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Home My WebLink About006-660-027I AP . D . HANSEN v te. r w - Private. Rd, _'l ;0 - ;I .-"E -of Hostler Ave. ',00eapp. 800- N. of Nord H Chico Petm,10-ER 4577-74P,E (util. , MH) 't-D,WTH A. LAUS TEN W/S per 1 t--c6.,_a 00' off. Nord Hwy 4000'E of Merida-n%,R-d, Chico Permit #4480-76P,E I uti'11-.NH) Scott D. Smithl� - "7--- yok"161 /r-17,1 Pilo. WIS pri.rd.,app.750'N.of Nord:w!y,%ap.l mile Wiof Hwy 99E, Hos]Ler.-Tract, Chico Permit #224 ELEC..4 '/9-77P,1t(util QMH) 1-7 -7 ;;;,ox, GA S-4-;�J-2Z2:2' A, Ae-- 3A; -2, SUPPORT'MUCTURE REQ. tip COMPACTION TEST REQ. eVo contra Gene Schmitt, Chic ��of 7-1 rPermit #2831-;.7MHI Issued 6 5 3 59-90P,E SMI 'Scott & Kimberly 13059 Or and Blossom,Lane,- Chico C8ntr.' 've Homes . xec (util:, MH ,ELEC A CON 'SUPPORT STRUCT REQ ru ti AP .Permi #36 1 0 -90M -13(T I ed �o� cai(mi', cai 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 Califor 'a Admi istrative Code, Title 25, Chapter 5, under permit number 1.2-YAttalor the following location: I AA 11We'S't — Owner Owner's Address !941A-y1� /jQ� Mobilehome Mfg. _� 114 Model Yearj�— �} Insignia No.(&i 4Y 064 LAL Serial No. 1)&21V14 It is hereby certified for occupancy at the above described location: and may be occupied. Date Director of Public Works/ By �A 1/.� // , THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS COUNTY OF BUTTE is DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. — 534-4541 r CERTIFICATE OF OCCUPANCY This mobil`ehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number or the following location: M I�e wr")?` 4.kjv q I✓ 146StIva - r>zA(-t-. Owner / I1 77'AAA - k - _ Owner's Address ��i+`o>> 64-l?1� Mobilehome Mfg. PAI-l"Model !'-r Year,4— Insignia Nora 1 4'0 0W 60q 0 1 45' Serial No.y b % 1 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date -By r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED r- OWNER ("T 14 PERMIT NH UTIL.CLEARANC.E DATE If q 6 INSPECTOR ` ELECTRIC GAS Support Struc. Compaction Test eq. Service ;size Other Load Type Pipe Size Lenjzth YES NO YESI NO -j, v O w E� CoA. L. I� �/y /s x X TO Building Department; 1 FROM:Environmental Health SUBJECT: Sanitation Clearance ----r )s , - A� —C4A� --) --- — LS 5 0� Owner Location AP# Plan 'App roved for: Sewage Disposal v Water Su�y pp1Y Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedro m mobile ome . Other NOTE .w 77� Sanitarian ate • MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE t' a D PARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541` \ .- PERMIT N0. 36,-9, Address or location of mobilehome I c�S9 04 c:Y, 4,o et os.soA- Owner's name S c D7 IT t Irl. -I-1 -SM.Pt/ Owner's address l3 0 s 5 Ox- z-,yw Go /3c 31 j L,� G� Insignia or hud number Manufacturer's name -�� Ll7 373 Serial number of-V:I.N. CAELX-J `1�1-061 76 t31C ✓Year of manufacture ��(Official Approving Installation) t (Date)" i -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. ` `4 5138 White - Owner, Yellow - Installer; Pink - D.P.W. r ,� •> . s'A��s"�td%:�'�+.x:tc:;e1� �'��''`�-•='+�~�:: „`"?'": j`Yc .Y:;:_.�.-�'a�"':..: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS f 196 Memorial Way, Chico — Phene, 891-2751 7 County Center Drive, Oroville — Phone:'538-7511 Y 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 3 OWNER 10 CJ — `7v PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Da r WTS A �E -R ENTIAL 6-02-105 359-90P,.E SMITH, Scott & Kimberly 13059 Orchard Blossom Lane, Chico �. Contr: Executive Homes (util, MH) /l/dz.aC JdWy AFF mss. E SPG . t 3 - 9 JOB FINALED (Date) 9O Signature O = Not OK - =Not Applicable Not Ready RESIDENTIAL (,c ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -BI ockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'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. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing jingle & Duplex) 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-P.after Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed-Fd..Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic, 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'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 Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; PIbg.-Appliance- Fireplace. -CI earance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) J=OK O = Not OK Not Ap = Not Readyable MOBILE HOMES Date MQBIUWbME UTILITIES Plans OK except #'s 6,&!!onipg Requirements -Setbacks -Easements ?2!i Is; Special MH Support Sketch -4-Sewer; Location -Test -Fall -C/O Concrete J_t Location-Test-Easement Needed ketch) Iptricity; Location-Clearences-Grnd Amp7,Pncrete as; Location-Test-Wrap:/"L"ft. / y:Nat. or/ /"L"ft./ CLFFGL tility Clearance Date ;� Card B-1 _�L -/6-9�1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBBE HOME INSTALLATION Plans OK except #'s oning Requirements -Setbacks Easements Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector pf!tIectricity; MH Test -Crossovers -Breakers -Clearances `5. Drain; MH Test -Fall -Flex Connector a r; MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval If Gas and Electricity Tagged g/Ekits; Insp.