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028-270-175
� • DE DOOD /end Wbv y Way, app 2 mi E of Teddy ane, Bango Permit �k1145- P,E (util, MH LECTRICG ZS $ 20o QA ZO/I. ?09 AS (-Z8-SSS L OMPACTION TEST RE UPPORX STRUCTU�R EQ)_ /Lei - 7 to Q►{�' /�f =, 28-27-156port COAr : .1 ash chten & Davis M sv Perm' X1892-84MHI Y .28-27-175 92-962P,E DEDOOD, WIlliam 249 Weedy Way, Bang-�3 cont: Glen Honsvick / .ex.t.end_mh_ utility lines ELEC .10o Cw0 - - --- GAS / D COMPACTION TEST REQ30� o 'SUPPORT STRUCT PEO S. '28-27-175 92-963MHI DEDOOD, Wil am p 249 Weed ay, Bangor cont: en Honsvick , mh' , c; ', 1� COUNTY OF BUTTE - DEPARTNENT OF PUBLIC WORKS rrr111""" PERMIT 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 �.y��-% APPLICATION AND PERMIT ` ASSESSOR PARCEL NUMBER 028-270-175 "' ZONING A 5 BUILDING PERMIT -OWNER A WILLIAM deD00D TELEPHONE S0. FT. OCC.1 BUILDING VALUATI c OWNER'S MAILING ADDRESS P.O. BOX 386 BANGOR 95914 CONTRACTOR'S NAME GLEN HONSVICK TELEPHONE 692-1043 ' CONTRACTOR'S MAILING ADDRESS Fireplace P.O. BOX 264 OREGON HOUSE 95962 606110 CONSTRUCTION LENDER UNKNOWN Total Valuation $ NONE Filing Fee $ 15.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 20.00 NONE Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS BANGORWEREDY WAY 5 14 Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ❑ Duplex❑ Mobilehome® Other Mobile Home S I G I W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation Other ❑ Permit Fee $ Describe work: 2 BDRM EXISTING SITE (500 MIN ) _ Contractor IWA 14- 11"r ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification NEW CONST./ DWELLING OCCUP.N\ OR ADDNS. ( ACC. BLDGS. // NEW CONSTR. MULTI -OUT LET NON-RESID BRANCH CIRC ITS POWER APPARATUS b (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 3.64 sq. ft. @ 5.00 20 @ 76 F-1 1, as the owner, or my employees with wages as their sole compen- FIXED APLNS. Ex. Occup. OUTLETS P(RESID IREA.) I 3.00 sation, will do the work,and the structure is not intended or offered V10r sale. (Sec. 7044) , as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Temporary service Mobile Home Facilities Misc. byirin g15.00 15.00 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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 Cooling Hood 6.50 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. 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 County in consequence f the granting of this permit. l/ Mobile Home Installation Fee S 70.00 Ener Inspection Fee $ Energy P occ CONST TYPE TOTAL FEES 105.00 HAz DFE IMP FLO =0F PARC PD HD ISSU -- X' Date �� '-` �%� This permit is hereby issued under the applicable provi- Signature of Applicant — Contract- ❑ Agent ❑ n permit is required for excavations over 5'Q" deep and demolition or construct- ion of structures over 3stories in height. sions of the Butte County Code and/or resolutions to do wo�in�diforwhich fees have been paid. OF PUBLIC WORKS Receipt No. -LI--- BY PERMIT E PIRES Date 6 Date .Sj6 QL WHITE-O.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT AP �k 2 OWNEROf3 PERMIT MH UTIL.CLEA CE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Req. Service Size Other Load Type Pipe Size Len th YES NO YES NO a" NOTE:—All Materials & Workmansh Acccrdance with Recognized Good -of a quality prescribed for the Specii Uniform Building, Plumbing & Mech the Naflional E iectrical Code. A setback of 5 ft. from the property lines and a setback Of 50 ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. save overhang. d"- GI�C�/1�- Nl� VVI C_ 0 C r_1 Shall 132 in — icices and J use in the cal Codes and X-1 -Ij X>, s6 This set of plans kept on the job at make any changes written permission O Works, County of E t G O o /U : /6 Ae If 500 SQ.V14MINIMUAA <ppp°X '" FOR PJIOBILE , sc • � J I Location of structures & equipment shall be as shown & clear of all easements. �5o s6G'— Environmerital 'H'ea4th APR 2 4 1992 Oroville, California d specifications MUST be mes and it is unlawful to alterations on same without n the Department of Public G bIrl fi BUTTE COUNTY BUILDING DEPARTMENT AP-.PR®VE® �, zZ C NOTE:—All Materials & Workmansh Acccrdance with Recognized Good -of a quality prescribed for the Specii Uniform Building, Plumbing & Mech the Naflional E iectrical Code. A setback of 5 ft. from the property lines and a setback Of 50 ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. save overhang. d"- GI�C�/1�- Nl� VVI C_ 0 C r_1 Shall 132 in — icices and J use in the cal Codes and X-1 -Ij X>, s6 This set of plans kept on the job at make any changes written permission O Works, County of E t G O o /U : /6 Ae If 500 SQ.V14MINIMUAA <ppp°X '" FOR PJIOBILE , sc • � J I Location of structures & equipment shall be as shown & clear of all easements. �5o s6G'— Environmerital 'H'ea4th APR 2 4 1992 Oroville, California d specifications MUST be mes and it is unlawful to alterations on same without n the Department of Public G bIrl fi BUTTE COUNTY BUILDING DEPARTMENT AP-.PR®VE® �, zZ C BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: W-1 I I am 4 /)00c 2. Installer's Name: (T elV 16AJ501�-IC 3. Is the site currently under permit? Yes No (If yes, furnish permit number ! OR �p Is the site an existing site? Yes 51 No F-1 (If yes, furnish,two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes 1 - No F-1 (If no, clarify c ) 5. What is the mobilehome electrical rating? --------------- 100 Amps MM 2-6y 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- :,Amps{ 8. Is there any other electric load to be served by the ' 'A Nr3 ' No" mobilehome site service? -------------------------------- Yes (If yes, identify the load and size: (Load) '(Amps) 9. What is the mobilehome site gas pipe size? -------------- 3/411 (in.) 10. What is the ------ ------- Natural LPG type of gas service? 