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072-200-020
72-2 -2,,Q ON COTTErI Q I v SIS Hurlton Rd, 4 mi NE of Oro Fd'rbestow. Rd, Forbestown Permit#4163-79P,E(relocate util) exist site S ELE -//-7C1 /00/4' '0 GASCi-ll-7 -9 /_ p& COMPACTION TEST REQ Al #9 ` UPPORT S RUCTURE REQ . - A10- 72-20-20 Co_ntr: Tai's M -°bile & MOtor P mit #5142-79T-7 51 2-79 I Issued f / M�' _ 72-20-20 NEW OWNER . FRAI�TK GU E04 9274 Hurleton R For els town / Contr: Lincoln Village MH, Oro Permit#850-81MHI(existing site) Issued��� 72-20-20 Per,pit #14)93-81B(new ope -4-- - / deck/MH) . _ i r _ sp. 072-200-020 PERMIT#95-0636 GUDGEON, David & Tara #70 Hurleton Rd., Oroville � (� ' Cont: D &-D Mobile `4, ti� Ex MH on Perm Fnd 'I WN N O SEP 0 6 2016 BUTTE COUNT, GO U 421 �OHYLLIS L. MURDOCK, DIRECTOR RECEIVEO MARK A. LUNDBERG, M.D., M.P.H., HEALTH OFFICER , ' WWW.BUTTECOUNTY.NET/PUBLICHEALTH ENVIRONMENTAL HEALTH DIVISION PUBLIC HEALTH . HAZARDOUS MATERIALS AND EMISSIONS QUESTIONNAIRE (A BUILDING PERMIT CANNOT BE APPROVED WITHOUT THIS COMPLETED FORM) PROJECT ADDRESS Q� A.P.# �`1� '-�7"7C'—a,2--CGG FIRM NAME APPLICANTS ADDRESS V20 6CX _4'"} -2— of V CITY, STATE, 21P Ca/1 <' , ee/-� 9--/2-7 NATURE OF BUSINESS A 1-721c (if To d -t CONTACT PERSON rr 1__P_I ``ie, PHONE NUMBER TRAKIT NUMBER _fl � 1 �1, (for official use only) 1. Does your business or that of your tenants handle, store, or transport hazardous materials? NO (X) YES ( ) NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or N n Z physical or chemical characteristics, poses a significant present or potential hazard to human o N < health and safety or to the environment if released into the workplace or the environment. "HAZ-O 's rfi 0 O ARDOUS MATERIALS" include, but are not limited to: hazardous chemicals, hazardous waste,X — M Z paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material whichO D a handler or the administering agency has a reasonable basis for believing to be injurious to the < r —• i-11 health and safety of persons or harmful to the environment if released. 1:-- 0 u' Z ry 2. Do you or will your future tenants handle, store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at starj4ad cn D z temperature or pressure), of formulation containing hazardous materials? NO (X YES ( ) =" Do you or will your prospective tenants plan to hand;e hazardous chemicals classified as Regulated Substances Rove Y _► threshold quantities identified in California Code of Regulations, Title 19, Ch. 4.5, sec. 2770.5, Tables 1-3? If you answer YES to 1 or 2, contact Butte County Division of Environmental Health at (530) 538-7281 for a review of the project. 3. Is the business/facility/operation to be located within 1,000 feet of the outer boundary of a school or a school site? NO (�) YES ( ) r IF YES, name of school: 4. Does the business/facility/operation have the potential to emit any air pollutants: e.g. dust, soot, odors, fumes, vapors, or other volatile compounds? NO (}\) YES ( ) IF YES, contact the Butte County Air Quality Management district at (530), 891-2882 for permit requirements. � if Owner or Authorized Company Representative � Date /3-1 b (8ignat re) BCEHD BCAQMD ❑ ❑ The applicant has met or is meeting the applicable requirements of Section 25505, 25533 and 25534 of the Health and Safety code and the requirements for a permit from the Butte County Air Quality Management District. ❑ The DO NOT above regulations apply to this facility. BCEHD Signature Date q 1 BCAQMD Signature Date 1 l (00 WHITE = Building Dept YELLOW — Environmental Health PINK — BCAOMD GOLDENROD -Fire Dept 05/09 TEL- 530.538.7281 202 MIRA LOMA DRIVE FAx• 530.538.5339 OROVILLE, CA 95965 1 OUR MISSION IS TO PROTECT THE PUBLIC THROUGH PROMOTING INDIVIDUAL, COMMUNITY AND ENVIRONMENTAL HEALTH Aro WHEN RECORDED MAL TO - .COUNTY OF BUTTE NorE BUILDING DIVISION DEVELOPMENT SERVICES DEPT STMIN #7 COUNTY CENTER DRIVE OROVILLE CA 95965-3397 QR, STATE, mod ZF 95-0111395'1 1 Recorded I Official Records I County of I Butte 1 Candace J. Grubbs I Recorder I 2:12pm 12 -Apr -95 I .95'-11895 Rec Fee .00 Total .00 COMS XX 2 THIS LK FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM . . Recording of this document al the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real properly 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 per- sons thereafter dealing with the real property. nervi rT R Tn REAL PROPERTY OWNER/LESSOR 70 Hurleton Road MAILING ADDRESS Oroville, CA., 95966 CITY COUNTY STATE ZIP Same INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP Same UNIT OWNER (If also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION Butte County Building Division LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 County Center Dr. MAILING ADDRESS Oroville, Butte, CA 95965 CITY COUNTY STATE ZIP 95-0636 O L 0 538-7541 BUILDING PELMIJ NO. TELEPHONE NUMBER 4/12/95 SIGNATURE OF l CY OFFICIAL DATE DEALER NAME (If not a dealer sale, write "NONE") DEALER LICENSE NO. Fuqua 1981 Tiburon MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 8493A & 8493B 24 Y 60 CA-Lg90903/CAL290902 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBERS) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER r`� 7 2 — 2 0 Q=O 2 O) i HCD FORM 433(A) 4/86 4ENT Of &0 0 1 C! y� Oy~`NITr OE�� AI 11. VJ v lIM, :l) 1 L 4, P 002 """ F:Mr) OE' TITLE SFARCH ••*A,% STATE OF CALIFORNIA DrVARTME'RT OF ITOUSINC AND COMMUNITY DEVEI.OP.KEN•i 7'79'1.1: SEARCH - RFQLTE57-F:1.) ON 02-14-95 AT 17:06 By CDRED02 1lFCAL: r.AR6073 MANUP. FUQUA T12AbENAM: TIfiURON MODEL: UNKNOWN MANUFACTURED ON: 00.00-13! FpST SOLD ON; 00-00-61 I,'ATINC YRI NONE ORICINAL PRICE: CLASS, AXH RFC EXJ'i.kATION DATE.