-Sketch 1 Cert. of Occupancy Date 1 tiy/� Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FA& rJ j N , � A MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Pane I boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville California 95965 - Telephone: 916/538-7541 ",S—APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER �j – ZONING BUILDING PERMIT OWIN ET �° LEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTO 'SN ME -e-a TELEPHONE 6 2 CONTRACTOR'S MAILING ADDRESS �� ti 4� C� [°Q Fireplace NSTRUCTION LENDER UNKNOWN Total Valuation Is 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 Penalty $ BUILDING ADDRESS /SO^ v CJ Permit fee $ 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 TRUCTURE SF ❑ Duplex❑ MobilehomeFkr Other .PECI FY Gas piping system 1 - 5 outlets 5.00..S— Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OFWORK New ❑ Addition ❑ Remodel ❑ Uti liti Installation❑ Other Describe work: — _ IZE'LOGA4TF- C-4-5 Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (check One):NEW I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force d effect. License No. Classification ❑ I, as the owner. or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ADDNS. ACC. BLDGS. +/zQsgft CONSTR.ULT'.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 SINGLE OUTLET CSR. ) Ex. OCcu p OUTLETS OR FIXTURES zAL0So eL0 FIXED Ex. Occup. OUTLETS P(RESID )LNS REA.) 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring ) 15.00- ii Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ T ermit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I so agre to save, indemnify and keep harmless the County of Butte against Vi liab' i ies, dgments, costs, and expenses which may in any way accrue fnsid Cou in consequence of the granting of this permit. /_This A licant — Owner❑ Contractor ❑ Agent An pr It is required for excavations over 5'0" deep and demolition or construct• ioct s over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz CUA PARK SCHL FLD PAR PD H Iss permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees D) ECT OF PUBLIC BY � PERMIT EXPIRES Date the applicable provi-Date resolutions to doSiof have been paid. WORKS Date 2— Receipt NO. WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil}_*. CaliQrnia 95965 - Telephone: 916/538-7541 IDS APPLICATION AND PERMIT </ PERMIT NO. - D 90 iTl ASSESSOR PARCEL NUMBERO + ZOty{N BUILDING PERMIT owN RT e� LEPH E �^ S S0. FT. OCC. BUILDING VALUATION O_W`t7,ER'S MAILING ADDRESS " CONTRACTOR'SNAME T LEPHONE CO ACTOR'S MAILING ADDRESS 01^ Z �a�>`' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ IS ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ Owe Permit fee $ 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 RUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remode Utilities ❑ Installation Other ❑ Describe work: ! 1� A►� ��J�—� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar nder 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 7d effect. License No. Classification / F] 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) F1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.yd OR ADDNS. ( ACC. BLOGS. / , /Zdsgit NEW CONSTF U TI.OUTLET NON•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e\ (SINGLE OUTLET CIR. / Ex. Occup( OR FIXTURES 21@50C eAL@30 FIXED Ex. OCCUp. OUTLETS 1PRESID,IREA.) 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): T permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department Ra Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C.'provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 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 aII I'abLLi — judgments, costs, and expenses which may in any way accrue agai t s Co i consequence of th anting of this permit. X Date Signot re of Appl cant — owner ❑ Contractor ❑ Agent �- An 0 HA permi is required for excavations over 5'0" deep and demolition or construct- ion o structure over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPEp T AL EE "9z A P K L F PA ' P I E This permit is hereby issued under sions of the Butte County Code and/or work indicated abov or which fees DIR T OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ate 112-r9XW Receipt NO. � `'t',3 WNITE•O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A. P. Number nn(o6_)e3s Building Department No. School District 01,jom, ( I S;p('] City n county 'w Jurisdiction Property Owner ' Project Location/Address (3( pSSO/v'M LKJ Subdivision Lot'Number Residential Development: a Sq. Footage 3 # of Living HI Addition (Group R)' Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. School District certifie's that (Applicant Name) (Phone Number) (StreetAddress) 6 A oy) da- 96%1 (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ �XP.t�)'�r�� representing square feet. Sc District Representative PAID BY CHECK NO. BANK NO PAID BY CASH /-aye Date • s f.' 'JJA white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) VCOUNTY OF BUTTE - DEPARTMENT,O.F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER .�if�� R4 A. P. No. Proposed Building Use �'1ff"r<i Building Inspector &Z Date 2 _ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... J96. Energy Design Compliance and supporting documentation ......... . Statement of Intent for Non -Heated and AC Buildings .............. . Engineered truss details and layout in duplicate (required prior to plan check) . 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 .............. 4. 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, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contrac($,L)r. VTelephone 2'/-65??2 and hold for pickup at a office. Deliver w/inspector. Other �JCC A p p I is Date --6 6 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—rtail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW PERMIT N0. 2249-77P,E PERMIT EXPIRES OWNER Scott D. Smith CONTR. owner LOCATION A.P. 44-03-105 W/S pri.rd.,app.750'N.of Nord Hwy,app. 1 mi W.of Hwy 99E, Hosler Tract, Chico f,' I J t i{ k. Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E OC j' 4�FINALED' (Date) (Signature) Ar om n, � COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING A BUILDING (Cont'd) PLUMBING SeNack AfewaII Ski Piping Fornk Pa ets t t Floor Mai Bldg. Rest om Finish 2n Floor Fo ins WindoN 3rd oor Stem all Siding To out Slab Roof SheaNing Water PiplNg Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings V Prov. for ph sical handica ed Conformance of ex. structure Appliances Gas PI In &Test Temp. Gas Slab A Final Sanitation Patio F EP ACE Final 'Footings Footing E ECTRIC L Masonry Walls Thmat an—h rtelnt. steel Final X Fixtures Bond Bea IRE SPRINKLEFk Motors Framing Test Water Htr. Stucco Final 4 Subpanel Mesh 4 MECHANICAL Gird. Fqk1t Prot. Scra h eatin Servl B n ool g T mp. Pole F nish JDuXs Anderground Inferior Lath Vintilation Permanent floor Closer anal Inal ,MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal -7 7 Water Piping Z-1-77 Sewer -2,) % 1 Gas Piping - zi ---77 E O E INSTALL TION - - - - - - - - - • - - - - Support - --)-1 Elec. Continuity Water Piping Drainage /1 �) 5 i Gas Piping DATE REMARKS OR CORRECTIONS feral `� i� ��. PC_ SW 7,7 3) IN . n entry mus s form each time you visit the job site.) 9'' Electrical A. Is service I.aLge enoilgh to provide :.r(iequate amperage. to mobileliome (must equal rating of mobilehome (aith a..u,:um of 100 amp) and other facilities on lot, i.e. , water pumps, garage, cabana, et':c.7 Yes No B Is there. proper clearances around panels? Yes No C. ' Is power supply cord or feeder assembly properly fused? Yes4 No_ D. Is continuity test satisfactory as per the following procedure? Yes No_ 1. De -energize electrical wiling? 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.N Connect one lr:..id of a test instrument totthe mobilehome grounding. conductor and Supply ' Ypi MO13'Ci.l'HOM.G INSTALLATI 4 INSPECTION CHECK LIST 1. Is the mobilehome 1ocated,T.0'11li required separation from lot lines and buildings and generally conform to plot plan? y(!.,3 No_ 2.Does the mc,bilehome have required clearances above ground? (Sec. 5085) Yes 1X'No 3. Are foot.in,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes 1 No 4. Is the mobilehome level.? (Sec. 5088)' Yes No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) YesX No 5, Water A. Is flexible 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 C. 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 ," per foot slope and is it properly supported? Yes y \ No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ Not, 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 mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? YesNo 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 mobi.lehorne with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No II-!.. _ o COUNTY OF-tGTtTE — DEPARTMENT OF PUBLIC WORKS •1 ' p 7 County Center Drive — UroviIle ; California 95965 Telephone: 534-4541 APPLICATION AND PERMIT a,�ja� �7 authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. -7 X -r--Q XJ�'�9 Date Signature rrof Permitee or Agent Receipt No. k0 W 5-- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date �O— 7-'N>-72 Building permit expires Date �'- 7,P • _ BUILDING Owner in J SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address C9.- Permit Fee Plan Checking Fee&/or Penalty l�7 Tele hone No. ai. - Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 WP0n Each Trap 1.50 G 7 Repair drainage or vent piping 1.50 Water piping 1.50 Cal e b Each gas water heater or vent 1.50 A. P. No. yy"03^ fQ,S Zoning8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W -t_ I Szw4s+ren FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Ptarrcfrlec'd I Parcel provaI PIo Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �t Main service 600v OR LESS 5.00 100 AMP OR LESS n �� Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600v 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 20sq ft NEW CONSTR. MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON RES,D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �o ,) G' j6 Al %P �' C' �//✓1 l T t /YI %� S C R V Ex. Occup(OUTLETS OR FIXTURES) BA@rD'� Li FIXED APLNT. Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. ,34, 3;? _3 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 J$3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 3 a authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. -7 X -r--Q XJ�'�9 Date Signature rrof Permitee or Agent Receipt No. k0 W 5-- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date �O— 7-'N>-72 Building permit expires Date �'- 7,P tPkRYIVT APPLICATION WORK SHEET OWNER .� Zoning Use Proposed Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): Permit No. A.P. No.gV O C� . Approved Not approved At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date Received 1. All items have been submitted. ------------------------------ 2. Plot plans in duplicate/triplicate. ------------------------- 3. Complete plans in duplicate/triplicate. --------------------- 4. Complete engineered plans and calcs. ------------------------ 5. Fees of $ ------------------------ 6. Letter of signature authorization. -------------------------- 7. Sanitation approval. ---------------------------------------- 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. --------------- 10. Contractors license information. ---------------------------- 11. Parcel declaration, recorded copy. -------------------------- 12. Access declaration. ----------------------------------------- 13. Aunt Minnie information. ------------------------------------ 14. Deed of access, recorded copy. ------------------------------ 15. Deed of parcel creation, recorded copy. --------------------- 16. Parcel map, recording data. --------------------------------- 17. Pre -inspection request for 18. Improvements - plans required & DPW approval.