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028-130-030
Bill Gieen 28" 13�02, .I OO man m�-N:of LaPorte --Rd; { Perdit #50 ; % Porte--RO-.- � � SM�singKe fam, ) AP 28-13-30 William Green n/s Woodvine Lane, 1200' W. of Bangor Park Cutoff Rd,, Bangor >Permit 6165-77P,E Z(util./MH) C, G,,q ELEC, _ GAS / p SUPP RT S RUC._ CO QCT ION TEST 28-13-30 Contr.- Lincoln Village Permit #6316-77MEiI .Issued _00. 28-13-30 -_`— --- P-irmtP97--6-85B n 'wa co er-- ecOt 28 - mit# 051-85B(new open deck)MH 1 028-13-0-030 93 3178' B,. ZIMMERMAN, RICK c� 66 WOODVINE, ,ZANGORx v FNDN FOR EXISTIN&I'MH CONTR:-GUSGUARD PRODUCTS . 1 n L } � �� ��` M Aro WHEN RECOf M MAIL t0: aE BUILDING DIVISION 7 COUNTY CENTER DRIVE QTY' OROVILLE CA 95965 TEL a "1 J3 -g5�?29 93-056329 93. 056329 x I "Coal r .00 '. Recoid4d , . I � f fficiml' 'ltoc0rda I County ,of I,. '1 -Butt* •1, � { 94idace J. i8tu>bbs. :Zdcord�r ,1 'A0:250110 21 - : 93, I': obi ! XX 2 4. 58ACE .ABOVE THS :.Llri. FOR .RECORDER USE Ofll.Y NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at die toque" of the 1440181 agency indicated is in accordance with Cafifomia Heall" and.Safery Code Section 18551. This document is evidence that such load agency has issued a certificate of occupancy for installation of the unit described. hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the reef property and shall be deemed to give constructive notice as to its contents to all per- sons thereafter dealing wish the real property. RODNEY AND ANNETTE ZIMMERMAN BUTTE COUNTY BUILDING T)TVTSTON REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT mW CERTIHCATE OF OCCUPANCY P 0 BOX 175 7 COUNTY CENTER DRIVE MAULING ADDRESS MAILING AOORESS BANGOR, BUTTE,TCA 95914 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CIT! COUNTY STATE. ZIP 66 WOODVINE LANE 93-3178 (916) 538-7541 INSTAU.ATION MAILING ADDRESS. IF DIFFERENT BUILDI G PERMIT TELEPFtcme NUMBER BANGOR, BUTTE, CA 95914 22z_� - 10/25/93 CITY. COUNTY STATE ZIP SIGNATURE OF LOCAL A OFFICIAL DATE SAME NONE UNIT OWNER (If also ProPertY owner, yr-ce 'SAME") DEMZR mAt•IE (1f noc a dealer sale. waste "NONE") KAIL14G ADDRESS OEALSR L1CZ`ISc H0. CZ TAY COUNTY STATE ZIP UNIT DESCRIPTION KAUFFMAN & BROAD 1977 SAHARA mAr4UFAC71URER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER SNA812429 & SNB812429 624"X288" 085677 & 085678 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSCirS PARC_l NUMBER A.P. #028-130-030 SEE ATTACHED LEGAL DESCRIPTION •a'•� �: HCD FORM 433(A) 4/86 • Order No. 1-148518 SCHEDULE C The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL A: Parcel 2, as shown on that certain Parcel Map, filet: in the office of the ' Recorder of the County of Butte, State of California, on September 230, 1977,,in Book 62 of Maps, at page 70. PARCEL B: A non-exclusiVe easement .for road and public.utility purposes.as shown on that certain .Parcel Map, filed in the office of the.Recorder of the County of Butte, State of California, ori September 23,.1977,"in Hook 62 of Maps, at page 70.. AP No. 028-130-030 6 am, VIS 11 Address or location of "•,'• .n.J Legal Description of A.P. #028-130-030 _ 0 Real Property _ SEE AT ,CHED LEGAL DESCRIPTION � A T—.Mobilehome/Manufactured Home Commercial -Coach has been affixed to the, real property described above by installation on a foundation system pursuant to Health and Safety Code Section 18551. RODNEY AND ANNETTE ZIMMERMAN Owner's none: P 0 BOX 175, BANGOR CA 95914. Owner's address: INSIGNIA OR HUD NUMBER: 085677 & 085678 SERIAL NUMBER OR V.I.N. SNA812429/SNB812429 MANUaACTURER'S NAM KAUFFMAN & BROAD YEAR OF MANUFACTURE: 1977 10/25/93 (916) 538-7541 (CMfcd woro..q Y�wollawm) i ��� W-0 a n x rsieoi W%ft*--o..... C..,ary --Peru , "oo. ww--400m. Fa.. Rodney Scott Zimmerman PO Box 175 66 Woodvine Lane Bangor, Ca 95914 December 15, 1993 To whom it may concern, This letter it to document the fact that the decal/license plates for my mobile home are lost. They were not passed to me by the previous owner and I cannot find them anywhere (physically) on the house. The following information describes said mobile home: Decal #: AAY 8374 Manufacturer: Kaufman/Broad Model: Sahara Year: 1977 Serial Numbers: SNA812429 & SNB812499 Attached are the registration sticker for 1994 and a copy of the Dept of Housing and Community Development registration form. If you have any question, please contact me at (916)534-2328. Sincerely,. n Rodney S. Z' merman v .STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT wtw 1 Wt ��1��1A MANUFACTURER NAMEAD TRAM NAME moo& DOM OOT 00/00/77 p� 11/28/77' ACC fXPiRA110li 02/2&�94 KA�HAp 0AD1 SAHARA RY-77 U AUL NUMBER TINS NUI UMBER 0&5677 000 0 44 000 24 000 03 93. TV MPT Sf� E L i SWI2429 2 SNU12429 085618 000000 000624 000144 TOTAL 3 FEES 4 PAID: 5 e _ 051:00 A ZIMMERMAN RODNEY S/ D ANNETTE LYNN JTRS o PO BX 175 R BANOOR CA 93914-0000 R S s E R ZIMMERMAN RODNEY S/ ■ ANNEM LYNN JTRS O M I a PO BX 115 ax T L E BANGOR 4 95914-0000 R E D o E 66 Wa00VINE L w NT 8. u BANGOR Rs L FST INTERSTATPBK E SACRAMENTO DIRECT LH O. CENTER 780 bjAvft A PO BX 26902$! L O SACRAMENTO W' DATE: 03/ �f 1' 'N ■ a J u N x T R os R T OUPLxCATI COPY TO 8E FxLRD WXTM T14.[,MOi1LtMtlM19 K OPERATOR A8 REQUIRED AY LAW IMPORTANT 83-069-02126 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. .a THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0301794 y, First ® Interstate Bank October 5, 1993 -First Interstate Bank of California Los Angeles Loan Center P.O. Box 60759 Los Angeles, CA 90060-0759 213 239-5599 County of Butte Department of Development Services 7 County Center Drive Oroville, CA 95965 RE Rodney Zimmerman & Annette Zimmerman Mobile Home - 1977 Kaufman Loan #822-7.84-3081540-2001 Dear Sir, Please accept this letter as authorization for you to place the above subject on a permanent foundation. If you should have any other questions, please do not hesitate to call me at (213) 239-2656. Sincerely, Eileen socki Supervisor We go the extra mile foryou." Business, Transportation and Housing Agency DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Division of Codes and Standards Mariufactured Housing Section INSTRUCTIONS FOR APPLYING ATTACHED STICKER 1. Clean Surface Thoroughly (Sticker Will Not Stick if Wet or Dirty). 