11. What is the gas pipe length from meter or tank to the mobilehome? --------=------------------------------------Q (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.) BUTTE COUNT 10014DING DEPARTMENT . } MUBILEHOMF; SUPPORT DATA SEl2ift/ Ft� OsE 1 199 7 If other than single wide, f'l ( Jp # 0'7 Mob ilehome Mfr- L h ERT Y M O M E S furnish Setup :Model No. Year 1979 Width 12 (ft.) Box Length 46 (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)E 1. Wood -pressure treated or foundation grade. 11 2. Other (specify) SUPPORTS (check one) FX 1. Concrete block. ❑ 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 1 _ _ _ _ _ _ Main Beams MULTI -WIDE Line I _ Line 2 .Line 2 _ tine ' am2 � O O6 LO M" �MW Main Beams ... — — — — — — — _ — � Line 2Line �m! ..._Line 1 N ..F -Line - Tag or Triple Linp 4 Line 1 Piers: Line 1 Openings: Size -Min. -------- Size -Mir.. ------------------ nx n Spacing -Max. --------- Each Side of Openings From Ends -Max. ----- 7- '_ " With Width Over""'"-"-"- Line 2 Piers: Size -Min .------------ Spacing -Max ---------- From ---------From Ends -Max.------- Line 3 Roof Loads: Size -Min ----------- Location (From Front) Line 4 Piers: Size -Min .------------ Spacing -Max.--------- „ From Ends -Max .------- _ Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- y� Spacing -Max.--------------- From Ends -Max. ------------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) Bearing Size -Min .--------------.---- ,I „ Spacing -Max ----------------- From - ------- '- From Ends -Max -------------- '- " RESIDENTIAL 28-27-175 - --- --- - -- - - - — _ 92-962P,E I DEDOOD, WIlliam 249 Weedy Way, Bangor cont: Glen.Honsvick extend mh utility lines 4Y , GAS I GAS 70.L -?—A Meter BY ELECTRI DatJ j Meter By 1 , OFFICE COPY ddresses Address--- j GAS I GAS 70.L -?—A Meter BY ELECTRI DatJ j Meter By JOB FINALED (D Signature =OK = Not OK Not Applicable Not Ready MOBILE HOMES = Date MOBILE HOME UTILITIES (Plans) OK except #'s ✓ 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 1.4Water; Location -Test -Easement Needed (Sketch) 5. Electr' ' Location-Clearences-Grnd-/ /Amp -Concrete VersLocatio Test -Wrap, ' /"L"ft. /"Nat. o" it./ LPG 7. Well Clearance & Disconnect 8. Utility Clearance a ` MISCELLANEOUS Date�.S Card B-N'Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1, ping Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line f G QMH Test -Demand -Valve -Connector S. Electricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector i/ 6. Water.; MH Test -Regulator -Connector 1 Water nd Sewer Connected -C/O to Grade -HD Approval s and Electricity Tagged 9. s; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 t 7 if Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 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 -Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing - 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Sidi ng;.Nail ing-Veneer-Stucco-Mesh 10. Roof; Shthg-Roofing 71. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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. _ Bo xes- Enclosu res-Panelboa rds- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK I O = Not OK- = Not Applicable NoYReady RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except fl's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wra pped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except tt's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----------- ------------------------------------- 17. Water Pipe; Test & Anchor -Nail Protection --------------- ----------------------------- 18. D. W.V.:-Test- Test -Fittings & Anchor -Nail Protection -------------- ----- - ----------------- 19. Shower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access - --------------------------------------------- -- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card -B- 1 ------------------------------- ---------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except N's 22. Fixture & Transformer Clearance -Ins. Protection ------ -------------------- 23. - - ------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------- -------------------------------------------- 24.- Size Boxes & No. of Conductors -Stapled ----------------------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------------------- 26. Equip. Ground made up w/Meeh. Fastners-Bond Gas & Water - - - ---------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------- --------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or At ----------- --------------------------------------- -------------------- 29. Range Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------- ------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------ - --------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. -------------------------------------------------------------------------- ------ 32. Clothes Closet Light -Shower Light -Spa Light ----------------------------------------------- ------ ------ ----- -------------------- 33. Smoke Detector ------------- -- -- ------ - ----- - ---------------------------------------------- ---- Date Card B-1 Date Card B-1 - -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. -A. -C. -Ducts Insulation & Support -- ------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------- --------- ------ --------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ---------- --- ------------------------------------------- - -------------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -----------..------------------------------------------- --- 38. Attic Access & Platform if Furnance in Attic ------------------------------------------------------------------------------ - Date Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors - - ------------------------------------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing - - - ----------------------- ----------- 42. Draft Stop in Walls (rat proof) - - - ---------------------------------------- ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- -- ------------------------------------ --------------------- 44. Headers & Beam -Size & Bearing i jingle & Duplex) Date FRAMING (Continued) 4"). Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic'Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing - 51. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ----------------- --- __ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -------------------------- Date ------ ---Card B-1 Date Card B-'1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------------ - 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------- ----------------- 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 -Land ing-Closer •--------------------------------- -- 73. A.C. Duct in Garage -Damper 74. Wir. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage; Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. 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 -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --------------- -------------------------------------------- 80. Following instld.; Drive ❑ 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 Certificate -Other Certificates --------------------------------------- Date -------------------------------------Date Card B-1 Date Card B-1 •--------------------------------------------- - - Date Card-B-1Date Card B-1 --------------------------------------- --- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ll� c5L- PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contacjthis office immediately. n Date ^Y Inspe REV 11/91 MOBILEHOME INSTALLATION ACCEPTANCE t COUNTY OF BUTTE -� DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 r3 PERMIT NO. Address or location of mobil ehome -� Owner's name W L L / != ln00 lei Owner's address [ J Insignia or hud number C-1-1 Manufacturer's name �l 6 k T ;Serial number of V.I.N. v�^ r—� Year of manufacture lPT (Of icia Appro ing Installation) (/Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION { ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. -,5138 ;White - Owner Yellow. I l _ nstaller Pink D P.,W 1 HS uv111 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drlve - Orovillei.Ca4iforhia 95965 - Telephone: 916.'538-7541 APPLICATION AND*PERMIT ' PERMIT NO. ASSESSOROPA jCEL NUMBER — / J�� - p/[J �. J ZONIN �– BUILDING PERMIT OWNER k/ u _ OD TELEPHONE S0. FT. OCC.1 BUILDING VALUATION OWN 5 MAI LI A D SS - C) � a vt or04 Q CONTR CTOR'S NAMETELEPHONE i1,Ply roti s v1��C CONTRACTOR'S MAILING ADDRESS ne P0r1 X Ov5e 95-56 Z Fireplace CONST UCTION LENDER n NKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARVECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �O. D 0 Energy Plan Checking Fee $ ARCHITECT -OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS C r Permit fee $ ' DO PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome% Other SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G I W 1 15.00 TYPE OF WORK New r"Addition El Remodel Remodel ❑ i lities ❑ Installation"Other ❑ Describe work: o�zl % P1 0 0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 / Dd L I / / l - Y� Main service 200AOR LESS OR LESS 600V 18.50 Main service 20CATO t000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License ;Jo. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ACDNS. ACC. BLOGS. // 3.64sq.ft. NEW CONSTFL MULTI—OUTLET NON-RESID. BRANCH CIRCUIT @ 5.00 /POWER APPARATUS e l SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20 76d AL_ Ex. OCCUp. OUTLETS FIXED P(RESIO )REA.) 1 3.00 Temporary service 15.00 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 15.00 Heating Cooling LHood 6.50 I 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 County in consequence of the granting of this permit. X Date si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ i n OSHA permit is required for excavations over 5'0" deep and demolition or construct- onstruct- ion on of structures over 3 stories In height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES©L5� HAz 1 0FEES I IMP I FLOOD CDF I PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date ',�� Receipt No. 3 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLD ENROO-APPL I CANT 161YOW; '�. �:.,,,, ..,, x �..:v� � , x: ;.�r.;� �r g -acv r-- ice' ►y .!� ��, f, . }.; . � r � eS.:7 COUNTY OF BUTTE - DEPARTMENT frPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL , CLIFORI`OW95965 - TELEPHONE: 916/538-7541 s� PERMIT 8F'P_�ICATION DATA SHEET A / 1, Permit No. A. P. No. r3 / inn I Iec 107�1� � C_"O�i9—�l �i/i� IRr�ildiin I t n., a,. �/-- / �•— V "spec or At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ...............................'.... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form. ........................................ 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid, 13. (,& School District fees paid .............. 3 131 R 2- 14. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-(nspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification "(Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter)y�V si l r�We a thh ori��rt�i%(2' 26. M A,t �`►'4'' � Wherry issue t e permit, process as follows: t Mail to owner. Mail to contractor. IQ�vrTelephone and hold for pickup at office. Deliver w/inspector. Other q 7 App icant Date Copy of !-.az-Mat form sent Health Dept. Fireaept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: -(Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised \of above required data by_phone_mail—counter by .date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date i Plans checked by Date Plans approved by M Date Sets of plans on hold in File cabinet AP folder Copy—DPW .`� BUTTE COUNTYDEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number . a �"..