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028-400-014
�� Oaf14 Frank Whitt Print rd., 700'N.of Bangor Pa=rk ` Rd., 12 mi.Vof Oro Bangor Hwy, Banger Permit #2759-79P E(util. ,M4L) „(7(� • . LEC. 10, a-io %4 aO.O�I-rlt Q � � SU, PORT STRUCTURE RSI. AIV CO ACTION TEST REQ. O 28-27=1 4 Per it #"67-9 ` Issued %0/x.9 28-27-144 Permit #1484-8 P E uti MH ELEC . - 1, a00,4,w GAS 8 r SUPPORT STRUCTUR14REQ. `+: COMPACTION TEST REQ 28- t 27-144 contr: Hu6Hison &.Horn, Marysvil PermiI289 8OM`n"I' jjoed � / -7 -- E , I 1 4 { 1 v KATHY WHITCRAFT 82- Sunrise Hill"B--=3r- — PErmit#106-89A(A&= — — — — — — --- �iorse sta11, hav _ r I J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7511 AGRICULTURAL BUILDING EXEMPTION PERMIT PER IT NO Agricultural building is defined as follows: Agricultural building is a structure designed and con5tfucted to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This struct a 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 O. / ZONING OWNER � � � PHONE N0. OWNER'S ADDRESS ISSUE LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE10 / ` O SQ. FT. X _' _ TYPE OF CONSTRUCTION: WOOD FRAME` STEEL CONCRETE OTHER (Specify) TYPE OF SIDI tjG ROOF OVE INL FL OR TYPE LV ESTIMATED COSTAF CONSTRUCTION $ U AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: 102 AG., FRONT__ SIDES d� REAR rS 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 �/ . Z� Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a wilding permit. Receipt No. 1�� Director of Public Works By Date ' L) White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant FLOOD PARCEL P.D/.ROOFIINNG ISSUE I Director of Public Works By Date ' L) White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant COUNTY OF BUTTE - DEPARTMENT OF'PUBLIC WORKS - BUILDING DIVISION OWNER Proposed Building Use 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. P .No.��. Building Inspector--?- 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 p'reparer 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 .............. 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-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 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. Telephoneand hold for pickup at office. Deliver w/inspector. Other Copy of plans sent Health Dept., Applicant Fire Dept., The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: Date SPl/y8� Other Date (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone---mai 11—counter by i .date Contractor, designer, owner, was advised of above required data by—phone —ma iI—counter by date Plans checked by Date Plans approved by Date _ Sets of plans on hold in . File cabinet _AP folder Copy—DPW BUTTE COUNTY BUILDING DEPARTMENT 7 County Center Drive Oroville, CA. 95965 PHONE: 916-534-4541 AGRICULTURAL BUILDING Exemption Form I, K_2�4� ✓ ,'owner of the property located at (plea a print) prj', C' `/V ©rf- Uvh o v /arl d. 1h ,vane -axi' d` q a►y1 X Assessor Parcel # eplpl?_ � � , intend to construct a do x 944 41 -3 agricultural building on this property. specify type of c s ction & ding) I declare the building will be used to house ,5 �a6lS , (sjyefinition below) which conforms to the Ag. building definition. Agricultural building is defined as follows: Agricultural building:is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or'other horticultural 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. I understand if I change the use or occupancy of this building I will be sub- ject to the necessary permits, inspections, and approvals from the Butte County Building Department. Signature of Property Owner Date Building Inspector receiving form Comments: Duplicate to field inspector - Date S��� L14 e_ COUNTY OF BUTTE 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 7 nqi-�;O for the following location: � - �- •t�'� Owner Owner's Address Mobilehome Mfg. pl� Model 7 Year _ Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. f ` Director �o�fPublic Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. County of (3u.ttg DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 CORRECTION NOTICE ...................................................... Building or Property Address IV 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. ................ ................ Dat OV- ................................ ...`.:.... Inspector Do Not Remove This Tog (400-4) P -80P,E =PERMIT N0. 1484 PERMIT EXPIRES. � OWNER' Kathy Whitcraft ' CONTR. pwnPr 28-27-144 LOCATION (A.P. ) Pri.dirt rd.,700'N.of Bangor Park Rd., 12 mi.W.of Oro Bangor H%y, Bangor Temp. Power Pole Called PG&E A Temp. Elea Serv. I Called PG&E Temp. Gas Serv. p� fes- q Called PG&E� oe JOB �a J FINALED (Date) (Signal ) Mesh Hea FIRE SPRINK erior Lath ntilation oor Closer Xtinal MOBILEHOME UTILITIES ----------------- Elec. Service Water Piping / Sewer AJS&6E OME STALLATION - - - - - - - - - - - - Support Water Piping O Drainage DATE REMARKS OR CORRECTIONS_ Sub anel Grd. Fa Aft Prot. Servic TqCp. Pole der round ermanent final Elec. Pedestal - Gas Piping Elec. Continuit Gas Piping 1d (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS _ a BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Atback FFNewaII Ski Piping Fo s Par ets t Floor Ma Bldg. Restr m Finish 2n Floor F tins Window 3rd Noor Ste all Siding it To out Slab Roof Sheat%ng Water Pi i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters ' Slab Card Carport p Footings Prov. for ph slcall handica e Conformance of ex. A structure X A liances Gas Pipfng & Test Temp. Gas Slab Final Sanitation Patio 1 X /IREP*kACE Final Footings Footin E6*-CTRICNL Masonry Walls Throat N Rou h Relnf. Stee Final Fixtures Mesh Hea FIRE SPRINK erior Lath ntilation oor Closer Xtinal MOBILEHOME UTILITIES ----------------- Elec. Service Water Piping / Sewer AJS&6E OME STALLATION - - - - - - - - - - - - Support Water Piping O Drainage DATE REMARKS OR CORRECTIONS_ Sub anel Grd. Fa Aft Prot. Servic TqCp. Pole der round ermanent final Elec. Pedestal - Gas Piping Elec. Continuit Gas Piping 1d (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical ; A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum -9; 00 amp) and other facilities on lot, i.e., water puprs�,` garage, cabana, etc.? s No B. Is there proper clearances around panels? Yes No_ C. Is power supply cord or feeder assembly properly fused? Yes ✓No_ D. Is continuity test satisfactory as per the following procedure? Yes 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in'the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namest�yl/e ±E IBJ Length C� Width 2 7 Vehicle Serial No. ®yrf'56 - i State Identification No. Additional Information or Comments: i' MOBILEHOME INSTALLATION INSPECTION CHECK LIST - Is the mobilehome located wi h required separation from lot lines.and buildings and generally conform to plot plan? Yes No____ 2_ noes the mobilehome have required clearances above ground? (Sec.5085) Yes-1ZNo 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles,) (Sec. 5082 & 5083) Yes 4/' No 4. Is the mobilehome level? (Sec. 5088) Yes !/ No_ 5. If more han a single unit, are crossover connections properly installed? (Sec. 5088) Yes' No 6. Water A. Is fle le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes [/No_ Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No_ 7, Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end?.Yes No B. Does it have minimum 4' per foot slope and is it properly supported? Yes 1-' No_ C. Are any leaks detected in drainage system after running 3- allons of water through each fixture including washing machine standpipe? Yes_ No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobile ome gas line inlet without reductions other than the mobilehome connector, Yes XM" B. Test OK as per following procedure? Yes_ , 1, Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No_ ` - COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 82001" •/ -i- ASSSSESSOR PARCEL /NUMBER v9�Egg — 7_ — ZOING BUILDING PE IT OWN/,� Al_QL /�� A OvcvVel TELEPHONE SO. FT. OCC. BUILDING VALU ION OWNER'SAI LIPG ADDRESS , © a,- -z- ,✓mac d O" L cy �! eq O TRAC OR'S VAME v )'i- ccsa C4 - om-ti 2'Z C' TELEPHO E �S-� CONTRACTOR'S MAI IN A RESS CL c, it PX0 CONSTRUCTION LENDER IUNKNOWN cru Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER /140 CC C 70 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS l�A,1`� I / PLUMBING PERMIT Filing Fee 3.00 Jr� << Each Trap 2.00 Repair drainage or vent piping 2.00 _Z Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF❑ Duplex[] Mobilehome[l� Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation,Q Other ❑ Describ work: — ✓" ��� �,( �G Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100V OR L 00 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONSDWELING OR ADONST ( ACCLBL GS. OCCUP.&) 20sq.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 for and effect. G License No. 3s sb JP$' Classification / ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON.RESID, BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS &j NON-RESID. (SINGLE OUTLET CIR. / EX. OCCUp(OUTLETS OR FIXTURES BAL@ AL@1OQ FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 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 ains said ounty ip conse X granting of this permit. , v -�„� Date Signature of Applicant — Owner LJ 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. r Mobile Home Installation Fee $ 0 c2c) Land Development Fee $ TOTAL PERMIT FEE $ �_10, 00 OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD 99UE This permit is hereby issued under sions of the Butte County Code and/or work i icated above for which D C OF PUB BLP PERMIT EX PI S Date the applicable provi- resolutions to do fees have beenpaid. WORKS -be '� Receipt No. L 014J WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT *If center piers are other than drawn above, ..___draw_ in •locations, spacing, and dimensions. MOBILEHOME SUPPORT DATA IL q, L,Ifother Y than single wide, Model No. '-� ""� 3� Year elfo Mobilehome Mfr.✓I J i1.; furnish Setup .Z Width •� (ft.) Box Length s 6 (ft.) Tagalong or Expando Size ft. k 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. Footings (check one) Single ® 1. Wood either pressure treated or foundation grade. ®` l�X3o (ft.)(in:) (in.) 2. Other' (specify) Center support Center support Supports (check one) locations* footing sizes 1: Concrete block.' El 2: Other (specify) . (ft.)(in.•) (in.) (in.) *----Tagalong or Expando,' show supporf-details. (in.) (in.)' 4(in.) /a x 0 -- Typical Support (in.) Footing Size uN - aY x3o (ft.)(in.) (in.) (in.) J -- Max. Pier Spacing c/1 ` QV E� COUNT 7 IUILDING DEPARTMEN1 Max.'yetirPO ` / �. (ft.) (in.) (in.) (in.) 06 (ft.)(in.). V ED Z1W *If center piers are other than drawn above, ..___draw_ in •locations, spacing, and dimensions. a BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS .7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:, f �.81t �i �.�/ h i G it Io r 2. Installer's name: 1 < < v 4 G� t S 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number 7 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 /J No (If no, clarify --------------------------------------------------- Yes No TF (If yes, identify the load and size: (Load) (Amps) 5. What is the mobilehome electrical rating? -------------------- ,0 O Amps 6. What is the mobilehome site service rating? --------------------- Ol d d Amps 7.. What is the mobilehome site circuit breaker rating? ------------- /a' a Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No TF (If yes, identify the load and size: (Load) (Amps) / 3! 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural /% LPG /k/ 11. What is the gas pipe length from meter or tank to the mobilehome? 