- NONE ) ).T CXE;MPTTON: NONE USE: MN SNr3LE FAMILY TAR 'II'YPEs LOCAL PRQVERTY bar?RIAL NI)MI)ER( S) 9.iA (..ABEL/INSIONJA NUMBER(S) LENGTH WIDTH . P443H CAL210902 720 1TH CAL210903 720 144 Jr t:�.;rlkn CONI 1 45 PVF r.XEMF'T--MUST REAPPLY FOR STATUS IF R/U CHANGE PE:C7 RTruL) OWNER: GUr)t:EUN DAVID W/TARA J LAST REG CARDi 07-02,92 JTRS 9 2. 74 HURLETON RD OR(jV7 r.r.E CA 95966 LOCATION ADDPL;;S: 9274 HURr-ETON N11 OROVILLE CA 95966 BUTTE COUNTY LEGAL OWNER: RAY JOHN57'ON LAST 07-02-92 C/U BUTTE M'rG LN Co 2120 LINCOLN DL OROVILLE CA 95966 LIEN PERFEC'VED ON: 06-10•-92 ATt 09:01:00 75'1' JUNioR LIEN: PRANKL.IN F: GUUGFON/ REG CARD% 07-02-92 RITA M GUDULON JTRS 270 CANYON 11I011LANDS DR OROVILLE; rA 95966 LIFN' PLRFFC'1'ED ON: 06-10-92 AT; 06,01:Ol """ F:Mr) OE' TITLE SFARCH ••*A,% 'I 61 PERMIT, NO. 4163-79P,E F PERMIT EXPIRES OWNER DON COTTEN 'CONTR. owner LOCATION (A.P. 72-20-20 S/S Hurlton Rd, 4 mi NE of i Oro Forbestown Rd • fF 1 mp. Power Pole Called PG&E emp. Elec. Sery AE-VKS- Called PG&E Temp. Gas Serv. Called PG&E JOB ®' FINALED (Dat Q (Signature) (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping For Parapets 1st Floor Main dg. Restroom Finish 2nd Floor Footin Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers N., Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage VentsWater Insulation Htr. Heaters Slab Carport Footings Prov.hand f ehysically Cance of ex. uctrm Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Fo Ing ELECTRICAL Masonry Walls Throa Rough Reinf. Steel Final Fixtures Bond Beam NFIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh ME NICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Vlath Ventilation Permanent Door oser Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service /Ce> A LL1C(./ Elec. Pedestal Ct* Water Piping Sewer�,Q Gas Piping 9 `�_�s ��`l.�t/�' (,ij f MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping — 7 5, Drainage Gas Piping DATE 7 s ' - %� O2 0 REMARKS OR CORRECTIONS75 /00 A 30 T-0 5 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the relluirement.s of the California Administrative Code, Title 25, C�apter 5 , un er permit number. -5/G D - 2 9 for the following location: kf�� 7q Owner Owner'sAddress 9-27V Mobilehome Mf k4f" P/� 0 Model /00 Yea2— Insignia No!M L 1 (-/7 73 -.7 Serial No-.-r'-qY3,�7, It is hereby certified for occupancy at the above described location and may be occupied. Director ofyublic Works' 51, Date B r YA— THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 9. Electrical ' . A. Is service large enough to provide adequate amperage -to mobilehome (must equal �rating of mobilehome with a minimum of 1O9,A�ffip) iri&'other.facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes o- t B. Is there proper clearances around panels? Yes �_ o C. Is power supply cord or feeder assembly properly fused? Yes G N D. Is continuity test satisfactory as per the following procedure? Yes De -energize electrical wiring system of the mobilehome at the pedestal. -2- Make sure that the power supply cord or feeder assembly conductors, including neutral conductor,'have been disconnected. 3. -Switch all breakers and switches in the mobilehome to the "on" position, Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 4 All non-current, carrying metal parts tf the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above.procedure, the power supply cord or feeder assembly i conductors shall be connected to the's�ite 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. h0. Ts'job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA /� Manufacturer and/or Namestyle 0-,074 /O� ± Length 6_ Width l �?-- Vehicle Serial No. State Identification No. C 4L. IV 97 3 % Additional Information or Comments: 1 MOBILEHOME .INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with quired separation from lot lines and buildings and generally conform to plot plan? Yes— o 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 pproved plans? (Note possible variation at spring shackles.) (Sec. 82 & 5083) Yes— No 4. Is the mobilehome level? (Sec. 5088) Yes, No 5. gAe-fhan a single unit, are crossover connections properly installed? (Sec. 5088) 6. Water A. Is flexib�c6nnector of adequate size and properly.installed (1/2" ID min.)? (Sec.. 5566) Yes"L-'No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No T t.f ackflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes— No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yess� B. Does it have minimum" per foot slope and is it properly supported? Yes C. Are any leaks detected in drainage system after running 3- Ions of water through each fixture including washing machine standpipe? Yes— No coach is not State of California approved, does station have required trap and vent? Yes— No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobilehome has line inlet without reductions other.than the mobilehome connector. Yes t®iVo B. Test OK as per following procedure? Yes— — 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. / C. Are all appliance vents properly installed? Yes —� d ) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS .> 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 for inspecti urposes. / X Date ignature of Permitee or Agent Receipt No. �?,Ry Ye White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butt County Code and/or resolutions to do work indicated abov or hich fees ha been paid. DI wrJ11 F PUB A WORKS/��A I BYIA -rrDate �v < Building permit expires Date �� O� I BUILDING Owner D00 COTT-tW SQ. FT. OCC. BUILDING VAL ATION Mailing Address Telephone No. — Contractor D m S Y%10g ILZ- v mmp_ Mailing Address L) AI�N Fireplace Total Valuation Q -0o/ LUE 09 eggg �5,7h�� Permit Fee Building Address SIS Q A) R dam° lifer Plan Checking Fee&/or Penalty Permit Fee O F 0 40 6QQ&'5jdo/ 09 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 / Repair drainage or vent piping 1.50 A. P. No. —7Z ZQ�ZOft— Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F�des I C. FireDept. Fire Zone 1 Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Pans Parcel Declaration Parcel M p 60' R/W Improvem nts Each additional outlet .30 Building sewer 5.00 Bld . Plans Rec'd Parc A roval Pla s Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER JJT Permit Fee $ MHT FcvP- EP4 1416-1—_79 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR L Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Dal Others ❑ Main service EA. ADD'L loo AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST * / OR ADDNS. ACCLBLDGS.LING CCUP. S) 2¢Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: _ NEW CONSTR. MBULTI.OUTL T NON-RESID ( RANCH CIRCUITS) 2.50ea t NEW CONSTR. POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIiRES B L@; Ex. Occup. ( OUTLETS P(RESID )FIXED ALNS.KEA) 2.00 Temporary service 10.00 / Mobile Home Facilities 15.00 116 License o.,3 217 P -'2 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. r -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the aboveI information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby ate- �"^='eFPa $ (x TOTAL PERMIT FEE $ OC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspecti urposes. / X Date ignature of Permitee or Agent Receipt No. �?,Ry Ye White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butt County Code and/or resolutions to do work indicated abov or hich fees ha been paid. DI wrJ11 F PUB A WORKS/��A I BYIA -rrDate �v < Building permit expires Date �� O� I i MOBILEHOME SUPPORT DATA. If othE,r than single wide, Mobilehome Mfr.0 H A M P ION HOME s u I L D E R S furnish Setup Model No. Year 1979 Width -1.2 (ft.) Box Length- 52 (ft:) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) 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). All center.supports measured from front of mobilehome unless otherwise specified. , Footings (check one) (ft.)(in. in. in. 5' C", -- Max. Pier Spacing (ft.)(in.) Max. Overhang. (ft. (in.) (in.) (in.) q(t.) (in.) Bum COUNTY , BUILDING DEPARTMEM :APPROVE .D -If center piers are other than drawn above, draw in locations, spacing, and dimensions. 0 Single - 7 ® 1. Wood either Apressure treated or foundation grade. (ft.)(in:) (in.) '" El 2. Other (specify) Center support /n) Centerrtlocations* footins Supports (check one) (in 1: Concrete block. 2. Other (specify) (ft.).(in.) ( n. (in.) 4—.Tagalong or Expando, show support details. (ft.)(in.) (in.) in.) Typical Support (in.) (in.) Footing Size x (ft.)(in. in. in. 5' C", -- Max. Pier Spacing (ft.)(in.) Max. Overhang. (ft. (in.) (in.) (in.) q(t.) (in.) Bum COUNTY , BUILDING DEPARTMEM :APPROVE .D -If center piers are other than drawn above, draw in locations, spacing, and dimensions. 0 BUTTE COUNTY DEPARTMENT OF PUBLIC 'WORKS' 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name.. DON COTTEN 2. Installer's name: TOM'S MOBILE & MOTOR 3. .Is the site currently under permit? Yes AX / No (If yes, furnish permit number 4163-79P , E ) r Is the site an existing site? Yes /T No (If yes, furnish two (2)"plot plans.) OR 0 4. Will the mobilehome be located at -least 5 ft. away from septic tank and leach fields and clear of,all setbacks and easements? Yes /% No site service? --------------------------------------------------- (If yes, identify the load and size: VA T E R PUMP (Load) 9. What is the mobilehome site gas pipe size? ---------------------- y �j 10. r 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) Yes /X / No / / 25 (Amps) Y4 it (in.) What is the type of gas service? ----------------------------- Natural LPG /X / 12. :What.is the mobilehome gas demand? ------------------------------ (This information not re ''ed if pipe length less than 6 ft. on natural gas or less than 50 ft..on LPG r� 1 r i (BTU) (If no, clarify M' ) 5. What is the mob.ilehome electrical rating? ---------------------- 100 Amps /00 6. What is the mobilehome site service rating? --=------------------ Amps 7. What is the mobilehome site circuit breaker rating?,=------------ Y /0 D Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- (If yes, identify the load and size: VA T E R PUMP (Load) 9. What is the mobilehome site gas pipe size? ---------------------- y �j 10. r 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) Yes /X / No / / 25 (Amps) Y4 it (in.) What is the type of gas service? ----------------------------- Natural LPG /X / 12. :What.is the mobilehome gas demand? ------------------------------ (This information not re ''ed if pipe length less than 6 ft. on natural gas or less than 50 ft..on LPG r� 1 r i (BTU) H � e ., $ COUNTY OF'.BUTTE Department of Public Works 7 County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner DON COTTEN Location 9274 HURLETON ROAD Mobilehome Installation Permit No. FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width 12 x Box Length • '52t x 3 = '�_ 1$iZ 2. 2 Kitchen Appliance Circuits .......! .... = 3,000 3. 1 Laundry Circuit ............ = 1,500 4. Ovens ....... ................ ....... .......... = N O NE 5. Cook Stove Top = NONE 6. Hot Water Heater ................ ... .. = NONE - 7. ONE - 7. Dishwasher & Disposal ........................ = N o NE 8. Clothes Dryer .................. . ! . i. .. = 6600'. 9. Other (specify, i.e., motors, exhaust fans, etc.) EXHAUST FAN .4 A. X"120,' _ 480 Sub=total - Watts ..... "U.1177213 OZO First 10,000 watts @ 100% .......... = 10,000 Remaining 1772 watts @ 40% ....................... = � 8 . 8— C 0.0 L' E R 10. Air CvRddtiaoDw, 617 watts @100%.. = (517 Largest Demand = Central Heat System "; , watts @ 65%.. = 690' ) TOTAL DEMAND WATTS REQUIRED ............. "Demand Watts Required" + 230 .... _ 'AMPS De -rate Mobilehome to AMPS Bum COUNn BUILDING DEPARTMENT APPROVED /7j COUNTY OF 16TE — DEPARTMENT OF PUBLIC WORKS 7 Co un enter Drive — Oroville, California 95965 Teleph9ne: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permi"tee oar Agent 90-1-1 a Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ,,���^DDI�IRECTOR OF PUBLIC WORKS By : YDate F %— % P Building permit expires Date C) BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address S Telephone No. Contractor Mailing Address Fireplace Total Valuation Tlephone No. e Permit Fee Building Address S Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 192o Ing & Planning Water piping 1.50 sof Each gas water heater or vent 1.50 F Sant Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1 1.50 ©.00 EQA Parking Plans 15arcelEach I Declaration I Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 � � Bldg. Plan�'d Parcel royal Plan Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES a OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , Main service 600V OR LESS 100 AMP OR LESS 5.00 t Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Q Is UKI Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. 4' OR ADDNS. % ACC. BLDGS. 22Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. MULTI.OUTL T NON-RESID ( BRANCH CIRCUITS) 2.50ea NEW CONST R. (POWER APPARATUS .&, NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES 5 L25 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00�� License No. Classification Misc. Wiring 6.25 ❑A m exempt from the Contractors License Laws of the State of California. Permit Fee $ 17ssv $ S S( MECHANICAL No. @ 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. �ycertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation a Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ Si authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permi"tee oar Agent 90-1-1 a Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ,,���^DDI�IRECTOR OF PUBLIC WORKS By : YDate F %— % P Building permit expires Date C) T r 'All utility connections shall _ located within 4 ft. outside the lar third section of the mobile' horrie on the left (road) side of the mobile ` home. t o 7.7 -.2o-tea ScG • *% % x c r0 Yo� :01 r b a i� Ar The f9• Setback shall be 5 ft. from the side property line and 50 ft. from the . aw{e.t-ne of the road, permitting a maxi- MWn of a 2 ft. eave overhang but entirely atrt of of easements. Septic system and location be as per Butte County Health Dept. Re. �wzoments. �— - NOTE. --All `Materials & Workmanship Sall Be in '— Accordance with Recognized God Noakes ices and i of a quality prescribed for the Specified use in the I Uniform Building,-P.lumbing-& Mech 3nicc I C des and the National Electrical Code. R ! •r 0 T This set of plans and specifications MUST he keo+ on the job at all times rynd it is unlawful to mcr'-e any changes or altr-r�lions on same without written permission from the Department of Public Works Cove^tv of Butte. 'It' �/�.�/.row-- �@.91�---""__._.---.<<__.._._..._• .Dry 3 -7 y BUTTE COUNTY BUILDING DEPARTMENT APPROVED COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY,CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the =ements of the California, Administrative Code, Title 25, Chapter 5, permit "' 3 ') number '—for the following location: Owner Owner's Address ;'a1VrZ 42—;'-0 Mobilehome Mfg. Model Year Insignia No. LA�o Z'.4 e7- a Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. A PERMIT NOr 850-81MHI existing- site - PERMIT EXPIRES 3/jq/82 OWNER FRANK C 1MGFnN CONTR. Lincoln Village Mobile Home ASSESSOR PARCEL _ 72-20-20 i LOCATION 9274 Hurleton Rd, Forbestown z Temp. Power Pole_ Called PG&E Temp. Elec. Service_ Called PG&E_ Temp. Gas Service _ Cal led PG&E/ JOB FINIALED (Date) Signature r I/ = OK O = Not OK = Not Applicable MOBILEHOMES = Not Ready 04 MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Conckete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4• Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBIL OME INSTALLATION (Plans) OK except q's Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's oning Requirements—Setbacks—Easements 1• Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability $,mss; MH Test—Demand—Valve—Connector 4_�Efectricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater as and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit zits; Insp.—Sketch 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date z /moo a,? x I 9 I 1 J = OK 0 = Not OK - = Not Applicable RESIDENTiAL (Single and = Not Ready ' .Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) Comments at Final: 1. Zoning requirements -Setbacks -Easements. 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access (NOTE: Anentry must be made each time you visit job site) 7. 8. Piers -Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. 