� j ' Bu•ilding Department No. School District (�•jViP 11n;6✓1 )0ty County [2� Jurisdiction Property Owner } l i'1/iIddO Project Location/Address �6,ee' f Subdivision j Lot Number Residential .Development: F] Sq. Footage 15)/6 # of Living MHI Addition _ (Group R) Units 4 )el ) C6mmercial/InduslV- *.,a �•�} a 0 Sq. Footage `� New Addition (Including Exterior Roofed Areas) Buildin Department Representative Date (Floor Plans reviewed by School District Personnel) District Id'No. 9 2 4 ' `* (Applicant Name) _ tk l _ (StreVE Addreq(g ) y School District certifies that K. State one Number 59)4/ (Zip Code) has complied with the requirements of Resolution No. �� --9�� by the payment of $ representing _?,No square feet. School Distract Representative y PAID BY CHECK NO. BANK NO A// PAID BY CASH REMARKS: /_9� Date y white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) -• ::� � ., r �\ A .. :� OWNER: LOCATI PRE -INSPECTION o.,e �//l0—�— A.P. # CONTRACTOR: fdOA1 (/lC`G ZONING PRE -INSPECTION FOR: mvg' PERMIT HISTORY: TYPE OF OCCUPANCY AbAlt %.s BUILDING USAGE: TENNANT: DATE TO INSPECTOR AS FOLLOWS: FIELD - INFORMATION [� OCCUPIED HAS ELECTRIC HAS GAS Iars SANITATION FACILITIES Q HEATED -COOLED ED PERSON CONTACTEDJ�®� - OTHER COMMENTS: (11 �,L7 cis �Cy�L I �' C� t- �4?1z �2 S J Ls•� l� �/JCx�, C-mO /OS . ACTION RECOMMENDED: ISSUE [:] HOLD FOR OTHER: Il,is set ul ISI n,s a,,c.l str::c.ilicail oils fW"I )e v --p Z"/-/' �••;• kepi on the job at all times and it is unlawful to NOIE.—All Materials & Workrnanship Shall Be in g,�,css P� ie) • Accordanc6 wills Pe�x- •r iz-,pr Good Prectices ar'l make any changes or alterations on same wi h- j �� rr . jr out wrillen permission from the Department f of a duality p escril3.'.c ,ol" 1e Spccified t'soin fl - Public Building, �Plurnbing �� Mechanical Codas t Public Works, County of Butte. r �) and Ilse Natiolpafrical Code. w 8G's3'z2'w IV, `'i A selba:k of 5 ft. from c. S �R`14) 4`� r z58.t3' ti tfoo`, I ` f property lin^s and a setbacf. GCtrt) 11herea S' �'� �-Q� o>• of 50ft. from the road r Al 13522. 3'w S9• ' r 4 ZZ. ��' ��'centerline shall be clear of FAeaM 8 structures or equipment excehl 3'7 �' -�104.eofora 2 ft. eave overhang..�INZ Utility conn ctions shin F L f GEN4 ft. of the r �obilt:.\o Sdirectly beh nd or ��,�ar T Ido 1 half of the r )adsld etlefI) of the l.` mobilehom ''; o0 0 c. to (,,ALC. c Q 1 A� c 1 1� P.+tc�_ .:' !�. h �.vecec 3 ` ,� q AE C 0A %R ) ✓VV CJ SECTI 1. 1 A perrfi I v:rill k:.:: rerl�.rired for tit f (nSlallat . n of tho r.lobilahome. 500 �I <� ;�i L 0 M i i GEq�: F/Q�•7 /515 I1 r00 SQ FT. Mll"ImU;Lt;cN I i rV. f�/1�:;1, r'rj I \ E t.l-L i:'i - fir';'';-:, l (• W-0 - t t' '° Wo•wwA)e ;7100*4' 3 • ivo i .x30.00' r �'� G POsr� [ S •✓S38 5117 131 COUNTY OF BUTTE - DkPARVENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541�� APPLICATION AND PERMIT IF e ASSESSOR PARCEL NUMBER _ _175 ZONING A y —,5—BUILDING PER OWNER WILLIA-M deD00D YECEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 386 BANGOR 95914 CONTRACTOR'S NAME GLEN HONSVICK 606110 TELEPHONE 692-1043 CONTRACTOR'S MAILING ADDRESS P,0 BOX 386 BANGOR 95914 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Y WEEDY WA BANGOR95914 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP ��— Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home W I @ 15.00145.-00 TYPE OF WORK New [_1 Addition ❑ Remodel❑ Utilities�l rrYy�� Installation❑ Other E] Describe work: EXTEND EXISTING LIPS?ES Permit Fee $ 60,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Fl am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ 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 CONST. ( DWELLING OCCUP.8d\ OR ACDNS. ACC. BLDGS. / 3.64sq.1t. NEW CONSTFL MULTI.0UTLET NON.RESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES 20 76 AL P 46 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. byirin 9 '15.00 Permit Fee $ 30.00 — 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. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag*std County in c•nsequence o anting of this permit. X2' Date "' 1 �2 Applicant — Owne tractor Agenr ❑ An OSHA er ' Ired for excavations over 5'0" deep and demolition or construct- -` ono s construct - r; over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ CONST TYPE TOTAL F E $ .00 Locc HA2 DFEES IMP FL00 c0F PARC PD HD iss This permit is hereby Issued under the P Y� sions of the Butte Co my Code and/or work indic d a for which fees OR OF PUBLIC By PE T EXPIRES Date 2 applicable rovi- PP � Psig resolutions to do have been paid. WORKS ate Z� Receipt No. I X03 6 WHITE-D.P. W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ., .. _ _ .. . � .. , .. r,..s-�v n:�{"r!!-Y••''�"T..-.��'��r�.,.,�i,��,-r ��... '-dei �r4i'rw's'+.1 .r,an�..-�.�,rr �_�..r..-.. }rw.�,��,3., COUNTY OF BUTTE - DEPARTME-NT'OF'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE OR.OVILLE, CALIFOR,&��,A 95965 - TELEPHONE: 916/538-7541 �7 PERM IT1APPLIG�ATfuq-DATA SHEET w. -':Permit No. OWNER (c /"t �1� "k A. P. No. .R—, -175 // Proposed Building Use K�'/jc+le l�s'/'t��L CS Building Inspector Date Z� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted. .................................... 2. Plot plans in duplicate<jlicate igned by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .. 4. Complete,engineered plans and calcs, with wet signature on plans .. 5.. Hazardous Material Form .......................................... '6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ................................... ................. . 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... vI') g13. School District fees paid .............. Sanitation approval from _&X12E 9—VZ Health Department 15. City of Chico plumbing permiy"Ko�.RaA! k,A. A&.. 16. Plot plan and business license approval from City of / (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 0Driveway permit (construction approval required prior to occupancy) . Pre -Inspection for 10 24'K- & Z/tt (f flr-�`5 required Pre-Inspec. request to Building Inspector &--(Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner. -Builder. Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ... ............................. . 26. 