--------------- 9.uz,(, By. Bldg. Inspector During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items_ above and in addition the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date When permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other Date (,p /1 Le) 1-7 Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir. Health Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works Plans Sent A. Street Imp. B. Drainage C. Permits & Fees D.• Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies Plans Sent A. Fire Dept. B. Other MOBILEHOME SUPPORT DATA Mobilehome Mfr. /�J/� I Setup Model No. Year Width • (ft.) Length . S6 (ft.) Expand'o Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). �. Sin le - Footings (check one) /v/f 1 Wood either Center Locat (f (ft.1 Center Support Footing Sizes (in.) 1 in cl tin.)(in.) V ;inl (in.)(in.) n� in, b (in.)(in.) 41' ft, (in.) if *If center piers are other than drawn above, draw in locations, spacing, and dimensions. pressure treated or fdn. grade. 2. Concrete pad. 3. Other, specify Supports (check one) /ZT 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify i"� i - Typical Support I O')Footing Size in.; i 1` Max. Pier /P_J Spacing (ft.)`(iri.) Max. �Overhang L (ft-. —.W ) BUTTECOUNTY BUILDING DE?ARTME'v* APPROVED RT iso y74 o BUTTE COUNTY DEPARTMENT - OF• PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: S e D 1' T S AI/ 7- // 2. Installer's name: G AJk Sez m / T T / Al 3. Is the site currently under permit? Yes / ✓/ No (If yes, furnish permit number ; �' Y — �/ ) Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) V, t OR 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 7-7K No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- / Q Amps 6. What is the mobilehome site service rating? --------------------- /O D Amps 7. What is the mobilehome site circuit breaker rating? ------------- /0 O Amps 8. Is there any other electric load to be served.by the mobilehome site service? --------------------------------------------------- Yes / / No /77r (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- .(in.) 10. 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? / (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if.pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MR UTM CLEARED DANE -.- 0. support al - all Oac� t pmi mos t il� lq6l 0 I COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — Oroville,•California 95965 • �. Telephone: 534-4541 7 97 APPLICATION AND PERMIT J'� Owner Mailing Address Contractor Mailing Address s3 CL IC Building Address S [r] _ BUILDING SO. FT. I OCC. I BUILDING VALUATION CirNo. t iPK Al P c one '� (,�onN Fireplace NEW ❑ Total Valuation Each additional outlet Permit Fee _ Plan Checking Fee &/or Penalty one No. Permit Fee Fire PLUMBING PERMIT FILING FEE MULTI -OUTLET 1 BRANCH CIRCUITS ( Each Trap • Repair drainage or vent piping Water piping :1tl QnlX Each gas water heater or vent 60R/W ' Improvements A. P. NLJLJ iPK Al P c —!j — (,�onN Plans Aller -0 val NEW ❑ Gas piping system 1 - 5 outlets Each additional outlet Fee kT W.65. S ' ion Fire Dept. Fire Zone MULTI -OUTLET 1 BRANCH CIRCUITS ( Use Permit Building sewer EQA Parking Plans Parcel Declar tion tP �p 60R/W ' Improvements Lawn sprinkler system Bldg. Plans Recd iPK Al P c 00' Approval PERMIT FILING FEE Plans Aller -0 val NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ 4W /SQ. FT. MINIMUM 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: Permit Fee ELECTRICAL PERMIT FILING FEE Main service 611V OR LESS 100 AMP OR LESS Main service EA. ADD•L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD•L 100 AMP NEW CONST. ( OR ADDNS. DWELLING OCCUP. 6 ACC. BLDGS. NEW CONSTR. Nn N_ RESID. MULTI -OUTLET 1 BRANCH CIRCUITS ( $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 Ex. OCCUp(OUTLETS OR FIXTURES BAL@T FIXED Ex. Occup. (OUTLETS P(RESID )READ Er Temporary service Mobile Home Facilities Misc. Wiring FEE FEE 3/t License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $f1Z 6 I MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. XI certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner Sos to become subject to the Workmen's Compensation Laws of Hood 2.100 California. $ - $ 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date -17 Signature f Permitee or Agent Receipt No. /"r� : White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FLE Is Y4 , 5 —v 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 � ��- Z 2 By DateJ_ Building permit expires DateS��%'-7 ` .. PERMIT APPLICATION WORK SHEET C Permit No. OWNER.,,-.- A.P. No . Zoning Use Proposed Approv d Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (expla' ). 