2. Bend Sticker at Split and Peel Slowly. 3. Place Sticker in the Area of the Top Right Well of the Decal or License Plate as Shown Below. ®� ® =•CALIFORNIA'� - - i • • ® oAA .1235 i z= CALIFORNIA MH • ` STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT MANUFACTURER NAME/ID J I f%m I JLU IY I.HRU TRADE NAME D nu MODEL DOM Utt;AL ND. DOT AAV8374 KAUFMAN/BROAD/ SAHARA 00/00/77 DFS, SPC 11/28/77 ACC EXPIRATION 02/28/94 RY-77 U SERIAL NUMBER I SNA812429 LABELMNSIGNIA NUMBER 085677 WEIGHT LENGTH WIDTH ISSUED SCC EXEMPT USE: TYPE 2 SNB812429 085678 000000 000624 000144 03/15/93 04 I SFD LT 000000 000614 000144 3 4 TOTAL s FEES s PAID: $51.00 A D 0 R E S S E R E a I A S I T L E R E D 0 s w I N T E U R S L E 0 A L 0 w N E R J u F N I I R O S R T L I E N S N E O C L O O N L R ZIMMERMAN RODNEY Si ANNETTE LYNN JTRS PO BX 175 BANGOR CA 95914-0000 2IMMERMAN RODNEY S/ Bbl. ANNETTE LYNN JTRS - -� PO BX 175 BANGOR �' 95914-0000 66 WOOOVINE LN.flyp lk;-' g'� PEW& BANGOR `y` CA 95914-Of1Af1•-••••.Y FST INTERSTATE`BK SACRAMENTO DIRECT LN" — CENTER 780 PO BX 26902810 SACRAMENTO CA DATE: 03/1,/90,13:58:00 0 :ytw�vl «m. i%0P®R"I m , lt,��,,� 4, �w .r f" a1442ATTENTION OWNER: THIS IS,T4i REGISTRATION CARD FOR THE UNIT DESCRIBED ABOVE. ",.'� 4LEASE, KEEPo,_THIS� CARD IN A SAFE PLACE WITHIN THE UNIT. STRUCTIONS FOR RENEWAL: EGISTRATIONI FORA.•TkI.S UNIT EXPIRES ONJHE DATE INDICATED ABOVE IN HE�BOX LABEL.�Df�.,!M.,IRATION". THERE- ARE SUBSTANTIAL PENALTIES OR DELINQt1ENCY�<XF� YOU DO NOT RECEIVE A RENEWAL NOTICE WITHIN O'AY,VPRIOR TOVTHE EXPIRATION DATE►'CONTACT H.C.D. FOR RENEWAL 'Na,TRUGTIONS, " o&:m olumi . jw 1� � in THE OWNER INFORMATION SHOWN ABOVE IMPORTANT 126 MAY NOT REFLECT ALL LIENS RECORDEDO3-069-02WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. i THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0301794 9 11 v zoo ! A+srss•ae�c �I 4" 47 rAII /7Kl 7slRl ssOW /x324t) l�YcOM AUD �cl jqrraftr aw NIA�,fd'so'� kS?$.06 p ow" MI is ww a I 71•! MOW / A/7AiYMAMI I ALIL AMAC B� so•Ic.KA AIUD �,KE acrAL4cr uwc s �t�ol s�t.si r011E,pr �p'Is7oil'!r " �J ADIIt At � r seem Ari► /oft a ; I I I 13 ,,, ,i/00, M PLL/Q:�IUYI inB 2656.5LANE 4 �5 NI M;-IR 428.5 357 7(� 0$2 4 �/6acz90Ac. 326.99 326.98 ; 6 485.49 300.OaRIW "A"1 p' �`� . e' 29 4362 4 h 3 5.39AC. n/7 AC.'. M34 I466.7 Ov O 746.28 R` CD 0.803 !� 1 h - Ptn j pa' AC. ; 8O '907=Ac. �5,48AC a o, 3t 3 67 on a v fly 5.63AC A. / I 00 615' 7.7i� { PAI 62.70 1 5�q•S .��r \•.\i• SSG 1 455.75 470.00 315.12 / \ • i // 190.3 I I I l � ' 40, 1 1 12.71 AC. -f This map may or may not be a survey of the land depicteo hereon. You should not rely upon it for any purpose other han orientation to the general loeation of the parcel or pay :els depicted. BIDWELL.'TITLE & ESCROW CO., expressly -1isr:laims anv liability for alleged Inss nr rtamage which I'y'la` esult from reliance on this man COLONY CONNSTADT — NOT REC. AZEVEDO TRACT M.O.R. BK.35, PG./3-/4. 4-28-67. .IRiESIDENTIAL 028-13-0-030 93-3178 B ZIPMIERMAN, RICK 66 WOODVINE, BANGOR FNDN FOR EXISTING AMI CONTR: GUSGUARD PRODUCTS a i V=OK 0 = Not OK Not = Not Ready Applicable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a - 1. Zoning Requirements-Setbacks-Eaeements 2 Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fell -C/0 Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electrlcity; Location-Clearences-Grnd-/ '/Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Net. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance 1 1, l Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Inap: Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements - �' , ' 2 Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg -Rfg -Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Naffing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Pane lboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test-Water'Supply Test V=OK O = Not OK - = Not Applicable = Not Ready Date/Initials UNDERFLOOR Plans OK except #'s Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd. / P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors JV 7 7. Slab; Steel -Wrapped RESIDENTIAL (Single & Duplex) / . Piers -Fireplace Ftg.-Steel 0-%/ r 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation r 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent-Access-Combu n Air -Baffle 17. Water Pike; Test & Anchor_mCi Protection 18. D.W.V.; Te -Fittings nchor-Nail Protection 19. Shower Pan; n first Floor -Tub Access 20. Test Tub & Aer, Second Floor -Tub Access 21. Gas Pipe; SIN,& chors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled -25. Romex Installed Close to Edge of Studs & Vi. 26. Equip. Ground!Rade up w/Mach. Fastne -Bond Gas & Water 27. 2 Appliance Circu in Kitchen & Co uctor Size/GFI 28. Subfeed Wire Size /*V ga. Cu o I-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or I -Oven Circ. / / ga. Cu or Al. Insulated Neutral es ❑ No 30. Service -Riser Condu ors & Gr nd-Mein Disconnect 31. Equip. Clearances anels-Motors ech. Equip. 32. Clothes Closet Li ht -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulati 36. Condensate Dr & OverflovjAize & Grade 37. Furnance-Vent; A ess- b. Air -Return Air Vent -115 outlet 38. Attic Access & Platf6KH Furnance in Attic Date/Initials FRAMING Plans OK except #'s 39. Sils, Proper terial & Anch s 40. Walls Studs -Nal , SpaVg g & Bracing -Plates -Sound 41. Bearing Wells over Aii ars & Floor Nailing 42. Draft Stop in Well r proof) 43. Fire Stops; Nrred CeiliNs-Stairs-Chases-Tub 44. Headers & Beam -Size & lkarina 4 Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-S tting.