27. When you -issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date— Copy ate— Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pr'o to perml uance: (Circle new item not checked above). _ 1. Index permit for above items No. by � " 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal [,counter by date Plans checked by Copy—DPW Date Plans approved Sets of plans on hold in File cabinet AP folder A. TO Building Department 4i FROM: Environmental Health SUBJECT: Sanitation Clearance il(LO-CINA., Je-j', WCLV, If Owner Locati AP# Plan Approved for: Sewage 'Disposal �—� Water Supply Hold final for: Water Supply Final clearance O.K. for: Clearance for bedroom mobile home. Other NOTE *** Water Supply Sanitari n D to COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 029-2 70-05 ZONING BUILDING PERMIT OWNER rl (yi �Q TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER' QAIL ADDRESS ESS 3©NsV CONTR AC TO S(e-/L/ i (-I� 1006 10�l /� (� z HTE ID CONTACT R'S MAILING D ESS 6 3� n1 ��/L � Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR -ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ^/ �I Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] M6bilehome[3L0ther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home W 615.00 ,��- TYPE OF WORK New❑ Addition Remodel❑ Utilitie.;�n—installation❑ Other ❑ Describe wor _ 7-( Permit Fee $ Contractor ELECTRICAL ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 20CATO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. License No. Classification ❑LNS 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 DWELLING OCCUP.I)t) NEW CONST.OR AODNS. / ( AGC. BLOGS. / 3.60sq.ft. NEW CONSTR. ULTI.OUTLET NON•RESID BRANCH CIRC ITS //�� l: 5.00 APPARATUS a (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES A20 @ 754 Ex. Occup. ou LETS ED APP(RESID )REA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 r� Misc. byirin g 15.00 Permit Fee $ C). — 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. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County or Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner 9 pp ❑ 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz 1 OFEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 110 0 WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. CO—rNRee-APPt ICANT f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS R 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE 4-22-92 WILLIAM deH00D RE: 92-962 & 92-963 P.O. BOX 386 A.P. # BANGOR CA 95914 028-270-17.5 With reference to the above subject: LL Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER L1 We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 Co4nty Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER #92-962: 1. Need c can accurate plots in trip .icate. e e,,=th,Dept. stamped pot. a ea th Dent. ciearence . Need utili�ty clearance from field inspector. Should you have any questions concerning the above, please contact Tom May of this office. BETWEEN 3 7 5 P.M. Yours very truly, JFG/a j William Cheff Director of Public Works .F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 • RE: C/o1— CI`o Z With reference to the above subject: Attached .is: OTHER t PHONE: 916-538-7541 DATE _�_ 9Z- f'63 A. P. # 0L8,- Z%O — /7SJ Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced " We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check -exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage im?rovement--plan-.approval•-from Land Development Section'(DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department -at: 1469 Humboldt Road, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, .Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement -statement. Should you have any questions concerning the above, please contact of this office. Yours very truly, William Cheff Director of Public Works F. Glander JFG/aj kN bi- cc wl N 000 h.P$8--jp-��,� aqq eed wy Wa y COUNTY OF BUTTE BUILDING DEPT APR 2 4 1992 • 'r((PEAMIT NO. _. 1145-84P,E ' PERMIT EXPIRES OWNER WILLEM DE'DOOD 1, CONTR. OWNER ASSESSOR PARCEL 28-27-156(POrt) LOCATION,. Vend, Wendy Way, app 2 mi E of Teddy Lane; Bangor Wit f77 f i` .. t ,t 1 , . 'Mie . Temp. Power Pole R #Called PG&E #ir Temp. Elec. Service �.• Z1 �� .1� � V1e i Called PG&E y Temp. Gas Service p 1_ � .Called f 4 PG&E JOB FINALED (Date) / ;Y Signature` i � i J = OK 0 = Not OK t —= Not Applitable MOBILEHOMES '' MISCELLANEOUS = Not Ready Date MOBILE_HOME UTILITIES ( 70K except N's Date DECKS. COVERS, CARPORTS. ETC. (Plans) OK except k's Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements 2. Footings, Size—_Depth—Spacing—Connectors_ 5. Decks: Girders and/or Joists-Decking—Bracing—Stairs—Rails Vis: Special MH Support—Sketch ewer; Location—Test—Fall-C70—Concrete ater; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs—Connec.—Shthg.—Rfg —Bracing lectricity; Lo on— lea ces—Grnd.—/p'06 Amp—Concrete 5. Alum. Awn.: Columns—Connections—Splice—Decal—Enclosures 6 as; LocatiorrT W / L"ft./ P'Nat.or "L" ft.4 "LPG 6. Carports; Windows—Doors 7. Utility Clearance 7, Elec. Card -BI Date .1 Card -BI w( Card -BI Date Card -BI _Date Card -BI Date g" Card -BI Data Card -BI _Date Date Card -BI Date Date MOSILEHOPAE INSTALLATION (P OK except q's Date _ POOLS (Plans) OK except n's _ *"Zoning Requirements—Setbacks—Easements 01'r—ootings; Size—Spacing—Marriage Line F , ) 1, Setbacks—Easements 2. Soils; Compaction—Structure Stability as: MH Test—Demand—Valve—Connector • r w — — -- — 3, Pool Structure: Steel—Connections—Thickness—Dead Men—Lining Electricity; MH Test—Crossovers—Breakers—Clearances MH Test—Fall—Flex Connector --- 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Elec.: Pool Lighting: 15 volts—GFI — --- ------ 411— Water; MH Test—Regulator—Connector ater and Sewer Connected—C/O to Grade—HD Approval 8. G s and Electricily Tagged $its; Insp.—Sketch Cert. of Occupancy Card B -I &Q Zy Date r ✓YCard-BI Date {I Card B -I Date Card -BI Date I t tt � 6. Elec.: Enclosures: Conduit Entries—Terminals—Listed 7• Elec.: Bonding; Metal w/5'—Circulating Equipment—Heater 8. Elec.: Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures— Pane lboards—!ns. to Main in Conduit 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test _Card -BI Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not CK - = Not Applicable RESIDENTIAL (Single and Duplex) k = Not Ready r' Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements __ 2. Ftg., Main: Soils-Steel-E_lec. G_rnd.