA TNI i _ ... �..�.Q,».« _��,.• •,"9"W w NI vie 14iMrdw*lk" tow low* *I Iboovl..on11.*e,'eA 841116-418 above_...tlIrl««In,..«,rle«.,�r.M..,wc«I,r•M«.�wTo.«,e« ��1{ Iw�arrrrw�N MT* b .. ^ , •. • A.P. NO. 27-22-93 1M.../w•rll Iw♦riu Mwlfwarnlnlw/11. rlrrd Nvn*•�• mon VALLE' 'TITLP FSCROW COMPANY GRANT DEED • . �'�ovfo FOR A VALUAb6tE CONSIOEnAT1UN, I /wapl of whllh 1. h*totly a:InnwLllybd, Poo" W1U4A II DETTENCOURT and PAT RODGERS, who aClulrod title an Century 21, goegere Realty jh«*bv GRANT15) to ' NORMAN L. WOOD and PATRICIA L. WOOD, husband and alto a• joint tenants. , �• *, tta "Ai th* W41 unincorporated area Countv of Butte . StA1* of C41110rnl., dlkAW #1 ± SEE ATTACLIED LCOAL DESCRIPTION r rllgl(Ot' CAL+sO11Nlr1 ! +- COyNlyvl' ttQ DtlDkI oil. July l4, 1 + below* M*, 04 Yr1d,f 11QMQ . NOl*Iy woe M tow to . f * fer,aN+vo**1*a • * * PAT RODCERS at't*`w---- • r� 7• ' 4------------------------ ------Y ----• ---- ----- �Y�--��—•.--------- ------------- y �` -----• •---—AY1-r----------•-..--«.. — -— Y--��-A----r—w--•� •-Y-1r1--w---------_•-- .«I+ew*+lr►�e.1.lerw.l�viv�/Nd%f�+//4t1'/1f11/� ..-�....-- r•s•rs•r•rr..�aooa•rMrooltli 4E16.ClvGl�rlleaa.a«.o��t..�«.,,..,,u�l�.,y/..,o , 1' ,. *"+o.rto'the *IMM M/1Wrr*rl1 And«Ar ,- A'40ELA C 111ASTELgTYQ e . ,' , 'tr��fMt+dilttd ltl***AI�.y� 1 t'+�fAAV� ,Ir,�'.��� • 1MITNESlrnyR*M*�ON+tN1s.A w I+reo�.+'srs,t:�r10*p►7,tf{'0 1 ..•. logo � � 1 ��':�" 1tR4 *Hof*. t111•(Itl MINYI ***4 •, . ;0ATfCW fl ' 4kr( WILIM BSTTENCOURT ! twlor*+>to •Nvnlf* • feel in!"ub+tM.retw Wd-0s,«r• PAT ROOC RS, who acqutc I 610-^" ` 1` - ;; I.1 i t, ina_�ifienI(�C r -. - _CBNTVRY at/.. RODGER VALT1t C1L t . t , : � ; ,,: >M**4+vr!► bsewn b �+! (d AIc.*1 h " M tow bo1+1 of f.lMr+t►y / *"vol lob* IsslionaJ+'Y slgblo its"Wto Wets w0*trOsd b 1♦y , t`sf ypiso row 1dv+eMt62rr} b �w /tr*t +a! r /� 1tVAfyy .. FcWM MMM. �G•Olnm/.r c 1771). f'' wnArt ear.y1-4end oft* (,s@4, (�11�,j! tet Wits1 tell for Oq�W M4.0 - •! 11lr`H:,. 1' �K V i1 TAX' SfA1EMkNTS AS WhE tO2 Wa21 Y CTED AoOVE .+ 20-A 5TH •ON� SS 0T Sh, ZZ' u'nr�,� _* �� .,• 1/ U/ U/ 1/- 1 U 87-15513 DESCRIPTION:. All that certain real property situate in the County of Butte, State Of California, described as follows. 'PARCEL I: The Northeast quarter of the Northeast quarter of the Northwest quarter of Section 33, Township 18 North, Range 4 East, M.D.B. & M. PARCEL II: A right of way for road and public utility purposes over a strip of land 60 feet in width, shown as Melody Lane, lying 30 feet Southerly of, and adjacent to, and 30 feet Northerly of, and adjacent to, the Southerly boundary line of the North half of the North half of Section 33, Township 18 North, Range 4 East, M.D.B. & M. EXCEPTING THEREFROM all that portion lying within the above described Parcel I. t estylt&/ SPATE ,OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT TITLE SEARCH - REQUESTED ON 04-28-95 AT 12:38 BY CD217-- DECAL: LAL9691 MANUF: CHIEF IND TRADENAM: BONNAVILLA MODEL: UNKNOWN MANUFACTURED ON: 00-00-78 VIRST SOLD ON: 00-00-78 RATING YR: NONE ORIGINAL PRICE CLASS: ADB REG EXPIRATION DATE: NONE. ILT EXEMPTION: NONE USE: MH SNGLE FAMILY TAX TYPE: 40 CAL PROPERTY SERIAL NUMBER(S) LABEL/INSIGNIA NUMBE:R(S)''LENGTH WIDTH 87A7568 NEBOOSS68 804 168 RECORD COND: 35 UNIT TRANSFERRED