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028-220-038
28-22- 38. osa Gomez �� � %% a/S Darby Rd., pp. mi.S.o LaPorte W.; Bangor Permit #66-77P,E(util.,M) S",LEC . "7 S 3 " UPPdRT-STRUCTUkE REq. ji-O COMPACTION EST REQ. O/D 28-22-000 Permit #1958-77E (ele ser ch) . MH existing MH, 7,1191-77 28 -22 - Permit #1739-77 _ (dvemolish e'ing structure/SF) JON�� 28 -22 -ice � Perri it #160-77MHI 111177 . Issued 28-22-38 Permit #1215-84B,E (addition of cabana and breezeway/MR) ;rp 1 03/ 4 28-22- 38. osa Gomez �� � %% a/S Darby Rd., pp. mi.S.o LaPorte W.; Bangor Permit #66-77P,E(util.,M) S",LEC . "7 S 3 " UPPdRT-STRUCTUkE REq. ji-O COMPACTION EST REQ. O/D 28-22-000 Permit #1958-77E (ele ser ch) . MH existing MH, 7,1191-77 28 -22 - Permit #1739-77 _ (dvemolish e'ing structure/SF) JON�� 28 -22 -ice � Perri it #160-77MHI 111177 . Issued 28-22-38 Permit #1215-84B,E (addition of cabana and breezeway/MR) ;rp 1 03/ a Y ` j _ VERMIT NO. _-- 1215-84B E. PERMIT EXPIRES OWNER- MICHAEL F. GOMEZ CONTR. Owner ASSESSOR PARCEL 28-22-38 LOCATION W/S Darby Rd, 2 mi S of Marysville LaPorte Rd, Bangor a` !,. Temp. Power Pole— Called PG&E _. `s Temp. Elec. Service G Called PC f Temp. Gas Ser Called PG i JOEL FINALE[ Signature, V = OK 0 = Not OK, – = Not applicable f: = Not Ready MOSILEHOMES MISCELLANEOUS 'Date MOBILEHOME UTILITIES (Plans) OK except M's Date DECKS COVERS. CARPORTS. ETC. (Plans) OK except a's 1. Zoning Requirements–Setbacks–Easements Z ring Requirements–Setbacks–_ Easements ___ &. "Footings: Size–Depth–Spacing–Connectors 3. De s: Girders and/o,Joists–Decking–Bracing–Stairs–Rafts 2• Soils: Special KiH Support–Sketch 3. Sewer; Location–Test–Fall-C/0–Concrete --- 4. Water Location–Test–Easement Needed (Sketch) _ :ood Awn.; Pe–Rftrs.–Cottage–SFrixf iBr ing 5. Electricity; Location–Clearances–Grnd —/. / Amp–Concrete 5. Alum. Awn.; Columns–Connections–Splice–Decal–Enclosures 6. Gas; Location-Test–Wrap:/ /"L" f[./ /"Nat.or/ /"L"ft./ /"LPG — 6. Carports: Windows–Doors 7. Elec.------------_- ----- - 7" Utility Clearance------,------ Card -BI Data Card -BI Date B Date Card -BI _Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's _Card Card -BI Date _ _ Date r Card -BI Date _ OLS (Plans) OK except K's 1. Zoning Requirements–Setbacks–Easements 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 5" Drain: MH Test–Fal!–Flex Connector 4" Elec.; Receptacles and Lighting; Distances–GFI 5. Elec.; Pool Lighting; 15 volts–GFI 6. Water; MH Test–Regulator–Connector 6. Elec.; Enclosures: Conduit Entries–Terminals–Listed 7. Water and Sewer Connected–C/O to Grade–HD Approval 7, Elec.; Bonding; Metal w/5'–Circulating Equipment–Heater 8. Gas and Electricity Tagged 8.. Elec.: Grounding; Equip. w/5'–Circulating Equip.–Pool Lgh[g. — Boxes–Enclosures– Pane Iboards–!ns. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.–Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test–Water Supply Test — Card B -I Date Card -BI Date Card -BI Date Card -BI Date — Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 _ Not OK C A, - = Not Applicable R€SIDENT,AL (Single and Duplex) ac = Not Rend), r r � Date Ur_!DEF3bLMR (Plans) OK except M's t�✓Z ng require�r•ents-Setbacks--Easements 2. Fig., Main: Soils_ -Steel-Elec. Grnd.-- / /" Ftg. Depth _ -- - 3. Ftg., Garage: Soils -_Steel- / "Ftg_Depth - --_--- - 4. Ftg., Porches & Decks: Soils- Steel-- : /" Fig. Depth 5. Stemwalis, Main; Steel -BIockouts-Wrapped-_Slab _ 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -Slab -...----------- _ ---...----- -- - ------ 7. Piers -Fireplace Ftg.-Steel - - 8. D.W.V.: Fall -Fittings -Test -2 way C/0-Se:eer Test 9. Gas Pipe. Size -Anchors 110. Water Pipe: Test -Anchors -Regulator -Service Test _ 1t. Electric: Underground m 12. P t s & Du^ts_Clearance-Materiai--Support-Ins. 1 Girders -Si - anchoro^� s-Joists-4'ents-Cripples Card -BI -- -Date-- -( Card -Bl ---- Date--- ---__ Card -BI - Date Card -BI — Date Date UMBING (Permit) OK except p's _ 14. Water Ht.: Vent- Access-Com_bus;ion _ Air ---- _Water Pipe _Test & Anchors -Nail Protection _-- -- D.W.V_Test-Fttngs & Anchors -Nail Protection 17.Sho.ver Pan: Test, First _Floor -Tub Access 18_ Test Tub & Shower, 2nd Floor ---Tub Access _ 19. Gas Pipe; Size & Anchors - Card -Bl-- - Date-- - - Card -BI - Date -- - Card -BI Card -BI Date _ Date Date 4FIELEC21RICAL (Perrr,it) OK except p's & Transformer Clearance -In:. Protection F'lec. Receptacles Spacing -Lights & Switches at Doors Boxes & No. cf Conductors -Stapled Installed Close to Edge of Studs & C...1. __-- . Equ p. Ground made up w/Mech. Fastener s -Bond Gas & Water -- 25. 