- / /" Ftg D_eptl _ 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / !" Fig. Depth Stemwalls, Main;_Steel-Blockouts_-Wrapped-Slab _ 6. Stemwalls, Garage; Steel-_Blockouts-Wrapped-Slab 7. Piers -Fireplace Ft .-Steel -_-_ ----_--- _8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test _----_-__-_-9 Gas Pipe: $ize---Anchors-•--_-._---------- - 10. Water Pipe: Test -Anchors -Regulator -Service Test _ 11. Electric: Underground _ 12. Plenums & DUCIS; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date_- --II Card -BI Date Card -81 Date Date PLUMBING (Permit) OK except #'s .......74. 1'!a_ter Ht.; Vent -Access -Combustion Air _ 15. Water Pipe; Test & Anchors -Nail Protection 16._D.W.V..:_Test-Ftt_ngs & Anchors -Nail Protection 17. Shower Pan: Test, _First Floor -Tub Access 18 _Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Gard -BI _ _Date Card -BI _ Date r Card -BI Date Card -BI Date Date ELECTRICAL (Permit) OK except #'s 20. Fixture & Transformer Clearance -Ins. Protection _ Receptacle, Spacing -Lights & Switches at Doors - 22. Size Boxes & No. of Conductors -Stapled _ - - --_ _ 23._Romex Installed Close to Edge of Studs & C.J. _ 21. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water _ 25 Appliance Circuits in Kitchen & Cond_uctor Size_ 26. _2 Subfeed_Wire Size i_ / ga. Cu or AI-A.C. Wire Size ga. Cu or Al 27. _/_/ Range Circ. / / ga. Cu or AI -Oven Circ. / / ga Cu or Al, 80. Insulated Neutral r Yes 28_. Service_ -Riser Conductors &_Ground -Main Disconnect - 2_9. Equip. Clearances; Panels-Piotors-_Mech. Equip. -- 30. Clothes Closet Light. Shower Light -- - - -- - Card 6-1 Date Card -BI Date Card B -I Date Card -BI Date Date MECHANICAL (Perm•it) OK except #'s 31. A.C. Ducts: Insulation & Support 32. Vent Fa i Exhaust above Insulation 33. Condensate Drain & Ovenlow, Size &_Grad_e__ 34. Furnace-Vent_Access-Comb._Air-Return Air Vent_ -_111_5_V outlet 35. Attic Access & Platform if Furnace in Attic Card -Bl Date Card -81 --- Date--- -__-_- cafd-BI - Date Card -BI Date Date FRAMING (Continued) 48. Property Line Firewall & Openings - -- 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits_ _ _ 50. Stairs; Width -Headroom -Rise- Run -Landing -Fire Protection - 51. Plywood on Roof Overhang =Attic Vents -Rafter Outriggers- j 52. Siding -Nailing -Veneer ----- 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic - 55. Shear Walls; Naili Its Card -BI Date Card -BI . . Date - Card -BI Date Card -BI Date Card -BI Dale Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings �. 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection l 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels - 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. _ 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance r 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper _ 69. Wir. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. i 72. Insulation -Foam -Looked in Attic EJ Yes 73. 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor LYes 75. 76. Following instld. Drive [; Yos Gl No; Walks L✓ Yes ❑ No. Planters ❑Yes _0 No _ Stucco: Brown -Finish 77. A.C. Unit: Disconnect-Clrnces--Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs. _ 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground_ 81. 82. Ventilation throughout House -- Glass Protection ---� 83. _-- Corrections from Previous Inspections - 84._ 85. 86. Gas Test -Meters Tagged; Gas -Electric -- Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates - Card -BI Card -BI Date Card -BI Card -BI _Date _Date Caid.BI !Date -- -__ Date Card -BI Date Comments at Final' Date FRAMING(Plans) OK except #'s __--__.--.-_ -_ -._-_ r 36. Sills; Proper Material & Anchors .-.-.-. 3%• Walls; Studs -Nailing, Spacing & Br'acing-Plates-Sound - - - - - - - .. ... _ .. - - ----- --1 38. - ....------- --- . ---- -- --- - --- ---- 38. Bearing Walls ovar Girders & Floor Nailing- _ --- - ----- --- - 39. Draft Stop in Walls (rat proof) 40. Fire Stops_ Furrcd Ceilmq__Slairs-Chases-Tub -------------- -- - 41. Header & Beam ---Size & Bearing 42. Hangers -Post Caps-Anchors--Conn,:ctors _----------------------------•-------_.-..-----------_-__ 43. Cing. Joist-Rfu. Ties-Puilin-Roof Br,ic..-TrLISS-Shtttng.-Rfny. 44. Firepl,icd Tie3 or Typ7 A Flue --Fireplace Throat 411. AIIIc Acres,Size & Romt,x Protection -Draft Stop -Ins. Balfles 46. Bdrm. Winduv s or Exiting Loots -Sill Hyl. 8 Dimensions 47. Garage. Fir;-; Protecnon Framing (NOTE Anewryinwil he made each time you visit lobs tel COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 ' Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. -a Inspector t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 J 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE TNO. / A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector l7 d�� ..v -T Date .! 19 OF .v COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS; 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE '4o A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. COUNTY OF BUTTE ol DEPARTMENT OF PUBLIC WORKS - ` 196 Memorial Way, Chico — Phone: 891=2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and.Elliott Road, Paradise— Phone: 872-2961, Ext. 57, CORRECTION NOTICE WNER,PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this,office when correction of work is completed. If you have any question'nertalning to this matter, oneed additional explanation', please contact.this office immediately. •� AleC �- .� ✓.-/� :.mss/ Y- I '%%��OJA (1�Q� 1 Dater •^ n COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 ----CORRECTION NOTICE OWNER c. "PERMIT N( A routine inspection indicates, that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector . - r Date a s !i I COUNTY OF BUTTE a 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 Z-1 for the following location: Owner 14-11" Mt7n� Owner's Address IIR21 i_ ! •t.