-Rfng. 47. Fireplace•Ties or Type A Flue -Fireplace Th t clearance 48. Attic Acc ss; Size & Romex Protectio raft Stop -Ins. Baffles 49. Bdrm. Wi dows or Exiting Doorl,816 Hgt. & Dimensions 50. Garage Fi Protection F ng 51. Property kine all & Openings 52. Ext. D - ne 3' -Check Garage -3rd Story, 2 Exits 53 firs; Widt -Headroom-Rise-Run-Landing-Fire Protection 04. plywood on Floof Overhang -Attic Vents -Rafter Outriggers 55. Sidi ng -Nal lin Veneer 56. Stucco Mesh- rip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -G ss Protection -Skylights -Plastic 58. Shear Walls; Na ng -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66.. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct In Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Pib., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive Cl Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certific1herOther Certificates Comments at Flnal: r // COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION / 7 County Center Drive - Oroville, Califocn'ia 95965 - Telephone (916) 538-7541 PERMIT No. ,//l APPLICATION AND PERMIT 376 ASSESSOR PARCEL NUMBER ZONING AS BUILDING PERMIT /Y) 71.1 OWNERPA INHEFMAN UL 972691 SQ. FT. OCC. BUILDING VALUATION 144 44 0 7776000 . _ OWNER'S MAILING ADDRESS #66 WOODVINE LN BANGOR ffSKIN CONTRACTOR'S NAME GUSGUARD PRODUCTS 800 1 322 2479 CONTRACTOR'S MAILING ADDRESS DRAWER HOW 209 MID PINES, CA 95345 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee 540 50 $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 66 GIOODVINE LN BANGOR 95914 PERMIT FEE $ 425.39 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO.SUB DIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome 9 Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W TYPE OF WORK New 1:1Addition C)Remodel ❑ Utilities 1:1Installation O Other Describe Work: MH PERM FEIN PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 EXISTING SITE Main Service ( 2001 OR LESS I OR LESS 23.00 Main Service ( 200ATO1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLOS. ) SO 3.50 FT., CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) 16 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and of . Professions Coplq, and y lic nse is in full fo ce a ct License No. Classificatio ❑ I, as the own r ', or my em oyees with we as t eir sole c m ensation, will do the work, and the structure is not inteng or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST, MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIH, Ex. Occup. ( OUTLET OR FIXTURES ) B20AL. @ 1.00 Ex. Occup.FIXED APPS. OR (OLNUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. fr] I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 mems, co and expenses which may in any way accrue against said it. County in nse ue AoA_heran,Wings qDateThis /G � Signature Applicant - caner ontractor CI Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. v Gy v / Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 425. 35 HAZ. D. FEES IMP FLO C[]li PARCEL H ISSUE permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. /� DIRECTO OF PUBLIC WORKS r) By ./Q(.� Date ® c� PERMIT EXPIRES ON t/t% 8 7 etel Receipt NO. 155.10 — 148766 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT riYr-.... - � ",,,�y,�(•�I•s1.1 ''�X'�4r�1n.n.•.-I'�"+!"4'^n•-�'1� . _ r-,'Y-�'�.`""`1'r'w►�"-~.+�"`�'� COUNTYOF BUTTE -DEPARTMENT OF,DEVEaLOPMENT SERVICES -BUILDING DIVISION 7COUNTYCENTERDRIVI- - ROVILL , CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET Proposed Building Use Building Inspector M 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. ......: 7 .............. A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .......................................... . Ew- nergy Design Compliance and supporting documentation . .................. tatement of Intent for Non -Heated and A/C Buildings . ...................... ngineered truss details and layout in duplicate (required prior to plan check). .... obilehom d and m facturer's installation instructions, 2 sets. .ees of $ D . ....................... ......mpact fees as shown on attached schedul _. \12. California Department of Forestry plan approval/fees. ....................... . 3! Flood elevation letter (100 year flood) by California Engineer. . . 14:Sanitation and plot plan approval Health Department. o?� 3 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.a bout (A) Improvements (B) Drainage. ........... ~` -19. Driveway permit (construction approval required prior to occupancy). .. . Pre4 spedion requ�- 20. Pre -inspection for required. .. to Building inspector (Date) 21. Contractor's license information. (No.; Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. O.wrier-Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of. Agricultural Acknowledgement Statement . .................. ' 25 Letter of signature authorization.! ........................................ !� 26. Copy of recorded deed of parcel creation and: 60 right of way to a public road. ..... 27. Letter of intent on building use. .....,. ................ . . 28. Mobilehome utility elearahce.,'. ..... `...:..` .t.. #: - 29 t.Documentation`cofilegal access. ,. s, . `;. '..:;.`.:...... . f 30.` Documentation of 50% subdivisldr�de'veloped'or'�(A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violation' s/expied pmits. ....n. ...rer 0A\Ian checklist. iS When you issue the permit, process as follows:.....,..._ _ Mail to owner. —,--M-ail to contractor. Telephone and hold for pickup of._ office Deliver with inspector. Other Parcel Creation Acreage .�;," ;r �"rApplcanf Copy of Haz-Mat form sent Health Dept' Fire Dept. Air Pollution 04e Copy of plans sent _ Health Dept. , . Fire Dept. Other Date By The following data must be submitted � ^r permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, -owner, was advised of above required data by _!!!!!!"phone _ mail Cou ter _ Date/ Contractor, designer, owner, was advised of above required data by _ phone _mail Co nter by _Date Plans checked by Date Plans approved by Date y Sets of plans on hold in File cabinet AP folder /-%,� �� Copy_ Department of Public Works / 0 I'lul I'I:ui AIIucIieJ Hoof Him Atuidwd 4cul to 11A);�� TO, Building Dc-partnicnt FROM: Envirotinjcntal Hcalth SUBJ1✓OT: Sanitation Clearance ,&440 -=6 1 � �- �Ao 9 0 9.