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.) 0-0 ® K ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE, CALIFORNIA 95965 PHONE - (916) 533.6457 James Glander Department of Public Works 7 County Center Drive Oroville, California 95965 June 35 1980 Re: 80563 Dear Jim: We are pleased to submit the enclosed Report of Density Tests for: Witcraft A.P. 28-27-144 Bangor, California If you have any questions, please do not hesitate to contact us. LH/cab Enclosures cc: Mrs. Witcraft Very truly yours, COOK ASSOCIATES Lew Hiatt Civil Engineer No. 22264. Coo ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE, CALIFORNIA 95965 • PHONE (9W 533-6457 June 3, 1980 REPORT OF DENSITY TESTS PROJECT: Witcraft A.P. 28-27-144 Bangor, California Re: 80563 GENERAL Two density tests were taken on an existing fill. The results of the compaction tests indicate insufficient compaction to provide stability of the fill. .Footings for support of the proposed mobile home must be embedded into firm native soil,a minimum depth of 18 inches,,., The founda- tion for the proposed structure should be reinforced sufficiently to 'provide lateral support in the event of downhill fill movement. TESTING Field density tests were taken near the existing fill surface. A. representative sample of the soil was taken to the laboratory for compaction tests and visual classification. The compaction test was performed in accordance with the laboratory standard A.S.T.M. 1557, Method A. The results of the tests are presented on the table "Summary of Tests". Respectfully submitted, COOK ASSOCIATES Lew Hiatt, Civil Engineer R.C.E. 22264 SUMMARY OF TESTS PROJECT: Witcraft COMPACTION TEST: Maximum dry density, pcf: Maximum size tested: Optimum moisture, percent: T T T n T T AT n T A CN CS T T T n A T T /ITT - Soil type: 120 #4 11 Sandy .Clay A.P. 28-27-144 Bangor, California Re: 80563 FIELD DENSITY TESTS; Field Test Density Percent Maximum Degree of No.. Date Elev. pcf Moisture Density Compaction Remarks' 1 5-23-80 - 106 13 120 88 F -a -i-1 2 5-23-80 - 103 13 120 86 Fail COMPACTION TEST: Maximum dry density, pcf: Maximum size tested: Optimum moisture, percent: T T T n T T AT n T A CN CS T T T n A T T /ITT - Soil type: 120 #4 11 Sandy .Clay COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — ' Oroville, California 95965 / Telephone: 534-4541 / APPLICATION AND PERMIT �n authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ✓(Gtr Date 21Fr fi Signature of Permitee or Agent IV Receipt No. i %e- rk� to oC White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT F PUBLIC WORKS By Date �J',7-YIZO Bung permit expires Date Zf(�� BUILDING f Owner s SQ. FT. OCC. BUILDING VALUATION Mailing Address D d )� Telephone No. J Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee + 9 1 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 �QO Each Trap 1.50 Repair drainage or vent piping 1.50 _ 7 �l�1ji A. P. No. `7' S Zoning &Planning Water piping 1.50 , UO Each gas water heater or vent 1.50 174es W- S i ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 , a EQA I Par Ing Plans Parcel Declaration I Parcel Ma p 60' R/W Improvements p Each additional outlet .30 ilding sewer 5.00 00 Bldg. cens Recd Parcel App . oval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ .00 $ C ELECTRICAL No. @ FEE , d0 PERMIT FILING FEE $3.00600V OR L Main service 100 AMP ORSL=SS 5.00 ®© Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 ,,S -X) Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADONST % ACCLBLDGS.LING CCUP !:) 22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTI -OUTLET ` 2.50ea NON.RESID,ONST ( BRANCH CIRCUITS/ NEW CONSTR (POWER APPARATUS.&A NON.RESID. SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTIIRES) gAL1�eI FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FE_ E WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed -on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ✓(Gtr Date 21Fr fi Signature of Permitee or Agent IV Receipt No. i %e- rk� to oC White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT F PUBLIC WORKS By Date �J',7-YIZO Bung permit expires Date Zf(�� Si r S �. 