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Home My WebLink About007-010-035a 35 EUGENE CLARKE I 7-01-35 Hcks Ln at Cabahlo, Chico EUGENE & COLEEN CLARKE Per. i,it#3444-82P,Eutil, MH) 3716 Hicks lane, Chico ELEC 1Q1,3-83 2ooA Permit#65-89A(A ricultural Bldg Exemp ..,C,A.S�_l•_ 1r3�:B3-�_��..__..___ (farm equip stg) COMPACTION TEST REQAq SUPPORT STRU E REQ <bw 1 ' 5— Perm'- 3445-82mI I�.ed_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ERMIT N Agricultural building is defined as follows: Agricultural building is a structure designed and con ructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This struc re 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. N ASSESSOR PARCEL NO.ZONING C�v— 0 b-035-0 /R I OWNER ,Ev epi e C'o C eh C a `ke- PHONE NO. Sym - C71:3 a OWNER'S ADDRESS / /IIC ,4 /� LOCATION OF BUILDING Ya� USE OF BUILDING Fafm SIZE OF STRUCTURE aC x SQ. FT. _��' _ TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDINGlW16_M/_ ROOF COVERINGX1Z �� / 4 FLOOR TYPE GyGN��ET� ESTIMATED COST OF CONSTRUCTION Q0 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows-�t / S9 �___ 4L i FRONT.SIDES REAR FRONT 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 th'e 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 Signature of Owner Permit Fee - $25.00 The above described AG Buil ' g is exempt from a building permit. Receipt No. xw'-3 ` White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant FLOOD PARCE P.D. I ROO NJ ISSUE Director of Public Works By Date �� COUNTY OF BUTTE 41343 mj�y� IPTS / ,s OFFICE OR DEPARTMENT ISSUING RECEIPT SU5 Received from gfjZgS� d The Sum of 'FivE' .6Q-i.c-,4As A.t,ID For 4 G zrk cz,4-nra,j �� G Received: Received By - CASH ❑ Title CHECK By DAVCO BUSINESS FORMS • (916) 7438511 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 51 under permit number for the following location: Owner - Owner's Address t Mobilehome Mfg. -Model Year Insignia No. ' '`� '/ ' �y`/,a Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Date Director of Public Works r ' / ' � T By r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. �w COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS .T 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 low/ Date / 2� Q5 PERMIT NO. 3444-82P,E(MH) - PERMIT EXPIRES OWNER cx EUGENE CLARKE CONTR. owner ASSESSOR PARCEL 44-61-35 LOCATION E/S Hicks Ln @ Caballo, Chico Temp. Power Pole Called PG&E Tg1f"p. Elec. Service / Called PG&Ey Temp. Gas Service Called PG&E JOB FINALED (Date) Signature J = OK 0 = Not OK_? - = Not Applicable = Nqi Ready RESIDENTIAL (Single and Duplex) . . Date UNDERFLOOR Plans OK except# s Date FRAMING (Continued) I 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers -5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed=Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts -- 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector _ 14. Water Ht.: Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. . Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails _ __19_ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper --- 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location _ 22. _Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. -- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. 74. Guard Rails &Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor '❑ Yes 26. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al _-_ - 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral DYes ❑No Service -Riser Conductors & Ground -Main Disconnect 75, 76. Following instld.: Drive ❑ Yes []No; Walks ❑ Yes❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish _ - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -_ 30. Clothes Closet Light -Shower Light 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing ---------------- Card B-1 Card B -I _ - ----- -_-__- _Date_____ __ Card -BI _ Date _ Date Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ - 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ _ 32. 33. Vent Fan; Exhaust above Insulation _ Condensate Drain _& Overilow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Card -BI Card -BI Date Card -BI Date Date Card -BI Date 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI - Date - Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's Comments at Final: _36. Sills; Proper Material & Anchors _ _37. 38. 39. Walls: _Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing___ _ Draft Stop in Walls (rat proof) _ __40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Rom_ex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions_ _ Garage Fire Protection Framing (NOTE: Anentry must be made each time youvisit jobsite) - J. = •OK 0 = Not OK = Not Applicable * = Not Ready a Ir "a H EHOMES r- MISCELLANEOUS "' Date MOB!HOAE UTILITIES (PI s) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's Zoning Requirements -Se ks-Eeeemo*fff§ 1. Zoning Requirements -Setbacks -Easements . So' ; S h 2. Footings; Size -Depth -Spacing -Connectors %40W� o�Ttfet�� -C/ -C ret _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3 , on h) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ lectricity; Lo n -Clews- .