TO LPT UPON VOLUNTARY REQUEST 47 NO PARK PURCHASE FUND EXEMPTION ESTABLISHED REGISTERED OWNER: WOOD NORMAN L/ LAST REG CARD; 02-29-88 PATRICIA L TENCOM OR 173 MELDOY LN OROVILLS CA 95966 LOCATION ADDRESS: 173 MELDOY LN OROVILLE CA 95966 BUTTE COUNTY LEGAL OWNER: GREENTREE ACPT.INC LAST TITLE: 02-29-88 PO BX 255524 SACRAMENTO CA 95865 LIEN PERFECTED ON: 01-20-88 AT: 16:50:0( 66"6" END Oe TITLE SEARCH **"*& RECEIVED MAY 1 1995 MIP VALLEY TITLE AND ESCROW CO. ► d0 yap 9 1 7 11 vi lk STATE OF CAE.IFORNiA-DERARTI~r1ENT0rHOUSING AND COMMUNITY pEVELOIENT A!-I•T1.w IA ITB Jnr -;r-*r a unser rllMMfI` " • OtCll MO "�� nee% :. r •_ F U Eh NAME/10 - iAAUE NAME +, _ ODEI DOM OOT OFS I EXPIRATION I1F IND/ SONNAVILLA 00/00/78 D 00/00178 NEW QRQXSTERZD OWNER, FILL IN ITEMS 4 O MM , } SERIAL GHIA NUMBER AND Y sy �5 EXEMPTcc - yPI I 87A7568 NE800556@ts 000000 0003004 000168 02IN /29/88 04 SFO LPI 2 3 0 M TOTAL 4 173 HE L DOY LN G;, ti ST 12P i t FEES 8 I 5 CITY star CNTY i PAID: 6 142.00 s. �''':+'• A GREENTREE ACPT INC 3• I o PO BX 255524 RELEASE OF DtALIP T D SACRAMENTO CA 95865 NEW QRQXSTERZD OWNER, FILL IN ITEMS 4 O MM , AND Y sy �5 _NAME PLEASE PRINT - R HOOD NORMAN L/ �'1 .!, s A ` e PATRICIA L TENCOM OR.x tURaQNT;NAILINO AODPESS 0 M I A 173 HE L DOY LN G;, ti ST 12P i t 8 I > CITY star CNTY i "; ,,,� OROVILIi E95966 - s. �''':+'• „s FUTURE MAZLINOla00RES3 , ,• ,��, "=Z 7.Al rD CEL14SE OF PEOISTCREO OWNER '" _?a• ti -�. LOCATION•. ADDRESS F , o 3 173 'HELDOY LH .� � ••I .f t r � N T' •• ' GIT / CNT s ST ZIP •f` ! u OROVILLE CA 95966',' ' F ' r { r.v* •�y ; PURCHASE PRICE DATE L CREENTREE ACPT INC, _�,, • , �•<•.� { r NEW pEOISTERCD OWNto SZGNATL'P! A PO 8X 255524 '. ; xMMa< NEW LEGAL OWNER, FILL IN ITEMS 10 • It M�• ti • L ! 10.A1 o SACRAKNTO CA 95865 - W DATE: 01/20/88 16:5�0•:00 �` ¢ t— -•- N •. , ^ t `,r CG. INC._ NAME PLEASE PRINT : ! i. A Y G q RELEASE OF FOAL OWNER 11._„• ,_„ -. -- . its. , xa ADDRESS RETENTION OF %lOAL OWNaR r' 12.._,.--. ='M _ L CITY CNTY 9T LtP r Cl M•r NEW IST JRa,LZCNHOIOtR. Pllt IN ITEMS 13 - 14 Mow t ASSIGNMENT OF LLOAL CWNER % .!? `T 13. J NAME - PLRAB! PRINT ' ADDRESS b ,r _- CITY CNTY 17 _ IIP L Mom NEW IND Jp. LTENMOLOES. FILL IN ITEMS 10 - 1Q www , F S + 16. _ NAME - PLEASE PRINT ^ }, a. 0 C ADORE9S L D r � �.. • R CITY CNTY ST ZIP 02=05540 „ r ' CI' •' 0.s THI'S CERTIFICATE OF TITLE MAY NG` IE; "4�r ALL LIENS RECORDED W%7H ME DiPAP,TMENT OF HOUSING AND COMMUNITY DE1 KT f AGAINST, THE DESCRIBED UNIT . THE CURRENT. TITLE STATUS OF THE UNIt_-HAA,-:BE CONFIRMED TIIROUGH THE DEPARIMENT. 0200209 , r'� ~ ` „ 1=Tn ,,T,C_i .0N bb T - S61 'c,�'un.L�., ta; T, ;.y,,-131__ ounleuBlg (e380) G31VNId gOP 34■Jd Pelle3 eapueg a@O •dwej . 34Od Pe11e0 egpueg oa13 dwej OFFICE COPY �— Address 34Jd Pe1193 GAS elod jee►od •dwej ( Meter By ELECTRIC Date —�-- �� V Meter By— y3L -3 L v OK, ' 0=Not OK ' ' = Not Read�yable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements-Setbacks=Easements 1. Zoning Requirements -Setbacks -Easements .2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3.. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) .•4. Wood Awn.; Posts-13eams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5.-Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap.: / /"L"ft. / P'Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -61 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date M981LEHOME INSTALLATION (Plans) OK except.#'s 1ning Requirements -Setbacks -Easements Card -131 Date Card -131 Date 2. F tings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date As; MH Test -Demand -Valve -Connector ctricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 0 ; MH Test -Fall -Flex Connector 1. Setbacks -Easements O'VMer; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability Vyater and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining "as and Electricity Tagged 9fzfcits; Insp.-Sketch' 4. Elec.; Receptacles and Lighting, Distances-GF1 0. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panel boards -Ins. to Main in Conduit Card -61 Date and -B1 Date Card -131 Date Card -81 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -61 Date Card-B1 Date Card -131 Date = OK ' o = Not OK - -Not Applicable RESIDENTIAL. (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -81 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -81 Date Card -B1 Date Card -81 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -B1 Date Card -131 Date Card -81 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -131 Date Card -61 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Card -81 Date Card -B1 Date Card -131 Date Card -61 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -81 Date Card -131 Date Card -131 Date Card -61 Date Card -131 Date Card -61 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE RM OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or -need additional explanation, please contact this office Immediately. Inspector \ C • ��_l aL%___ Date) b — 1 ` `y 9 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE "DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 /' PERMIT N0.%RRQ(n 12 7 ,'� Address or location of mobi lehome A / 17 ,P' () 4j )";:Z61 P Owner's name A) 0 Y WN -, I vi ( J) n;,, cl Owner's address Insignia or hud number /Uv h Manufacturer's name ` Serial numberp.l N. T17 A Year of manufacture � tl (Official Approving Installation) (Dat IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT'BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W J COUNTY OF BUTT.E — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California. 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT X X WgIeI 11"11U, ASS 5 OR PACE .1BE R Oma`] ZONI" BUILDING PERMiT OWNE Ivo r Ma TELEPHONE S -D �3 SQ. FT. OCC, BUILDING VALUATION OW R'S M%� AIL A DR SS %7 rovi qS CONT COR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST CTION LENDER UNKNOWN Total Valuation Is Filin Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ T OR ENGINEER ti MCARCHITECT LICENSE NO. Plan Checking Fee $ ,57 Energy Plan Checking Fee $ OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Qyl. v; / C+_ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeN Other - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 0.00 ea TYPE OF WORK rrv�y! New ❑ Addition ❑ Remodel ❑ Utilities ❑ In�`Fellation 1L11 Other ❑ Describe work: , U ! Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , A /2tsq ft New CONeTR.