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Home My WebLink About028-400-008E MO. DCD this set of plans and specifications MUST b4 kept on the job at all times and it is unlavz,V-11�0— — — — — — — -71 make any charges or altPraticns on some git�out Fu7-uRE i written permission from the Department of Ru NousE Wor.6, Com cif 4. t — — — — * poW£R polE -/zoo OR sERI/ice WELL � (• ) p [!M P MP�srpnt �` KOPAW r*NK �5 7*NK O qC _ Sad P WEA g00 SQ. FT. M1W scN. vo pvc ' — '� . tea-- — .� dm ZS —� o w �� L SNE at o �� • — . . _: - c o FO 1alf. cue ,� e SeC� m ``fie �e� 2 OMM i z*x s6' P `0Qe k� kc� 5,��• a�� e moB�E NornE 5� e o� e o . Poi ,pec eS PGfC t a A%' CI.Ean*AIC f pi POLE 47% �� permit will be rer L,,recl 'For the instoliction of file 11, 00gehoms* FNTR09,tICE L. L �owDw.4y Z. 2a9 z. -O&P W,-%. i v ---�-I PGCE • potE 1. Owner's Name: 2. Installer's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Orov.ille, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET (f—IZZ Z///// 3. Is the site currently under permit? Yes No (If yes, furnish permit number —oda " �i ) OR Is the site an existing site? Yes No 2 (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 No (If no, clarify ) 5. What is the mobilehome electrical rating? --------------- 5-0- J Amps 6. What is the mobilehome site service rating? ------------- QQ Amps 7. What is the mobilehome site circuit breaker rating? ----- ! Amps 8. Is there any other electric load to be served by the n No mobilehome site service? -------------------------------- Yes u (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3 (in.) 10. What is the type service? ------------------- Natural LPG of gas 11. What is the gas pipe length from meter or tank to the mobilehome? --------------------------------------------- as- (ft.) * 12. What is the mobilehome gas demand? ------------------- (BTU) a *(This information not required if pipe length less than 6 ftS ons natural gas or less than 50 ft. on LPG.) r, D i s MOBILEHOME SUPPORT DATA /"f�� If other than single wide, Mobilehome Mfr. furnish Setup Model No. Year Width(ft.) Box Length�(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) 1. Wood -pressure treated or foundation grade. ❑ 2. Other (specify) SUPPORTS (check one) 1. Concrete block.W2. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line I Main Beams 'e 2 — — — — — — — — — — — — line Main Beams --- — — — — — -- — -.. in: Tag or Triple Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ------------------ Spacing-Max - ---------------- Spacing -Max. --------- _ „ Each Side of Openings From Ends -Max. ------- With Width over --------- Line 2 Piers: Size -Min. ------------ Spacing -Max ---------- From ---------From Ends -Max.------- Line 3 Roof loads. Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ Sc Spacing -Max.--------------- From Ends -Max .------------- Line 4 Pier -9: Size -Min .------------ k „ Spacing -Max.--------- From Ends -Max. ------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) e 5 Piers: (Under Bearing Walls OolyY Size -Min ------------------- Spacing-Max ---------------- From ------------------Spacing-Max.--------------- From Enda-Max.------------- " AP�k��0 —�� OWNER SU rl� S PERMIT NEi i UT IL . CLEARANCE DATE r INSPECTOR ELECTRIC GAS ort c. EYES; Compaction Test Re . Service Size Other Load •T a Pipe Size Length NO YESI NO A • MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of-mobilehome _ Owner's name f _ Owner's address Insignia or hud number r Manufacturer's name f �� Serial number of V.I.N. f Year of manufacture -71 :-7e :-e x (Officfcl Approving 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 - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 53817541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exili at the above address and should be corrected. Please notify this office when C�b/r ction of work is completed. if you have any question pertaining to this .: Matter need additional explanation, please contact this office immediately. m/" Inspector , V Q� 1� Date to ra �Q —,PC? 4 y'y.Y_;��1✓'�:fis�. T.�-1+�•.f.--..:NLv�:..Y'./'�.`-. �s y�.�'T,�J.w+ A COUNTY OF BUTTE DEPARTMENT OF PUBLIC -WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872307 CORRECTION NOTICE ER M 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. i Inspector. d' / Date j v, -,g— i e__73 28-40-08 SURFUS, Gary 242 Sunrise Hill Rd., Bangor (MH utilities) y PEF - — PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) = Signature i t 1• A = OK 0 = Not OK "= Not Applicable MOBILE HOMES MISCELLANEOUS. yable Date MQAtE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Se er; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Water; Location -Test -Easement Needed (Sketch) ( 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing L5-Ei-ectricity; Location-Clearances-Grn Amp -Concrete - 5. Alum. Awn.; Columns -Connections -Splice -Decal. Enclosures Gas; location -Test -Wrap: / ,/"L"ft. /"Nat. or42rY"L"ft./ LPG 3 L 6. Carports; Windows -Doors Utility Clearance n [ 7. Elec. ' 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses i 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Dat Card -131 Date 10. Roof; Shthg-Roofing Card -131 Date Card -81 Date 11. Ext.; Steps -Doors -Landings Date MO ILEHOME INSTALLATION (Plans) OK except #'s �.PrZoning Requirements -Setbacks -Easements Card -B1 Date Card -61 Date $1 Footings; Size- § pacing- Marri pggXfine Card -131 Date Card -131 Date M es - eman - on 1 lectricity; H Test -Crossovers -Breaker c I Date POOLS (Plans) OK except #'s . Drai MH Test -Fa lex C cto 1 1. Setbacks -Easements at egula or -C cto 1 2. Soils; Compaction -Structure Stability ater an ewer Connected -C/O to Grade -HD Approval ) 3. Pool Structure; Steel -Connections -Thickness - 8. Ga and Electricity Tagged 1 Dead Men -Lining pelfzits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater t 8. Elec.;Grounding; E uip• w/5' -circulating Equip. -Pool L ht g Card -131 Date bard -131 Date Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date - Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B1 Date Card -131 Date Card -131 Date =UK , 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth •4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Mated al -Su pprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples _ 15. Insulation ;% Card -131 _ Date Card -131 Date- Card-131 ateCard-B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s __16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors o Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 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 Liqht-Shower Light -Spa Light Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -81 Date Card -61 Date Date FRAMING (Plans) OK except #'s 39. Sills, 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. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 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 52. 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-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -131 _.Date, Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65.G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel;,Breaker Sizes -Labels. 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 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-Firepl.-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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -81 Date Card -131 Date Comments at Final: (NOTP An entry must be made each time you visit iob site) » COUNTY OF BUTTE - DEPAR;TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. AO PARCEL NU ER I N0ER N G ZOC6 BUILDING PERMIT c J r (k TE P ONE SQ. FT. OCC. BUILDING VALUATION 'OWNER' ^ MAIN� ADDRESS r�0Ce3�Q�n� 91, C N R CTO 'S NAME ii TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS i Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I i�0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation% Other ❑ Describe work: j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'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 Buslnes$ 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.6I NEW CONSTR.� AMULTI-OUTLET•B) , h2sgft NON.RESID .BRA CH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCU o p UTLETS OR FIXTURES .200500 eALO 30 FIXED APPLNS. OR \ EX. OCCUp. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 Permit Fee $ 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 becomesubject 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 10.00 Heating Cooling g 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 -'a ' st said County in nse ence of the granting of this permit. G G' X Date / -'Q / Signature of Applicant — wner ❑ Contractor ❑ Agent ❑ An OSHA permit is requi d for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ -4K7 du Energy Inspection Fee $ TOTAL PERMIT FEE CONST*TYPIIJ SCHOOL PLOOD ,ARCEL PD ND 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date' —� ~/— YC� Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT"QF"PU'BLIC WORKS - BUILDING DIVISION Proposed Building Use 7 COUNTY CENTER DRIVE - OROVILLE, GALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET v�u r [A.� A. P. No. - Building Inspector Permit No. �^ r Date 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8.. Mobilehome installation data including manufacturer's installation 91/1 instructions........................................................ 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re uired .. , , Pre-Inpec. request to p q • •Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ ' 24. Letter of signature authorization ..................................... ' 25. 