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Home My WebLink About028-100-0200 28-10-20 RRY BUCKNEl pri dirt rd„app 9/10 mi E of La Por Rd. app 1 mi NE of Loma Rica Rd, Bango area LL , Permit#3' 7-82P,E(Util MH) f�hgr ELEC /-5-,g 2cOA 2or4 �b GAS 5 '15/'l GP 3 SUPPORT STRU URE REQ I�W SLOMPACTIO. TEST REQ jw - 28-10-20 Cont Lincorti''Villege Mobile Home, Oro Pe it�k3615-82MHI sued 28-10-20 Application for Determination, 12/22/82 28-10-20 Certificate of Compliance, 12/28/82 0 0 2® r �� O hpu�hh � -�.�. • PERMIT NO. i' U PERMIT EXPIRES 12 10 OWNER HARRY BUCKNER CONTR. OWrier ASSESSOR PARCEL 28-10-20 LOCATION N/S pri dirt rd, app 9/10 mi E of La Porte Rd, 1 mi NE of Loma Rica Rd, Bangor area ALL N 4 Temp. Power Pole 't Called G&E Temp. Elec. Service , k Called PG&E ell am Temp. Gas Service r Called PG&E JOB FINALED (Date) Signature 9c; Al r• J -OK b = Not OK = Not Applicable Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES ( 0K except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's oning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements ils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors er; Location—Test—Fall-C/0—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater cation-Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing_ ectricity; Location—Cleararices—Grnd.—/. mp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice-Decal—Enclosures - 6. Gas; ocatiorr—Test—Wrap:/ /"L"ft./ /"Nat.or4jV"L"ft./ "LPG 6. Carports; Windows—Doors iMity Clearance 7. Elec. C I q/Date I Date Card -BI Date Card -BI Date Card -81 Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except #'s 1 onpg Requirements—Setbacks—Easements 1. Setbacks—Easements 2• oo ngs; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3 as; MH Test— Dema nd—V e—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining . Elect icily; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5 a'n; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6 ater; MH Test—Regulator—Connector - 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed Water and Sewer Connected—C 0 to Grade—HD Approval 7; Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity T ed 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9, its sp.—Sketch 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 -I Date Card -BI Date Card -BI Date Card -BI Date 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 'f"for the following location: -,'= `► ' _ ` 1 r'r` 1 L Owner ' C"t! '� Owner's Address - - r Mobilehome Mfg. Model Year' Insignia No. Serial No. �( -�� Y It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date I By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. J = OK 0 = Not OK - = Not Applicable * Not Ready RESIDENTIAL (Single and Duplex) 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/0 -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 n Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date 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 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-FUngs & Anchors -Nail Protection 59. 60. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Perrrit OK except N's 67, Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper --- 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-. In Garage; Above Floor -Meth. Protection 22. Size Boxes & No. of Conductors -Stapled Y 70. Plb., Elec. & Mech. Equip. Listed for Location _ 23. Romex Installed Close to Edge of Studs & C.J. �� 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. _ _ - 24. 25. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size S_ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - - _ 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes C1 No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive El Yes []No; Walks El Yes p No; Planters EJ Yes 1_J No 76. Stucco; Brown -Finish -- 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. 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 ^_ 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House ----- Card B-1 _Date__ Card -BI _ Date -_ -- Card B-1 Date Card -BI Date 82. Glass Protection Date r 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 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 _-- - DateCard-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. 38. WaIIs: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing___ 39. Draft Stop in Walls (rat proof) _40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ �- 41. 42. 43. 44. 45. 46. 