( ULTBI.OUTLET .50 ea NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20050t eALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (REST D Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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. X� _ �� lt/ `Date d -�� 7 Signature of Applicant — OwnerY 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 $ Energy Inspection Fee $ r TOTAL PERMIT FEE $ U Occup. CONST,TYPrJ JFI.2 TA;�J PD I ND ISSUE, This permit is ,hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECT OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/y� `- —31 Receipt No. WHITE-D.P.W., YELLOW -ASS E330R, PINK -INSPECTOR, GOLDENROD -APPLICANT `��y �'.. �+i�-tS�'7�.` r.y�1:�:Y.," t'=�y�y�.o. .�1`='ij r 4�a�✓/ vim "L!. r COUNTY OF BUTTE-„DEPA-RTMENT OF PUBLIC WORKS - BUILDING DIVISION E it "7 COUNTY CENTER DRIVE - OROVILLE-CAL7"fI(SFI�fIIYAH95965 -TELEPHONE: 916/538-7541 L/ �} } PERMIT APPLICATION DATA SHEET '�'•"'-`'”" ,�% �Q 0: / DA, Permit No. OWNER / Y c`l A. P. No. �T -F Proposed Building Use /'//y f �X S t e Building Inspector ll�Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: w DATE RECEIVED APPROVED -19<All items have be _n_siubmitted..'. — 2. Plot plans i •duplic /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcis, with wet signature i; plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid'' Stamp on Floor Plan. �7 Statement of In fo �an-Heated and AC Buildings. 'L\8. Fees of $ w . . . . . . . . S 9. Letter of signature authoriza�tin. //� . . . . . . . 0. Sanitation approval from ra !% (( leealltt Dept. +aTrai n9-aPP�aLSer�Al'lre.Parkln , 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) Y5. Improvements may be required. . . . . . . . . . . Mobilehome Installation Data. . . . . . . . . . . . ' Pre-Inspec. request to (Dote) 17. Pre -Inspection for__ _- _ Required. Building Inspector �18. -.Recorded copy of Agricultural Acknowledgment Statement. Y-97 ;o 19. Driveway Permit. — 0. PlotRlan'ap•prov I from cit 1 f1 tv o rc- r 22. — — -- W n you issue the p-rjit, p'oce s as follows: Mailtoowner, Mail to contractor- /� Telephone � v �� / and hold for pickup 0-6u)—office, Deliver w/inspector. Other r' S _ Applicant�� ,Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior t 1. Index permit for above items No. 2. Additional items required: mit issuance:-LCiAle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date— Contractor, designer, owner, was advised cP above required data by—phone —mai I—counter by date— Plans checked by v Date fl'lr4 /Plans approved by oL!/ Dates Sets of plans on hold in File cabinet -X--AP.folder Copy—DPW I TO Building Department FRoM: Environmental Health SUBJECT: Sanitation Clearance _1..-73 -- _..- h.... Owner Location Plan Approved for: Sewage Disposal Hold final for: Final clearance O.R. for: Clearance for bedroom mobile home. Other M NOTE * * * AP# Water Supply Water Supply Water Supply Sanitarian Date -- ---- ^row 1.3 Me 4 o d l line 5c g l P /o %tee r_ S�wn � o Utility coionsshall wi m %6o twel,� S inset of plans and specifications MUST be 4 ft. of t obilehome, either kept 0 -t" --job at all times and it is unlawful 1�o directly Ind or within the rear ma ffen' Y c ges or alterations'on same without j half eider) of the 1 written permission from the Department of Public I Works; Cou ty o$. Butte. mobilehcl