11. Water Pipe; Test -Anchors -Regulator -Service Test Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection i 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑ Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. 76. 77, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes El No Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 28. 29. 30. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. 81. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Card B -I Date Card -BI Date Card B-1 Date Card -BI Date 82. 83. Glass Protection Corrections from Previous Inspections Date MECHANICAL (Permit) OK except N's 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. 34. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 86• Energy Compliance Certificate -Other Certificates 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shihng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) a,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 S� - APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 20?_ C2 Y-�� ZONING pa-11J4UILDING PER /_0-00 OWNER � Cur.)) .� �'c'-19 N TELEPHONE SQ. FT. O'CC. BUILDING VALUATION OWNER'S MAILING ADDRESS ONTRAr}I��Y�R S NAME �e TELEPHONE C LO�TRACTO(� Ric. IM INL�Lm ING ADDRESS OOOLP/lL^ ! 5—I=. L+ ' CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ��. LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS --- Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome Other SPECIFY Building sewer Lawn sprinkler system 1 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: 1\.STALL lnoa�LL=- — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 6001 OR LESS Main service 100 AMP OR LESS 5•00 Main service ADD'L 100 AMP 2.50 ((EA, NEW CONST. OR ADDNS. l DACCLBLDGLING OCCUP.&) 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Coe and y license is in full fo a an effect. /^f1�J [/, License No. 13 / Classification c[ ❑ 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 • NON.CONSRESIDTR BRANCH C.IRCTITS 2.50 ea NEw CONSTR. ( POWER APPARATUS &) NON RES,D. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@@ BAL�1os FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mise. Wiring 6.25 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 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County or 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 s said County in consequence of the granting of this permit. '-1- Date j� Ignature of pplicant — Owner ❑ Contractors Agent F-1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structure v rr 3stories in height. Mobile Home Installation Fee $ O_OO Land Development Fee $ TOTAL PERMIT FEE $ so t^a 0CCUP. GROUP I TYPE OF CONST. PARCEL PD I ND SSUE This permit is hereby issued under sions of the Butte County Code and/or workindicated above for which DIRE O OF PUBLIC By. PE IT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Dater��/�S%9��J -3 r'• •'� Receipt No. 6 — /D�� -01S-7C4 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT - L MOBILEHOME SUPPbRT DATA �N . If other than single wide, ^Q Model No. ra �ie$r !J Mobilehome Mfr. %"'�� CJ7. V� furnish Setup Width— �-?A t.) Box Length,(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) e On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's instillation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome.unless otherwise specified. _ _ NT eMoh� Footings (check one) nag� ❑i''�1. Wood either. • pressure treated or foundation grade. x (ft.)(in:) � Cin.) (� � ❑ 2. Other (specify) Center support locations* Center upport footing sizes Supports (check one) 1: Concrete block: x ❑ 2: Other (specify) (ft.)(in.) (in:) ( n•) E ---Tagalong or Expando,' • show support details. r'. U (in.) ( n•) Typical Support ( in.. ( in. Footing Size x (ft..) (in.) (in.) (in.) -- Max. Pier Spacing • (ft.)(in.) x-- Max. Overhang (ft.) (in.) (in.) (in.)" (ft. )(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED *If center piers areother than drawn above, ____draw, in locations,,.;spacing, and dimensions: .r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. owner's name: 1-1641V x % u I) is 1V 2. Installer's name: A /U Q ( Iv V I (If no, clarify ) 5. What is the mobilehome electrical rating? -------------------- Amps .6. 'What is the mobilehome site service rating? --------------------- �� Amps 7.. What is the mobilehome site circuit breaker rating? ,------------- /% Amps 8. Is'there any other electric load to be served by the mobilehome siteservice? -------------------------------------------- ------- Yes _>' No (If/yes, identify the load and size: w h11 (Load) c2 d (Amps) 9. What is the mobilehome site gas pipe. size? ---------------------- d� (in.) 10. What is the type of gas service?----------------------------�- Natural -� ,LPG / 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ "- (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) 3. Is the'site currently under permit? Ye6 L No )k / (If yes, furnish permit number ) OR Is the site an existing site? Yes h<1 No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yeses/ No (If no, clarify ) 5. What is the mobilehome electrical rating? -------------------- Amps .6. 'What is the mobilehome site service rating? --------------------- �� Amps 7.. What is the mobilehome site circuit breaker rating? ,------------- /% Amps 8. Is'there any other electric load to be served by the mobilehome siteservice? -------------------------------------------- ------- Yes _>' No (If/yes, identify the load and size: w h11 (Load) c2 d (Amps) 9. What is the mobilehome site gas pipe. size? ---------------------- d� (in.) 10. What is the type of gas service?