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028-380-001
MOBILEHOME INSTALLED W/0 PERMITS 7/16/96 �) A- S 0 - eso 1� BEN CULET 28-38-01 6248 -Oro- -BangorIIwy, Orov l Permit#2653-89P,E(util, MH) GAS �cf� SUPPORT STRUCTU E REQ. COMPACTION TEST REQ. GEORGE & SUSAN WARFIELD38-01 1 ContR: Boyd Trucking Permit#3475-89MHI Issued 028-380-001 PERMIT/#96-1620 CULET, Ben 6248 Oro Bangor Hwy, Oroville MHI Ex Site ✓�,N-fir / /9( RESIDENTIAL 028-380-001 PERMIT#96-1620 CULET, Ben N 6248 Oro Bangor Hwy, Oroville MHI Ex Site I e 1 r JOB FINALEDate / i Signature V=OK 0 = Not OK- , =Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements Of Card B-1 2. Soils; Special MH Support Sketch Card B-1 3. Sewer; Location -Test -Fall -C/O -Concrete B-1 v 4. Water, Location -Test -Easement Needed (Sketch) Card B-1 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / / L'ft. / /Nat. or/ /'L'ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION Plans OK except #'s Card B-1 Date Card B-1 Zonin Requirements- Setbacks Easements Card B-1 Date Card B-1 _ tings; Size -Spacing -Marriage Line F �3. b Gas; MH Test -Demand Valve -Connector 1. Setbacks -Easements lectricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability rain; MH Test -Fall -Flex Connector t___fi_Wafer; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Wa�erand Sewer Connected -C/0 to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI Ga'and'Electricity Tagged Li9. Tie Downs--Tvae-Installation Cert. of Occupancy MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Datj:j '-(!2 Of Card B-1 D to Card B-1 Date ICard B-1 v Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders 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-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL '(Single & Duplex) = Date UNDERFLOOR (Plans) OK except If's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main;'Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped b. Stemwalls, uarage; Steel-tslocxouts-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: D.W.V.: Test -Fittings & Anchor -Nail Protection -- ------ ------------------------------------------------------ 19. Shower Pan; Test. First Floor -Tub Access ------- ---- ---------------------- 20. Test Tub & Shower. Second Floor -Tub Access ----------------------------------------------------------- ----- -- --- ---- 21. Gas Pipe: Size & Anchors ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ----------------------- ------ ------------- - --... Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a'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 wrMech. Fastners-Bond Gas & Water --------- ------------------------------------------ 27: 2 Appliance Circuts in Kitchen & Conductor S ze,GFI ------------------------------- - ----- ------------- .. 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At -------------------------------------------- 29. -------- 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 ----------------------------------------- --....----- .._.....-......... ... . 33. Smoke Detector --- -- - - _ . -------- -- ........ ....... ....... .. Date Card B-1 Date Card B-1 ................. .... -.............. .... .-......-----..... ... ....... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL.(Permit) OK except P's 34. A.C. Ducts Insulation & Support ----- - ------- ----------......-- ----- --- .. .... .. 35. Vent Fan: Exhaust above insulation --------- ------------ - - ... ... .. 36. Condensate Dram & 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 P'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 Date FRAMING (Continued) 45. -Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-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-Underfir. 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 4'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 -------------------------------- 7 ----------- 64. ....------- ---------------------64. Bedroom Exiting ---------------------------------- 65. ..---- --------65. G.F.I. & Bath Fixtures & Tub Access -Spa .... -- ---.... _.... -..-- -- - ----- -------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------------------------------- 67. .