3. DPW Valuation (show): +'- 777. At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date Received 1. All items have been submitted. ------------------------------ 2, Plot plans in duplicate/triplicate. ------------------------- 3. Complete plans in duplicate/triplicate. --------------------- 4. Complete engineered plans and calcs. ------------------------ 5. Fees of $ ------------------------ Letter of signature authorization. -------------------------- Dz=-7 *. Sanitation approval. ---------------------------------------- _ / 5/? -I 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. --------------- 10. Contractors license information. ---------------------------- 11. Parcel declaration, recorded copy. -------------------------- 12. Access declaration. -=--------------------------------------- 13. Aunt Minnie information. ------------------------------------ 14. Deed of access, recorded copy. ------------------------------ 15. Deed of parcel creation, recorded copy. --------------------- 16. Parcel map, recording data. --------------------------------- 17. Pre -inspection request for 18. Improvements - plans required & DPW approval; --------------- 19. Other By -J jZ1 Date Bldg. Inspector During plan checking process, the following data Before permit issuance, all of the following or information must be submitted prior to permit items must be signed or marked NA: issuance: �y 1. Zoning use 1. Index permit for items / 2. Legal parcel above and in addition the following: 3. Envir. Health Plans Setit A. Sanitation B. Restaurant C. Other 4. Public Works Plans Sent A. Street Imp. 2. Applicant advised by Telephone B. Drainage Mail C. Permits & Fees Other D. Other 3. Plans checked by Data-5 5. Planning 4. Plans approved by Date A. Use Permit B. Variance When p is issued, process as follows: C. Other 1. Mail to owner. 6. Other Agencies Plans Sent 2. Mail to contractor. A. Fire Dept. 3. Deliver with inspect on. B. Other �1 4. Telephone � and hold for pickup• 5. Other M fericls & Workmanship Shall Be in This set of plans and�'-i#11 e Accordance viifl� C'.7ognied Goad Practices and kept on the 'ob at all times and it is -unlawful +o of a uudlir:. 'prescri ped for tEe Specified use in the ma4e any changes or allfe.rations on same without Unif oe;".� Bui:cling, Plumbing & Mechanical Codes and written permission from fhe Department of Public the Notional Electrical Code: Works, Count of, Butte. S�'ii P. skA rel µ T1Se G14q. Setback shall be 5 ft -from t side properly lire andL 50 ft. from t cen-'erline of the road,*perrniffing a ma r,•aur:, of a 2 ft. eave overhang but entire uut of all easeiments. 3Ca2M9-�7 � All/utility utility connections shall be located within 4 ft. outside thE rear third section of th mobile liome on the left (road) side of them bile home. permit will be required for the `allation of the mobilehome. qN Septic,system an,@l4q&,1e-" inn d- ,', t to be as per Bute County Heath Dept. Re- quirements. E urre couNrr 9 IL ING DEPARTMENT A PROVED r._�e fhts set of plans and specitications MUST .~.•> kept:;on the job at all tim,a arld it is unlac•-1, > �L mak• any chalages or oil>zrotiora or. ssma written permisson from the. Dtpartment of F:'--A'A setback oAI ft. from !h8 Works, Countp of Butt+. l � property lines and a set of 50ft. f roe the road centerline shall be deet of mrtnt aexrlw NOTE:—All Materials & Workmanship Shall Be )h Accordance with" Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. structures or equip for a 2 ft. eave overhang, 91' S it*, it.. art i Ti C/7/1 /T`/ / Hrrb/< • Via s ELL 4.6 . eL: V rh 2 AoAO .?G BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name:V �141 2. Installer's Name: C vim- o -e : 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yes EA"' No E] (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic ank and leach fields and clear of all setbacks and easements? Yes No El (If no, clarify 5. What is the mobilehome electrical rating? ----- -------- �O-D Amps 6. What is the mobilehome site service rating? ------------- ��--O Amps 7. What is the mobilehome site circuit breaker rating? -----Cry Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: -20 (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3 �_ (in.) 10. What is the type of gas service? -------------'----- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?----------------------------------------- ---- / �f( t ) ----- 1V 1 (BTU) 12. What is the mobilehome gas demand? --------------- ggi1-e � *(This information not required if pipe.lengtLinV��`��. on natural gas or less than 50 ft. on LPG &Jjw.DVt 0%1 MOBILEHOME SUPPORT DATA _ If other than single wide, Mobilehome Mfr.T�t�r°� GP/�C�� furnish Setup Model No.y�0 Year 0% 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 setu 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.a 2. Other (specify) Pier'Footing Sizes and Locations SIN(LLE-WIDE MULTI -WIDE Line 1 Line 2 Main Beams I.Ine 2IA ne — — — — -- — --- -----4-L-2 Main Beams line --j:Z-Line Tag or Triple Line 1 Ll,1V 1 .P1ure: Line 1 Openings: �n p Size -Min, ------------ oa� �/171�f Size -Min. ------------------ x Spacing -Max. --------- ,_ „ Each Side of Openings Fran lands -Max. ------- ' '" With Width Over--------- IJuc 'L I'icre: Size-MIn.------------ Spac l,ig-Max.--------- From Ends -Max. ------- 1.1ne 3 HOnl Iuads: Size Line 7 Piers: (Under Bearing Wall Only) Size -Min. ------------------ "x I. Spacing -Max_______________- From Ends -Max .------------- ------------- Dyx3o., 36,.x3°„ pyx/�,. 2y„x3o„3�„x3�„ „x „ 2�'-JOn _ „x „ Location (From Front) �'- '_ (j ,•�„ '- ,6 I1ne_4 Piece: Line 5 Piers: (Under Bearing Walls Only) Slzo-Min.------------ Size -Min .------------------ k "x Spdcing-Max.--------- , „ Spacing -Max ---------------- From Ends -Max.------- ._ „ From Endo -Max.------------- Linc_ S, Hoof mads: �sl o _ nx' - - i 1nCaLlon (Frum Front) _ - ux -- _ ,_ _ _ }•�a�' _ .,_ 1 � e , Ut DOUBLE WIDE PIERING WORKSHEET MODEL: c2d a . PSF ROOF LOAD PLANT'S SEE ?ERIRIE T ER PIERING S_E N0TE�� REQUIRE%1ENTS 7AKE — — f- — — •-- — -O — — 0-- — 1 — — S=E MAT11r'i LINE ?iE?ING TABLE — — — \�I-A O- -- O- a- — -♦ — — Q- =RONT O'r SEE PERIkIETER UNIT ?IERING R=QUIF=Mi_=.