- _30 Owner Location AP# Plan ADDroved for: Sc%va,-,c Disi)osal "later Supply: Public Private -Well Hold final for: Final clearance O.K. for: NOTE / Environmejtal Heal 0Specialist 8/92 Date i 976-85 t PERMIT NO. 1051-85B PERMIT EXPIRES CJ OWNER BILL GREEN ` CONTR. owner ASSESSOR PARCEL 28713-30 LOCATION N/S Woodvine In,, 1200' W Pleasant Grove S7 Bangor Temp. Power Pole Called PG&E i Temp. Elec. Service i� Called or_RG i Temp. Gas a Calle( JOB FINA' Signat OK Not OK = Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's Date DEC S, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements VZ ing Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2.• Kgs; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3: cks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. nod Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI W Date GI. Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK ' 0 = Not OK = Not Applicable �E = 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. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Blackouts -Wrapped -Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except ft's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 14, Water Ht.; Vent -Access -Combustion Air 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. 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. 64. Fireplace or Stove; Clearances -Hearth 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 Date Card -BI Date ELECTRICAL Permit OK except N's 66. Elec. Outlets & Receptacles at Kit. Counter 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. Ramex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 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 ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes E] No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 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. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Perrr,it) OK except H's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 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 Date FRAMING Plans OK except N's Comments at Final: 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. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ff_n_g. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMEN'T„OF,WUBLIC WO{tKS ° "PERMITOV? 7 County Center Drive - Oroville, California,95965 - Telephone 916/534-4541 = APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER f2 _ ZONIN BUILDING PERMIT OWNS / TELEPHONE SQ.'FT. OCC. V BUILDING VALUATION OWN AILI 719,15 FZESS 'r CONTRACTOR'S NA -ME f whEr NE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN - Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 13, DO ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /v Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL I G ADDRSS S V PLUMBING PERMIT FiIingFee 10.00 It Each Trap 2.00 Solar Water Heater 20.00 T? Water piping 5.00 LOT NOSUBDI VISION NAME PA L MAP `% O Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00eEE TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 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 NEW CONST.// DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. 21hQSgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busi and Professions Code and my license is in full force and effect. License No. Classification Ell 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 TI -OUTLET 2,50 ea NON.RESID BRANCH CIRC TS NEW CONSTR. POWER APPARATUS &\ NON-RESID. SINGLE OUTLET CIR, / Pness Ex. OCcu ( 20®60Q OR FIXTURES BAL®ao FA PPLNS, OR FIXED Ex. OCCUp.IXED OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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 $ 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 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 saidCounty ince of the granting of this permit. X �6�' �� Date � �s--i? Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures ovel 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP, GROUP I TYPE OF CONST. -.. I� P^R I :9u /E' This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO "OF PUBLIC By PER EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date r��%'Z`,�\1 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OF NOTE:=-AII Materials & Workmanship Shall Be in, -. Accordance- with Recognized- Good Practices and- of nd a quality prescribed for -the S ocified`-use-in-the _ Uniform Building, Plumbing _—N echanical Codes and the National Electrical Code. This set of blans and specifications MUST be kept on the j 'dbb at all times and it is unlawful to �"Rf�,zP. ryP"' • �•••' nn$ nr e4+.ern+inns on %ogre without written permi ion from the Department of Public Works, Cou I y of Butted - 1� o l3 a x 17.3 13PA/,6a1z c.;,n A ROA of &t?'fr- e 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. 1051-85 BUTTE COUNTY BUILDING DEPARTMENT APPROVED SrPT—.,C p, 30 IF=_AS 4 iZB4,o 8 �i_ l �ql/ r4nT-r a nL `ro 1317, dA N f ,J, P fri.2 f3C®ct c4, � ro A4 Mo (y L BUTTE COUNTY BUILDING DEPARTMENT APPROVED PERMIT NO. 976-85B PERMIT EXPIRES 1 OWNER BILL GREEN CONTR. owner ASSESSOR PARCEL 28-13-30 Yr LOCATION N/S Woodvine Ln, 1200' W Pleasant Grove Lane, Bangor Area H Temp. Power Pole Called PG&E Temp. Elec. Service Called PI Temp. Gas Se Cal led PC JOB FINALEI Signature J — OK 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready - Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS'ICOVERS, CARPORTS, ETC. (Plans) OK except #'s 1:' on ng Requirements—Setbacks—.Easements 2. Soils; Special MH Support—Sketch F logs; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails. 