__.._..-..-------------------67. Stags & Rails ------------------------------------------------ 68. Fireplace or Stove: Clearances -Hearth ......._..------------------------------- - 69 Elec. Outlets at Wood Panel: Int. & Ext. ..... ..--------•---------------- -- ---------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ...... _....--------------------------- -------- -- 71. Elec. Outlets & Receptacles at Kit. Counter ...... ... ...... . . _...------. ------------------ ---------- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper ....................................... ------------- ----- 74. Wir. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------------------------ ---- 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------------- 76. 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 1-3Yes ------------------------------ 80. Following instidi Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------------------------------------- 81. Stucco: Brown -Finish ........ ........._.._...---------------------- -------- d2 A C. Unit: Disconnect. Electrical. Plumbing .. ... ... ... ... .......... ........ ----------- ------------ --------- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings . . . .............._.._...... --------------------------------- 84. Water Well: Disconnect. Electrical, Plumbing ._.-------------------- ------------- - d5 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-CrO to Grade -HD Approval _.._.-- ----------------------------- 91. Energy Compliance Certificate -Other Certificates ----------------------- . ..... ..... ----..... -- ---- --------------------------- Date Card B-1Date 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) 538-7541 / -16 Q0 APPLICATION AND PERMIT (� < ASSESSOR PARCEL NUMBER 028-380-001 ZONING A5 BUILDING PERMIT OWNER BEN CULET TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 1082 OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE 533-8892 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 6248 ORO BANGOR HWY PERMITFEE $ 43.00 PLUMBINGPERMIT Filing Fee 20.00 OROVILLE Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome b Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation EX Other ❑ Describe Work: EXISTING CTIE Mobile Home IS I GI W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main ServiceE00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 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. Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR \ s0. OR NS. ( a ACC. / 3.5¢ FT. NEW CCONST. MULTI.OUTLETLE T NON•RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. OUTLET OR FIXTURES ) zo p i.50 SAL20 EX. Occup. ( OUTLETS PRESIDJ EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) {. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X .� _ . `_ Date —l_ 7 __ Signature of plicant - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is GCC CONST. TYPE TOTAL FEE $ 143.00 I H49 D. FEES IMP FLDOD — — cDF PARCEL PD HD -- IS This permit is hereby issued under the applicable provisions of the Butte Cou y Code and/or Resolutions to do work indi to ab ve f r which fees have been paid. �� 8 A4 BY ��'�/ � Date PERMITEXPIRESON "/ 9% (Date) Receipt No. 2021 21 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'F/�:'SSati%''�,yl"tFfl'i "frV9'•'TW'.'+ ^^7. iyt,, D"'''�'�D^'i�'T^""^^aT'il'th1�r�U"'3"^'ti K)A.c.. e. .r .vc w+'. COUNTYOF BUTTE -DEPARTMENT OF, DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER Proposed Building Use A. No 0,--> � '-Oct/ Building Inspector Cs Date �7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ............................ .......... . 2. Plot plans, 3/4'sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings.3 ........................ 8. Engineered truss details and layout in duplicate (required prior to plan check). ..... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... ly�b_a0. Fees of $........................... ,....... :....... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Use: (B) Parking: :..... . .18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . Frepe -Insction 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 ........................... !l 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. ` 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 I' t . .................................... t................ . 33. _n1 ► i 34. When u issue the er �o,G�ss as follows: Mail to ow et. Mail to contractor. Telephone d hold for pickup at Q office. Deliver with inspector. Other Parcel Creation Acreage Applicant 7�- 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: ' A Contractor, designe , gr as advised of above required data by ` phone _ mail Counter by �2 Date R-1 -Olr Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by G 16 Q onE$ Date' I -e► 6 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO:r Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance IR.H. USE OWI. Plot Plan AMAW Fbw Fba At &dW Sent to B.n: / -►7� �, l Owner Location ` APAP Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for�bedroo mo ile TT� c<F '=�ccsi i�y�, 7�-4� 6 Final clearance O.K. for: Environmental Q/t» „,, �--�+-.' """'�""'�'�T".,,,r"a"-`Siy �+^".,,�•y►„v,,;.:�,�dAi.1,-:a';;-r”r.ti.+w+.�.r`'y.-c�:�.ti;�-i•uti✓h('-.-.�+*�Y�i.-Y(!`�`'R,•-'�-rt^..t*'ts,+r}.I'1•.^^�bM,14r�:yy�'B�"'„n" BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) ti School District r5,,�04111 LL LL = 1,J,5; Building Department No. XP. Number 19 (Jurisdiction: City. 0 County Property Owner �i'l% Co Lf- 7 Property Location/Address a0!e--1 Subdivison Residential Development Commercial/Industrial D;� No. of Living MHI Unitsf, New Lot No. 'Sq. Footage --7020 Addition IA l (Group R) Sq. Footage Addition (Floor Plans reviewed by School District Personnel) District Identification No. —7'3 c School District certifies that /1072 V8 (Street Address) (City) (Including Exterior Roofed Areas) (Applicant) (Phone Number) (Zip has complied with the requirements of Resolution No. U Fl by payment of $ rgpresenting/ ?-2-0� square feet. 1 hool District Representative Paid by Check # Bank Number Paid by Cash AB 2926 $ FULL MITIGATION $'' /7-96 Date r J i��_ _ i�- 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) feeformmki (11/94)dmm INSTALLER/CONTRACTOR CERTIFICATION I CERTIFY THAT I HAVE INSTALLED THETIE DOWN ENGINEERING ANCHORING SYSTEM AS PER TIE DOWN'S INSTALLATION INSTRUCTIONS AND THAT NO MODIFICATIONS HAVE BEEN MADE TO THS ANCHORING SYSTEM OR BUILDING STRUCTURE. COMPANY NAME CW Cu /- (-'F-C ONTRACTORS LICENSE # DATE: _ / Z-7 SIGNATURE /3�� PAGE 9 tT.-, 54 ui- .Y ..,,i'-.r.r •arr _ :s ,s .�r. _ — T.— �'_.' '+Y -T--','K�:'s--. ,.�. 2 r� MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE F DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE `1 OROVILLE, CA 95965 ---PHONE (916) 538-7541 . APN: 0 Lor PERMIT Ni r/ A0 01�_n Owners: Name:t Owners: Address: i Mcbilehome Year of i Manufacturer i Manufacture: t Serial number ! Insignia or % I or V.LN. (�J - 7 ✓ HUD number: Official. roving insta Ikon, % \",�j (e"A� Date: ---� - If the mobilehome is mov d r relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor Mobilehome Manufacturer: Tim /4 Kk K ' Manufacture Year: / 9 7�5 ff other than single wide, furnish Setup Model Number: Width: (ft.) Length: U (ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[k-] Other: SUPPORTS: Concrete block[k] Other: Provide Tie Down Specifications for all Mobilehomes: TI F_ � own/ &q6 iAr£C 9 ,z6 Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 f ine 1 Line 2 Line 2 Main Beams Line2...........................................................................................ine 2 Line 1 Line 3 Line 2 ........................................................................................... Main Beams Line 2 Line 1 ................................................. !me 5 Tag or Triple ine 4 ine 1 Line 1 Piers: Line 1 Openings Size minimum: r i x r 1. Size minimum: [ J x [ ]: Spacing maximum: Each side of openings From ends -maximum: with width over: ` Line 2 Piers: Line 4 Piers: Size minimum: [ le -1 x [ 30 ]. Size minimum: [ ] x [ ]. Spacing maximum: Spacing maximum: 4` m From ends -maximum: p From ends -maximum: ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): OVER FILE COPY M.H.L-2 1. Owner's Name: ?)