HomeMy WebLinkAbout028-380-010-7
28-38810 28=38-10-10
'6152 Oro Bangor Hwy CHTEF�RRYTV—A,. LUCAS
Permit#106-86A(Apricult p 4/Sd Oro Bangor Hwy, Oroville
Permit#3036-�8,:.E(util, MH)
ELEC* FiA*l
GAS xnll'Dft�-
L�.UPPORT STR REQ
COMPACTION TEST RE
J Q�
�;Z8-38-10
Permittl'A32- 7- 5MHI
Is,5.u-.ed W7r-
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT N0. ��
/ 66
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSOR PARCEL NO.
ZONING
Oa -cz -G -6i v-(1
OWNER
G
PHONE NO.
0 NER'S ADDRES
I Or
LOCATION OF BUILDING
USE OF BUILDING
SIZE OF STRUCTURE h
x �/ S0. FT.
s�L�' _
TYPE OF CONSTRUCTION:
WOOD FRAMESTEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
FLOOR TYPE
ESTIMATED COST OF CONSTRUCTION
$ 0-A CSZ
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows: ,r
FRONT J SIDES S REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date (-o Signature of Owner
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
Receipt No. Director of Public Works
By Date
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
% _ ,
3 o 3 7- %---r ",—
PERMIT NO. 3036-85P E MH
PERMIT EXPIRES
OWNER CHERYL A. LUCAS
CONTR. owner
ASSESSOR PARCEL 28-38-10
t
LOCATION 5104 Oro /Bangor Hwy, Oroville
k Sys
OC -0 8e-!! N &,r Wo 9k
OFFICE COPY
' Address
GAS
Meter By Daf
ELECTRIC.. rr��
MeteryBy'
k
? Temp. Power Pole - •^-
i Called PG&E y
, 3 +
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E `4 {• a _
JOB FINALED (Date) S
Signature
t
}
J'='OK I-
0 = Not OK
— = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
50 HOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
Zoning Requirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—.Easements
2. So' ; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
ewer; Location—Test—Fall-C/O-Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4, f; Location—Test—Easement Needed ketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
Electricity; Location—Clearances Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
—x
as; Location,—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec.
Card -BI
Date 16 Card -BI Date ��" .• �`8J
Card -BI
Date Card -BI Date
Card -BI QIQ
Date _:29r Ward -BI Date
Card -BI
Date Card -BI Date
Date
40BIL6HOME INSTALLATION (Plans) OK except q's
Date
POOLS (Plans) OK except #'s
Z ing Requirements—Setbacks—Easements
1. Setbacks—Easements
Fo tings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
La-�_G.aaMH Test—Demand—Valve—Connector
I
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
E ricity; MH Test—Crossovers—Breakers—Clearances
4. Elec.; Receptacles and Lighting; Distances—GFI
Dr ; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
a ; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
ate nd Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
a Electricity Tagged
I
8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghig.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
g. Exi ; nsp.—Sketch
Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
a
Da C3 Card -BI DateiCard-BI
Date Card -BI Date
Card B -I
Date Card -BI Date
iCard-BI
Date Card -BI Date
3
V = OK
0 =(Jot OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
4.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
50.
51.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
FINAL (Plans) OK except p's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15.
16.
17.
Water Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
Shower Pan; Test, First Floor -Tub Access
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
18.
19.
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes ll No. of Conductors -Stapled
70.
Plb., Elec. &Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w./Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes73.
25.
2 Appliance Circuits in Kitchen &Conductor Size
Guard Rails & Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
75.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
Following instld.: Drive E] Yes ❑ No; Walks El Yes El No;
Planters ❑Yes ❑No
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I
Date
Date Card -BI Date
MECHANICAL (Permit) OK except N's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain &Overflow; Size &Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING Plans OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
43.
44.
45.
Cing. Joist-Rftr. Ties-Purlin_ Roo_f_Brac_.-Truss-S_hthng.-Rfng.
Fireplace Ties or Type.A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Slop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
MOBILEHOME INSTALLATION ACCEPTANCE
s COUNTY OF BUTTE
" DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
i OROVILLE, CALIFORNIA — 534-4541
t
/ PERMIT NO. 3 .32'
I Address or location of mobilehome
Owner's name (y / I/��L /4,
Owner's address .5 /n c/6&6 t3xx/6C?g--
r Insignia or hud number�VL4"147 %5� 47 of,
Manufacturer's name
Serial number of V.I.N.—f`)-207A6�7/ Year of manufacture 7
(Officnal Appyoving Installation) (Dot
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 - Installer, Pink - D.P.W.