47. Header & B_eam-Size & Bearing _ Hangers -Post Caps -Anchors -Connectors_ v Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Rom ex Protection -Draft Stop -Ins. Baffles Bdrm._Win_do_ws or Exiting Doors -Sill HgL_& Dimensions Garage Fire Protection Framing _ (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE -*dEPA TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ER ASSESSOR PARCEL NUMBER o / — — ZONING BUILDING PER OWNER 14 ,qn^ A TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDipR`/ESS CON RACTOR'S NAME ( Lf1 U i 1. 4&a ; r.- TELEPHONE CONTRACTO 'S MAILING AD R SS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRE S Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ,Qa Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILQI G ADDF3E55 .^/ r� /1 �7�� U M� E O/ N S /�J F//) PLUMBING PERMIT Filing Fee 10.00 Z-4 Po/a, �� i�'P M /. E O y Each Trap 2.00 Repair drainage or vent piping 5.00 //�� LQ/l�,4 )el C4 A>, 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[] MobilehomeA Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationA� Other ❑ Describe work: 117v&.& ^ // i �niAT A --L(, 117y �� (L 1- � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10Ov DR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.EI) OR ADDNS, l ACC. BLDGS. 2� 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 Business50 and Professi ns Code and m license is in full ore nd effect. y License No. 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 NEW CONSTR I.OUTLET 2.50 ea NON -RES'.. CIRC TS NEW CONSTR. / POWER APPARATUS &\ NON-RESID. %SINGLE OUTLET CIR. 1 @ 25C Ex. Occup OUTLETS OR FIXTURESBAL@1 Ex. Occup.( OUTLETSFIXED_((RESID )REA.) 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 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 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 ag inst paid County in ao�r,s. quence of he granting of this permiit. �o �, �L �% Date nature of pplicant — Owner Controctor Agent ❑ An OSHA permit is required for eg ns ep and demolition or construct- 12) ion of structures over 3 stories in h Mobile Home Installation Fee $ .v TOTAL'PERMIT FEE $ 70.o-, OCCUP. GROUP I TYPE OF CONST, PARCEL PD I 1,113.h ISSU,� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BV T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 507 WHITE-D.P.W., YELLOW-ASSESSO . PINK -IN CTOR, GOLDENROD -APPLICANT I. I r r � COLU FUQUA HOMES INC. MN SUPPORT SPEC. SHEET V Y 4I'tMe,1-1 Footing or pad size must be determined by dividing the soil bcnr �- it � Into the downward load. Ex: Soil bearing capacity = 1500 PSF, downward loadp ovG D 3200 LBS I Footing size = 150-0p SF - 2. 13 SO. FT. ��// APPROVAL MODEL L� ROOF LIVE LOAD DEAD LOADH F S2- WIDTH 2 2- O 'r•`\\N `wl�� 'l�- f •a- r� �4 t� -• a5 --- 13 p -j 8 Zi • r{ALrE *4A -F •`g- f!q VL7r �p1�-� D C�G- .14ALF ��'"Fi .lCr FiiSLf COL. DOWNWARD LOAD (LBS SPECIAL INSTRUCTIONS OL. DOWNWARD LOAD LBS. SPECIAL INSTRUCTIONS 1 M l2' X 4 g,� µqty 37 - 2 S 12" X30,, y �" RAup 3 3 V913 24. Y -W '15 I --ALF L12 4 /S 1Z"X�" 'A+ NAI F %IJ 5 7b 24"93d' "8" 1� 13 6 2(0 l2"X3d' "$" I4ALF 14 8 i78 6 BUTTE CDUUN 11 .r►r Y 4I'tMe,1-1 Footing or pad size must be determined by dividing the soil bcnr �- it � Into the downward load. Ex: Soil bearing capacity = 1500 PSF, downward loadp ovG D 3200 LBS I Footing size = 150-0p SF - 2. 13 SO. FT. ��// _= MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. (�.. furnish Setup Model No. /7 Ye$r t?_e?7 Width 0?// (ft.) Box Length of � (ft.) Tagalong or Expando Size _1�2 .ft. xt. (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. 1 Footing$ (check one) 1Z -SL ingle 1 Wood either pressure treated or x foundation grade. (ft.)(in:) (in.) (in.) El2. Other (specify) Center support locations* Center support footing sizes .. Supports (check one) (in.) �' 1: Concrete block: ❑ 2: Other (specify) (ft.)(in.) (in.) (in.) 4 ----Tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) x aJ -- Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) -- Max.. Pier Spacing (ft.)(in.) L X J •- Max. Overhang —J - (ft.) (in.) (in,) (in.) (ft.)(in.) BUTTE CUUN I I BUILDING DEPARTMEN *if drawn APPROVED 23. center piers are other than above, __ draw in -locations,. spacing, and dimensions. 1. Owner's name: 2. Installer's na r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yep No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No 4 (If yes, furnish two (2) plot plans.) 1 .. 