2 Appliance Circui s in Kitchen &Conductor Size " "' / ga. Cu or .AI-A.C. 'lire Size i / ga. Cu or At 2a 5ianga �' r ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral r 'Yes !No _ -- 28. 4f, , P-R� i nductors &_ Ground -Main _ Disconnect_ - ----- 29. f� G4 -oances: Panels-Molors--Meeh. Equip. 30.oset Light -Shower Light Card El-! Date ��' Card: BI OatP Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except a's 31. A.C. Dur.ts. Insulation & Support _ 32. Vent Fan Exhaust above Insulation. 33. Condensate Diain & Ovenlow. Size & Grade - 34. Fumace-Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date card -BI Date Card -RI Date Card -BI Date Date -_FRAFAWG(Plans) OK except #'s — - S Proper Material e, An•,.ho,s - - v", V IIs Studs --Nailing, Spocing & Btacing-Plaies-Sound 3 Fsu:g'Ndlls over Girders & Flour Nailing 3 rail Stnp in Walls (rat proufJ 40. npn. wi• Ccilmys-S;a;rs_Chases-iub -- 4 Heade, 8 Roam-„ize & Reatin,y - -- o5t Caps Anchors-Connoclors Cing. ,tort- Flfir. Ties -Perlin -Roof Brac.--Truss-Swim?.--Rfng. 44, u.;pl:cr. Tia-:• of Type A Flue-FrtepIare Throat A r r.. r,Cf>s Sze F. Ron,ex Prot�ctlon .[)fall Slnp-Im;. Baffles .. Jen. �• n:' E%i'�n7 Donis -Sill figs. & Dimem;inn5 .,:n tf lrJ Fire P'nter UOn F --.m nfcr Date FRAMING (Continued) 4 firewall & Openings .......... -- - - - -- — --- -- - --- - - ---- --- Doors -One 3' -Cheek Garage_ -3rd story, 2 exits_ - --- Stairs; Width-Headroom-Rise--Run-Landing-Fire Protection - Overhang -Attic Vents -Rafter Outriggers Siding -Nailing_ -Veneer _ 5' _ rip_Screed-Fdn. Ve_nts_Pla-Underflr. Access C ass Protection-Skylights-stic - �Mailing-Bolts Card-BICIAn, Date K, - J*, Card-_BIDate Card -BI Date Card -BI Date Card -BI V Date Card -BI Date - Date FINAL (Plans) OK except r;'s lillar-Ext. Steps -Doer & Sidelight Protection -Landings 5 . Furnace: Vents -Clearance -Comb. Air -Connector - In G rage; Above Floor -Ducts -Meth. Protection_- edroom Exiting _ 6 ixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels - erco-nr�tove; Clearances -Hearth - Elec. Outlets at Wood Panel; Int. & Ext. 65 rx . p, e; Grnd.-Air Gap -Cooking Clearance ceptacles at Kit. Counter - -- 6 _ ing _Landing—Closer -- __ 6_ -Damper __ 6 n . - learance-Comb. Air-Connector-P.R.V. --- In Garage: Above Floor -Meth. Protection --- 70. Psi&-MeehEquip. Listed_ for Location 7 arage; (G.F.I.)--Romox Protec. - - --Looked in Attic ❑ Yes _ - - . Guard Rails & Dec Construction -Post Caps -_ ems. Vents & Crawl Hole r --Drainage & Wood -Earth Clearance Cooked under Floor es _ 7 0 owu:g fns Five [:I Yes ❑ No; Walks _ Yes No: _Planters _ LJ Yes ONO , rown--Finish Comments at Final: (NOTE Anentryinust be made each tine youvisii lobsile) C”t7rtTt--Disconn_ect-Clrnces-Brkr. & Cond, Size -115V Outf:�! _774. _ of: Plbg.-Appliance-Firepl.-C_ learance to_Opngs._ 7a._VzUw-W4 "a61connect, Electrical, Plumbing _ $ t -FYl "Qr &'^^ Trim; G.F.I. Receptacle -Underground _BH+an — throughout House --- -- - -- --- ---- - 82. -Glass_W+e+ectron -- ----- -- ------ .- Corrections from Previous Inspect ons - 84. Gas Test -Meters Tagged: Gas-Eie_ctric 85. Water&__T___w_er Connected -C/O to Grade -HD Approval - - 86. Energy Compliance Certificate -Other Certificates Card -BI Dale 'Card -BI Date Card-BIDate Card -RI _ Date Card-BI Date Gard -BI Date Comments at Final: (NOTE Anentryinust be made each tine youvisii lobsile) e, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER �- - ZON G -s BUILDING PERMIT 1 W ER i ,.. TELEPHONE X79-2592 SQ. FT. OCC. BUILDING VALUATIO TV ILING ADDRESS 0 -?c Its -OR'S 0 K 3 5 6 CONTRAC NAME T EPHONE /w iw v '16VV . ! 26 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ 0- W Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ o.60 ARCHITECT OR ENGINEER ' LICENSE NO. Plan Checking Fee $ 3Qoa _ Penalty $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN DRESS S C }PLUMBING PERMIT Filing Fee 1 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 tl LOT NO. SUBDIVISION NAME PARCEL MAP Each qas waterheater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 E# Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑� Installatipn❑ Other ❑ Describe work: q'�'� — - Is Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. DWE N CUP.