-�i C u LS 2. Assessor's Parcel Number: 028-Z80-00 I 3. Installer's Name: f-�4 C U L f T 4. Is the site currently under permit? Yes[ ] No[)c] Permit No. 5. Is the site an'existing site? Yes[X] No[ ] (If yes, furnish two plot plans), 6. What is the electrical rating of the mobilehome? 1 o Amperes. 7. What is the mobilehome site circuit breaker rating? 06 Amperes. 8. What is the electrical rating of the mobilehome site? 2,010 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[>0] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[x] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[X] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 31 inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 30 (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50.feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION r May 1995 8.5 r n r...__.......___: .. _. _ ._ 6.60.0...._. ALL b'TI?UCTURES AND EQUIPMENT INCLUDING .OVERHAWGSSFIALr8E�LI�R-07-7 t;} SEMENT8. --'--. _ A SE`T SACK- OF S FT: FROM THE SIDE AND _ ... ..... ..5 _FT. FC. -FROM THE .REAR PROPERTY LINES AND . _ .. . 50 FT. FROM THE ROAD CENTERLINE SHALL BE OF STRUCTURES. AND EQUIPMENT EXCEPT -FOR A 2 FT. EAVE-OVERHANG: w I _....------ ---.!M 8 �S ooh aao gA Ala 4 - FLE i12 Y i 6 BEN CULET P. 0. BOX 1082 OROVILLE, CALIFORNIA 95965 TO: REGARDING: P MESSAGE: ;b-- 3ai%,ec 14 I w SIGNATURE COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner.: Phone: 916-538-7541 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) 4�.� — Aa_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone _ Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Secuityber Date �P""// 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. �e� a� 38-00` BUTTE COUNTY DEVELOPMENT' SERVICES Complainant: Address: Phone Number: Other Comments: .:..:::.:...................... :.:::;:..... ,... ..:.,:.,;,. ::,:.. :,..�;.:::.:;•;•:::.::.::;;;::;:;;:;;;:;:.;:.:::.;:. :;; ::;:. ;:;<-»'::>;:;::::<. ;;;;; ::%': ::: ;<:: «::;': Prot::avanrab e:i:he::�r��ili:::<::::>:::: >:<> 'he:-, ove Informant Inspector must draw a plot plan.with all building locations: Additional comments from Inspector: 2 28-38-01 FEN CULET 248 Oro'Bangor Hwy, Orovil ermit#2653-89P,E(util, MH) ELEC. obi �c GAS /� l � SUPPORT STRUCTU REQ, Z,.�� COMPACTION TEST REQ._ GEORGE & SUSAN WARFIELD38-01 ContR: Boyd Trucking Permit#3475-89MHI > Issued COUNTY OF BUTTE .. , BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date 7'' % — / Inspector.:ti�� p %� REV 10192 iy' r C�(Dy 1 //P a el A14 / 'j'y a Z2 11 Date 7'' % — / Inspector.:ti�� p %� REV 10192 iy' F 28-38-01 o f� CULET, Ben _f 6248 Oro Bangor HWy, Oroville k (util, NSI) PEI I ! • � j PERMn- exrinea-- - — — OWNER CONTR. ASSESSOR PARCEL LOCATION 1 Temp. Power Pole Called PG&E Temp. Elec. Service i Called PG&E Temp. Gas. Service Called PG&E �1 JOB FINALED (Date) d - Signature = OK , 0 = Not OK MOBILE HOMES MISCELLANEOUS = Not Readyable Date MWV HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s oning Requirements-Setbacks-Easements 1. Zoning Requirements-Setbacks-Easements Soils; Special MH Support-Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel Sewer; Location-Test-Fall-C/0-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails 4. Water; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing ctricity; Location-Clearances-Grn Amp-Concrete Gas; Location-Test-Wrap:-/ /"L'ft. 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures / /'Nat. or�PQPV ft./ v/"LPG 6. Carports; Windows-Doors tility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh Card-B1 C,40 Date Card-B1 Date 10. Roof; Shthg-Roofing Card-B1 Date Card-B1 Date 11. Ext.; Steps-Doors-Landings Date MOIJILEHOME INSTALLATION (Plans) OK except #'s LjfZo,ning Requirements-Setbacks-Easements Card-B1 Date Card-B1 Date la- . oo 'rigs; Si-Spacin- arriage Line Card-B1 Date Card-B1 Date s; MH Tes - mand-Valve-Connector ectricity; MH Tei0brossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s - rain; MH Test-Fall-Flex Connector 1. Setbacks-Easements ater; MH Test-Regulator-Connector 2. Soils; Compaction-Structure Stability Water and Sewer Connected-C/0 to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- . qMs and Electricity Tagged Dead Men -Lining E ' ; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI ., . 