-/Zod/ Amp-Cooerete 6 Gesi LPG A-15tiIity Clearance 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6, Carports; Windows -Doors 7. Elec. Card -BI DateCard-BI 497 Date �Z .- Card -BI Date Card -BI Date Card -BI Date—/3.g7jCard-BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's Date _- POOLS (Plans) OK except N's Zoning Requirements -Se s-,E8be TMts 1, Setbacks -Easements ootings;4i,te-Sg5pintf-Marriage<ine 2. Soils; Compaction -Structure Stability - ra,1 e- -rC 7 44,Krctricity; MH Test-Cros -Breakers=Cle6Kmc€s 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining _ 4" Elec.; Receptacles and Lighting; Distances-GFI rain; MHLTeSf' Fail,-�Iex nector 5. Elec.; Pool Lighting; 15 volts-GFI Water; MHZasT-hega13tor-Com*C'or 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed Water and Sewer Connected -C o Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater r eA and Glectriged its; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghcg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test. Card B -I Dat „Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date / // ?-3 /Vv pc!' Z* elL 'ji) j9 yy y F7, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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. 't, Ir R . Q COUNTY. OF BUTTE - DEPABTMENT OF PUBLIC WORKS PERMIT NO. y County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 d{ APPLICATION AND PERMIT . /''i ASSESSOR PARCEL NUMBER- GAG SJ Z NING _� BUILDING PERMIT OWNER`✓ L� �F T LEPHONE AloxlE SQ. FT. OCC.1 BUILDING VALUATION OWN 'SA LING ADDRESS ' G C N'TTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ _ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ S U Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Q BUILDING Ari PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 G6 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP ' Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USEOUCTURE SF [:1Duplex ❑ Mobi lehome Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10-00ea TYPE OF WORK New ❑ Addition Remodel ❑ UtilitiesD Install io 'POther Describe work' ,�/�� ,5��17 3� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6111 OR LESS 100 AMP OR LESS 10.00 2 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUR.& OR ADDNS. ( ACC, BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): FJI am licensed under provisions of Chapt. 9, Div. 3 of the Business Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NE,W CONSTR ULT' -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &'1 NON-RESID. SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES BA 96 oQ L9300 Professions FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc._Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the. above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequenc of the granting of this permit. a X -may Date �� Sign atu of Applicant — Owner �✓ Contractor ❑ Agent ❑ An 05 A permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ v TOTAL PERMIT FEE $ v, Q() occuP. GROUP I TYPE OF CONST. PARCEL PD ND I ISS E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO PUBLIC By. P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Receipt No.- � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER „—^”dt+eb�f:r^^ti,.i,.^�'�.�:^-'►ldizyr•.t"•.•F'•+.'vr-•--�._;,".^`^�.:.-_i--�-:..s.i,:,'-tis:.;:-s...�c ��/►r. ' l.._�rti-.:..i." "t„�,,�"�,' f � i G'OUNTY`OF BUTTE - DEPARTMENT OF PUBi_IC WORKS ° BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 ' PERMIT APPLICATION DATA SHEET �- ''' Permit No. A. P. No. -/5/ /2 Z— S J Proposed Building Use— Permit se Permit Fee Based Upon: Complete Contract Price 4---' DPW Valuation Building Inspector. Date - _- At time of permit application, I was advised the followin -4ata must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED t 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/tripl.i,cate.. . . . .% Complete plans in duplicate*veils II' ate. • 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . 6. State Energy Forms No. r 7 Statement of Intent for Non -Heated and AC Buildings. ....,... . 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name st le,classif.) 4. Owner -Builder Verification (Given to owner �� lail to owner ❑•) 15. Improvements may be required. • . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .. •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Dote) 18. Other When you issue the permit, process as follows: Mail to owner. _ Oelephone and Id for pickup at office. ther AlGi% l/I�� /Vol Applicant Mail to contractor. Deliver w/inspector. Date Copy of plans sent Health Dept., Fire Dept., --bOther Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: A (Contractor, DesigAr, Own r) was advised of above required data byT Telephone '"Maii " - Other By Plans checked �y Date Plans approved b) f Rf Date Other Copy—DPW Date MOB ILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No.Year �1c7d5 Width (ft.) Box Lengt(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). A11 center supports measured from front of mobilehome unless otherwise specified. ••�• _. Footings (check one) � Single _ __ Q 1- Wood either d . pressure treate or foundation grade. � x (ft.)(in:) i0 (in.) (in.) ❑ 2. Other (specify) Center support locations* Center.support footing sizes Supports (check one) (in.) Q--1: Concrete block. x 30 ❑ 2: Other (specify) (ft.)(in.) (in:) (in.) _ ! 4 ---Tagalong or Expando,' show support details. (in.) (in.) ciSCLE M3 / x3O -- Typical Support G 1`�t 8 • in.;_ Footing Size 34 x,36 r, (in.) (in.) S- zl -- Max. Pier Spacing (ft.)(in.) x 30 02 -- Max. Overhang (in:) (in.) (ft.)(in.) ..� 344b BUM-- COO N l ti DEPART11E1" allILDING A APP R®!I *If center piers are other than drawn above, -. draw in. -locations, spacing, and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7.County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: EvgEhd; 2. Installer's name: ;r 1r:1 = .ti �• J� i P_ f �- .)'.l,� -, - 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 least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- SOd Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? -- �'� Amps g? ----------- 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- (If yes, identify the load and size: (Load) Yes •No /�// (Amps) 9. What is the mobilehome site gas pipe size? -varliz� ---------- ( ) 10. What'is the type of gas service? lfla /E Natural/% LPG 11. What is the gas pipe length from meter or tank to the mobilehome? Alfl f (ft.) 12'. What is the mobilehome gas demand? ------------------------------ /Vo�/f (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) W This set of plans and specifications MUST be kept on the iob at all tines and it is unlawful to mril- r-,nv changes or alta'*'.,+;ons on same without written permission from the Department of Public Works, County of Butte. �P -o/-o---0 62 ^ srb E Utility connecti 'ns shall be within 4 ft. of the mo ilehome, either directly behin or within the rear half of the roa side (left) of the mobilehome. % p i NOTE --All Mat rials & Workmanship Shall Be IN Recoqn Good Practices and f � d a Accordance with f ---d Specified in the of a quality pres ribed �:� use Uniform Building, Plumbing & hanical Codes and - the National Ele trica4[Co e. A setback of 5 ft. mhe tth6 A Property lines and a of 50ft. fro hall bothe ° clear o (� centerline 1 111bstructures or equipment exc. fQr a 2 ft. eave overhang* vurrE COUNTY BUILDING DERARTMENI, APPROVED . S . 0 it J • �_ • �.�Ci��..�.1,�i.�<9..��.::.-» a�!cr�.w-i-�.x..ax�.G.:w.�ev�n:..�w��e+.a X • y t�� tom,:_ . _ �c;-�-�'�.u,�;n=:,:.�s_r.-�s;:�=�_:::"�^�c_��:c�,L�.v=:::;:F:a�.�.�:�.ax'�rs�°�•�*;��'��-�rs.�,��•�;•a��,.-�=,:a>,e� o Pyss'b^^1� v-.so-.- .�. - ..+,.c.•r.e.,.n,....t.....c.9 _ �?.... _ .a..,C=e->. �:�.. --os-.1,. ,�-�v/v-•., r/b D fir, LI /qq, �91j1� Aj V a b� Gy � a 'da• 9 n 5 COUNTY OF BUTTE - DE0ART9ENT OF PUBLIC WORKS PERMIT NO. I 7 County Center Drive - Oroville, California 96965 - Telephone 916/534-4541 [d/ APPLICATION AND PERMIT ASSESSO�P�CE�UMB,E J 3�J Zg'_� BUILDING PERMI OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S,4AAJLING 6PDRESS /l l'41-_?tv CONTRACTOR'S NAME E41 TELEPHONE CONTRACTOR'S MAILING ADDRESS _ F i replace CONSTRUCTION LENDER UNKNOWN Total Valuation is Flling Fee $ 9$:$8� LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER gler LICENSE NO. • I Plan Checking Feezi! 1v $ s Vd Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee BUILDING ADDRESS % l P.LUMBING•PERMIT9 Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDI VISION NAME - PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome Other SPECIFY Building sewer 5.00 Mobile Home 10.00 e a ao. TYPE OF WORK New Addition❑ Remodel❑ Utilities Installation❑ Other [J Describe work: Permit Fee $ 1f (J Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sooV OR LESS 100 AMP OR LESS 10.00 Lj i Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&` OR ADDNS. ( ACC. BLDGS. 1 21/20sgft 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 m license is in full force and effect. y License No. Classification F� 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. (Seo. 