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
/NER PERMIT Nn
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.
Date
COUNTY OF BUTTE
1, 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
C RRECTION NOTICE
egn
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.
- n
allow, OEM MINN'tawsk In
Date_' 1 _ -a R)"_�
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
C --S/P
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.
11 C 4P`-1
a
P , '
Inspector—0 Date-
JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
_PER T NO
ASSESSOR PARCEL NUMBER
ZONIN
BUILDING PERMIT
OWNER
R- L
TEL ONE
-b5tl
SO. FT. OCC, BUILDING VALUATION
OWNER'S M L NG AODFJE9S
s / Ro l l rpa SV
CONTRAC O 'S NA ]TELEPHONE
Oki L4
CONT CTOR'S MAILING ADDRESS
Fireplace
CONST UCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 1
LEND R'S MAILING ADDRESS
Permit Fee
$
CT OR ENGINEER
rA
LICENSE NO.
Plan Checking Fee
$ /
Energy Plan Checking Fee
$
RCH TECT14&--ENGINEER'S MAILING ADDRESSRCHIT
Penalty
$
BUILDING ADDRESS
Permit fee
$ S, D
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
I
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [:1Duplex[]Mobilehomef� Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Ms Kdffi10.00
ea
TYPE OF WORK
New ❑ Add ition❑ Remodel UtilitieS?]( InstallationInstallation[]Other ❑
Describe work:
'
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
10.00 J 0
Main service EA. ADD'L 100 AMP
2.50
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
1, 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.N
OR AODNS. ( ACC. BLOGS. I �Z0sgft
NEW CONSTR MULTI -OUTLET 2.50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUSf!
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 20050Q
BAL030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 J �
Misc. �yirin 15.00
g
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subjectpermit
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
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 Coun in consequ a of the granting of this permit.
X Date 0
Signature of Ap ant — 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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 01,
I lei
occuP.
CONST,TYPE
I FLOa
PAR CE K.NDJ
01,111
Issu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECJOR OF PUBLIC
33((�f1�1
BY ��—
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. T 10:3
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Califorriia95965,- Telephone 916/534-4541
APPLICATION AND PERMIT
ASS SSOR P EL NUMBER
�— -10
ZONING
BUILDING PERMIT
ow
r
TELEPHONE
SO. FT. OCC.1 BUILDING VALUATION
O E 'S MMA LI G DDRESS V
C 71,Af OR'S 9AME
TELEPHONE
c KIR-ACTOR"'S MAILINGKIR-ACTOR"' ADDRESS
Fireplace
CO TRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCH TELT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
AR ITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
r
Permit fee
$ D
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome-F Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ inst%alijonOther(
Describe work: � � �E r& i' ' �S
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service s0ov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
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
❑ 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)
' 1, 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. l ( DWELLING OCCUP.tr) '/z¢sgft
OR ADONS, ACG. BLDGS.
NEW CONSTR. U TI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
/POWER APPARATUS .&)
(SINGLE OUTLET CIR. )
zo 0 50
Ex. Occup OUTLETS OR FIXTURES sAL030
FIXED
Ex. Occup. OUTLETS P(RESID )KEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
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 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 sai County in consequenc of the granting of this permit
XDate �0
Signature of Applicant — Owner Contractor ❑ Agent F1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 33 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
Occup.
CONST.TYPEJ
I
I FLOOOJPARCITJ
PD
I ND
1 Issu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR PUBLIC
BY
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
//, Z L—�
Receipt No. *-O a
WHITE -D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
AP # ;L �f 3 - / o
.OWNER
PERMIT ;•O 3
MH UTIL.CLEARANCE DATE
INSPECTOR
ELECTRIC
GAS
Support
Struc..
Compaction
Test Re .
iervice
OtherPipe
YES NO
YES NO
iize
Load
" Type
Size
Length
11&3 AO
�J'I-
fri S 4f'\ O/
/
d
L/
hell
Yet
4
1. Owner's name:
2. Installer's na
BUTTE COUNTY . DEPARTMENT OF PUBLIC WORKS r
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
3. Is the site currently under permit? Yet 47 No
(If yes, furnish permit number03 OR
Is the site an existing site? Yes No
(If yes, furnish two (2) plot plans.),
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of -all setbacks and easements? Yes / / No
( If no, clarify
5. What is the mobilehome electrical rating? ----------------------- �_ Amps
6. What is the mobilehome site service rating? --------------------- Amps
7.. What is the mobilehome site circuit breaker rating? ------------- ® Amps
8. Is there any other electric load ;_to be* served by the mobilehome
siteservice? -------------------------------- ----------------- Yes No .
