HomeMy WebLinkAbout027-290-011^ `
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SHERMAN JOHNSON
,�rier, Palermo
.D. CLEARANCE MH
Electric
Gas A
Compaction test reg, A-
lilt
00,
. Conti:27-29-11
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COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number for the following location: Kj*��A=� A•%�=
Owner
Owner's Address
Mobilehome Mfg. S-'�t?� rNf' Model Year
Insignia No.-'�I�. �� •��i Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director.,of Public Works
•)ate �7` - c .-- By '`�-�us%%��i'/ !S •=� G �.'�
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
PERMIT N0. 16261 82
PERMIT EXPIRES
OWNER Joseph Cernie
~- CONTR. Owner
i ASSESSOR PARCEL 27'29-11
i
LOCATION 8300 Grier Ave(S. of Mac Intosh)Palerl
F
5
r
i
r
•¢I
tf} •
11f
Temp. Power Pole
Called PG&E
Temp. Elec. Service ' "8'8 �� �Or✓
Called PG&E
-
Temp. Gas Service
1 Called PG&E
j JOB FINA /#ate)
Signature
1
J = OK
O = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except #'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
9. Gas Pipe; Size -Anchors
55.
Shear Walls; Nailing -Bolts&
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground I - . . •
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders-Sills-AnchorBolts-Joists-Vents-Cripples-Card-BI
Date Card -BI k Date:
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except q'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.
15.
Water Ht.; Vent -Access -Combustion Air
Water Pipe; Test & Anchors -Nail Protection
518.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -'Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In.Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. &Mech. Equip. Listed for Location
23: Romex Installed Close to Edge of Studs & C.J.
24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
Insulation -Foam -Looked in Attic ❑Yes
25.
2 Appliance Circuits in Kitchen &Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes El No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks El Yes ❑ No;
Planters ❑Yes 0 N
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29. Equip. Clearances; Panels-Motors-Mech. Equip.
30.
Clothes Closet Light -Shower Light
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
Card B -I
Card B -I
-
Date Card -BI Date
Date Card -BI Date
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
Date
MECHANICAL (Permit) OK except N's
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) OK except q's
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing_
39.
Draft Stop in Walls (rat proof)
^_
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
43.
44.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
46.
�47.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
V = OK
0 = Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
* - Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except q's
Zoning Requirements -Setbacks -Ea ents
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) u„ accept H .
1. Zoning Requirements -Setbacks -Easements
oils; Special MH Support -S tch
2. Footings; Size -Depth -Spacing -Connectors
ewer; Loca -T -Fal =C - onord a
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails -
a Lo -T
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing___
. EI ricity; Loc -C le rances- -49W Aoveconcrete
5. Alum. Awn.; Columns-Connections-Splice-Decal-Encios6res
Ga ; L T - p: "ft./ P'Nat.or %"ft./
6. Carports; Windows -Doors
tility Clearance
7. Elec.
Card -B
Date l— and -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
_
Date Card -BI Date
Date
MOBIL OME INSTALLATION (Plans) OK except H's
Date
_
POOLS (Plans) OK except N's
&.,'1Zonjpg Requirements -Setbacks -Easements
1. Setbacks -Easements
ootings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
as; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4 ectricity; MH Test -Crossovers -Breakers -Clearances
_
4,. Elec.; Receptacles and Lighting; Distances-GFI
rain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
er; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7,r 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 Lghig.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
xits; Insp.-Sketch
0. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card -BI
Date Card -BI Date
B- to 7 �rd-BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
1� �y ♦'�lr�(r1(�`.r 1...-A_�^/-tj' �►�w'S'ti��Y ^ �j3,M �,h�.i T X• �Je.�S.. i�k1
�T L
I COUNTY OF BUTTE ;
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
r
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
r-6 ) (/1E . NIS
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 the opice immediately.
/,D -'E' 1
WROsrT1M
REV 11/91v
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
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.
Doe -
1 c%L CD c,01 TZ -61 A) 66 i y S
' v
Date
Inspector t
J
COUNTY OF BUTTE - DEPARTMENT OF RUBLIC WORKS
.• 7 County Center Drive - Oroville, CBiifornia 95965 - Telephone 916/534-4541
APPLICKTO -.01) PERMIT
PERMIT NQ
Ir7�3-
ASSE SO ARCELUM R
ZONING
BUILDING PERMIT
OWNER
S
TELEPHONE
S0. FT. OCC.1 BUILDING VALUATION
OWNER'S L
AIING ADDR SS
CONTRA T S AME f T LEPHONE
CONTRACT 'S MAINOIs a 6:0 f I VQ ES
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
$ V
Penalty
$
ARCHITECT OR ENGINEER'S MAILING A04RESS
Permit fee
$
BUIL DI G ADDRESS
G ti V
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome5g,""Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK ,,,/
New ❑ Addition Remodel ❑ // Utilities ❑ Installation L/1 Other ID
Describe work: � / c, -- Pe -L_,
Penult Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
I�
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.m)
OR ADONS. ACC. BLDGS.