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6.'Gas; Location-Test—Wrap:/ /"L"ft./ / Nat.or/' /"L"ft./ /"LPG 6. Carports; Windows—Doors• 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Dat Card -BI Date ' Card -BI Date Card -BI Date Card -BI • Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s. 1. Zoning Requirements—Setbacks=Easements Date POOLS (Plans) OK except #'s 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 1 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enc losures— Pane I boards— Ins. ,to Main in Conduit 9. Exits;.lnsp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date - i I J = OK 0 = 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. 3. 4. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 49. 50. 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 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-Underfir. 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 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector 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. 23. Size Boxes & No. of Conductors -Stapled Ramex Installed Close to Edge of Studs & C.J. 70. Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Ramex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic El Yes Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 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 AI, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes E:) No; Walks ❑ Yes ❑ No; Planters El Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29, Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Supporrtt 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain &Overflow; Size &Grade 86, Energy Compliance Certificate -Other Certificates 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 Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's Comments at Final: 36. 37. Sills; Proper Material & Anchors 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. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng_.-Rfng_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) l I r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovj,lle, CalifotniA 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N ASSESSOR PARCEL NUMBER •— ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE MAILING ADDRESS t CONTRACTOR'S NAME U TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER P \ UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ^ r 00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESIS Permit fee $ BUILDING A DRESS I //t// S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME P CEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome[�/�Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New Addition Remodel Utilities,0 Installation❑ Other❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2/22sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I 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. U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. 20e50Q Ex. Occup(o XTs OR FIXTURES 9AL®300 FIXEEDD APPLNS, OR Ex. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. (� I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Co ty In Consequence of the granting of this permit. X - .� Date — T C Signature of Applicant — Owner®"'Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE qa OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC O OF PUBLIC BY I P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.��5� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -� �•- .-� _- _ __--- - --- - -mss%-- —'` _ �! ���(�O�r"_�'J - - -17 -_• �• � - - - - — - - 'Y —�/T/ fJ/� _' - - - - - -/ +c �S�i lac - � �/ �� o �► r` - _ S ►' DE o2�t sT� aX�b�� �►�3�tiGtn=ss RooF axe r Z ®e. , 3I a 1 X 6 I.W. Orr A+ey .rA- _oo cc/ Maraai nL T"O [J-irR f�L®c �/�vay �S'D�► G'o OTE:—All Materials & Workmanship Shall Be io Accordance with Recognized Good Practices aiwl of a quality prescribed for the .Specified use in the Uniform Building, Plumbing & Machanical Codes cot.d Hee « n I Elect ical Code. _. G t2 a L� � ,04d . 7J7 -� % ( /�� /2 ins .�,-C---------- � /2•s-0. BUll�Dli�l-�4 DEPARTM.�EN1 �S �FT6 . _ ' Px)7—,f o -This set Of plans and specifications MUST r kept on the job at all times and it is unlawful to make any changes or alte T nro.m the Department of Public Works, County of Butte. Srp7�C A setback of 5 ft. f r the property lines and a setback of Soft. from the road centerline shall be clear of structures or equipment exert verham I"or a 2 ft, eave o BUTTE C-7MRM UILDING DEPARTMANT 31,)] GR, -rte P0. 130x 1�3 04, CIYV � COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 .t CERTIFICATE OF OCCUPANCY. This mobilehome has been installed in accordance with the requirements offthe California Administrative Code, Title 25, Chapter 5, under permit number L 4i fo— --?—I for the follo4wing location: Owner Owner's AddressLI1 +_� ! '` 1 Mob ilehome Mfg. +��►�`►r�--=�dModeI YearLQ7.7 Insignia No. Serial No, l77 It is hereby certified for occupancy at the above described location and may be occupied. ii Director of Public Works Date 1 J l� By `CC /i�1 THIS CERTIFICATE IS VOID WHEN MOBILEHOME ISIRELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. i 7 � PERMIT NO. ' 6165-77P.E :j PERMIT EXPIRES ! OWNER William Green CONTR. owner LOCATION (A.P. 2�-13-30 NW/S pri.rd.