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. Card-81 Date - Card-61 Date Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card-B1 DateJ4,141 Card-B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test Card-B1 Date Card-B1 Date Card-B1 Date Card-B1 Date = UK = NotOK RESIDENTIAL (Single and Duplex) = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air- Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -81 Date Card -61 Date 67. Stairs & Rails Card -131 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance •• 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor. ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector 8i. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Of. Energy Compliance Certificate -Other Certificates Card -61 Date Card -61 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -81 Date Card -B1 Date 39. Sills, Proper Material & Anchors Card -B1 Date Card -131 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Ppone: 891-2751 } 7 County Center Drive, Orovi Ile — Phone'. 538-7541' 747 Elliott Road, Paradise — Phone: 872.-6307s i CORRECTION NOTICE 34-� 7-�9 OWK 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 Date r:�e:=+�,pt�,.:�"'9'ti,'��'i'•�=};rte- �"� ��, � ... ., sF ti COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS _ 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER � p 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 explanationnplease contact this office immediately. Inspector Dated0-2F —97 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome 4 T Orb '. Owner's name Uj EbrQ Q 4 SU -SR ?'1 i.�J chi Y 1�'r' f♦ C1 Owner's address (0 0 ro a.-eI4 0 .' Insignia or hud number— Manufacturer's umber Manufacturer's name t e- Y�, S t Serial number -of'V.I.N. 0a� W S Year of manufacture 79 ti (Official Approving Installation) (Date) s r 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. 513B COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroarille, 9,jilifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 1 AS SOR A CEL NUMBER — —© ZONIN BUILDING PERMIT ow r N- a r T PHONE SO. FT. OCC. BUILDING VALUATION O ER'S MG ADDR SS / ^� C�� F©re (/ Y CONACTOR'S AME ` TELEPHONE CONTRACT R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 16 - Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS � a w Permit fee $ asp, PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 00 y 1 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❑ Mobilehomer" Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti liti s ❑ Installation % Other ❑ Describe work: _ E. 'J Permit Fee $ Contractor ELECTRICAL PERMITi Filing Fee 10.00 Main service 8001 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) 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. ACG. BLDGS. , �z2Sgft TLET NEW CONSTRESID, RANCH CIRCUITS) NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. I Ex. OCCUp(OUTLETS OR FIXTURES 20050C SAL®30 FIXED APPLNS, OR EX. DCCUp. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. to the W. C. laws of California. Nott�I shall not employ any person in any manner so as to become subject etoApplicant: 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 aid County in conseque a of the granting of this permit. X ate 0 Signature of Applicant — Owner Co r ator ❑ Agent An OSHA permit is required for exc vations ver 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 A L FEE $ Q HAz — cuA PARK FLD PAR PD HD I TNs permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMI EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLICAN.T COUNTY OF BUTTE - DEPARTMENT OF RUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORQ�II;LEALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT, APPLICATION DATA SHEET n I P Permit No OWNER A. P..No. Proposed Building Use V % Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ....................... ................ . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation`I I /�R instructions........................................................ ` 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid i 13. to now, ��l?