7Z4 f' X455 7'a OL kill Xie k,* %Hess 4-a 7OL-0 //- /h Gl Sv)e SS l � � e A., � IJ 0 7La e o -e Ile mc) -25F� rc? SI lens and specifications AgI.1S'ti` f This set of pes to kept on the job at r alfe 4zona on s M v make any changes or written permission from the Department cf Works, County of Butte. D t• " �xcs �w S ///11 do J.* f AIV 00 //44* .D A0 10�, y i Av �) d4V4v ale �p� 11 All Materials & Workrmanship Shall 6e frr NOTE:— with Recoan►�ed C O*d Practices and w Accordance resfor the Specified use in the of a quality P Uniform Building, plumbing & Machanical Codes and the National Electrical Code. . from the A setback of -5 ft. da setbeck property liner' anoad of 50ft. from the Clear of shall be ent apt Centerline or equipn' struCtur� eaVe over ry, Fk • �$4 l 6f !e •O ` 500 SQ. FT. MINIMUM FOR MOBILES J w thin Utility connections shah be �y. 4 ft. of the mobilehome, either `� .r direc ide (left) behind or within *"%Y, f the r'9�; half of the roads mobilehome• o f Q.�e 6;/d'o� PLO Pb1W tem z .Sz:fI---/ eD �4-Z—G i 497A�3� - BUTTE COUNTY BUILDING DEPARTMEMI APPROVED 1// t r A r t . t y t ; it fJ r r r t y t ; Ir r r 14 ♦ PERMIT NO. - 'E PERMIT EXPIRES Frank Whitcraft OWNER CONTR. owner LOCATION (A.P. 78-97- 344 ) Pri.dirt rd., 700'N.of Bangor Park Rd., 1k mi.W.of Oro Bangor Hwy, Bangor Temp.,Power Pole Called PG&E 'i Temp. Elea Serv. Called PG&E --7 Te`.mp. Gas Serv. Called PG&E N O B .NALED l �/ (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS -BUILDING INSPECTION RECORD ` BUILDING BUILDING (Cont'd) PLUMBING S ack FNewall S •1 Piping FAS Palepets 1 Floor MAV Bldg. Res om Finish 2n Floor FXotings Wincloks 3rd hoor Ste wall Siding To out Slab Roof ShAJN Ing Water PipiXg Piers Roofing X Sewer Garage X Fdn. Vents Fixtures Footings Stemwal l Garage Vents insulation Water Htr. Heaters Slab Carport V Footings A Prov. for physic a handicapped Conformance of ex. structure Appliances Gas Piping & Test Temp. as Slab Final A Sanitation Patio IRE LACE Final Footings Footinq X I EACTRIdVAL Relnf. Ste/I \ I Final / \ I Fixtures / \ i-raming i I Test I Water Htr. Stucco Final Sub anel Mes MECHANICAL Grd. Fa t Prot. Scr tch• - Heati Servic B wn Coo ng Tejo. Pole nish D is der round rior Lath ntilation ermanent or Closer It Ina1 ' final MOBILEHOME UTILITIES --------------•--- Elec_ Service Elec. Pedestal Water Piping f S, Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity WaterPiping Drainage Gas Piping _ 7 . (ate DATE REMARKS OR CORRECTIONS —7,30 409- �AV cADC�4 (laz V) 1 `?9n4Ile - �,��u�2� (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LI$T 1. Is the mobilehome located wVhe'quired separation from lot lines and buildings and generally conform to plot plan? Yes— 2. Does the mobilehome have required clearances above ground?•(Sec.5085) Yes k--140 3. Are footings and supports properly sized, spaced, and braced as a pproved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes— No 4. Is the mobilehome level? (Sec'. 5088) Yes _V No_ 5. If more tha le unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fie ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air tes . Yes No C. Backflow - If coach is not S f California approved, does station ha c ow device and pressure -relief valve? Y o 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes B. Does it have minimum 4" per foot slope and is it ro 1 sup)s' d? Yes leo C. Are any leaks detected in drainage system fter running 3- alof water through each fixture including washing machine standp pe? Yes No D.f ac i not State of California approved, does station have required trap and vent? Ye 8. Gas Piping and Gas Vents A. Connector - Is mobilehom ted to the gas supply with an approved 3/4" minimum mobilehome co r not mo a 6 ft. long? Note: All piping is to be at least as large as e mob'`ile,Jxome gas line islet without reductions other than the mobilehome conne or. Yes / / No "'PPP___"' / . B. Test 0 s per fo g procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehom (must equal rating of mobilehome with a minimum of 120m p)'and other -facilities on lot, i.e., water pu.