20 sqft
ONTRACTORS LICENSE LAW
I dec are 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 forc and effect.
License No. V. (a 2 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)
ElI, 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 NON.RESID R %BRANCH C`IRCMULTI-OUTLETITS 2,50 ea
NEWCONSTR. /SINGLE OUTLET CIR. POWER APPARATUS 81
NON-RESID, /
50 0250
Ex. OCCUp OUTLETS OR FIXTURES BALe1o¢
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
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
Y� 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
S
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,O
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 liab• ties, judgments, costs, and expenses which may in any way accrue
against aid County in use nce of the granting of this pe/rmit.
X � „� `-_� (1 �'Z
Date
Signature of Applicant — Owner ❑ ContractoLN Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
NO
IS7
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
OateLi--3 _�4 Z
V
Receipt NO. ��,9
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
BUTTE COUNTY. DEPARTMENT OF PUBLIC WORKS
C 7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1.
Owner's name: cJ P., L I
2.
Installer's name: - MICE
/.
_
3.
'7
Is the site currently under permit?, Yet / /
_No
r
.
(if yes, furnish permit number,
OR
Is the site an existing site? Yes / /
No
(If yes, furnish two (2) plot plans.)
'
4.
Will the mobilehome•be located at least 5 ft. away
from septic tank
and leach fields and
`Yes
'
clear of. all setbacks.and easements? Zt/.
No T-1
( If no, clarify
5.
.What is the mobilehome electrical rating? -----------------------
iao Amps
6.
What is the mobilehome site service raving? ---------------------
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
(I£ yes, identify the load and size:
(Load)
�-,�� (Amps)
.
3
9.
What is the mobilehome site gas pipe size? -----------------------
(in.)
10.
What is the type of gas service? ---- -------------------------
Natural
/% ,LPG 7t
11.
What is the gas pipe length from meter or tank to the mobilehome?
Q
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.)
MOBILEHbME SUPPORT DATA
If other than single wide,
Mobilehome Mf r._�ka furnish Setup Model No. Year
Width(ft.) Box Length V Q (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.
(ft -)(p:)
Center suppo
locations*
II
(ft.)(in.)
�—J
(ft.)(in.)
(ft.)(in.)
(fj(.)I (in.)
(in.) (in.)
Center support
footing sizes
(in.)
L x J
(in.) (in.)
(in.) Ctn.)
L_ x J
(in.Min.)
Footings (check one)
Single 11. Wood either
i
�J. C/ pressure treated or
I -A I7 �/ f oundat ion grade .
D 2. Other: ( specify)
Supporta (check one)
(� 1. Concrete block.
.2: Other. (specify)
ragalong or Expando,'
show support details.
j X3 -- Typical Support
(in.) (in.) Footing Size
-- Max. Pier Spacing
(ft.)(in.)
Max. Overhang
(in.)
-BUTTE COUNTY
APPROVED •2/
*If center piers are other than drawn above, 2
draw in -locations, spacing, and dimensions.
(ft.)
h�3 82
BUILDING DEPARTMENT
COUNTY OF BUTTE - DEPARTMENt OF PUBLIC WORKS ` PE MIT
7 County Center Drive - Oroville, California 95965 - Telephone 916/53 541 ,
APPLICATION AND PERMIT A "'A
ASSESSOR PARCEL NUMBER
ZONI G
Loor
BUILDING PERMI
owNS 6
TEL PH E
SQ. FT. OCC. BUILDING LUATION
OWNER'S MAILI G AD--,�V S!25
r11s`
CO TRAC OR•S NAME TELEPHONE
i\
'
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
O
UNK(y WN/
/
Total Valuation $
Filing Fee
$ -@—
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 10,00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING DDRES-S
Permit fee
$ /01DO
BUILDING ADDRESS
��� Y v
PLUMBING PERMIT
Filing Fee 10.00
(�
J
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
ffim
LOT NO.
SUBDIVIS N NAME
ARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
) ,
USE OF
SF ❑ Duplex ❑ Mobilehome Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New Addition❑ Remodel❑ Utilitiesinstallation❑ Other[:]
Describe work:
Permit Fee
$ d 0o
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
®Q-
'fJ
Main service EA. ADD'L 100 AMP
2,50
NEW CONST.
OR ADDNS. (ACCLBLDGS.DWELING CCUP.y\
/ 22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR I.OUTLET
NON-RESID BRANCH CIRCUITS 2,50 ea
NEW CONSTR. ( POWER APPARATUS 61
NON-RESID. SINGLE OUTLET CIR. /
TLE
Ex. Occup OUTS OR FIXTURES g L�
ITLEXED APPLNS. OR
Ex. Occup.(.uTLETS (RESID,) EA. 2.00
Temporary service
10.00
Mobile Home Facilities 15.00 /� r
Misc. �yirin
7.50
r o
P rmit Fee
$ r
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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.