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 ) C 5. What is the mobilehome electrical rating? ----------------------- %SOD 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 (I£ yes, identify the load and size: /- (Load) (Amps) 9. What is the mobilehome site gas pipe size? ------------------ 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.) RETURN TO: Plablic Works Land Development Section CERTIFICATE OF COMPLIANCE Issued to: Harry E. Buckner Rt. 2, Box 2349 #9 Oroville, CA 95965 OFFIC:4L RECORDS BUTT` 000111T _`r! ,t "CORDS REQU'. DEC 28 8 33 Ali 1967 ELEANOR A. bE"KERs , CLERK - RECORO FEE ,92-37844 This Certificate of Compliance is hereby issued by the County. of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: on the north side of. Honcut Creek, two miles east of La Porte Road intersection. Honcut area. 2.. Assessor's Parcel Number: 28-10-20 Description: All that certain property located in the County of Butte, State of California, more particularly described as follows: The West half of the West half of the'North half of the Northeast quarter and the Northeast quarter of the Northwest quarter of Section 17, Township 17 North, Range 5 East, M.D.B. & M., lying North of South Honcut Creek. TOGETHER WITH a right-of-way for road purposes to La Porte Road as contained in that certain Judgment entitled Joie Osgood, Plaintiff, vs:.George R. Ellis et al, defendants recorded September 14,1971, in Book 1700, of Official Records at page 248, Butte County Records. Together with rights-of-way of record recorded in Book 2776 of Butte. County Official Records at page 605. Issuance of this Certificate is conditional upon the.following conditions which have been imposed pursuant to the Butte County Code Chapter 20-166 and Government Code, Section 66499:35 (b), to protect the public health and public safety: NONE County of Butte Subdivision Violation Committee LD 1400 ND OF DOCUMENT EtiD OF DOCUMENT 'COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT 40.�f q ASSESSOR PARCEL NUMBER� ZONI G ` BUILDING PERMIT OWNER�� T�EPHO^E� SQ. FT. OCC.1 BUILDING V LUATI OWNERLING AD 'E" ESS r/ _ CONTRACTOR'S NAME - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation • $ Filing Fee - $ 06.99 - LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �f Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD ADD SS S PLUMBING PERMIT Filing Fee 10.00 � � Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping p LOT NO. SUBDI VISION NAME PA EL MAP Each qas water heater or vent 1 5.00 Gas piping system 1 - 5 outlets 0100 USE OF STRUCTURE SF ❑ Duplex ❑ MobilehomeA Other SPECIFY Building sewer /6100, Lawn sprinkler system 5.00 TYPE OF WORK New F1 Addition ❑ Remodel ❑ Utilitie Installation❑ Other ❑ Describe work: l — "'ELECTRICAL Permit Fee $ 40,' t Contractor PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS tr�n0 ,' Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y` OR AODNS. ACG, SLOGS. / 2�sgft 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 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 '.OUTLET 2,50 ea NON-RESID BRANCH CIRC TS NEW CONSTR. IPOWER APPARATUS 9 NON-RESID, %SINGLE OUTLET CIR. 50 @Z3¢ Ex. OCCUR OUTLETS OR FIXTURES BAL�e1 Ex. QCCUp.(FIXED P OUTLETS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi S. Wiring 7.50 /In Permit Fee $ 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. 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 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 Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ?This X �- Date /f - a tS Z Signature of plicant = Owner Cont for ❑ Agent An OSHA permit is required for exc v9.Pdeep and demolition or construct- ion of structures over 3 stories in h hffff. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCE PD HD 'SSU permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC /- By P661T EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date fZ `�� ' S 2.- , Receipt No. �.2� WHITE-D.P.W., YELLOW -ASSESSOR, NK -IN PECTOR, GOLDENROD -APPLICANT n� J COUNTY aF BUTTE DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION , ,7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/53411541 PERMIT APPLICATION DATA SHEET Permit No. OWNER f A. P. No. fw Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector 0 Date_1 At time of permit application, I was ad *sed the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APP OVED 1. All items have been submitted. 6 Plot plans in duplicate �ripli� cate�� /Z '70-Fi'Z 3. Complete plans in duplicat 'triVricate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . O��Letter of signature authorizat'on. Sanitation approval from Health Dept. • . .� 7O 1. tanning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . Pre-Inspec. request to . . 17. Pre -Inspection for Required. Building Inspector (Date) O Other � �� 0 Z . V e When you issue the permit, process as follows. Mail to owner. Ito r �' Telephones �C, and hold for pickup at _office. Deliver w/inspector. Other w Applicant Date' I/' `4 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at t, of a I*c i circle ' .e 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer Plans checked by. Plans approved by Other: Copy—DPW advised of above required data byMail - ��ther By Te pone Date /)� Date Date To: Building Department From: Environmental Health Subject: Sanitation arance Oc Plan Approved for: Hold final for: � A0 e Location APT Sewage disposal water supply Final clearance O.K. for: Clearance for -bedroom mobile home. Other NOTE '* water supply water supply Date 0. �.