�mps,- garage, cabana, etc.? Yes B. Is there proper clearances around panels? Yes No •C. Is power supply cord or feeder assembly properly fused? Yes No D.^EIs continuity test satisfactory as per the following procedure? Yes !/No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. , 3. 'Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply -conductor, including neutral. 5. All rion-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. t 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site'service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle ��►P/• ��l�C,(Y—� ` Length_ Width F3 Vehicle Serial No. State Identification No. A UM �422,14� Additional Information or Comments: ' COUNTY OF BUTTE 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 for the following location: — r Owner ; Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the reqquirements of the California Administrative Code, Title 25, Chapter 5, under permit number � +�-�7`7 for the following location: C_" }' '7An�% r� F�-sa.An,. _ ice' i % — , h Owner �' R i 1.- n ►� :Owner's Address �� R+ �`� �+ �* r nom• Moliilehome Mfg. Model Year,- Insignia No. 21-1 2 -7 c"" Serial No. C 7 61 0 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public -Works Date i - .9- 19 By _ \ Ca� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 � /s�;`/��]� APPLICATION AND PERMIT ,A _ BUILDING SQ. FT. I %OZkC. I BUILDING VALUAT ON Fireplace Total Valuation Permit Fee Plan Checking Fee& rPenalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee Owner PERMIT FILING Mailing Address Main service ox^ Telephone No. t� Contractor p It Mailing Address Main service EA. ADD'L 100 AMP NEW CONST. 1 OR AODNS. Telephone No. Building Address f f. (eLr 4/,w ` b ',JLP 8 601P— ,� k . o oxo s. A. P. No. T17 Zoninh`Plan RV EQA W'!C. Sa on Fire Dept. Parking Parcel P sans Declaration Fire Zone Use Penult el f� 60' R/W Im rovements p B g. Plans Rec'd Parcel A roval Plans Approval NEW ❑ ADDITION ❑ UTILITIES N) OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Og, Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification _ BUILDING SQ. FT. I %OZkC. I BUILDING VALUAT ON Fireplace Total Valuation Permit Fee Plan Checking Fee& rPenalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER soov 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. 1 OR AODNS. DWELLING OCCUP. S ACC. BLDGS. NEW CONSTR. NON.RESID. (MULTI -OUTLET l BRANCH CIRCUITS EX. OCCUD(OUTLETS OR FIXTI1RE. EX. Occup ( FIXED APPLNS. OR • OUTLETS (RESID.) EA Temporary service Mobile Home Facilities Misc. Wirinq I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE 1 am aware of the provisions of Section3700 of the California Labor Heatinq Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ;?permit certify that in the performance of the work for which this J? permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. X �w Date A "✓A Signature of Permitee or Agent Receipt No.SJ`F�?l White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Coo I i i @ ; FEE $3.00 .OQ 1.50 1.50 1.50 Ut 6 d 1.50 1.501/0,00 .30 5.00 �J 2.00 $ o,- -a-a s Tm- $3.00 5.00 2.50 25.00 1.00 *C6Q _t' -O !.50ea @ zs¢ AL@1 2.00 10.00 15.00 6.25 7.0 0 W /'J @ FEE $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ ---- TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS BY Date i�*_ Zj = 479— Building 79Building permit expires Date G - Z J ��O COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - �Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X A Date Q,�K Signature of Permitee or Agent Receipt No. dS2gs!� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated at;gr which fees have been paid. DIRECItOR OF PUBLIC WORKS ONA" WA5 _ �� l 1111 permit expires .. 1 BUILDING Owner FRAw W W 1+JT SQ. FT. OCC. BUILDING VALUATI Mailing Address 22� �j � S Cie ocrop.Q �7�[ Teleph`n1 o. Contractor W !O Q Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address P O(R—r P-0 -7CO0I• 010 Plan Checking Fee &/orPenalty Permit Fee Raft)G0e PRK pp. % M, (,11 Q PLUMBING No.1 @ FEE OP^'W em woe PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 P A. P. No. "Z�" ( � Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F es I W.C. I ftii eRierl Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Parcel Ma Declaration p 60' R/W Im rovements p Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel proval Pla pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ 14-T Fay 0,51 -1 9 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00V 25.00 100 AMP OR LESS Main service// EA. ADO'L 100 AMP 1.00 NEW CONSLING OR ADDNST ( ACCDWE•BLDGS.CCUP.4\ 22 sq ft I CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. (MULTI-OUTL T NON-RESID ` BRANCH CIRCUITS) 2.50ea NEWCONSTR./POWER APPARATUS 8 NON -RESID. `SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES B L@; FIXED ALN Ex. Occup. ( OUT ETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL' No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby $ 30 OO TOTAL PERMIT FEE $ '3Q OC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X A Date Q,�K Signature of Permitee or Agent Receipt No. dS2gs!� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated at;gr which fees have been paid. DIRECItOR OF PUBLIC WORKS ONA" WA5 _ �� l 1111 permit expires .. 1 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. -PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's.name: 2. Installer's name: i 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at leas.t 5 ft. awa 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? ----------------------- 1'S'D. Amps 6. What is the mobilehome site service rating? --=------------------ O0 9ps =7. What is the mobilehome site circuit breaker rating? ------------- U Amps 8. Is there any other electric load to be served by the mobilehome e site service. ---I ` �_ q- -- /`- `�----------- Yes No (If yes, identify the load and size: '(Load) /$ (Amps) 9. What is the mobilehome site gas pipe size? --------- -------------- (in..) 10. What is the type of gas service? --j-------------------------- N - / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? alo (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.) nl-a n `/ 4, 1 17)11),e/ MOBILEHOME SUPPORT DATA If.other than single wide, Mobilehome Mfr. furnish Setup Model No. Year Width Zy (ft.) Box Length��(ft.) Tagalong or Expando Size—/Zo,)--ft. x Tom' 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. (f (in;) Centersupport locati ns* (ft.) (in\) II (ft.) (in.) (ft/) (in.) (in.) (in.) Center su port footing izes x �� ;in.) (in.) x Single F tin s (check one) t 1. Wood either pressure treated or foundation grade. IE] 2. Other (specify) Su orts (check one) 1: Concrete block. 2. Other (specify) Tagalong or.Expando, show support details. Typical Support. in.) (in.) Footing Size I-- Max. Pier Spacing (ft.)(in.) -- Max. Overhang BUTTE COUNTY 3U1LDING DEPART -MEM APPROVED *If center piers are other than drawn above, draw in locations, spacing, and dimensions. -- Dezp 43"9 tC houi of Fuc !ic Woi`Ls, of Baha. MA JP ®Y am�(i.S^ZL I1� j`ii�jG YY^�g^f/Y��YSp�Y mWJU I VV'jc� and e Nc: *wual' Esc system and Icical'oora- r4� i .- ria CS p3P \ All utility connc^tions A-41 }w Iccaf'cl-�' within 4 oui•s*,Ale "':F third section of the mobile on the left (road) side of the mobile home. 1— f v 0 M It+ i . l( L 3 �. t r t si'I 4;cnt�BB r i Mum oti e e�vc c c--NrLz.vg Dk erto�ehr cvt of al9 SQ. PY. Pv IN!MUM E07 M® uL":S 47's L)