^: T S 7,%.3LE SE_ OI_RING PLAN DRAINING IN INSTALLATION MANUAL FOR REQLIiREMIENTS OF MAIN RAIL SL;P:C-iT CAPACITY AND =OOTIN , Si?E. MATING UNE PIERING TAKE' INITIA_ =OST �� -_RIOn %\OIN7=RiOR %iC 7:- R! _"r =ni0^ E-, I..\.'7 - "ST I / I N� _: =00ti� �0 sizes based On 1 J'DOPSF soil Deanng value. If soil Con•ditior'.s differ see the piering plan arav ing ... ...: .... .... v... ... v•:, ...v ♦.s •u♦ V.. • li,.VV ,V, ,,.y l,iVi,� V, .. Vit.L�l: li J,�. . _FIVIET_R ?!EKING R_QU!R_M='QTS TAE -LE =.=RS REQUIRED. DOORSiDE WALL- j ROADSIDE 1I4A! L- � -J, .�T .AN -- c ONRY PACED i=i_PLACES IN -,OVERHANG OF FLOOR PORCH POSTS AT RE- CESSED S/WALL WHEN POSTS EXCEED 42" 7 HEAVY APPLIANCES .IN OVERHANG OF FLOOR -DIMENSIONS ARE FROM FRONT•OF UNIT. xSI29 186 v AND 0 0 _Z6-91F3F6_,1S0- //fl -1 t I N� _: =00ti� �0 sizes based On 1 J'DOPSF soil Deanng value. If soil Con•ditior'.s differ see the piering plan arav ing ... ...: .... .... v... ... v•:, ...v ♦.s •u♦ V.. • li,.VV ,V, ,,.y l,iVi,� V, .. Vit.L�l: li J,�. . _FIVIET_R ?!EKING R_QU!R_M='QTS TAE -LE =.=RS REQUIRED. DOORSiDE WALL- j ROADSIDE 1I4A! L- � -J, .�T .AN -- c ONRY PACED i=i_PLACES IN -,OVERHANG OF FLOOR PORCH POSTS AT RE- CESSED S/WALL WHEN POSTS EXCEED 42" 7 HEAVY APPLIANCES .IN OVERHANG OF FLOOR -DIMENSIONS ARE FROM FRONT•OF UNIT. xSI29 186 v AND 0 DOUBLE WIDE PIERING WORKSHEET • MODEL: _,c2a ' PSF ROOF LOAD PLANT�__ &9 SEE ?ERIN^,E I T PEK S.N E OTE�� REQUIREh1"cNTS TA3�E — — 0_ — 1 — — f- — — f-- — -O — — 4— — -♦ — — SEE MATING LINE ?TERING THELE — — A— — --e — — Q— — — &-- — —0 — — a -- — 1 — — I ?RONT OF SEE PERIMETER I JNiT PIERING R=Q ;Ir- vi�^:', S 7,.BLE SEE DI_RING PLAN DRAIWING IN INSTALLATION MANUAL FOR REQUiREMIENTS OF MAIN RAIL SCF'CRT CAPACITY AND=OOTIN:, SIZE. MATING UNE PIERING TAKE' INITIAL =OST I '�- i.':-_R10F i%D'N'ER10's (�iE A-7E.;!O I "_F.i0.-7 5 1NTERIDR " -,�� --3 'CST 111. ILL �� ?��' C E: =ootl'QSIZES based On i JQQPSF SOII Deanng Vaiue. If Soil COnditfcr'.S ciffor Sae the pierinC plan wav ing .. - .:. -L.J - - _ -. .. ... ..... ... .. r.... v... .. ..•.V�.u• v.. .• u�.vu V� ��.w..� vv �/� vu�V.... L: I�V��. FrMET=R PIERING R=OU:PEMEIv =R S REQUIRED ^Or SIDE VVAL L- i ROADSIDE . RY FACED 1 Fiq-PLACES IN '-:)V:RANG OF FLOOR PORCH POSTS AT RE- CESSED S/WALL WHEN POSTS EXCEED 42" HEAVY APPLIANCES IN OVERHANG OF FLOOR c .A N 'DIMENSIONS ARE FROM FRONT -OF UNIT. x S 1Z9 1 86 AND 2-j i ' x ' PERMIT NO. t P i E } M �MH UTIL. tlPERMIT NO. 4577 -74P -,E i PERMIT EXPIRES ! ;7,g OWNER B.D. Hansen i CONTR. LOCATION (A.P. 44-03-105 ) I15CAl- 7ac,K 11 w/s Private Rd, 1300' E. of Hosler-Ave. & app. 800' N. of. Nord Hwy, Chico - Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E (Date) (signature) COUNTY OF BUTTE'— DEPARTMENT OF PUBLIC WORKS, BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE �- REMARKS OR CORRECTIONS Ale cJ �1,��£/L� G Gnu, SGo�rflu;4 � x tl l SulF s -a ;W do /e. ��sJSF.tcl Gc adl .vo > 06AI C a.0y o� �� G�o�� o v �E�t ; 7 s�t Sa Ion 7 COUNTY OF BUTTE DEPARTMENT OF PUB 7 County Center Drive — ,Orovilie, California 951 Telephone: 534-4541 APPLICATION AND PERMIT Owner 13. 9. ., .,y5 Eliz I, /� Mailing Address /00 :S -r- L� ,F s,0"9 Telephone N G� C Contractor 0 uv /L/ Mailing Address ephone No. Building Address &.//S j�/L't Yjq-/', /300 P .�i��1'O ADO ! /✓ c9 'IV O alp L A. P. No. el y -- 0 J , /0 F W Son ire Dept. Fire Zone Parking Parcel C7 EQA Plans Declaration rce Map id Bldg. PI s Rec'd Parc Approval NEW ❑ ADDITION ❑ UTILITIES M-14 Zoning & Plonnin UFF—erm _ BVILDING L--- SQ. /SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty 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 Bu 4di•ng sewer Lawn sprinkler system R/W Improv ents Pions Approval Permit Fee 0 OTHER ❑ ELECTRICAL Single Family ❑ Duplex ❑ Mobil Home 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 PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump , //, l Mobil Home Facilities Temp. Power Pole Misc. wirinq ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heatina 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. 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. Date/ Signature of P ite orgent R ceipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling Ventilation Hood Permit Fee $2.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE -Ca OM101, @ FEE $3.00 3,490 2.170 1.00 1.00 1.00 X02 fo�23 m 1.00 1.00 TOTAL PERMIT FEE $ 2W ICE? 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 0 UBLIC WORKS By 9,t Date P, 7,Y ding permit expires Date...............�. .-�' 7J� li fhis set of plans and specifications MUST be kept on the job at all times. and it is unlawful to make any changes or alterations on same without. written permisson from the. Department of Public Works, County of Butte. iy 19P Septic system and location of44wilj &"mdfia*�"Q 0 Butte - "W64ML t be as per Butte County Health Dept. Re- quirements. .'BUTTE COUNTY BUILPING DEPARTMENT APPROVED 1 '70A - � IX M06)CE NDME The UTILIT)eS CIIE�the side shall be 5 ft. from property line and 50 ft. the centerline of the from road a maximum of a 2' , permitting eave overhang 0 All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on.the left (road) side of the mobile home. CHICO, CALIFORNIA 665 MANZANITA COURT (95926) TELEPHONE (916) 343-5806 N A New Motel Concept A WHOLLY OWNED SUBSIDIARY OF CITY INVESTING COMPANY 7-1 mss. G, V-5 C'T-'s 5->f. -2 c" a0 � , tZ a Interest,at 2 of 1% per month ;.TOTAL DUE AS OF APRIL 10 Once defaulted, an installment plan m July 1. If during the interin of about 15 State, the property will be deeded to the In addition, if the current taxes are will be withdrawn by law. Please include this notice with your F. H Cour Orov NOTE: One 20% payment is required between addition, all current taxes must be paid n 1L C,P E (-,r, Fo L C-F-�' Q'F Cont{�c.iAuc� ��S vEIJ ftuG I2 ,r97¢. ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 //� /� % 76 Telephone: 534-4541 APPLICATION AND PERMIT nuu V. �cV 1UQV1RalIVWJ UI UIC l/UUIIIY UI DULLU tU CIIICI UPUII Lilt: above-mentioned property for in ection purposes. X4& � Date Signature of Peerrmmitee or Agent Receipt No. 1it` 4-5 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner I --Z A SQ. FT. OCC. BUILDING VALUATION Mailing Address A P-LADSA &A AV C - gq2,r Teleph=ne No. 1� Fireplace Contractor Total Valuation Mailing Address Permit Fee P I an Checking Fee &/or Penalty Telephone Na. Permit Fee $ `,,' Building Address Y�f ,lP R\VA AP PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 o uv Each Trap 1.50 0) cz!?_a' 0 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No—107 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S"ta on I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im r p ovements Lawn sprinkler system 2.00 ns ec Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 L), r—_tSIa _ _!;14 Q'6 Main service 1600V OR L 00 AMP ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Eg Others ❑ ER 600V Main service 10 0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ' NEW LING O OR ADDNST ( ACCLBLDGS.CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON -RES,D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETs OR FIXTURES) @1a0 0 Ex. Occup. (OUTLET SP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 Fr I I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. X I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $2 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 I MSTA LL, A L9 Q TOTAL PERMIT FEE $ nuu V. �cV 1UQV1RalIVWJ UI UIC l/UUIIIY UI DULLU tU CIIICI UPUII Lilt: above-mentioned property for in ection purposes. X4& � Date Signature of Peerrmmitee or Agent Receipt No. 1it` 4-5 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date 44-03-105 Edith A Laust-U - Permit 4 4481-u 6MHI Issued FILE MEMO OWNER ',P(3 1-1-A�V cS4 I � �'f AP NO. 44— At time of permit application, the applicant was advised the .following data or information must be submitted prior to permit processing and/or issuance: All items have been submitted. Plot plans in duplicate/triplicate. 3. Complete plans in duplicate/triplicate. 4. Complete engineered plans and calcs. 5. Fees of $ 6. Letter of signature authorization. 7. Sanitation approval. 8. Planning approval 9. Workmen's Compensation Insurance Certificate. 10. Contractors license information. 11. Parcel declaration. 12. Access declaration. 13. Aunt Minnie information. 14. Deed of access. 15. Deed of parcel creation. 16. Parcel map. 17. Pre -inspection request for R; 18. Other By 4& f�xo " ' Date Bldg. Inspector mmaaamaaasammammammmamammmaaammmammaaaammmaaaaaamaaaaaaaamaaaacaaamaaaaomamnanaaaammmmnomommam�ma When permit is issued, process as follows: 2. 3. 4. 5. Mail to owner. Mail to contractor. Deliver with inspection. Telephone Other and hold for pickup. wmtaaanaaaaaaaaaaaaaasaaaaaaaaaaaaasaoamaaavaaaaaaccaaaaaaasaaaaaaaaaaaaaaaaaaaaaasaaaomaaasaaaaaa During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items numbered above. 2. Applicant advised by telephone we need 3. Send letter -to applicant. We need 4. Pre -inspection for NOT verified. (Index) 5. Other 6. Plans checked and/or approved by Date aeeeaeaan=acecaa==eoaecc..ee�ncae=ca..ao�aaeaaeaaaaaaaaaaaaaaaaaa'aaamaammammaaaaaamaamaaeaammaaa: Additional Processing or Notes: �. COUNTY OF BUTTE — DEPARYMENTT-OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 QQ APPLICATION AND PERMIT autrlonce representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X �(�1/L .l /G�Ur,�t!/� r Date � � iL Signature of Perrmmitee or Agent Receipt No. 149-74Z— White-D.P.W. •4 `-74Z— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING i ) 11 L—A S1 E_ I Owner 1 r0 ^-1 SQ. FT. OCC. BUILDING VALUATION ^ n /� � 1 r `' Mailing Address 1 b3 iaP-CAD I A (1f A V'E. Lf� ^ r �( C"'� T eph2 No. fireplace Contractor CNIQ" UL Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address O A PP. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 00 foo F o () HwV APPEach Trap 1.50 OOi 01--V(: I ) 4 Repair drainage or vent piping 1.50 Water piping CA I Go Zoning Y4rification Only Each gas water heater or vent 1.50 A. P. No. — wzn -- ' DL5Gas i i"s piping system 1 - 5 outlets CIO/ Each additional outlet .30 s tU!C. Sa on Fire Dept. Fire Zone Use Permit Building sewer —5.G8 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 ( Plans Recd Parcel Approval Plans Approval Permit Fee $ ?j co $ L NEW ❑ ADDITION ❑ UTILITIES � OTHER E]ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 ('J Main service 1000V OR 0 AMPOR 5.00 Main service B4%,. ADD'L too AMP 2.50OVER Single Family ❑ Duplex ❑ Mobil Home [0 Others ❑ Main service 00 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 500 SQ. FT. MINIMUM, NEW CONST.•� (DWELLING BLDGS.CCUP. &) 22Sq ft OR ADDNS. ACC NEW CONSTR MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea FOR MOBILES NEW CONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: I/z i4 F PiJMP Ex. Occup(OUTLETS OR FIXTURES)50 @SQ 109 Ex. Occup.