(Woodvine Ln.); d Ban gr N Temp. Power Pole C led PG&E Te . Elec. Serv. Z Called PG&E emp. Gas Serv. Called PG&E FOI ALED / I IQ, 9Z . (Date /1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING A BUILDING (Cont'd) Grd. Fa6lt Prot. PLUMBING Seloack ewall Ski Piping Coo ng For Pa ets 1 t Floor nder round Mal Bldg. Rest om Finish 2n Floor Door oser Fo tins Windo 3rd oor Elk. Service Stem all Sldin To out Gas Piping Slab Roof She In Water PI I ater Piping Piers Roofing Sewer GarageFdn. Vents Fixtures Footin s StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physical handicap ed Conformance of ex. structure Appliances Gas Piping Temp. Gas & Test Slab y Final Sanitatlo ' � PatioIN RE ACE Final Footinas Footina E ECTRIC L Reinf. Steel Final z I Fixtures Bond Beam FIRE SPRINKILEAS I Motors Framing Test 4 Water Htr. Stucco Final Subuanel Mesh MECHANICAL Grd. Fa6lt Prot. Scratch Heati Servi Brown Coo ng T mp. Pole Finish D tilis nder round Interior th Ventilation Permanent Door oser anal Final MO EHOME UTILITIES Elk. Service Elec. Pedestal We r Piping Sewer o Gas Piping NQBILEH2ME INSTALLATI N -% - - - - - - - - - - - - Support Elec. Continuity ater Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS a.,m-4/ 41� .,Lz,ev� -t�4- -, 4tx1f 3 (NOTE: An entry must be made on this form each time you visit the job site.) 0 To o Building Department / f�oxr ; EnvirorLmental Health. 4 � Regarding: Sewage and/ori Water and/or Addition. Cloarance(s) `b hUr"I I L4 n rck mo 6 R LOCATION' APe NO. Plans are approved for: Sewage Disposal �� .�Water Supply- Hold up Ficial for: Sewage Disposal Mme/ ate., Supply ZV& .nal Clearance OX ForeSewage Disposal e/ Wafier �Suppl;i- Clearance is' for a bedroom (Home or ioYail.. Homma) The addition( s ) ' will. be a—S LY /n dry 8��. ,� �� �� .....,ti, a a.���_ r- ��-•-z ar18n 1Jfl.t< r MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wi required separation from lot lines and buildings and generally conform to plot plan? YesA No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) YesXNo_ 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_X No 4. Is the mobilehome level? (Sec. 5088) Yes 'No_ 5. Ifo than a single unit, are crossover connections properly installed? (Sec. 5088) YesyNo_ 6. Water A. Is fOxible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes—/X� No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No_ C. B - coac is n -of--California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum '" per foot slope and is it properly supported? Yes /{ No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No D. I a approved, does station have required trap and. vent? Yes_ No , 8. Gas Piping add Gas Vents A. Connector - Is mobilehome conn cted to the gas supply with an approved 3/4" minimum mobilehome onnector not more han 6 ft. long? Note: All piping is to be at least as large as the obilehome gas 1 ne inlet without reductions other than the mobilehome connector. Ye No B. Test OK as per f lowing�rocedure? YesNo 1. Open all apple nce c nector valves. 2. Shut off applian burner and pilot valves. 3. Air test with m om ter to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.)librated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas #eter to mobs ehome with connector, turn on gas, test connections with soapy wate . C. Are all appli4nce vents properly installed? Yes No f i 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 1:00 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes j( No B. Is there proper clearances around panels? Yes4No C. Is power supply cord•or feeder assembly properly fused? Yes_ No_ D. Is continuity test satisfactory as per the following procedure? Yes I No 1. De -energize electrical wiring system of the mobilehome at the pe eetal. 2. Make sure that the power supply -cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 1 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests', the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No.�n�.t'� State Identification No. Additional Information or Comments: COUNTY OF BUTTE ° DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Z'r C71 X Signatureof Permitee or Agent / Receipt No. �(? 1 /% White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant E EA the rsutte county code and/or resolutions to do work indicated above for which fees have been paid. DIRECT OF j'U IC WORKS '7 BY Date Building permit expires Date BUILDING Owner\JI 11 141t% Lego SQ. FT. OCC. BUILDING VALUATION Mailing Address 13, 01 173 lc�ho eN . Fireplace Contractor IIA Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty % W a � T lephone No. I` AC Permit Fee $ ! Building Address W d PLUMBING No. @ FEE ERMIT FILING FEE $3.00 ach Trap 1.50 AD e.JJRepair I h Ve�rifi 12 G Q #ion Onl drainage or vent piping 1.50 Water piping 1.50 D,� FEach gas water heater or vent 1.50 A. P. No. � e— ",3 � �— � Zoni r Gas piping system 1 - 5 outlets 1.50 10,0_4 Each additional outlet .30 Fes action Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration cel P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Redd Parce Approval Plans Approval Permit Fee $ $ 3 NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ®-p Main service 100V OR 00 AMP ORLESS5.00 (yp r Main service EA. ADO'L 100 AMP 2.50 9; 570 Single Family [J Duplex EJ Mobil Home n Others ❑ Main service OVER 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 5040 SQ. FT. MINIMUM NEW OR ADONST [DWELLING ACCBDGOCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON•RESID, ( BRANCH CIRCUITS) 2.50ea FOR MOBILES NEW CONST R. POWER APPARATUS & NON -R ESID, SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Califor0a Business & Professions Code under the name style of: Ih IF I Ex. Occup(OUTLETS OR FIXTURES)@21 BAL@`101 Ex. Occup.FIXED APPLNS, OR (OUTLETS (RESID.) EA) 2.00 Temporary service 10,00 Mobile Home Facilities 15.00 7 J3,ted License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the ahnve-mentinnari nrnnarty fnr in..t..,., ., O -t TOTAL PERMIT FEE $ This permit is hereby P Y issued under the applicable provisions of X Signatureof Permitee or Agent / Receipt No. �(? 1 /% White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant E EA the rsutte county code and/or resolutions to do work indicated above for which fees have been paid. DIRECT OF j'U IC WORKS '7 BY Date Building permit expires Date NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quul.;y -rescribed for the Specified use in the Uniformmuiiaing, riurriaing iviec ariicatl es an the Nati nal Electrical Code. Thi kept me!;e wri•.'e Tic W s sbf of plans and specifications MUST b - )n 3 he iob at all times and it is unlawf.l an Ch'' 1^ = c+r al�err.tio;:s of same withc n iaCri:iission ;r; om Me Department of Pig' OAS, County of Butte, 7 'h REvESE A?