e. ' 500 SQ. FT. MINIMUM FOR MOBILES .._____� seY ¢,,cSys c rr------_._ -- - ---�, /°owey/ a�e I ' iorope S*ed Wjol:4 P i�X d o Cow 0 >I /�o�Se /Ox Jc r, A setback of 5 ft. from the NOTE:—All Materials -& Workmanship Shall Be M Al Property lines and a setback Accordance with Recognized Good Practices and h of 50ft. from the road of a quality prescribed for the Specified use. in the centerline shall be clear of Uniform Building, Plumbing & Machanical Codas and f . structures or equipmentt $e National Electrical Code. for a 2 ft. eave overhang. i sum . 5 . . WILDING DEPARTMENI APPROVED of 215 06 , t7 a BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. -a\ MOBILEHOME INSTALLATION SHEET 1. Owner's Name: ✓VC) r, W7 2. Installer's Name: D I QM 3. Is the site currently under permit? Yes No A©D Amps (If yes, furnish permit r,umber ) OR 6. What is the mobilehome site service rating? ------------- Is the site an existing site? Yes ® No El What is the mobilehome site (If yes, furnish two plot plans.) ----- lC�I(r Amps 8. 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach 1-1 fields and clear of all setbacks and easements? Yes 0 No (If no, clarify 5. What is the mobilehome electrical rating? --------------- A©D Amps 6. What is the mobilehome site service rating? ------------- m -o Amps 7. What is the mobilehome site circuit breaker rating? ----- lC�I(r Amps 8. Is there any other electric load to be served by the V No mobilehome site service? -------------------------------- Yes (If yes, identify the load and size: (Load) (Amps) / 9. What is the mobilehome site gas pipe size? -------------- / (in.) LPG 10. What is the type of gas service? ------------------- Natural 11. What is the gas pipe length from meter or tank to the (ft.) mobilehome?--------------------------------------------- * 12. What is the mobilehome gas demand? ---------------------- (BTU) b`"`• �*(T-his information not required if pipe length less than 6 ft. on r ' i1; - . natu'ra<l gas or less than 50. ft. on LPG-.) ;• t 1; MOBILEHOME SUPPORT DATA �� If other, than single wide, Mobilehom�e Mfr. Q U� furnish Setup Model No. width/_V_(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 one)F? (11. SUPPORTS (check one)l Ill, Line 1 Piers: Wood -pressure treated or foundation grade. 2. Concrete block. 1:12. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Line 22 _ _ _ _ _ _ Main Beams Linc 2 — -- � Main Beards Size -Min- ------------ Spacing -Max. --------- Fr -ii Ends -Max. ------- Linc 2 Piers: Size -Mill .----------- Spacing -Max. --------- From Ends -Max .------- " Line 3 Size. -Min, ------------ Tag or Triple fine 4 , Line 1 Line 1 Openings: Other (specify) Size -Min. ------------------ "x Each Side of Openings With Width Over --------- = Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ x „ Spacing -Max.--------------- From Ends -Max .------------- '.'x "x "x "x 1 "x "x "x Ilk Location (From Front) _ 1. 1 _ _ I _ _ _ '_ - Line 4 PLera: Line 5 Piers: (Under Bearing Walls Only) Siz.•-Min------------- k „ Size -Min .------------------ x Spacing -Max.--------- , „ Spacing -Max .--------------- From Ends -Max.------- . „ From Ends -Max --------------- Size-Mi --------------- ------------- Size-Mir,,__..