&\ OR ADDNS. ( ACC. S / I P �� 2/4sgft 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 '201I, 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 CO ID R BRANCH CIRCTITS 2.50 ea NEW CONSTR.POWER APPARATUS ' NON-RESID. (& SINGLE OUTLET CIR. Ex. Occup(o FIXTURES XED 20050c 9AL030 FIXED APPLNS. R A OR Ex. Occup. OUTLETS (RESID.I EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 2 Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 00 Heating Cooling Hood 3.00 Ventilation permit Fee $4— 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 Coun in co a en� of the grarrt' g of this ermit. %� / Dat r Signature of Applicant — Own rector ❑ Age t ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I Q—?� TY CONST. PARCEL I/, P HD Is This permit is hereby issued under sions of the Butte County Code and/or work indicated above for whi h DIRE R OF LIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat L' Receipt No. g WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J .This "sef of plans and specifications MUST �4 kept on the job at all times and it is unlawful to fnake any changes or alterations on same with- . out wriften permission from the Department Of Public Works, County of Butte. NO-M—Afl Materi is -& 'W''orkmansliip Shall Be in Accordance with recognized Good Practices and of a qualify p-cscribed for the Specified use in the Uniform Building, Plurrbing & Mechanical Codes and the National Electrical Code. A setback of 5 ft. from the property lines and a setback of' 50ft. from the road centerline shall be clear of V structures or equipment except For a 2 ft. eave overhang i, ,I j I S s-� �J. i" t BUTTE COUNTY BUILDING DEPARTMENT APPROVED. 0 x C: til h1Jml 7) rn 0 > o o C: M z ni 71' h a©.i �i1G Provide adequate bracing.: a GO")CZO-- ?C,b MIN �TYP.� x/c. BUTTE COUNTY. -BL. { DING DEPARTMENT y CUA) . o G Zn�, � ��O�G•G . µ11J . 7 .. 3` .lJ. NEW Roo, l i c t� . _ r_ w , ..w _ . qUNTY BUILDINGEF RTMENT ::• -.•• avr._�-i''+ r ).i, '` +prgrl-.s r � h. �tr„til -�apY p•4y • ,T ,. CtL-. CC aweN k .'rAxv sccLSPAN n wx v TR $S LOAO'ING Z•.. "06 i�it.`2;,T0': 4•'io 23.2' 19• 9• 10 20.0 TCLLaDL z 40 0 P9 20' 0' 10 24,0• l9• 9• 10 24.0' 8COL : 5.0 P$F �a BJI CLEAR SPAN r1 06 -FIR 19. 7. 10 15.8' 18' a• 8 22.2• TIITAL DESIGN LOAD = SS•0 PSi TJ1 TJ2 TJJ T.14 TJS 17. 0• a 24.0• 17.11• a 24.0• - 16. 9• 8 113.0• LOAD DURATION INCREASE a 1.00 .' IS- 9• 8 24.0" r2 DG -FIR 16' 6• 8 19.41 eKT a• 8 24.0" S CON DG -FIR 16. 8" 8 15.2'. 14, q, 6 7Q.0• MAXIMUM TRUSS MEMBER FnRCES REACTION= 1181 BJa S.14CLEARSPAN 12' 1' 6 24.0' 12 T 1 -25A3 14 1 -0 N 1 -1170 w 5 1595 C118'sa' SS NM -FIR 19' 1. 10 18.2" 17'11" 8'20.1' 16' B• 8 24.0" 17' 2" A 24,01 T 2 -2583 8 2 4573 2 2793 w 6 -2J2 TJt TJ2 T.13 TJ• d1 M✓• -FIR 16'10• A 17.71 1b' 6" a 18.31 T 3 -6049 8 3 6917 w 3 -212 N 7 -924V. 14. 3" 6 24.0" 15' a• 8 24,n" T a -6049 8 a 7178 w a •2153 w 9 724 6KTPTJ2 $ \. NM -FIR •+' 1' 8 113.3" 14`11• 8 16.b' T 5 -7178 9 -165 d 2 eJa t1' 9• 6 24.0" 13' 6• 6 24,0' T 6 -7178 131 6• CLEAR SPAN CON mm -FIR 13! be 6 16.1• 12' 4' b 14.1" TJa 9. 21 4 24.01 In•10• 6 24.0" 2400 F MSR 21. 0. 10 24.0• �1. O. 10 24.0' S v 21' O• 10 24.0• aKT rL.-t 2100 F MSR 20' 4• 10 24,0• 2n• a• to 24.0SJ2 eJ3 �rJl TJz 20. 41 10 24.0' 20' a• 10 24.0" 10. 3" CLEAR SPAN 1650 i MSR 19' 1. 10 11111.5• 18. 2' 8 20.4'rJ1 TJ2 16' 9' 8 24.0• 17' • 9 211.13" S 1 - NOTES: (Urtbn otla sp•ue•41 �rwyr� or btarr reoortrrw+4W per rteal F-Da1. T. fa] BJ2 1. trtauueort Y arrrelT t>r bsponspiYY pf p,• nspaan. oonragtx. 9. - - f -0-t !w2==: r ssppYYccva =: mraRatLr4w iNormrbn. ant, A. no It tvrbr d (-).. �I. T.vt s 1 ro ano pamtwru, b trr•ir Ir•rel late• to be l0. Web 1AalarlaN: a x 2 StarW Da+p. Fr a Sy4 NarnFY, uNsat, p>}terwya b IT,. x tnaraao ( tel• 4 x 21(T IL N b'•�� Mmppr marrlal lob* min, e x 2 Corb1. Doug. Fir a No. 2 Hs -Fir. M rna ked 0. rwb tTutarlr b W mN. a x OtlbeW an4 'r A,A P -2a BOTTOe/CNOitD SUPPORT OE t<it t, No. 2 Doty. Fv a I IN FY, a WKWwaba u o•laX•o m ✓ter F•D•1.S • 1 1 • CLEAR SPAN A STANOARD 04UE NSIONS t. Daagn MaUrt•a lalarr bfCirq r 6 o.e. top Utoro.o.c. boaan cl+or4. It. M Stan4wd w•ba b be out u ItoaW brow. } Sea t lw me True Cpnlpur u.uns 6. pp•;9n awmaa ►,w a.:q r ..owru. snln+ a weoq. H rre.