�rA►moi School District fees paid .............. tl- l3 -8g 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ...................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 0. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 1. Contractor's license information (No., Name Style, Classifications ... 2 . Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to ownero, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ... .......... �- 26. x ►^ �� 10 'PO 0 NA* 1 *1 9II) !a,C 97 i When you issue the pZo t p ocess as follows: Telephone G and hold for pi nthPr Mao owner. Mail to contractor. kuo at M office. Deliver w/inspector. A° 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--naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date Plans checked by Date Plans approved by ��— Date Zyt Copy—DPW Sets of plans on hold in . File cabinet AP folder COUNTY OF BUTTE iJEPAhTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, California'95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �. ZONING BUILDING PERMIT ow r / vt TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAIJG ADDRESS t C70 Z o -P CONTR CT R'S N E :1 clktt le, �- TELEPHONE CO ACTOR'S MAILING ADDRESS _ ---- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ®� �u ll (� 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❑ Mobilehomed- Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer4.M46= 4411 5.00 Mobile Home G W 0.00ea TYPE OF WORK New[ Addition ❑ Remodel[] Utilities��`] Installation[] Other Describe work: b r 1 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. (cense 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.N OR ACDNS. ACC. BLDGS. ,/20sgft NEW CONSTR. U TI.OUTLET 2,50 ea NON -R FS .BRA C CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES eAL930 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /$ Misc. Wiring 15.00 Permit Fee $ ' 7 S - 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 bove-mentioned property for inspection purposes. I also a ree to save demnify keep harmless the County of Butte against all 'abilities gments, co s and expenses which may in a y way accrue a ounty in con a of the nting of is77i 0 Date Signature of plica Owner ontractor ❑ Agent An OSHArmit i Squired for excavations over 5'0" deep and demolition or construct- ion of stt aures overr stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ oeeu P. CONST.T7 SCHOOL FLoO PARC PD ND 49U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By. PEMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /3 Receipt No. U "/ Q 1 -/ WHITE-O.P.W., VETOW-ASSCSSOK. PINK -INSPECTOR. GOLDENROD -APPLICANT _ 5 R COUNTY OF BUTTE - DEPAR. TMENT'0F°PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET 9 ` Permit No. �> OWNER (� l P -'c '� A. P. No. X Proposed Building Use / ,, — p g � l�C � .i Building Inspector Date "_ 9 At time of permit application, I was advised the fol IdWing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ................ ,; .................. 2. Plat plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation. instructions............'........................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... School District fees paid .............. Ge. Sanitation approval from Health Department ... ~� 14. City of Chico plumbing permit ....... \.............................. " 15. Plot plan and business license approval from City of - (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 4(e�_l 8. Driveway permit (construction approval required prior to occupancy) ...� 19. Pre -Ins ection for re ulred . , , , . Pre-Inpec. request to p q � Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 2. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ AX -'23. Recorded copy of,Agricultural Acknowledgment Statement ............. 24. Letter of signature authorization ..................................... 25. 