( FIXED APP LNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ET 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ 'Z7. $ El 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 X permit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ �jQ �� autrlonce representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X �(�1/L .l /G�Ur,�t!/� r Date � � iL Signature of Perrmmitee or Agent Receipt No. 149-74Z— White-D.P.W. •4 `-74Z— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONES 916-538-7541 Caw rTi. z� With reference to the above subject: DATE RE: / ? /- -9s A. P. # ,e/ /. D F- l &F 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 IT7 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. �l /', , —_� ca .ure..,, . ,? „- J (,;Le -v r- . $-_— 9 PI -3 -4-0- f9 o c 4--.1 "L e N ✓ O Should you have any questions concerning the above, please contact of this office. Yours very truly, VA�l fs JFG/aj William Cheff Director of Public Works F. Glander Chief Building Inspector S � ' FILE MEMO OWNER - ZO (Tij LAO YTEAQ AP N0. 44--o � i D,5- At S At time of permit application, the applicant was advised -the following data or information must be submitted prior to permit processing and/or issuance: 1. 2. 3. 4. 55. 8. 9: 10. 11. 12. 13. 14. 15. 16. 17. 18. By 5 (K-0 All items have been submitted. Plot plans in duplicate/triplicate. Complete plans in duplicate/triplicate. Complete engineered plans and calcs. Fees of $ Letter of signature authorization. Sanitation approval. Planning approval Workmen's Compensation Insurance Certificate. Contractors license information. Parcel declaration. Access declaration. Aunt Minnie information. Deed of access. Deed of parcel creation. Parcel map. Pre -inspection request for Other Date 9 —q — 2 b Bldg. Inspector voaaaaamavmmmamaamvaoamoaaamvmmmaaamaaamaaanvmaaanaaaoaaamaaamaoommmaamnmaaoaaoaaamamaaamvaaamvma When permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other cS&M/) Gots_ r, amamaasaaaaasaaaaaaaaaaaaaoaaaasmaaaaaaaaaaaaaaaaoaaoaaasaaaeaaa�eaaa�aaaaaaaaaaaaeaeaaaaaaaaaaac During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items numbered above. 2. Applicant advised by telephone we need 3. Send letter to applicant. We need 4. Pre -inspection for NOT verified. (Index) 5. Other 6. Plans checked and/or approved by Date a.=cave-------------------==aec=ae.a..aaaoaoaaaaaaaaaaaaaaaaaaaaaaamavamaamaamavmvaoaammmvammova: --------------- Additional Processing or Notes: •3 STATE OF CALIFORNIA COUNTY OF Butte SS. On January 24, 1990 before me, the undersigned, a Notary Public in and for said State, personally appeared Wendy M. Leveroni personally known to me to be the person whose name is subscribed to the within Instrument, or proved to be such by the oath of a credible witness who is personally known to me, as being the subscribing Witness thereto, said subscribing Witness being by me duly sworn, deposes and says: That this witness resides in ■,,,,,,,,■„-,.�f9?;,T....... I ........... ■■■■■.a Chico Ca' OFFICIAL SEAL � and that said witness was present and saw L. JOYNER Scott Smith •� = ' c NOTARY PUBLIC — CALIFORNIA personally known to said witness to be the same person 6 PRINCIPAL OFFICE IN described in and whose name is subscribed to the within BUTTE COUNTY and annexed Instrument as a party thereto, execute and My Commission Expires October 18, 1991 deliver the same, and that affiant subscribed his/her .....•• ............................."""'' name to the within Instrument as a Witness. WITNESS my hand a official seal. END OF DOCUMENT Signed (This area for official notarial seal) turn to DPWAuRIC;�I,'i;.URA�'fA'TE:�1', .'z' Of -•• r •;�L�,:. , n;- � � �� G FOR RESIDENT, .tion 26-8.1 of the Butte County Code ouires this acknowledgement be recorded or to issuance of a building permit. c- property described herein is adjacent land or included within an area zoned r agricultural purposes, and residents 90-003258 Rec Fee 5..00 this property may be subject to incon- 1 Tota1 5.-00.- n:i.ences or discomfort arising from the 1 'I e of agricultural chemicals, including, `Recorded Official Records 1 L not limited to herbicides, pesticides, ! County of 1 BIDWELL TITLE Cd:. 1 d fertilizers; and from the pursuit Butte ; agricultural operations including, Candace J. Grubbs 1 t not limited to cultivation, plowing, Recorder 1 .raying, pruning, and harvesting which 111=8:00am 25 -Jan -90 1 BG casionally generate dust, smoke, noise, and odor. Butte County has established aRricul- !ral zones which have as a priority use for productive agricultural purposes, and resident: thin said zones and on adjacent property should be prepared to accept such inconvenience disconform from normal, necessary farm operations. .1 that real. property situate in the County of Butte, State of California, described a. ,].lows: The South half of.the' .South. half. of .Lot-15,.acc6rdin� to that certain Man entitled, "HOSLFR TRACT, ' WAR NICO, -.13 'E. CQ:.; STATF, OF CALIMMNIA; -- which Man was -Filed--in .the' office of .the-.R.ecorder' of the Cow.ity of Butte, State.of California, Mav 9, 1913., in:Book'7 of Ma s, at nage-6. n-,? -j� od (v - bzo - Me) `; t -e : - —lw PROPERTY ..1Z0',ER w i TlUESSed �f:y i 4vle5se W eh y rn Le ueron 1'--, ate of ) On this the day of _ 19 before me SS, the undersigned Notary Public, personally appeared aunty of ) Personally known to me. 0 Proved to me on the basis of satisfactory evidence. to be -the person(s) whose name(s) subscribed to the within instrument and acknowledged that _ ^ executed the same for the purposes therein contained. IN W.L'LWC_ WHEREOF, I hereunto set my hand and official seal. I resent lt.P. Nu. Notary Public a a , 1 V,