% The Setback shall be 5 ft. from the si e prc_periy line and•5C, f','. from the cenierline of the road, perrniit'wg a maxi-' mum of a 2 ft. eave overhang but entirely out ' of all easements. - �-Mr� Gib s-7 7 A permit r;ll be required for the All utility connactions shall beinstallation of the mobilehome. located within 4 ff. outside the rear third section of t.:e mobile .home on the left (road) side of the mobile Septic system a - home. to be as per Liu. Fe County Flec%►h Dept. Re- quiremer.:s. BUTTE COUNTY. ? o BUILDING DEPARTMEN1.0T -APPROVED _ �ocIV k4 X79 --Zs9� 7z3 - G 7 9: COUMTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS a 7 -County Center,Drive - Oroville, California95965 Telephone: 534-4541 APPLICATION AND PERMIT auth a resentatives of the County of Butte to enter upon the ab ve-menti ned property for inspection purposes. V T_ X Date Si f ature of ermitee or Agent Receipt No. White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee�aid. DIRECTOR O'F PNBLIC WORKS wilding permit expires Date 1-71-71 BUILDING Owner %�L)li%11 REE SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address �i Q l 73 /7N 0P Telephone No. Fireplace Contractor J 1w-0 I. IV % 'LL 11&r OmIL &ncs Total Valuation Mailing AddressPermit 1NC0i_1V ,L 0J) Fee Plan Checking Fee&/or Penalty c R© V Telephone No. Permit Fee $ Building Address �� or PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ��1 c� V liVC%�00 5/ Each Trap 1.50 (51 F A P, A9 Ig Our 4OFF,Repair drainage or vent piping 1.50 Water piping 1.50 r Each gas water heater or vent 1.50 A. P. No "� — 30 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F C. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. 14 ons Recd I Parciolrpproval Plan pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 `I j- N 6-P ,/ 1 'Main service 6001 OR LESS 5,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.- &) 2¢sgft NEWCONST R. MULTI -OUTLET NON .RESID. ( BRANCH CIRCUITS) 2.50ea NEW-CONSTR. POWER APPARATUS NON-RESID. ( &SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style o �yJ t I,ycotlJ I/ // l ZL 4(gr /1 061LE ��%YI�S Ex. Occup(OUTLETS OR FIXTURES) BAL@j FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 (r� r J1AX04/I.- 81-,k / Mobile Home Facilities 15.00 G'/ /I License No. 3c2(Q 37 7 Classification l► /f Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby ?0 TOTAL PERMIT FEE $ EJ le7el auth a resentatives of the County of Butte to enter upon the ab ve-menti ned property for inspection purposes. V T_ X Date Si f ature of ermitee or Agent Receipt No. White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee�aid. DIRECTOR O'F PNBLIC WORKS wilding permit expires Date 1-71-71 MOBILEHOME SUPT T bDATA •/��/� Mobilehome Mfr. ��/� AIV �" ��C� � Setup Model No. / o Year Width C� T (ft.) Length .. 5 (ft.) Ekpando Size "-C/ tt.x -(�;;"'ft. ` (Draw 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). le *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (chetck.one) 1. Wood. either . pressure treated or fdn. grade. 2. Concrete pad. 3. Other,: specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support Footing Size Max. Pier Spac ing —,� Max. _ v Overhang BU?TE COUNTY BUILDING DEPARTMENT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: /VIL L 1 A (' h • C R F'F/L/ 2. Installer's name: IV 69A A, 1LLA7 oC r/19 3. Is the site currently under permit? Yes / / No / `/ (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 clear of all setbacks and easements? Yes / / No ( If no, clarify ) g I-&&— /-59Amps 5. What is the mobilehome electrical rating?-----------------------� 6. What is the mobilehome site service rating? --------------------- Wo Amps /466 I 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: Mj2 bD AM Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? -------------1 ------------ Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? /U 6 (ft.) 12. What is the mobilehome gas demand? ------------------------------ V (BTU) (This information not required if pipe length less than 6 ft. on natural gas `or less' than 50 ft. on LPG.) COUNTY OF BUTTE Department of Public Works 7 County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE-RATING MOBILEHOMES Owner I'LL En YY\ (2R C"F W Location koprnq iDE OD YINE ANE /7N604 19RK do-7 OFF Mobilehome Installation Permit No. FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width d. x Box Length x 3 = 3 S� 2. 2 Kitchen Appliance Circuits ........... = 3,000 3. 1 Laundry Circuit .. .... = 1,500 4. Ovens .......... = -511 5. Cook Stove Top ............................... _ 6. Hot Water Heater ............................. = 10 o C 7. Dishwasher & Disposal ........................ _ 8. Clothes Dryer................................. _ � O Q o 9. Other (specify, i.e., motors, exhaust fans, -' etc.) Sub-total Watts ..... First 10,000 watts @ 100%. .............................. = 10,000 �s s� '' Remaining._ watts @ 40% ....................... _ 10. Air Conditioner watts @100%.. _ 0 ) Largest Demand Central Heat System 000 watts @'65%.. _ --t- l� •TOTAL DEMAND WATTS REQUIRED,,............. /37 "Demand Watts Required" - 230 ...... ......= AMPS De-rate Mobilehome to ......... AMPS BUTTE COUNTY BUILDING bsPARTMEN' APPROVED I-- I eount*.q iquw M= Bill Green CLAIMANT: OROVILLE, CALIFORNIA GENERAL CLAIM P.O. BOX 173 ADDRESS: CITY & STATE: Bangor, GA. 95914 IMPORTANT: November 28, 1977 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT I Decided not to build. (Permit #5021-77B,P,E,M - Receipt #170111 AF 28-13-28 port.) Building permit fee ----- $108.00 - Retain 173 of fee ------ 36.00 Amount of refund due --------------$ 72.00 Plumbing permit fee ----- $ 19 50J - e a fttifig fee ------ 3.00 Amount of refund due --------------$ 16.50 Electrical permig fee --- $ 32.75 Retain filing ee------- 3.00 Amount of refund due --------------$ 29.75 Mechanical permit fee --- $ 11.00 Retain flitng fee ------- Amount of refund due -------------- 1 8.00 TOTAL PERMITS FEES REFUND DUE -----$126.25 - Land eve pmen u ------ 25.00 TOTAL REFUND DUE ------------------$151.25 $151.25 TOTAL $151.25 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval ❑ (Check one) for the same. 28th Nov. 77 Oroville Datedthis .................................... day of ............................. 