----------------------------�- Natural -� ,LPG / 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ "- (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) NV E!-4AII Materials & Workmanship Shall Qe in This set of plans and specifications MUST be Accordance with Recognized Good Prectiees and kept o*+ the iob at all times and it is unlawful to of a quariij, prescribed for the Specified use in the rrr'G- ~' changes or altere+ions on same without Uniforin Building, Plumbing & Moahaniew "#I ow wri#ten permission from the Department of Public the Nati, d Codi. Works, County of Butte. Utility connect%arts shah be wlth� 4 ft. of the m0bilehome, either directly behind gr withip thq re4q ' half of thq raada fdg (left) of 0w I r�wbtlef��t�a, c �N1di f� PO4 Olne•,wt be Ii des W equip" 2 f% eave av�,K ?A YF, MND/ g�D-g BUTTE COUNTY BUILDING DEPARTMENT APPROVED w;� 1493-81B PERMIT NO. , PERMIT EXPIRES— Frank XPIRES Frank Gudgeon OWNER CONTR. owner 72-20-20 ASSESSOR PARCEL 9274 Hurleton Rd., Oroville LOCATION r 3F r 1 i� i 1 3 7 L t, r a Temp. Power Pole i Called PG&E / i n Temp. Elec. Service Called PG&E— Temp. G&E_Temp. Gas Service Cal led PG&, JOB EINACEI I Signature V = OK - 0 = Not OK =Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's o ing Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG d Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures --F—Carports; Windows—Doers 7. Utility Clearance 7. Elec. � 6cr- Card-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date `Card -f3 Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Card B -I Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date = OK = Not OK Not Read cable = RESIDENTIAL,,(Single and Duplex) Ready Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes o 73. Guard Rails Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ED No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77. Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except k's 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI -.----Date �- _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date _ FRAMING(Plans) 36, 37. 38. OK except N's Sills; Proper Material & Anchors _ _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub _40. 41. 42. 43. 44. Header_& Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Slop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) r a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT V,A .II AIII, Utz ASSESS OR—AJEL NUMB ZC;, `MG Z. BUILDING PERMIT OW $— ITELEPHONE SQ. FT. BUILDING VALUATION rpO'CC. OWN R'S AILING ADDR 55 -S,- CONTRACTOR'S NAME1w r\ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 4p,0'D ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ ,00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee ^� $ �r W BUILDING ADDR SSJ Vr-Nr`•!j PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex F1 Mobilehome� Other SPECIFY Building sewer Lawn sprinkler system 5.00 �,/ TYPE OF WORK New ❑ Addition LSI Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Pc Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 001 OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. ( DWELLING OCCUP.M\ OR ADDNS. ACC, BLDGS. / 20 Sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR(MULTI-OUTLET 2.50ea NO N.RESID BRANCH CIRCUITS NEW CONSTR (POWER APPARATUS &I NON-RESID. (SINGLE OUTLET CIR. 50 @ zsa Ex. Occup OUTLETS DR FIXTURES BAL@t IXED APPLNS. OR Ex. OCcup.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. abillit es, j dgments, costs, nandeexpen exess the penses which mayin any way of Butte against all lo agree to iabilities, accrue a ' t aid County in o equence of the granting of this permi . Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavatio over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0, b aqCC r �ouP Tr' =F c�o�T. v At PARCEL 171 ISSOE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ Date t�iL� _10-157� R��—L� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Nj cc) 9 RESIDENTIAL 072-'200-020 PERMIT#95-0636 GUDGEON, David & Tara #70 Hurleton Rd.,�Oroville Cont: D & D Mobile I. Ex MH on Perm Fnd - - - --- - ---- - — --- THE HCD FORM 433A FOR THIS MH CANNOT B RECORDED UNTIL ONE OF THE FOLLOWING HA BEEN TURNED IN TO THE BUILDING DIV: (' LICENSE PLATE(S) 2) LICENSE DECAL OR (3) STATEMENT OF FACTS R2" C.. 1 JOB FINALED 10ato W�� �v Signature V= OK O=Not OK NNotot Applicable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ P'L"ft./ /"LPG.. 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s ,. Zoning Requirements -Setbacks Easements Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -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 a MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, OARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftre.-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 -Mash 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/initials POOLS (Plans) OK except #'s 1. Setbacks -Easements ? 2. Soils; Compaction -Structure Stability I 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. Sr Boxes-Enclosures-Panelboards-Ina. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable RESIDENTIAL.