________ -- — -- „x ,.x location (From Front) - _ _ _ -. -• '�L'P1W A ti AGRICULTURAL AFFIDAVIT EMPLOYER/EMPLOYEE Please read the following carefully before signing: Section 24-21.2 Agriculture Employer/Employee (Applicab-le only in zones A-5,.A-l'O, A-20, A-40.and A-160) . An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be,.employed at least thirty- two (32) hours perweek for at least sixteen (16) weeks per year, or'that his primary source of annual income is, or is anticipated to be, derived from, .any of the following described occupations: (a) The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agricultural purposes, plowing, discing and fertilizing the soil; _(b) The sowing and planting of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural.commodity. As used. in this subdivision, "care" includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning, or tieing, fumigating, spraying and dusting; (d) The harvesting of any agricultural or horticultural commodity including, but.not limited to, picking, cutting, thrashing, mowing, knocking off, field chopping, bunching, baling, balling, field packing, and placing in field containers or in the ve- hicle in which the commodity will be hauled on the farm or to the place of first processing; (e) The.assembly and.storage of any agricultural or horticultural commodity including, but not limited to, loading, roadsiding, banking, stacking, binning and piling— (f) iling—(f) The raising,_feeding and management of livestock, fur -bearing animals, fish, frogs and other aquatic animals, and bees in - eluding, but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; (g) The operation, conservation, improvement or maintenance of such farm and its tools and equipment. . r. AGRICULTURAL AFFIDAVIT° EMPLOYEE Employee LJ D 0 D Phone Employee's Address (Present)17-3 1 ,_ Name 'of Owner �l e Y �Yl G. 11 , !1,� j2 0 Owner's Address Owner's Assessor's Parcel No. �_7 2 2- 9 3 Building/Environmental Health Permit Description and -Number q>ezkle cc,. Date Issued 1B Planning Department Approval: DateAk�NlroZone Dwelling 'on AP#_% I, �' 0 1 , do declare, subject to the penalty ,of perjury, that I am the employee of yVt �-v address (present) e on AP# 2 7:. Z 9 and that I will be employed under Section 24-21.2. for at least a to g thirty-two (32.) hours per week for at least sixteen (16) weeks -per year on Signed Dated AGRICULTURAL AFFIDAVIT EMPLOYER Employer 9 i Vk 0 -Aft - Phone QeA Employer's Address (Present) 1b. a -'K e-- 01-1 D V Name of Own er— Owner's Address .ems d Owner's Assessor's Parcel No. 9_J -Building/Environmental Health Permit Description and Number Date Issued By ,Planning Department Approval: Date Zone N7S Dwelling 'on A%i-- �� J Signed Dated Flo declare, subject to the penalty of perjury, that I am the employer of address (present) :,e. , d ..P— on'AP# J1 _D,;L,95, and that I will be. employer under Section 24-21..2 'C-.- for at least tog) thirty-two (32) hours per we.ek for at least sixteen (16) weeks per. year on. .A Signed Dated SEC 33 T l 8 N. R. 4 E. M. D. 8 a M ,23 //t l0.0('4 01?2 6010 0 X01 � � • ! Q 7.68 Ac n /a 25AA ! 0 I 767Ac � V 1 3 o O � r 7.66 Ac h N 20.4/ Ac 4 ' /49 JA O RS 69-2D 79-36 Z7- 23 �t 2. 664.4! i 1 /3 /S CC k a � 20.29 A c =► 210.27Ac `a6 r� 1 I � r 66335 663 32 14 20 �7 ' a< q 20.26At cV n n Assessor's Atop Mat Z?