•w7 TxTe . D D U B L E �� e e+r,te.r boat b L1710 Drwwt NtOporb' � ��_ All webs Ynpb unities oanWo olnerw�se. D OabM MD. • 4^91..eD b Mt It, web rpuu•m•n1s 7. Ae•4uaY brta0e Y •re ~. T equrreo at • nr.n' t la lM r•sp.00,01 cbu spent, (aft~ left). Splice requlr•rnent• are u 5"" b•Itr•en r•sp•C4ve 101nta - `� p1C Tiorrrr CONNECTOR CHART: Stet. YtotC.bo We In* minimum. 9' lan MAA TJl Tit TJ2 W17 SPLICE TJI SPLICE TJS SPLICE TJB SPLICE TJ7 SPLICE TJ8 SPLICE TJ9 TJtO BJf BJ5 BJ8 817 BJ8 BJ9 BJt0 •• ' 2961 LR.SPA TC SUPPORT BC SUPPORT BJ2 I A50 N RO. AX S.O N 143.2%7.5 R1.6X 3.0 TC ed •,ro 0!, 21- 0 "3.t:'7�oG R4.6X1O5 j-QI .4x3.Bc '+""'� '4.r.,v (10 KT) Bx A0 142 4x3 018-a RN3.2X180G R4.AX9.0 2.4X3.20 M RO.AX3.0 142.4X4,5q 81AOS R1 6X7 0 .t X R4.OX7,5 42,4X3..5 R1.6x3.0 ad 13. 6 R3.2 105 BC 1 7070 . _ �f• (4 KT) Ra 81150 R2,414.5 .� �• TC to- 3 142.4119.0 145.2X6.0 R2.4x3.0 R2.41a.S 44KT) Q3 2X105 k1 6x3 0 5-11 k2.4%7.'. 42.4X4,5 R2.4x3.0 7C adq tea` Z BC 12KT) R2 4X4 S ITC ` 5' 21-i0 T412 7410 T2.5/ T514 2. a l.w (1oKT1 TS A E 7412 T2 5/3 TIC T /3 L Ta12 L T31 T2.5/4` �;'• 11y.4 RN3,2X180G T4f0 2.5 r sc T518 E T]10 T3/1.5 N63, x150 T47 T2.5/3 L T38 3/1.5 TC SCI^ (fp�T41 T2,5/3 TC o a .� t.. 10-•3 T310 736 T2.5/3 T2.5/4 t SC .(4 KT) T f T3/1.5 ora TC "r _ 5-11 T2.5/6 T2.5/4 T2.5/3 _ BC (2 KT)' T 2.5 / a I,A• TAVf11lAl arm COWNLCTOM t wf.Vw r pnIe OraatY 20 •rte 1f O...r 9�e• Yt•.l err eno r OrrtpAhed d lab.•: 01461 ftbKAT[ faE OF ►LATE w dIC11Ei•, RLENO.:FT-21-12- 44 (2t,) KT SPF 1�20Vdoteadw�-r1:fr.wpeee, .lr'...t•• long. Twnwwwt•ot.oP•rld.r.ta•.n'•o.aMow.nnw. wrdA:swt»a..�.rxvwatvo•!�ina.alowa..c.�.t.r g1QpQ I.aaC.re a Pea. 71'T: w aww pw wt,.. •+a . ar rano. Te.w w O evAao .o D• nal. r n �7e o.0 Nor... Y a a. DAT': 7/12/?9 �Pt Iataaebe W wee• tie.l: • • ap•o al 14s0o0 a,MW wait a•wY tt d t,a r t..at aro not.. aeae0. tWee, b ft atur r. t e W stab wt,. A oww an 20 p. REF.: $- 0-78 DE&Ny:-TK CK dT: Pofrrw•rq:w...rnt,arora.ttnwYonar.a ene prv4awrrar•.•r..oawe..rtpb. p.rwwau+..atw.wrm /Fa.e.aY eaYot.w... wl.c.e.o.rWtfO�.and RR•+.e9 a5grade comPa^Y T>_MKT r .BUTTE COUNTY BUIL DING DEPARTMENT • / "`IS' ROV D �3 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT% y.5�27 DERMAL RCt1(700S Section 26-8.1 of the Butte County Code requires this -acknowledgements CObNIY"GAt be recorded prior to issuance of a building permit.:�L-' �— ...� •y pPA'F3'1'Y sH N The property described herein is adjacent to' land' or..included i4f � 12 1 it fOQ'4 r . _ .a; within an area zoned for agricultural purposes, and re idents of this ELE/EJjon! lP property may be subject to inconveniences or discomfort --:,arising from CLERK the use of agricultural chemicals, including, but not limited to herbicides, pesticide �E and fertilizers; and from the,pursuit of agricultural operations including, but not limited to cultivation, plowing,.spraying, pruning, and harvestin"" which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Township 18 North, Range 5 East, Sec 13. S W 1/16 cor 66 Sec 13 of beginning. North 88 48'44" E, 488.24 feet, then North 76 47'57" E, 537.27 feet; then along Darby Road to sec line of sec 24 and sec 13, then west 1238.58 feet to W 1/16 corner of sec 13/sec 24, then North 00 36' 471r E, 1298.20 feet to beginning. All other information is found in book 61 maps, Page 42, Parcel #28-22-38. Date: PROPERTY OWNERS: State of X6414 l%/fi ) On this the 27 day of Q%L 19$e"l, before SS. me, the undersigned Notary Public, personally appeared County of Z�e,/ C117_5' / Personally known to me. / Proved to me on the basis of satisfactory evidence. r�000eenenmout'meeoe1'eeaeeeeeeeeeeoeeaeaee®eeeeeeoen to be the person(s) whose names) /S subscribed tod OFFICIAL SEAL e the within instrument and acknowledged that w MELISSA m. NIXON a executed the same for the purposes therein contained. NOTARY PUBLIC • CALIFORNIA e e COUNTY OF BUTTE IN WITNESS WHEREOF, I .hereunto set my hand and official seal W- m "✓ . MY Commisslon Expires April 12, 1985 : , 71i0ee99e1e9H9eBABriB@pG6CaBeeBBBe®e0eG9ed9999e80 unn.RWD � DO Q Notary Pu lic Present A.P. No. ND OF DOCUMENT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT O. ASSESSOR PARCEL NUMBER 21-22-38 ZONING BUILDING PERMIT OWNER Michael F. Gomez TELEPHONE OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS MF-i,epla CONTRACTOR,N owner TELEPHONE 1st renewal Permit CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ FEE $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 40.00 BUILDING ADDRESS PLUMBING PERMIT9 Pilin Fee 10.00 Each Trap 2.00 W/S Darby Rd. a .ami. S Laporte Rd. Bangor Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets Ill0.00e 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[ Other as _ hree .Pway c v Building sewer 5.00 Mobile Home S G W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: — 1st renewal permit #1215-84 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROR LESS10.00 Main service EA. ADD -I_ 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLOGS. L 2h2sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In fU11 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 r ason NEW CONSTR U TI.OUTLE NO N.RESID BRANCH CIRCT ITS 2,50 ea NEW CONSTR (POWER APPARATUS &\ NON.RESID. SINGLE OUTLET CIR. / Ex. Occup(ouTLETs OR FIXTURES BA 0830 FIXED APPLNS, OR EX. OCCUp. OUTLETS IRESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 RKMEN'S COMPENSATION INSURANCE renaol I -declare underty 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. t 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 a st said County in consequence of the granting of this permit. X Date nature 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 $ 40.00 oCCUP. GROUP I TYPE of CONST. PARCEL. PD I ND I ISSUE This permit is hereby issued under the applicable provi- sions 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 PERMIT EXPIRES Date 6-18-86 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 1739-77B '1PERMIT NO. c 1» PERMIT EXPIRES 4 "OWNER Rosa Gomez 'CONTR. owner LOCATION (A.P. 28-22-6 W/S Darby Rd . , app. i mi. S. of LaPaite Rd . , Bangor 4 JI • Temp. Power Pole Called PG&E Temp. Elea. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB/ Z7 FINALED / COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaII Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. 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 OBILEHOME INSTAL6.A ION - - - - - - - - - - - - - - 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.) COUNTY OF..BU °•E — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Tel ephCne: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the y above-mentioned property f r inspect' n purposes. /1 X O Date �f ` % % Signature ofPerrmmiiteee or Age /fP(,Lnt Receipt No. / /� y -0 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 BLIC WORKS BY _ Date q-1-7-7:2 ilding permit expires Date -17 - BUILDING OwnerO Z SQ. FT. OCC. BUILDING VALUATION ti Mailing Address �!o!g;7 elephone No. L «/ Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Q Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ly�� Each gas water heater or vent 1.50 A. P. o. a ZoningGas & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 es SaA4&4on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Btdg Parcel A oval Pla pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service i°oo AMP OROR LESS5.00 Main service EA. ADD -L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW LING O OR ADONST ( ACCLBLDGS.CCUP. &) 2¢sgft ' NEW CONSTR.MULTI.OUTLET NON-RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONST. (POWER APPARATUS &) NON- R 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 of: Ex. OCCUp(OUTLETS OR FIXTURES)50 @25c 104 Ex. OCCU FIXED APP LNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification r Misc. Wiring 6.25 1 1 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. Q, 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 TOTAL PERMIT FEE $ �! authorize representatives of the County of Butte to enter upon the y above-mentioned property f r inspect' n purposes. /1 X O Date �f ` % % Signature ofPerrmmiiteee or Age /fP(,Lnt Receipt No. / /� y -0 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 BLIC WORKS BY _ Date q-1-7-7:2 ilding permit expires Date -17 - 0 COUNTY OF CUTTE — �PARTMENT OF PUBLIC WORKS 7 County Center Driv Oroville, California 95965 Telephone: 53J-4541 APPLICATION AND PERMIT BUILDING OwnerSQ. r , FT. OCC. BUILDING VALUATION Mailing Address - S Telephone No. Fireplace Contractor _ Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address uv ( �� ! ,. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 �; ► / ' % Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. r', Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees' W.C.' Sanitation I Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Rec'.d Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERff ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 : ' r r t •� a, �i ,� V OR L Main service 10000 AMP ORSLESS 5.00 rZ' ' Main service EA. ADD'L 100 AMP 2.50 Main service OVER s O 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home O~ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLOGSLING O.CCUP, &� 20.sgft NEWCONSTR. 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 of: Ex. Occup(OUTLETS OR FIXTURES) 2@5100 a FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 0 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ f "^=' $ 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 TOTAL PERMIT FEE $ � Imo• authorize representatives of the Uounty of t3utte to enter upon the above-mentioned property for inspection purposes. X r - �� Date ) Signature of Permitee or•Agent Receipt No. I. - �,.7 L 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 I By - - Date ' Building permit expires Date _ x CO JF BUTTE - DEPA!RTMENT OF PUBLIC WORKS 7 County Center Drive,, — - &ville, California 95965 Telephone: 534-4541 . APPLICATION AND PERMIT F 01 1,62- m1f authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permit gent Receipt No. Z(,() 92 U 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 6F PUBLIC WORKS - BY Date�7 Building permit expires Date �!-24 - 77 BUILDING Owner 0MFz1. SQ. FT. OCC. BUILDING VALUATION Mailing Address 0, b j S r %i'N. '� 2 T le hone No. — ?I Fireplace Contractor C9 LL -(-4 9 if— Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address (�.� /4i e PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 �1 l 2 /4 / oQ2T Each Trap 1.50 Aofn C4 0 f— Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 p p -Gas A. P. No. Cq 0 —,9.2 —(0. Zoning & Planning Zoning & Planning Gaspiping system 1 - 5 outlets 1.50 Each additional outlet .30 F Vll.e Szmrtah.eft Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Old,. Plans—R".:4 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑' UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 r ♦ Main service 100 AMP OR111V OR LESS5.00 5— Main service EA. ADD -L. too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 00 AMP oR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELING OR ACDNS. ( ACCLBL GS,CCUP. &) 20sgft _ NEW CONSTR. (MULTI.OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea - 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 le of:. %� Ex. Occup(OUTLETS OR FIXTURES)50 @2-14 100 E X. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 IKI am exempt from the Contractors License Laws of the State of California. Permit Fee $ ;i� $ 10 IS4 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. ❑ 1Whave placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ a6y 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 TOTAL PERMIT FEE $ �,ilo authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permit gent Receipt No. Z(,() 92 U 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 6F PUBLIC WORKS - BY Date�7 Building permit expires Date �!-24 - 77 �N PERMIT NO. 1668-77P,E PERMIT EXPIRES 6��2 jbl OWNER Rosa Gomez CONTR. owner { L 28-22-6 , LOCATION (A.P. ) I W/S Darby Rd.' app. 2 mi.S.of Laporte Rd., Bangor I' 7 t, :l Temp. Power Pole Called PG&E Temp. Elec. Serf. Called PG&E 10 Temp. Gas Serv. Called RG&E— JOB FINALED (Dat— ' % �,-,-� . (Signature) r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING belVaCk F ewall Ski Piping For PAVets 1 t Floor Mai Bldg. Rest om Finish 2n Floor Fo tins Windo 3rd Noor Stem all Sidin To out Slab Roof Shea In Water Pi I Piers Roofing Sewer GarageFdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings V Prov. for phsical handica ed Conformance of ex. structure V Appliances Gas Piping & Test Temp. Gas Slab A Final Sanitation Patio F EP ACE Final Footings Footing E ECTRIC L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam 0±11RE SPRINKLE Motors Framing Test Water Ht►_ Mesh MECHANICAL Grd. Fa6it Prot. Scra HeatIrA Servl BrojG Coo ng T mp. Pole Fj6ish D is inderground Intirlor Lath ntllation Permanent or Closer anal --\Final MOBILEHOME UTILITIES - - - - - �- - - - - - - Elec. Service ������� �„ Elec. Pedestal ` 9 Water Piping 711 Sewer % rGf % i� �� Gas Piping 1 E ME INSTALLATION Support / Elec. Continuity �> Water Piping %7 Drainage /P Gas Piping / (/ DATE// REMARKS OR CORRECTIONS V • (NOTE: An entry must be made on this form each time you visit the job site.) M0BTi—, .1 C` INSTALLA`T'ION 111SPECTION CHECK LIST 1. Is the mobilehom� located wi.fai required separation from lot lines and buildings and generally confonri to plot plan? Yes No 2. Does the mobil.ehome have required clearances above ground? (Sec.5085) Yes X No 3. Are foot:inc,s and supports properly sized, spaced, and braced as per approved plans? :(Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) Yes No - 5. If more than•a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5: Water. A. Is fle i_ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes Nc B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes, No C. Backf�If--ee-aeh-, not Gam- a of C-5lifoxnia 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 / ( Are any leaks detected in drainage system after running -gallons of water through each fixture including washing machine standpipe? Yes No , D. If -c--ouch i_s not Sta�f C�rna app owed, does station have required trap and vent? Yes No 8.. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mob.ilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_X No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes. No a. Electrical A Is service Large enoctglt to provide `.:ulequ:9te amperage to mobilchome. (must equal rating of niobi.lehome caith a ::;inii::um of 100 amp) and other faciliti_ris on lot, i.e., water pumps, garage, cabana, etc.' Yes No B. Is there. proper clearances around panels? Yes -X No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per t_lie following procedure? YesNo 1. De -energize electrical wiring, syste:ii of the mobilehome at the pedes al. 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. 4. Connect one 1•s,:ad of a test instrument to the mobilehome grounding conductor and apply t1le other lEau to each wo'b .Le oli'Le Silppiy CoiiuLiCtoi, illeluuliig neui.ral. 5: All nor. -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. b. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shah. be connected to the site service equipment. A further continuity te,"L shall then be made between L -.he g -rounding 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. s _;ob card signed by Health Departme�tt for water and sanitation? I.;.. If everything (A<ay, sign off card and tag services. MOBTLEiIOi^,.L•' DATA ' C Manufacturer and/or Namestyle Length Widt11 Vehicle Serial No. i 'Vcr2 070 State Identif.icati_on No. r.RI i t ional Infor-,na t i on or Cor(IInents : r COUNTY OF EUTTE 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 V— 7 77 for the following location: Owner Owner's Address 7, Z00, Mobilehome'Mfg. JA,4" A.O'A"4'' Model Year,f7y Insignia No. ?,Y/&4,Gr?/'� Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Directovof Public Works Date vlvI7 By 4�`i.�'6 � THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED J r+ COUNTY OF'BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Dr ve. — •0roviIle, California 95965 166" �^Telephone: 534-4541 7 7 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. y ,+ x Date v Signature of Permitee r1Z>et Receipt No. /eJo"!5n0 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. (OF P DIRECTOR UBLIC WORKS By Date y-7-7' -72-- ��iding permit expires Date �`/'7-7- -7 �' BUILDING Owner OS ek h4 e o SQ. FT. OCC. BUILDING VALUATION Mailing Address 1'0, I�a.YI �elep one NC2 `' S Fireplace IJ Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE + PERMIT FILING FEE J$3.00 ,dif� !L r Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 R-�C- Each gas water heater or vent 1.50 A. P. N9. �Z2 Zon Gas piping system 1 - 5 outlets 1.50 0 Each additional outlet .30 Fees W.C. Sa I 'on FireDept. FireZone Use Permit Building sewer 5.00 0,c9O EQA , Parking, arcel 'on Plans Dec __x Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd- pproval Plan pproval Per Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,f, OD Main service 100 AMP OR00V OR LE LESS5.00 Main service EA. ADD'L too AMP 2.50OVER Single Family ❑ Duplex ❑ Mobil Home Others ❑ 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING CCUP. &) 20sgft 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 style Of: ' 50 250 Ex. Occup(OUTLETS OR FIXTURES) @100 EX. QCCUp. FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 f ,,Zpo License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ -126-50 $ e 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. ❑1 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 Cal i forni a. MECHANICAL No. @ FEE r PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood J 2.00 Permit Fee is 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 .Qn 5Z TOTAL PERMIT F E $ �e authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. y ,+ x Date v Signature of Permitee r1Z>et Receipt No. /eJo"!5n0 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. (OF P DIRECTOR UBLIC WORKS By Date y-7-7' -72-- ��iding permit expires Date �`/'7-7- -7 �' r COUNTY TTE — DEPARTMENT OF PUBLIC WORKS n �f Y}-_ ounty Center Driye — 'Oroville, California 959657 w Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or AQdf Receipt No. :5'7 0 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 b paid. DIRECTOR OF PUBLIC WORKS By Date %—� — 7 `z ilding permit expires Date %-2-o'7J' BUILDING Owner _ S'Q. FT. OCC. BUILDING VALUATION Mailing Address �, v Telephone�lo��� jj((SS Fireplace Contractor 0 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 / A. P. No �. �d22 r (� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet. .30 Fees W. Ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Imp roveme is P Lawn sprinkler system • 2.00 Bldg. Plans Recd Parcel Atprovol Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ® - ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Gil d/ (p Main service 100v DR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGSCCUP. &) 22sgft ' NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS)12.50ea 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 y le of: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 009 x. Occu FIXED APP LNS. OR ERESID.) EA) 2•00 P• (OUTLETS ( 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 $ $ 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. ❑1 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 [2.00 Hood 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 OrdinancesTOTAL and State Laws relating to building construction, and hereby M LIZ 18 S 76illeA I ( 30 oc PERMIT FEE -30 lae $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or AQdf Receipt No. :5'7 0 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 b paid. DIRECTOR OF PUBLIC WORKS By Date %—� — 7 `z ilding permit expires Date %-2-o'7J' MOBILEHOME SITPPORT DATA Mobilehome Mfr: �;HAMP 1 ON HOME Bu I LDERS CO. Setup Model No. 254 Year 1977 Width 24 (ft.) Length (ftp) Expando Size ft.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). �'A ��� Sin le �. Footin s W� (check one) r i 1: Wood either —V pressure treated or Center Center Support fdn, grade, Suppor Footing Sizes Locat'�ons (in.) �� 2 Concrete ad i�IX Cff. in.) (iri: j (ft) (in) (in!.) (in.) (If T:–. •/A\ - F (in.) (in.) *If center piers are other -than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING (DEPARTMENT APPROVE® �i' . p 3. Other, specify t I` f upports (check one) 1. Concrete block f 2. Concrete piers 1 3. Steel piers 4. Other, specify t j !x — Typical Support Footing e i Size �rie)Zin. ) I i ! 'Max. Pier J I i f _� Spacing (ft.)('iri.) i 0Max Overhang t i (ft in. .) *If center piers are other -than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING (DEPARTMENT APPROVE® �i' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: MICHAEL & ROSA GOMEZ 2. Installer's name: Tom's MOBILE & MOTOR 3. Is the site currently under permit? Yes 77- 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 / x/ No ( If no, clarify ) 5. What is the mobilehome electrical rating? ------- --------------- 10. 100 AIBP$ E 6. What is the mobilehome site service rating ? ---��' is the Amps 7. What is the mobilehome site circuit breaker rating? ------------- %&-O Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No —1.'7Z1 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? --------- ------------ (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 77 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 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.)