( = Not Ready 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 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/0 -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 -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Neil 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 -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 Date/Initials 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 Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Puri ln=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 -Callings 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 -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 & 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. Fib., 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-Dreinage & 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 DEVELOPMENT SERVICES -BUILDING DIVISION 7'County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-200-020 ZONI BUILDING PERMIT OWNER NNYX DAVID Q. TARA UDGEON TELEPHONE SO. FT. OCC. BUILDING VALUATION 1440 R 77760.00 OWNER'S MAILING ADDRESS #70 HURLETON RD OROVILLE CONTRACTOR'S NAME D 2: D MOBILE, HOME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee 540.5/2 $ 270.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS '70 HURLETON RD PERMITFEE $ 313.25 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome INX Other SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otheryo Describe Work: PERIIN1 FOUNDATION UNDER EX IMH Mobile Home I S I GI W 1 920.00 PERMITFEE $ 65.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C 1-17 Lic. No. 4-/ / / s� 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. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS / @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00 �L 9O FIXED ( ) EA ) Ex. Occup. (OUTLETSRESO. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 • ` PERMITFEE $ Q nn Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' cc mpensation insyrance "'Wier and policy number are: Carrier _2 r- v-v�j( MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number / (D 5 / 7 1/0 — S' V (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 shallTOTAL 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 fo with comply with those provisions. X _VJV&Date L�� _ Signature of Applicant - ❑ Owner ZContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE FEE $ 421.25 . . HA2DFEES IMP FLO CDf PARCEL PD SU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESONT.D.S.-B.D. applicable provisions Resolutions to do work been paid. Date. �� Ov.) FReceipto. 175824 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE -, DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE -OROVILLE,&-ALI0ORNIA95965, TELEPHONE(916)538-7541 PERMIT APPLICATION DATA SHEET OWNER rUdc 0 A. P. No %a- TUU - 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. wAll items, hqXe,.been submitted . ........................................ 2. Plot plans,W sets, signed-by.preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans. ....................... 4. Engineered plans and calcs,3/ sets, with wet signature on plans. . 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data andmanufacturer's installation instructions, 2 sets. . 10. Fees of $ 4a 1..2 .......................................... 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). .... . Pre-Inspectio.n request 20. Pre -inspection for required. .. to Building inspector / (Date) 21. Contractor's license information. (No., Name Style, Classification). ... .......... 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner=Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. ....... ............................ 32. Plan check list . ....................... .... ....................... 9S� 33. 34. a When you issue the permit, process as follows: Mail to owner. Mail to contractor. ,, !l Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Coupler by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail C nter by _ Date Plans checked by Date Plans approved by Date 1 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 40 AND WHEN RECORDED UK TO: COUNTY OF BUTTE BUILDING DIVISION DEVELOPMENT SERVICES DEPT #7 COUNTY CENTER DRIVE OROVILLE CA 95965-3397 cr". 37ME :1111 a 95-0118951' Rec Fee .00 I Total .00 Recorded I Official Records I County of 1 Butte I Candace J. Grubbs I Recorder I 2:12pin 12 -Apr -95 I COMS XX 2 SPACE USE ONLY NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at floe request of the locoi agency indicated is in accordance with California HeaMh and Safety Code Section 18351. This document is evidence that such local agency has issued a certificate of occupancy for installation of the iini t described hereon, upon the real property described with certainly 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 per- sons thereafter dealing with the real property. nay;A X mai REAL PROPERTY OWNER/LESSOR 70 Hurleton Road MAILING ADDRESS Oroville, CA., 95966 Cliff C010M STATE ZIP Same INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP Same UNIT OWNER (If also property owner, write "SAME') MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION Butte County Building Division LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 County Center Dr. MAILING ADDRESS Oroville, Butte,*CA 95965 CITY COUNTY STATE ZIP 95-0636 (91_6)538-7541 BUILDING PERMFK NO. TELEPHONE NUMBER G6� /rw(.1l�"-yC' 4/12/95 4 SIGNATURE OF LOCALACENCY OFFICIAL DATE DEALER NAME (If not a dealer sale, write "NONE") DEALER LICENSE NO. Fuqua 1981 Tiburon MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 8493A & 8493B 24r x 60 CA430903/CAL210902 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBERS) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 072-200-020 1 JENt Or hCG •� P • �•' HCD FORM 433(A) 4/86 a, • � o t �•r�• �, *41TT 0 All that certain realro p perry situate in the County of Butte, State of California. described as follows) A portion of the South half of -Section 17, To++n+hip 19 North. - Range 5 Cast, M.0.8. & M., more particularly described as followst • i. COMMENCING at a point on the East line of said Section 17, distant s thereon, South O' 24' west. 2503.2 feet from the Northeast corner of said Section 171 thence South 78. 