�-�i� ""' ��' p1 7 G� Mobilehome Mfg. f�f Ad + -- V Model 2 X K� Year 3' Insignia No. Serial No. G ��� A �'✓� It is hereby certified for occupancy at the above described location .and may be occupied. Director o" f Yub'lic WooAs/' 7 Date /, 2 a r4,, By✓ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 1 White - Owner, Yellow - Installer, Pink - O.P.W. 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOWAND `PERMIT PER NO. , BUILDING PERMIT OWNS 7� TELEPHONE SQ. FT. OCC. BUILDING VALUATION ASSESSOR P RCEL NUMBE -'Z - 716 _640,040 ZONING BUILDING PERMIT OWNS 7� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING CO,yADDRESS /�, / LT/I/ �/-�V��7 HO J1���J {" CTR ACTOj'�'S M/11 LI NG APD ESS���� 10.�!>✓S/V�1\t/ 53 Fireplace p CONSTRUCTION LE DER / UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGI EER Cv/Ar','d' I LICENSE NO. Plan Checking Fee / $ /s_ PO Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Be ING ADORE Al , 6�l�DY Imopox., Z �/ C OF PLUMBING PERMIT FiIingFee 10.00 GDv L^ VE Each Trap • 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP T- Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeEi--*'Other SPECIFY Building sewer 5.00 Mobile Home 10.00 e TYPE OF WORK New ❑ Addition Remode� Utij{ es n -Installation Other ❑ Describe work: WRL _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 2 XqgMain �f'(� service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&` OR ADDNS. ( ACC. BLDGS. / 21h2sq ft - CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force a d effect. !,('� / License No. �T J 3 3 � 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) F1 am exempt under Sec. , Business and Professions Code for this reason NEW NON-RESID CON5TR U TI -OUTLET 2,50 ea BRANCH CIRC ITS NEW CONSTR POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. z0ee0e Ex. Occup(o OR FIXTURES 6AL®ao FIXED FIXED TS (RES. OR APPLNS EX. QCCUp. OUTLETS (RESID.) EA.� 2.01] 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. ©/rshall 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 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. G %� Date �� a Signature of Applicant — Owner ❑ Contractor Agent n 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 $ 70. a0 OcquP. GROUP TYPE OF CONST. I V PARCEL I PD I HD sSu� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �,Zc� -7— Receipt No. �licT WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Rk BUTTE COUNTY . DEPARTMENT OF PUBLIC WORKS, T. County Center. Drive, Oroville,''CA. t PHONE: 534-4541 a - ..►' ,.; I'MOBILEHOMEINSTALLATION SHEET j,�; (�.: 1.. �.: Owner's name. , t '2 Installer's name:..---, rIs the•site1currently under permit? +let /!�%�^ � No ' f i (Ifqes, furnish permit number �` `"- fir) OR' ' • Is the site an existing site? Yes /, / No . .(-T-' yes,'1urnish-•two (2)'. plot plans;) f _ 4. Will the mobilehome be located at least 5 ft. away from septic tank and lea sh,1ields and . I clear of.' all setbacks,'and easements? -Yes /��' No / ./ '. (If no, clarify ` 5. •What is the'.mobilehome electrical rating? - --- -------------- U Amps 6. What is -the !mobilehome site service. rating? ----------------- - -O Amp! 7.. What is the mobilehome site circuit breaker''rating? = ---------- 00 _ props' f � 8. Is there any other electric load'• to ,be; served 'by the-.mobilehome . { � 3 � r • • � site service? ------------- - -f-- "------ ----- ----------- ,. es � No (.If yesjdentify the, load and size: r 4 j,(Load)MOCa rAM/L (Amps) 9.' What is the mobilehome site .gas pipe size?; ---------------------� (ia, =10. w What is' the type of gas service? -- - --= -----------------`- �N& f t' ral /% LPG / r .11. What is the gas pipe length from meter *or to the mobilehome? Gtf ' T . 12.:•.What is the mobilehome gas demand. -----------{------------ (BTU) - ' ", •, l (This . information not r uirid if pipe .length less than .6 ft. ,on natural gas....:' , ' } or -less . than` 50 ft. 'o LPGs) _.. .4. _ 7-1 MOBILEHOME SUPPORT DATA If other than single wide, Mobileh,o a Mfr. Ci/2 a 4— furnish Setup Model No. Year jlidth .Z (ft.) Box Leengt(ft.) Tagalong or Expando Size ft. x _ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome'unless otherwise specified, a Footings (check one) Single r.Vood either. A pressure treated or W foundation grade., (�O Z x� (ft.)(in:) Q (in.) (in.) El 2. Other* (specify) Center support. Center support Supports (check one) locations* footing sizes (in.) Concrete block. Z x E] .2: Other. (specify) (ft.)(in.) (in.) (in.) h 4 --tagalong or Expando,' 1 show support details. (ft.)(in.) (in.) (in.) Q 0 x /� -- Typical Support (in. (in.) Footing Size L x (ft.)(in.) �(�\ (in.) (in.) ,-- Max. Pier Spacing (in.) (in.) Max. Overhang (ft�) (in.) BUTTE COUNTY ILDING DEPARTMENT * a e'other than drawn above, if center piers r . s draw in locations, spacing, and dimensions. r.t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, California=95965 - Telephone 916/534-4541 , 6 7 - APPLICATION AND'PERMIT A ASSESa2R PARCEL NUMBER r-2 S zN G BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'SMAILING ADDRESS •�� � � ^� O/I i CONTRACTOR'S NAME - TELEPHONE ' CONTRACTOR'S MAILING ADDRESS - •• Fireplace CONSTRUCTION LENDER, UNKNOWN' Total Valuation $ - Filing Fee $ LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 8� BUILDING,AD RESS PLUMBING PERMIT. Filing Fee 10.00 �C Each Trap 2.00 Solar Water Heater 20.00 r' Water piping 5.00 LOT NO. SUBDIVISION NAME FURCEL MAP Each qas water..heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 -USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome�, Other SPECIFY Building sewer 5.00 Mobile Home W 10.00 a ,CO TYPE OF WORK New ❑ " Addition ❑ Remodel ❑ Uti Iities Installation•❑ Other ❑ Describe work: 5 i Permit Fee $ 6 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 /0,00 Main Service EA. ADD'L 100 AMP 2:50 NEW CONST. DWELLING OCCUP.