26. i h n you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone.5 3 and hold for pickup ateO C_office. Deliver w/inspector. ' Other Applicant Date —Al-111) Copy of plans sent Health Dept., Fire Dept,, ther Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by �� Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO. Buildina"Department - FROM: Environmental Health SUBJECT:* Sanitation Clearance ci 6, div 7 Owner Location C,/ AP# Plan -Approved for: Sew.aqe Disposal Water Supply (..J -a Hold final for: Final clearance O.K. for: Clearance for bedroo<mobil)e home. Other Water Supply Water Supply ate sanitarian b r a � z"6 4 WOF BUTTE - Department of Public Works ll/ 0 6/47 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 an aterials for construction of the proposed proper y i rovement (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 Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social S. mber Date k I/ 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. Rel urn 1.o DPW AGRICIIL'WRAL STA'P1;MI1,'NfOF ACKNOWLEDGEMENT FOR RI:S.[DENI'[AL'DEVELOPMEN7' Sec•L ion 'lG-li. 1 of' Lhe BULLe County Code requires Lhi.s acknowledgement be recorded - -- ----- pr..i.or. Lo .issuance of a building permit. ; 89-030103 t The property described herein is adjacent ; to land or :included within an area zoned Recorded ' for agr:ic.ul.Lura-1 purposes, and resiclenLs Official Records t of Lhis properly may be subject Lo ancon - County of veni.ences or discomfort arising from the Butte i use of agr. i.culLural chemicals, including, Candace J. Grubbs I buL noL Iimi.Led to herbicides, pesticides, Recorder i �i;►cl CcrL.i.1izers; and from the pursuit 1:52pm 10 -Aug -89 t of agr.icultural. operations including, but noL limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has Rec Fee 5.00 Cash 5.00 PARTY SHOWN BG 1 esull0 .i shad ;►};r i c n tural zones which have as a priority use for productive agr:rculLural purposes, ►u►d 1.vs!(1c111:; w i.Lh.in said zones and on ad jacenL ptoperLy should be prepared to accept such i nronvrn i c lice or disconform from normal, necessary farm operations. All. Chat. real pr.operLy situate in the County of Butte, SLat.e of Callfor.nin, described ;►o-: follows: PARCEL 111 TFe-Forth half of the North half of the Cast 360.0 feet of the Northwest quarter and the North half of the North half of the West 300.0 feet of the Northeast quarter u. 'caction 8, Township 18 North, Range 5 East, M.D.B. b M. RESERVING THEREFROM a right of way for road and public utility pl►rposes over the Easterly 60 feet thereof. PARCEL #2 A right of way for road purposes over the North 60.0 feet of the North- east quarter of Section 8, Township 18 North, Range5 East, M.D.B: b M., lying Westerly of the Oroville-Bangor Road. EXCEPTING THEREFROM the West 300.0 feet thereof. DaLe: O / PROPE OW ,RS: din Su►Le of ) On this the day of Z�, l ' before• me, SS. the undersigned Notary Public, pers lly appeared CuunLy OFFICIAL SEAL Personally known to me. Proved Lo me on Lhe Iasis FiUBYd.BOAZE of satisfactory evide►►ce. Notary Pub11a-Callfomis SUM 00U1NTY t be the person(s) whose name(s) /S � � __ NNS►+ Aug 2t tss2s hscri.bed to the within instrument and acknowledged Lhat. _ ecu Led the same for the purposes therein conLa i ned . I N , W I'M"i{ ti WHEREOF. I hereunto set my hand and--affic:i.al. se .I.. Preser[t A.P. No. ��O �Q/ a Public AP 4r` OWNER- PERMIT MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test -Req. Service Size Other Load T e Pipe Size Length YESI NO YES1 NO / COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovil,le, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916 -538 -7541 - 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 taajor labor and materials for construction of the proposed property improvement :(yes or no)�'_S___,. 2. I (have/have not) /'o'—C signed an application for a building permit for the proposed work. 3. I have contracted with the.following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: � Property Owner /, G/ Social Security Number Date A) 0 116M3c 69 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. 0 CULET MANAGEMENT. P.O. BOX 1082 OROVILLE, CALIFORNIA 95965 (916) 533-8892 TO --jo _ DATE P SUBJECT n ! % t ," O DAY -TIMERS RE -ORDER No. 2363— Printed in USA 0 0 BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM I (One Form per Building) A.P. Number 01 01 Building Department No. School District CJrG � �,�'1,,'►City r--1 Coun1ty �Jurisdiction Property Owner CC G L' �i ' � ��• ; ��l r; �.