26. When you issue the, process as follows: Mail to owner. Mail to contractor. Telephone -7 Mand hold for pickup at office. Deliver w/inspector. Other Applicant 2/ A4'A ..,( h ✓/ r� Date -�5 - Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to rmit 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---naiI—counter by -date'"_ Contractor, designer, owner, was advised of above required data by—phone —ma II—counter•by date _/1 Plans checked by Date Plans approved by �� Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE.- Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) Ie signed an application for a building permit for the proposed work.. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. •I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the.major work: Name Address City Phone Contractors ticense No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security NumberOF Date cl'-J,% NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted'to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.�9 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIOW ANDTERMIT V A^Sf OR PARCEL NUMB_9R ZON G BUILD PERMIT OWNER TEL P ONE SQ. FT. OCC. BUILDING VALUA ON � —!j q O EFUS MAI DDRE5536 v2 CO RACTOR'S NAME TELEPHON ONTRACTOR'S MAILING ADDRESS F i rep I ace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRE �i_- Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAykgEL MAP Water piping 5.00 t7 C'? Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex[] Mobilehome&L Other Building sewer 5.00 SPECIFY Mobile Home GAP 11 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Permit Fee $ 60 1 Describe work: Contractor jELECTRICAL PERMIT Filing Fee 10.00 e00V OR LESS Main service 100 AMP OR LESS 10.00 0. 6LD Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS ICENSE LAW NEW CONST. DWELLING OCCUP.51 DR ACDNS. , /z(Csgft I declare under penalty of perjury (check one): ACC. BLDGS. NEW CONSTRESID,MULTI-OUTLETNCHCIRCUITS) '2,50 ea ❑NON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ .BRA CH CIRC ITS POWER APPARATUS &) and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR, License No. Classification Ex. Occup(20050e OUTLETS OR FIXTURES eALO30 I, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.� 1 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 1 10.00 for sale. (Sec. 7044) ❑ I, the licensed Mobile Home Facilities 15.00 as owner, am exclusively contracting with contract- ors. (Sec. 7044) Misc. �Yirin 9 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ 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. Cooling g I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation otice 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 Permit Fee : provisions or this permit shal I be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE �, I also agree to save, indemnify and keep harmless the County of Butte against oc CUP. CONST.T77 SCHOOL PLo PARCEL D ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue a a t said County in copse uence Vthe grant' of this permit. X / _� This permit is hereby issued under the applicable provi- `� sions of the Butte County Code and/or resolutions to do Wgnature of Applicant — Uwner LJ Contracte Lf Agent LwvrK Inulcatnu aouve for wnicn tees nave Deen paid. An OSHA permit is required for excavations o 5'0" deep and demolition or construct. DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. /�1 _ _ 07 Receipt NO.L Ci �� By WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PE Date EXPIRES Date 10� -- TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance c -C r Owner -� Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for _ bedroom mobile4;;) Other NOTE *** __4 Sanitarian D to ' t COUNTY OF BUTTE - DEPARTMENT'OF'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C)ALIFORWA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET 411 1 Permit No OWNER Q f V r A. P. No. Proposed Building Use Building Inspector 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/�Hpl ci ate, si ned by preparer of plans........ 3. Complete plans in dupl nteytrrVllcate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17: Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. ec Pre -Ins tion for required . , , . Pre-Inspec. request to Pre -Inspection q Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... �. �2. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. 3. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 1 25. 26. Whe ou issue the permit, rocess as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior I- issuance: Circle new item not checked above).t 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail_counter by date -Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Pof n checked by Date Plans approved by 4�;S_ Date o� Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public.Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building_ permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work._ 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name _-- Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: p Property Owner p� Social Security Numbe Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. i .COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, dtoville, CA 95965 PHONE: 916-538-7541. DATE -5/26/89 Gary Surfus RE: 1936 Calaveras Circle Antioch, CA 94509 A.P. # 28-40-08 With reference to the above subject: " 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 L.[ 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 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. X/ OTHER_ We need 3 plot plans showin You indicate on your MHI data ncrete block method. to su perty dimensions and a North arrow. s that you are using a metho ^* �r rt your mobile home, but you did not see Thank you. Should you have any questions conceen rig the above,' please"contact this office. - JFG/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector a Return to DPW —AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DE'VE'LOPMENT ,, -Lion 26-8.1 of the Butte County. Code ' requires this acknowledgement be recorded prior to .issuance of a building permit. The property described herein is adjacent ' to land or :included within an area zoned e9-018655 1 Rec Fee 7.00 for agricultural purposes, and residents I Cash 7.00 of this property may be subject to incon- Recorded ; veniences or discomfort arising from the Official Records I use of agr.'i.cultural chemicals, including, County of % SU-1 but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace J. Grubbs f � of agricultural operations including, Recorder ; but not limited to cultivation, plowing, 9:43am 22 -May -89 f BG 2 spraying, pruning, and harvesting which occasionally generate- dust, smoke, noise, and odor. Butte County has estab.l :i shad Lural zones which have as a priority use for productive agr:ic.iili.ur;il' within i.d purposes, ;ind rvsirlc�n1 r;~ sa zones and on adjacent property should be prepared to accept or disconform from normal, such i nr„nvc n i c nrr necessary farm operations. All that. f of Iows : real property situate in the County of Butte, State of Cal.i.for. n i a, desc r i bc•d as ,AWRC f 4 Z, WS SAoG W (VJV Tx'4jr C61t411U I'piMCZ4 hv/� -Jr /VW y I ) v .s4fCT7o�v Z Y T/INS R5'46..$ ?f/e{f cC a -le Tfi-C-- ,4 lfiAe� RW -4:e 7 7' Z `iZu.v.e/S LL G.9[/F Date: ,s.- / �.• Zf— State of: ) On' this the )(G�) SS. the un ersigned Notary County of 7�;) PROPERTY OWNERS: of 19�, before me, blic, pers�yappcared nlubscribed Personally known to me: Proved to me on the basis of satisfactory evidence. tihaann�RM. Nr0,Q1,1be the person(s) whose name(s) /S to the within instrument and acknowledged that. executed the same for the purposes therein contained. IN WI'I'NI;tiS WHEREOF, I hereunto set my hand and jo f4e4a-L seal.. _ i r Ii: �►��li��i'iat 85-1399'7 hAY R�. DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: Parcel 2, as shown on that certain Parcel Map entitled, "NW 1/4 of NW 1/4 of Section 28, T18N9 R5E, M.D.M. in the unincorporated area of Butte Co., Cal.", said Parcel Map was filed in the Office of the Recorder of the. County of Butte, State of California, on November 1, 1982, in Book 89 of Parcel Maps, at Page 77. RESERVING THEREFROM a 60 .foot non-exclusive easement for ingress and egress, ,road. and -public u.t.ility .purpos3s. aa. 'aho.wn on said Parcel .Map. PARCEL II: A 60 foot non-exclusive easement for ingress and egress, road and public utility purposes over Parcels 1, 32 and 4, as shown on that certain Parcel Map entitled,"NW 1/4 of NW 1/4 -of Section 28, T18N9 R5E., M.D.M. in the unincorporated area of Butte Co., Cal.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on November 1, 1982, in Book 89 of Parcel Maps, at Page 77. PARCEL III: An easement for ingress and egress and incidental rights, along, across and over a strip of land 25.0 feet wide to be located within the Westerly 30.0 feet of the Southwest quarter of the Northwest quarter of Section 28, Township '18 North, Range 5 East, M.D.B. & M., and that portion of the Northwest quarter of the Southwest quarter of said Section 28, lying North of Bangor Park Road. PARCEL IV: An easement for road and utility purposes over a strip of land 60.0 feet in width, over the following described property: The West half of the Southwest quarter of the Northwest quarter and that portion of the West half of the Northwest quarter of the Southwest quarter lying Northerly of the Bangor Park Road, as it existed January 1, 19579 in Section 28, Township 18 North, Range 5 East, M.D.B. & M. The location of said easement is the same as the existing road which runs from Bangor Park Road in a Northerly and Southerly direction, and generally paralleling the Westerly line of the above described parcel. Said easement to be for the use, benefit and appurtenant to the Northwest quarter of the Northwest quarter of -said Section 28. ENu�1 i�CCUMENT