�Um s
(If yes; identify the load and size: l� _(Load) ) ( Am P ),
/' /
9. What is the mobilehome site gas pipe size? ---------------------- ��` ( ).
10. What is the type of gas service?,-- ------------------------ Natural %—% LPG V
11. --What is the gas pipe length from meter or tank to the mobilehome? 20
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 COUNTY'
SU 1 LD! NG DEPARTMr '
Y
MOB ILEHOME SUPPOKE _ LW A
\�\ If other than single wide,
Mobilehome Mfr. d furnish=Setup Model No. Year
Fidth (ft.) Box Length (ft.) Tagalong or Expando Size ft. xft.
(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. '.
'
Fo in s (check one)
k
Single �
� 1�. Wood either
pressure treated or
foundation grade.
x .
�---�
(ft.)(in:)
(in.) (i n.)
❑ 2. Other: (specify)
Center support
Center support
u ort (check one)
locations*
footing sizes
(in.)
Pq' L Concrete block.
�—j
3� 3
❑ .2. Other•. (specify)
(ft.)(in.)
(in.) (in.)
i
[116, 3
ft.)(in.) (in.) (in.)
*If center piers are other than drawn above,
draw in -locations, spacing, and dimensions.
F ---Tagalong or Eapando,'
show support details.
:x01 -- Typical Support
(in.) Footing Size
I s 6 I -- Max. Pier Spacing
(ft.)(in.)
Z-- Max. Overhang
r
NOTE:—AII Materials & Workmanship Shall Be al i
Accordance with Recognized Good Practices and
of. a quality prescribed for the Specific J use in the
Uniform Building, Plambing & Mechanical Codes and
the National Electrical Code.
This set of plans and specifications MUST be 0
kept on the iob.at all times and it is unlawful to
mane anv changes or alterations on snme without ,
written permission from the nPr+or+ry+P^t of p lic
Works. (>unty of. Butte.
Utility connections shall.be within
4 ft. of the mobilehome, either Meb� ie
directly behindror within the'rbar �O4' Pal
WO SQ. FT;;MINIMUM 80 —
half-of the roadside (left) of the �B �QBiLES
mobilehome. --
c
_ A setback of 5 ft. from the
property. lines and a setback
of 504. from the road
centerline shall be clear of
structures or equipment except
r for a 2 ft. eave overhang.
0
30Z5� 5
BUTTE COUNTY
BUILDING DEPARTMENZ
i
APPROVED
-
330/ ---------- --�
Or0 JG:�c��r � � u-)
W I I %A boy Lot amAq lo 1 a adi
k.PKVA: mmm Ara:',
4#5 lo
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL' DEVELOPMENT �fiCORDEU ii: 0Fi=iC1.":L "c�NRO:
OF BUTTE COUNT Y.CALIFORNIA
AT THE REQUEST Of'
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit~,. "X" SI"OM
The property described herein is adjacent to land or incc1`nde3d4520 1935 OCT Za N 2' 08
within an area zoned for agricultural purposes, and residents of this ,
EERN
property may be subject to inconveniences or discomfort arising from ELEANOR H. 3EEfj
�i���-���§E FFE S —
the use of agricultural chemicals, including,* but not limited to herbic , c des,
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 P`�'`�
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: - °
--4�,A N cY+1% lt,� $4,L a- tit, ob Sk c+i on !?, 30-w • -) �,►P I t A) DAA, 14� S�
&6+ t /�1 �,'�i 4 Al. t � n 5 W A -s �-� p� 44%4 .D tra1, i I le ��:.,.�� �.,,, • �„�..
� 3 00 6-6 S�
� (e, N o . f I w Iti.: Ck 1IrL4f
, -4 �.� ora..,, y �.�
Date: 10-42t- f PROPERTY OWNERS:
LA, 64
State of (. On this the 4_ day of , 19,-5 , before
SS. me, the undersigned Notary Public, personally appeared.
County of )
11 1`rFiQlz ALZ /Z,(4S
Personally known to me.Ly Proved to me on the basis
of,satisfactory evidence.
to be the person(s) whose names) 4;22 subscribed to
` the within instrument and acknowledged that S'4 -
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
I
I Present A.P. No. Ja-'
Not y Public ;
y ..OFFICIAL~.:,,_` ..,.� f.
rei •.. .r.'.'a Y
NOTARY PUDLIC-CALIFOIRNIA
Principal Office in BUTTE County
My Commission Expires Aug. 15, 1968
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