&` OR ADONS. ( ACC. BLDGS. - / 21/20sgft CONTRACTORS LICME LA I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3` of the Business2OQSOC 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,andthe 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 NON.RESID R BRANCH C•IRCTITS 2.50 ea - NEWCONSTR. POWER APPARATUS&' NON -RESID. (' SINGLE OUTLET CIR, Ex. Occup(o XoR FIXTURES SAL®30 F(XEED D APPLNS, OR Ex. Occup. OUTLETS (RESID,) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 A10 A 'LSD 210.0 Permit tee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any•person•in any manner so as to become subject to the W. C. laws of California.. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3:00 Ventilation permit Fee $ Contractor I certify that. I have read this application and state that the above information' is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. [� _1 [[[��� Date Signature OWnergSJ Contractor ElAgent Elwork l �An OSHA permit is required for excavations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP, GROUP TYPE,OF CONST. PARCE PD HD Issu This permit is hereby issued under sions of the Butte County Code and/or indicated above for which r DIREC OFA PU By PERMIT EXPIRES Date-_. the applicable provi- resolutions to do fees have been paid., IC WORKS Date�M/�� V �CJt�� IC Receipt No, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ` 'T FOR RESIDENTIAL. DEVELOPMENT OFF1CiaL Rft'Of`O`�.. ,r 9t, -TE CCUNIY Lw� p5 iiF::tIC:.:TFi: Section 26-8.1 of the Butte County Code requires this'acknowledgemeeiLP NTY be,recorded prior to issuance of a'building permit. a ' PR The property described herein is adjacent to land or included %Ait�ii41t s.. within an area.zoned ,for agricultural purposes, and*residents of ��irrcC1i��. .property may be subject to ,inconveniences or discomfort arising from 94-i20E the' use of agricultural chemicals, including, but not limited to herbicides, -pesticides; and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning; and harvesting which 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 toaccept such inconvenience.or.disconform from normal, necessary farm operations. It.All that real,property situate in the County of'Butte,-State of California, described ash follows: - F ,. C SEE ATTACHED LEGAL'DESCRIPTION y 1 • Date: •4/17/84 PROPERTY OWNERS: ' State of Calif. On this the 17th ' day of April 19 84 . , before SS:- me, the undersigned Notary Public, personally appeared County of Butte' ) William de Dood �himinwelin°11O1OplOtdlosiging„imuImn /—/ Personally known,to me. j/ •Proved to me on the basis., t { " ; OFFICIAL SEAL of satisfactory evidence. - y_ + L'eANNE M. KIBODEAUX._ A to be the 'person(s) whose names) is subscribed to NOTARY PUBLIC .CRNIA i COUNTY of BUTTE ALIFOALWO the within instrument and acknowledged that he F M,CommlglonEcplro,J-I, 13.19M a executed the same for the purposes therein contained, -IN WITNESS WHEREOF, I hereunto set my hand and official seal. ' t 3 Notary Public ' ` ..Present A.R. No -7—/ 5-6 t(�3/c-6 DESCRIPTION: l', 1 All ..,that certain real .property 'situate ` California, described as follows: in' the County of Butte, State of A. A portion of S.ecton 31; Township 18 North, Range 5 East, M.D.B. h M.., County of Butte, State of California being: r Parcel C per .W'aiver.-of-Parcel Map for Assessor's Parcel `Numbers 27-23-47 and 28-27-150, as approved -for Louis M. Duncan April 27, 1978, more parti i cularly described as follows: Parcel '3, as *shown on that certain Parcel Map recorded in the Office of.the Recorder of the County'of Butte, State of California, on March 11, .,19 in Book 92 of Parcel Maps, at Page 43. TOG. ER WITH a 60 foot non-exclusive road and public utilities easement lying.30-feet.on either side of the following described centerline: COMMENCING at the centerline of Bangor Park Road at a point from which the. NortF quarter corner of said Section 31 bears North 370 18'-50" East, 1169.08. feet; thence South 32° 40' 02" East, 36.78 -feet; thence along a curve to the right havingL*a'radius of 200 feet, a central angle o'f 37° 25' S9", and °an arc length of 130.67 feet; thence South 040 45" 57" West, 790.43 feet; thence along a curve to the left having a radius of. 1500 feet, a central angle. of 030'55' 24", and an arc length of 102.71 feet;, thence l South 1000 50' 33" West, 548.621feet; thence- along a,curve ,to the right having a radius of 600 feet, 'a central. angle of 62° 46''27", and' an are length of 657.31 feet; thence South 630 37' 00" West, 2196.•30 feet; thence along,a curve to the right having a radius of 400`feet, ,a central angle of r 340 23' 00" and an arc length ,of 240.04 feet; thence 'non-tenrgent to the preceeding curve South 300 09' 26" East, along th*e line between Parcels A and B, per said Waiver 1323.90 feet; thence leaving said line North 89° 13' 06" East, parallel'with and 100 feet Northerly of the South boundary of #' Parcel' B 951.04 feet to:the Westerly boundary of Parcel C per said Waiver at `• a Point from which 'the Southwesterly corner . of said Parcel C bears South 05 26`' 36" West., 100.59 feet. LE ALSO TOGETHER W.LTH a 60. foot non-exclusive'public easement for ingress and `egress and public utilitie6 as shown on said Parcel Map,,, EXCEPTING THEREFROM all oil, gas and:other"hydrocarbons and minerals heretofore reserved to the grantor named in that certain -Deed from Bank of 'America National- Trust and Savings Association, a h6tional banking associa- tion,'io F. H. Thomas and Mattie E. Thomas, his wife, Joint Tenants, dated 'May 14, 1943 and recorded June 18, 1943, in B067--314 'of Official Records, 4"Page 152, records of Butte County, California,'together'.with all the rights and privileges of the -.grantor in said deed -set'. forth wth respect to said oil, gas*and other hydrocarbons and minerals. Said oil, gas and,,minerals were quitclaimed to a depth of'500 feet from the ' ,surface by document recorded January. 11 ' 1979, in; Book 2361 of Official Records, at Pages 410 through 418, Butte County Records. fit: t .. • 1