22' West, 69.4 feett thence on an are of a curve to the left, with a radius of 95.76 !onto a ii distance of 55.0 feet! thence South 45' 221 west, 120.0 feet to the true point of beginning for the parcel of land herein described, thence from Said true point of beginning, West, a dintanee of 100.0 feet: thence North 0' 24' East. 375.0 feet, mote or leas, to a ' point on the centerline of the Orovllle-Porbestown Road, as the same f. ' , -' existed .1nnuary 8. 1957; thence Northeasterly along the centerlins - i of said Read, 100.0 feet to the Northwesterly Corner of a parcel. 1 of lend doveribed in the Used to Harold E. Waltean. et ux, recorded January 3, 1959, in book 1549 of Butte County offic:lal Records, at page 230; thence South 0' 24' west, along the westerly ` boundary line of sa:d Waltman Parcel*. 410.0 feet to the clue point of beginning. A P a: :A BUILDING PERNIIT NUMBER: 95-0636 Address or location of unit: 70 Hurleton Rd., Oroville Legal Description of Real Property: See Attached [X]Mobilehome/Manufactured Home [ ]Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551; Owner's name: David & Tara• Gud eon Owner's address: 70 Hurleton Rd. ,'Oroville, CA '95966 4 INSIGNIA OF HUD NUMBER: CAL210902/CA1210903 SERIAL NUMBER OR V.I.N. 8493A/8493B MANUFACTURER'S NAME: Fuqua YEAR: 1981 OFFICIAL APPROVING INSTALLATION: DATE • 4/12/95 PHONE: (916) 538-7541 ' H.C.D. 513C W?' A 4 � 1 All that certain teal property situate in the County of Butte. I Stats of California. described as follwst- �:c A portion of the South halt of Section 17, Township 19 North, ...a.,; Range 5 East, M.D.B. i M., more particularly described as foilowss COMMENCING at a point on the East line of said Section 17, distant s ..�� thereon, South O' 24' West. 2503.2 feet from the Noetheaet corner of said Section 171 thence South 78' 22' West. 69.4 f•ett thence on an are of a curve to the left. with a radius of 95.76 !sat, a distance of 55.0 feet! thence South 45' 22' west, 120.0 feet to the true point of beginning for the parcel of land herein described! thence from zaid true point of beginning, fleet, a distance of 100.0 feat; thence North 0' 24' East, 375.0 feet, arose or less, to a k .' point on the centerline of the Oroville-Forbestown Road, as the same ='. existed January 8. 1957; thence Northeasterly along thep centsriine - of said R^ad, 100.0 feet to the Northwesterly corner of a parcel. 1 of land described in the Deed to Harold E. Waltman. et ux. recorded January 3. 1959, in gook 1549 of Butte County Official Records, at page 230; thence South 0' 24' west, along the westerly I boundary line of aa;d Weltman Parcel. 410.0 feet to thom true point of beginning. 4 � 1 1 -31' 95(FRI) 14:43 77 Same as below WHKN 1119COADED MAIL TO — 9r. Mrs. David W. Gudgeon — 70 Hurlaton Rd* Orovillet.*California 93965 15241111110201318, Roo res, 890'a I Doc 24.73 Recorded I Chook 22*75 0991aleL Records I VL County of I mutte, I Condom J. Grubbs I *"order I &,Oft* 4 -May -92 I N= GROKIM M06 39034 pe GRANT DEED (jonwrTmANcy) XX or IC M %wevoluter1kneow vft�brwmno numbing at thomermpAit. it F Usimm imm Md 8712 Ta 9%nd Na. 1ORAvALVANACOMIDERA770M.s.i Owb"khuft4ymeltme FRANKLIN GUDGEON and RITA GUDGEON, husband and wife also kwwn an I= If. CLTMW itorwilwGRAMigife DAVID W. GUDGEON and TARA J. CUUCEONI husband and wife do ram amr%W "41 Propr"I In Ow unincorporated C"W4f Butte Sea attached legal description jwjw -May 4 --s- 1992 Franklin Gudgeon x Rita Cudgeof f. WtATIMCWCAUPORMA C"MOOI Butte on 11114 - Ith AV at May in 92 befliwo awe The -- Wei ig"@4 s Nump Poblis in jud P" mmJdftM%Vf@4@b*6PffmMIIj Sim im Franklin Gudgeon Ind Rita GudCoon Wbois, OMM firs wIntofw/to W WIlAtm UN 1141ij. j" I I Md 0*0i a !@"I I, W-4 May the SaI11101 P. 00? Ift4blielso VL (Now V Goo 9MI 14WID MAIL TAX 11TATIPFARPIT Ad 011111CCI AFAWII 4- P. 00? '-IAR• -31' 95 (FRI) 14:43 P.0031 _ Y�.. • 92-20138 .'L� �• Order No. 39034 PC �• „y.tLrKm. r. • ' '' DESCRIPTION F' '' All that certain real property situate in the County of Butte, :I•.7 ..State of California, described as follows �•�;'; :� A portion of south halt of Section 17, Township 19 North, -; .the ;hangs 5 East,.N.p.a- t M.,' sore particularly described as followr:- ' :-••.:'j CONNENCINO at`a'point'on the East line of said Section 17, distant + thereon, .-.South 0' 44'.: Nest, 2503.? toot from the Northeast corner `8action:.l7l.:..thence 15ouih 78' 22' West, 65.4 feeti thence '-on:an fisc of "a.curve .to the left, with a radius of 95.76 !out, a di■�ance of:55:0 feett thence.SoUth 45' 22' west, 120.0 feat to the true point of beginning for.•ths parcel of land herein described! `' -• r:'•• thence -tram raid: -true int of beginning, West, a distance of 100.0 !esti.thence North•0':;24' East, 375.0 foot, MOLL or less, to a - point or*. the Centerline of the Oroville-Porbestown Road, as the some =; existed January 6, 19571 thence Northeasterly along the centerline of said "adi,100.0 fest to.the Northwesterly corner of a parcel ..of lend:4oscribed in `the Used to Herold E. Waltsaan, et u:, recorded.;January.3.�1959, in Book 1549 of Butte County official Records,. t..page 2301 thence South 0' 24' West, along the Westerly boundary line of said Kaltman Parcel, 410.0 feet to thw true point :;• of beginning.