19....... at .............................. . Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. f 0 i INSTRUCTIONS .4 CLAIMARTS All claims against the county must_ be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles fu'riiished or .delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon xppxoyal the -Department -head will forward claim to County Audit& 'for •paymeht procedure. Do - not file with the County Au{4 itor first. Claims should beo resenCed to officials- for` a roval immediate) P .. . _ PP Y upon completion of services requested or material ordered. Claims are paid every Tue day;. however, same must be approved by officials and in Auditor's. 4office before preceeding- Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. F, 1 5021-77B,P,E3,M PERMIT NO. — PERMIT EXPIRES Bill Green OWNER owner CONTR. r LOCATION (A.P. 28-13-28K4 0 NW/S pri.rd.,1- mi.�NN/..,,of LaPorte Rd., Bangor Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ° BUILDING INSPECTION RECORD ' BUILDING BUILDING (Cont'd) Subpanels Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor ` Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters PLUMBING Prov. for physically Appliances handicap ed Gas Piping& Test Conformance of ex. structure Temp. Gas Final Sanitation FIREPLACE Final Footing Throat Final FIRE SP Test F ELECTRICAL Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEM INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) r COUNTY OF BUTTE" — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 .T�f��/ .Telephone: 534-4541 / APPLICATION AND PERMIT n 1/ above-mentioned property for inspection purposes. X " h/..� C � Date Signature of Permitee or Agent Receipt Nol I—ON White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By / "' `-----.�- Date 21 Building permit expires Date _ / 7,1 J BUILDING Owner a SQ. FT. OCC. BUILDING VALUATION Mailing Address /0 13 O K Telephone No. -a sg Fireplace Contractor Total Valuation Q77 6, 00 Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. /� . Permit Fee $ , -- J Address Itffi, k r !O PLUMBING No. @ FEE PERMIT FILING FEE $3.00 -1,, ,uiljding Each Trap -1.50 Q yZ _ IN „ �Gl Repair drainage or vent piping 1.50 Water piping 1.50 it ficat" n On 2 Q ld c7 V �C([ Each gas water heater or vent 1.50 C� � A. P.a Gas piping system 1 - 5 outlets 1.51 Each additional outlet 30 Fees W.C. S Ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration parcel Ma P 60' R/W Im r p o ments Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parce' pprovaI Pans Approval Permit Fee $ ,. NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 0V OR L Main service 10000 AMP ORSLESS 5.00 Main service EA. ADD'L loo AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OR 600V Main service 100EAMP OR LESS 25.11 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING O OR ADDNS. ( ACC. BLDGS.C 20sq ft NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St Ie Of: Y Ex. Occup(OUTLETS OR FIXTURES)IL 01 BAL�1 FIXED APP LNS, OR Ex. Occup.(OUTLETS (RESID.) EA) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , %5"$3 V WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I -certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ Oc 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 A& B+ -L TOTAL PERMIT FEE $ above-mentioned property for inspection purposes. X " h/..� C � Date Signature of Permitee or Agent Receipt Nol I—ON White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By / "' `-----.�- Date 21 Building permit expires Date _ / 7,1 J PERMIT APPLICATION WORK SHEET �,(9C. Permit No. �- OWNER A.P. No.�... Zoning Use Proposed Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (expl in) DPW Valuation (show): l� At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date Received l: All items have been submitted. ------------------------------ 2. Plot plans.in duplicate/triplicate- ------------------------- 3. Complete plans in duplicate/triplicate. --------------------- 4. Complete engineered plans and calcs- ------------------------ 5. Fees of $ ------------------------ Letter of signature authorization. Sanitation approval. ---------------------------------------- Q z-/ 8. Planning approval for -- ' 9. Workmen's Compensation Insurance Certificate - --------------- 10. Contractors license information. ---------------------------- 11. Parcel declaration, recorded copy- -------------------------- 12. Access declaration- ----------------------------------------- 13. Aunt Minnie information. ------------------------------- L--- 14. Deed of access, recorded copy. ------------------------------ 15. Deed of parcel creation, recorded copy- --------------------- 16. Parcel map, recording data- --------------------------------- 17. Pre -inspection request for s J18. Improvements '- plans required & DPW approval. --------------- 9. OOther 7-::)e� By. A), cl o l Date Bldg. Inspector During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition the 'following: 2. Applicant advised by Telephone Mail n 1 Other 3. Plans checked by_ 4. Plans approved by Date Date When permit is issued, process as follows: 1.'Mail to owner. 2. Mail to contractor. Deliver with ins,Pec io y 4. Telephone and hold for pickup. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir. Health Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works Plans Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies Plans Sent A. Fire Dept. B. Other