- 36 County of Bo>rl►e, Ca 662.79 ALL STRUCTUF ES AND EQUIP&IENT INCLUDING OVERHANGS SMALL BE CLEAR OF ALL EAST{ ,ri.,"t 5. A SET BACI, OF FT. FRO,'J. RE IeTDn AND FT. FRC�J TJJ- l't ' l? ���-i . L ti,-,.. Sb �T. F► C `: iifF BCaC Cy:+ i" l?l.iV� i !i t ,, a CLI=AR OF STeii; :TLOU AND, �t�UIPEAFfv`T EXCEPT FOR A 2 FT. EAVE OVERHANG. NOTE:—All Materials & Workmanship Shall be in Accordance with Recognized Good Practices and of a duality prescribed for the Specified use in the Uniform 8widing, Plumbing & Mechanical Codes and ►6e Electrical Code, , nis set of piarts and speciticc0ions MUST bt tept on the job at aH times and it is unlawful to make any changes or alterations on some wit houf written permission from the Department of PubP, Works. County of Butte. /2vG.0 0 00 esti 11919S D IDx!O C •yK�� Ro > I W` Pln e /o e Loi a*m of rA ctuft & "dOwnt shalt be as Ww mt A car of all ear+er*. le- e? C, 0� S-�u ►',�— BUTTE COUNTY ,G �.2o BUILINNG MPAM MBNI` `1 x'21 APPROVED q5 138 8 ( A--- t' I W` Pln e /o e Loi a*m of rA ctuft & "dOwnt shalt be as Ww mt A car of all ear+er*. le- e? C, 0� D it ►�r Xao � 9�� pit) � e J `� Ez t� D it ►�r Xao � 9�� pit) � e J `� Ez • • 2' r Zr NOTE: FOUNDATION PADS MAY BE ROTATED 36' i' -d 3d i -d 3i• 90 DEGREES PROVIDED THE REARE TWO PADS 3w kIN EACH DIRECTION I WR _ 4�4 it (° IL 14 VV _ t J a -�- L J E��� t t XISTING I i -ii q r COACH BEAMS EXISTING L J r L- J I MOBILE8' COACH I MAMs I I I t I H RIDGE SUPPOKII J Lr- SPACING MER & PAD_ S ( MOBI' Ei IOME I I I I MANUFACTURER I r-I.INSTALLATIONMAUAr -I I b LJ LJ I i {$ -Elo ^W � IEol I n - �- —I E( i 8r L JT L-14 I I I I I I 1 I r r _ I _ r G'MAX, L J L J FOR DOUBLE, TRIPLE OR MULTIPLE WIDE UNITS 00, 12'. OR 14' FOLLOW SAME PLACEMENT PATTERN M MODULES EACH 1 f OR MCOULES TYP ADDITIONAL MODULE LFS TYP 4i' OR LESS COACHES WILL REQUIRE 6 OR'TEWER GHF-7 UNITS ON MDS. THE SPACING WILL GOVERN TOTAL NUMBER REQUIRED FOUNDATION PLAN 3/1 ir - 1' -or TH- E�FOUN13ATION SYSTEU IS SAFE FOR INSTA JA71ON IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF 2.3' wn.i.ar r...rL,nr 1110r%rS TVD GENERAL NOTES: o INSTALLATION INSTRUCTIONS REFERENCE: CALIFORNIA CODE OF REGULATIONS, TITLE 25 AND U.&C. 1982 EDITION 1. MW CHASSIS BEAM ACCORDING TO SPACING TABLE PER THIS SHEET r 0 0 AND ROM DM -TING PM AND MDR. DESIGN LOADS: VERTICAL: ROOF LIVE LOAD - 30 PSF, FLOOR LIVE LOAD - 40 PSF 2. FOUNDATION FOR CHASSIS BEAM SUPPORTS SHALL BE LOCATE) AND _ LATERAL- WIND LOAD - to NPH EXP. 'C, SEISMIC ZONE 4 Q0 r - Lo Do SIZED FOR THE LOADS AS SHOWN W THE MOBILE HOME INSTALLATION D Q o0 1O cU= IINSTIRucTTorNs. THE DESIGN LOADS SHALL BE CONSISTENT WITH ROOF LIVE LOAD, WIND LOAD, AND SEISMIC ZONE AS ESTABLISHED FOR PERMANENT BUILDING WITHIN A SPECIFIC LDCAL I LEVEL THE SOIL AND PLACE PRE -CAST CONCRETE PAD BELOW NARKING AREA M Vj O 0 AS PER LAYOUT THIS SHEET. CARRY ALL FOOTINGS DOWN M FIRM, UNDISTURBED SOIL. FOOTINGS ARE OESIGNED 4. ASSEMBLE GHF-7 STAND TO ITS LOWEST SEETING, PLACE R ON CONCRETE PM AND ATTACH IT TO PAD WITH 3/4' DIAMETER BOLT. FOR 1000 PSF TOTAL LOAD SOIL PRESSURE AND SHALL BE COAVATIBLE . WITH LOCAL M .a_ SOIL CONDITIONS 5. RAISE TOP SECTION OF GHF7 STAND UNTIL IT TOUCHES BOTTOM OF CONCRETE: 3000 PSI