N ice 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
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, jud ents, costs, and expenses which may in any way accrue
inst said Cou y asequence of the granting of this permit.
/ _��_ d 2
Date /.
Si n ure of plica t owner Contractor ❑ Agent ❑
A SHA permit is quired for ex ovations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE ^r
occu P. GROUP
I TYPE OF CONST.
P A R;,VLPD
HD
SSU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
PERM EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
_
Receipt No. 10 I �1'7
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
r I
out
Pub
F-11
t
is set of plans and specifications MUST be
on the job at all times and it is unlawful t;
a any changes or alterations on same with-
vritten permission from the Department of
is Works, County of Butte.
setback of 5 ft. from the
)perty lines and a setback
50ft. from the road
iterline shall be clear of
ictures or equipment except
a 2 ft. eave overhang.
A pgtMlt will be required for the
inson eT thio rnobilehome.-
NOTE.—All
Accordance
Of a quality
Uniform Su
and the Nati
Utility connections shall be within
'4:j 1,•4 ft. of the mobilehome, either
directly behind or within the rear
half of the roadside (left) of the
ilehome.
ell
-Ih-V�9c-
�. MINIMUM
0. MOBILES
i4R
terials & Workmanship Shall Be irk
th Recognized Good Practices and
scribed for the Specified use in the
19, Plumbing & Mechanical Codes
I Electrical Code.
� f�/J//j�
91-20� ,
X626•$2
BUTTE COUN n
BUILDING pEPARTMENI
�J
Return 'to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 82.-184'11 +
FOR RESIDENTIAL DEVELOPMENT,
VFFIC:IA�. HFOOMD15 }'
,iection,'26-8.i of the Butte County Code requires this acknowledgement 8VriE �OC1V7Y'�4�pi
ORAD�.E�1 4F 3; V
be recorded prior to issuance of a building permit.
The property described hereinisadjacent
ad' acent to land or included UN
�
within an area zoned for agricultural purposes, and residents of fLANUR M€ R'
this property may be subject to inconveniences or discomfort arising CL RK-RECFA
from the use of -agricultural chemicals, including, but not limited to herbicides, `:
esticides and fertilizers; and from the pursuit of agricultural operations includ�g
P � � � P g P ;...�.,.,.
but not limited to cultivation, plowing, spraying, pruning,,and harvesting which oCc'- >'
sionall enerate.dust smoke noise and odor. Butte Count has established agricul-
turalY g � > > Y 8
tural zones which have as a priority use for productive agricultural purposes, and g
,residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:' y"
f.
,-o 'T 9 /A) /3�aC K �A13 �s
s /-low 4/ o x) i 14 T
C° I� ,C� 7A/ /V�7 A F S c:' 6 GJ1 vi S1 o �
��� i/�!" i�,9/r.��.�� � � T�'�1,5 Tt�AC i �3 �-'Tic= Cv, �'.o�
No 3 ,
U 1,1A
L
Date:—,'o
State of �I ) On this the 16 Zt) day of , 19 8'Z.,,
�� SS. before me, the undersigned Notar blic, personally
County ofi�� _ � �Q.y��',�,,�J appeared
known to me to be the person(s) whose name(s)
OFFICIAL 1ti1At. subscribed to the within instrument and acknowledged
MINNHE . PfULLIN that executed the `same for the purposes
y`e , NOTARY Plip; IC CALIFORNIA therein ccAained.
PR t_IPAL OFFICE IN IN WITNESS WHEREOF, I hereunto set my hand and official
oaF` SAN 13ERNARDINO COUNTY
My Commission Expires June 10, 1984 seal.
Notary Public
Present A.P. N0.
PRE -INSPECTION
OWNER: ff/j��/li ��/�//tel DATE 7
LOCATION: A. P. #
CONTRACTOR: !/ (��ZONING
-------------
PRE-INSPECTION FOR:
V/2 �Oa y� DATE TO INSPECTOR
PERMIT HI STORY : ONE AS FOLLOWS:
tr
LY
"
TYPE OF OCCUPANCY
FIELD - INI'ORMATION
BU LDING USAGE: A4/14 1
T ANT:
OCCUPIED
S
HAS ELECTRIC�Q 3AS GASB ECHAS SANITATION -FACILITIES
Q HEATED -COOLED PERSON CONTACTED
OTHER COMMENTS: Nff"S G L4"N so' ®Ar
h
-45;
A1 �Q� ? �(-
N`t� t'-Lfz'� O� Sfi�T off A?
A ION KECOMMENDED : 0 vv�..: 7, l�
ISSUE HOLD FOR
OTHER:
4:�Ml- do T�F A 3F7 -7-V
BY ���� l� I/ I l �,�/(�lit� DATE �� �ID19