��a , !/ TO: Building Department - Environmental Health Department FROM: Land Development Section SUBJECT: Building Permits and Sanitation Permits DATE: March 31, 1981 Since there appears to be a question regarding the legal status of the subject parcels, we would appreciate'it if you would ask anyone apply- ing.for permits for the subject parcels to contact our section. Clay Castleberry Director of Public Works Jo Mendonsa As istant Director im/ss Ptility connections shall be )rjIbj o ne mo ii'1 ome, either half of the r dside (left) of the mobilehome vhrtl�l,` 46khe n t-lbe mobilt�iiome, MINIMUM FOR MOBILES A setback of 5 ft. from the property lines and a setback of 50ft. from'the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. NOTE:=All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alteration's on same wit out written permission from -the Department f Public Works, County of Butte. 3z??-$ 2 BUTS(L COU 3UILDING DEPARTMEN APPROVED efflorandum Inter Del TO: Building Department - Environmental Health Department FROM: hand Development Section SUBJECT: Building Permits and Sanitation Permits - AP 28-10, 20 and 21 DATE: March 31, 1981 Since there appears to be a question regarding the legal status of the subject parcels, we would appreciate it if you would ask anyone apply- ing for permits for the subject parcels to contact our section. Clay Castleberry Director of Public Works JM/ss F1 ,Jo Mendonsa As istant Director Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 0FFiC:A:„ RE'C.0! c)s FOR RESIDENTIAL DEVELOPMENT eUTTr Section 26-8.1 of the Butte County Code requires this acknowledgement�l be recorded prior to issuance of a building permit. DEC fO 34 QH192 The property described herein is adjacent to land or included ELEANOR CLERK -RECORDER M. BEC:KER h°"�•` within an area zoned for agricultural purposes, and residents of ,., this property may be subject to inconveniences or discomfort arisin" '3644 2 EE from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established.agricul- tural.zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: mss; fist half of the Wast half of the North half of the No woest I tilts Nord>tsast of the tfortts+est of Section 17, N4' qua:t�r Q ,. =7 Path, iiait�e 5 Fist, N.D.B. 6 N., lying North of South iim*A Crerc. WTrmm a my for road purposes to to Porte Rodd as contained that Certain entitled Joie Osgood, Plaintiff, vs. Gems R. Ellis, al, defeMsnts recorded september 16, 971, In Hook 17100, of Official Records, pqp 248, Butte Coxity Records. Date: 1,2 //A/%2_ PROPERTY OWNERS: State of California ) On this the 10th day of December , 19--v ) SS. before me, the -undersigned Notary Public, personally County of Butte ) appeared HARRY E. BUCKNER proved to me on the basis of satisfactory evidence Xdh�)WkW to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. .,. RHONDA N. DILLENBECK IN WITNESS WHEREOF, I hereunto set my hand and official NOTARY PUBLIC -CALIFORNIA seal . Butte County . • My Commission Expires Aug. 20, 1986 Notary Public Present A.P. NO. END OF DOCUMENT 0 0 R W cn rn w kA ,;;.:.,,;. m e to, r�- 01 N t� 3 4 a C 0 i kA ,;;.:.,,;. m To: D- Aldir Department rror: .nomironnentall Heal` .GL'b, J'�ct: Sa1Ltat&CCkly ion Cle r a_riAc T / ..mc -r' L,Oc:ai oil Plar_ _�oorotTed for: Sewage disposal ,_ Hold 'Lina . 'Cor: viater zuoply crater supply FL -al clearance O.K.for: cater supply Clearance for bedroom mobile home. Other J as' Van D-at,e ounlu)4' LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS_ CLAY CASTLEBERRY, Director 7 COUNTY:CENTER. DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4681 WILLIAM (Bill) CHEFF Deputy Director Harry E. Buckner Rt. 2, Box 2349 #9 Oroville, CA'.95965 Dear Mr. Buckner: December 22, 1982 RE: ' A.P 28-10-20 Application for -Determination .i At the regular meeting of the Butte County Subdivision Violation . Committee held on December 22, 1982, the Agency issued a Certificate of Compliance for the above -referenced property. There is a fifteen -day appeal period before this document can be recorded, unless a waiver is signed waiving your right to appeal the Committee's decision. Since you have already signed the waiver, we will go ahead and record the Certificate of Compliance: Should you have.any questions regarding this matter, please contact this office. Very truly yours, Clay Castleberry Director of Public Works : �hn Mendo sa Assistant ,Director JM/ds cc Planning Health Btfilding