�. �J , � � lc� Project Location/Address (ffa'� ���` j (1 /'� (i r( ��l 1/ . / ✓V t ��(-� Subdivision Lot Number Residential Development:' a f1 Sq. Footage # of Living MHI Addition 1(Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building"Department Representative -'Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. 40 11-,n School District certifies that (Applicant Name) (Phone Number) (Of 11 (Street Address) _ (City) (State) .(Zip Code) has complied with the requirements of Resolution No. P q t6 f% 1.L by the payment of $ / U606"cl representing 7,_2e_& square feet. /School Disfict Representative Date PAID BY CHECK N0: BANK NO //- PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) ,09 9 I �� awas`73� pc, Qq U �•1 N 7.7 Cy fA y N CD �. V'1 co m SC p A �� awas`73� pc, i BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: ��/� /.e%/ 2. Installer's Name: 3. Is the site currently under permit? Yes I AI No (If yes, furnish permit number -) OR Is the site an existing site? Yes F] No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify j. 5. What is the mobilehome electrical rating? --------------- OO Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ------ -------- (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the 7 � mobilehome?--------------------------------------------- d (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) MOBILEROME SUPPORT DATA • If other than single wide, Mobilehome Mfr. , 6! &-ee's-t furnish Setup Model No. Year'- 7-3 /A (ft.) Box LengthT(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) 1XI1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) Z 1. Concrete block. 1:1 2. Other (specify) 4 Pier Footing Sizes and Locations Line 1 Piers: SINGLE -WIDE MULTI -WIDE Main Beams Main Beams Tag or Triple t ,� Line 1 Size-Min.------------ Spacing-Max - --------- From Ends -Max. ------- Line 2 Piers: Size -Min- ------------ „x CJ 1�, Spacing -Max.--------- From Ends -Max .------- ' " Line 3 Roof loads: Size -Min. ------------ Location (From Front) Line 4 Piers: ,Line 1 opeoinge: Size -Min- ------------------ „x „ Each Side of Openings With Width Over--------- = Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- „x n Spacing -Max---------------- ,_ u From Ends -Max .------------- Size-Min-------------- Spacing-Max ---------- From Ends -Max .------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) e 5 Piers: Under Bearing Walle Oay) Size -Min .------------------ „x „ Spacing -Max---------------- From Ends -Max -------------- '- a N. E. 1/4 5 PORTION OF N. w. 1/4 OF SEC 17ION 8, T. 18N., R. 5 E., M.D.B. M. • x.19 5 4 N 1142666.00 SE F -S860 20 00 W 1130.50 8 9 /173.90 0� I 960.00 a �• /3 . I � _ 32 • a 1A ti O — _ SCALE: l 400' QD _0 271 S 328.00 E. //4 COR. W ' 672.33 4 — '" 1296.55 , 2657.06 SEC. 8 L 960.00 N 86°48' DO��£ . CENT. �0 SEC. r •. 34 Assessor's Mop No. 28-38 County of Butte, Calif.' A /KEN.- LOAM TRACT NO. l M. O. R. BK 8 PG. 43A a 43B i � June, ` 1983 - s - -." '•w`.,3jY?-'yr ri;+rF`idf.?,,?j+¢„%.�1"-L''`Y,-Fh;-3.''r'�°'--,3y. .�'a,+..j'J .'.-._'r�i �. d r'�'i;i 'yd't - t= .`3 =+•'"f':_ _ 0 W'___ R- F L 0' -0 PLAN SCALE AV=l" - 1210 SQUARE FEET ALL R PART OF THIS HOLLISE Mgt REQUIRE CAL S. BY A LICENSED ENGINEER. YOUR DISTRIBUTOR MNY BE AUL E TO SUGGEST ONE SHOULD CALLS E E UESTE'O YY LOCAL 3UILDING OFFICIAL HOUSE SQUARE FEET 2626 - GARME SQUARE FES 527 I COVERER DECK OR PORCH GENERAL `SOT 1, ALL LUMBER TO BE DOUG FIR 0 FIR #2 AND BETTER, STUDS TO BE GRADE OR BETTER, UNLESS OTHER'A 2. ALL-iEAD'-.RS TO PE 4x12 UNLE` 1 ALL CEILINGS TO DE 10'-0" UNLESS OTHERWISE NOTED LOWER FLOOR 4. PROVIDE 18"x2A" FOUNDATION ACCESS AT EXTERIOR WITHIN 20'--0" OF PLUMBING CLEANOUT 5. PROVIDE OPENING AS REQUIRED AND CONCRETE SLAB FOR H.'V.A.C. 6. INSULATE AT TUB AND SHOWER EXTERIOR WALLS BEFORE NAILING UP SIDING 7. SEE TITLE SHEET FOR ADDITIONAL MOTES 8. PROVIDE P.T. VALVE DISCHARGE LINE TO OUTSIDE & ANCHOR STRAPS TOP & BOTTOM AT WATER HEATER 9. ISLO(CK FOR TOWEL BARS '10. WIN1D0W AND SLIDING GLASS DOOR OPENINGS ARE PER CAUL -OUT. DOOR OPENINGS ,ARE CALL -OUT PLUS PLAN uPrER F',[._00R _ I NO i L 0 V "® ( H $ g CD act 'Arsfi� R:. M rY m.