AT 28 DAYS AS TESTED AND MANUFACTURED BY-STARLITE CHASSIS BEAM • THEN LOWER UNTIL ANGLE IRON HOLES ALIGN AND INSERT 3/B' DIAMETER BOLT ON ALL FOUR SIDES AND TIGHTEN FIRMLY. WEIGHT CONCRETE STRUCTURAL STEEL: SHALL CONFORM TO ASTM A36 Fy - 36 KSA MIN 6. RAISE UPPER LEVELING PLATE TO BOTTOM OF CHASSIS BEAM AND ATTACH AS PER DETAIL THIS SHEET. SEISMIC RETROFIT PLAN 3/1e' - 1'-0' EXISTING COACHES MAY BE RETROFITTED D TO RESIST SEISMIC FORCES BY INSTALLING EI NT GHF-7 UNITS PER SINGLE -WIDE COACH WITH PRE -CAST CONCRETE PADS PER THIS SHEET RIDGE SUPPORT PIER A PM FOUNDATION ELEVATION 3/a" - 1'—°r FABRICATE ACCORDING TO NSC SPECIFICATIONS. WELD ACCORDING TO AWS SPECIFICATION`�- ELECTRODES. 370 PLATES: ASTM A36 ANCHOR BOLTS: ASTM A307 BOLTS: SAE GR5 - ASTL A449 - ASTM A325 THE GHF-7 AND RIDGE BEAN SUPPORT ASSEMBLIES SHALL BE COATED WITH SHERMAN WILLIAMS E61 -RC2 ENAMEL OR APPROVED EQUAL AND SHALL BE LISTED AND . LABELED BY INDUSTRIAL TESTING INTERNATIONAL FOR THE FOLLOWING LOADS NA.IOR AXIS: 950 MAX MINOR AXIS: 600f MAX VERTICAL• 60001 MAX THIS FOUNDATION IS FOR PLACING MANUFACTURED HONES CONSTRUCTED" W(TH LONGITUDINAL OR CROSS JOISTS"""' "•'""""' •^" .&MfN A,• SAPUT CMT. %KnOO WA THIS FOUNDATION PLAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLYLEVEL SITE . r ► ■ 0 v c 0 / 1 WITH NO EXISTING SOIL PROBLEMS su no To ce"KnO4 Now ,........... b— PRECAST CONCRETE PADS SHALL BE PLACED ON LEVEL UNDISTURBED SOIL ""-" 'Ppb.6b sl" ..,.i c.r..i. •: 1 FOUNDATON FOR CHASSIS BEAM SUPPORTS SHAT BE LOCATED AND SIZED FOR THE �yr.r M gwwiy �/ Grab b..e.�r L _,• i 0.V f/ f`i. / LOAD AS SHOWN IN THE MOBILE HOME INSTALLATION INSTRUCTIONS www• COM AND 7TA►.MM 15.1 IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D•n) CAN OCCUR. MANUFACTURED HOME SHAT BE READJUSTED WHEN D.S. EXCEEDS 1/4% OR WHEN IT WILL ADVERSELY AFFECT SPA NO. THE USE OF THE MANUFACTURED HOME ti:. no. A .....+ Ezzir" 2 1 /2'x11 �.a W PLATE 6' L ATTACH M BOLTS 4 - 1/2' BOLTS GHF-7 MER 2 - 3/a'xt' DOLTS FIELD DRILL HOLES, ,OACH1 I BEAM 2`x2'x31� ANGiE 6 - LONG 4 - 1; 2' BOLTS GW -7 PER -� IMC COACH C BEAM 2 1/2'x1/4' PLATE 6' LONG ATTACH TO 1/2' JL BOLTS 4 - 1/2' BOLTS 5,8'Jc12 SPA GHF-7 SUPPORT PIL TYPICAL BEAM CONNECTIONS 3' - 1'-(' LOOP INSERT FOR 3/4'x1 1/2' M.B. 17 SQ IN OVERSIZE FOR CHIPPING AND OR CORNER BREAKACE Y9� 331 ^^ • ^' 1 J BEAM 2 318'x1' BOLTS FIELD DRILL HOLES 4 - 3/11' M.B. PER SUPPORT TYP PREC.ST CONCRETE PAD DAYTON SUPERIOR F-4.3 3/4"x1 318' ZINC COATED PLAIN FERRULE INSERT 6x6-W6.0xW2.0 WWF -� 5 PRECAST FOU N DATI 0 N PAD 3/,c 1- T � o 0 0 0 0 0 0 THIS WILL CERTIFY THAT THE SUBJECT MATTGUARD GHF-7 SPA NO 60 -IF IS CAPABLE OF WRHSTANDMG ALL RATED DESIGN LAMS, REGARDLESS OF THE PIVOTAL CONFIGURATION OF THE UNIT. THUS, EVEN AT A FULL 180' ROTATION BETWEEN THE HEAD AND THE BODY OF THE STAND, THE GHF-7 IS SAFE FOR ALL REIATED LOADS. THIS CERTIFICATION IS PREDICATED UPON THE PROPER INSTALLATION AND TIGHTENING OF THE UNIT. PATENT N0. DES. 343,491 ormwe II"I W Inin a - "' N H u M n40x �. V v • 0 F, W W w � N esa r n 2. am � ; u z o0 W 39 W W z i w t • N U z ix W F- r 0 iL N W z W U Z Z 0 cn w o L a re) 00 (D000 0 L`- Z Q0 r - Lo Do W D Q o0 1O cU= O C0_') M Vj O 0 _J M ++ O 0p M .a_ am 2/i/94 7D1E NOTED BUTTE COUNTY BUILDING DEPARTIIIENT APPROVED