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. MULTI -OUT LET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. / POWER APPARATUS &'1 NON-RESID. %SINGLE OUTLET CIR. / Ex Ex: Occup(o XD OR FIXTURES BAL@30Q A FIXED A Ex. OCCUp- OUTLETS (RESIPP LHS, OR D•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 - Misc. Wiring 15.00 D« Permit F e $ ZZ -5-0 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-Ins'lire. 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. 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence O the granting of this permit..• q1�j � X _ Date �- Signatu of Applicant — Owner9j Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ U OCCUP. GROUP I TYPE OF CONST. I PA:;J PD %HD ISSD This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE F PUBLIC By. P 1 EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Datet! �+ �v Receipt NO.' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT :r'r �- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7"COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. "',- i I7_ 1 OWNER 2- A. P. No.— Proposed Building Use Permit Fee Based Upon: Complete Contract Price/rPW Valuation er (E41ain) Building InspectoDate At time of permit application, I was advised the fotl-eiki g 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/tripl`icate.: . . . . . . . . 3. Complete plans in duplicate./triplicate:` 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings.—.-.* 8. Fees of $ . . . . . . . . Letter of signature authorization� .. . . . . . . . . . 10. Sanitation approval from C///efU Health Dept. 3 11. Planning approval for (A) Use: (B) Parking: 12. Qertificate of Workmen's Compensation Insurance. . . . . 1 ..Contractor's License Information (no., name style, classif.) 4. Owner -Builder Verification (Given to owner ', ail to owner ❑•)/b9 A -2 A 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 1 !Pre -Ins a ion for Required- request to (pore) P q Building Insp�tor Dom_ 18. Other _�Co/L �� p�/r�/��KG //'�l�/i,�,/�f I&/l�r When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone- and hold for pickup at office. Deliver w/inspector. y O�tl�e'r� , l , e �/ 1� — �,ri%/, li�l/ri . C-";, 1�// - N _ ` — _ Applicant Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process; the following data must be submitted prior to permit issuance. (For required items not checked above,at time of app is ion,Acircle,item.) 1. Index. permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other Plans checked by- PInnc nnnrnvari by Copy—DPW �.= T0: Building Department FROM: Environmental Health; Chico SUBJECT: Sanitation Clearance Owner Location APr# Plan approved for: sewage disposal water supply Hold final for:- water supply Final clearance O.K. for: water supply Clearance for 3 bedroom mobile home. Other Note'"* Sanitarian' Date " TO: Building Department. FROM: Environmental Health, Chico SUBJECT: Sanitation -e c� Clearance AP# Location Owner Plan approved for: sewage disposal 41 / water supply v Hold final for: water supply Final clearance O.K. for: water supply ClearancD for bedroom mobile home. Other Sanitarian [late Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 216-8.1,6f the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 83- 380 The property described,herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of Ufhtiogm." this property may be subject to inconveniences or discomfort arising CLERK �� from the use of agricultural chemicals, including, -but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to'cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: S EC- a ES c,�� P17 CAJ j DX -'_2 : �_ - 1 PROPERTY OWNERS: State of SS. County of On this the day; of , 19 �f� ;- before me, tjie undersigned Not Public, personally " �Gappeared r. ;. OFFICIAL SEAL D A DRANE NOTARY PUBLIC - CALIFORNIA i surrE COUNTY to be the person(s) whose name(s) "" "' My comm. expires JUL 13, 1984 subscrib d to the within instrument and acknowledged that ,r- executed the same for the purposes therein co ained. IN WITNESS HEREOF, I hereunto set y hand and official seal. i Present A.P. NO. Notary Public i i ,]_,•that certain real property.situate'in the County of Butte, State of California, described as follows: A portion of Section 4, Township 22 North, Range 1 East, M. D. B. & M., and more particularly described as -follows: COMMENCING at the Northwest corner of the East half of,the Southwest quarter of said Section 4; thence vast 1349.21 feet along the East and West centerline of said Section 4 to a point in the centerline of Hicks Lane; thence along the centerline of Hicks Lane South 16° 31' East 132.53 feet, South 190 27' 50"..East 548.08 feet and South 02° 34' East 368.51 feet to the true point of beginning for the parcel herein described; thence from said point of beginning, continuing along the centerline of said Hicks Lane, South 020 34' East 421.56 feet and South 02° 30' 22" East,332.72 feet; thence leaving the centerline of said 'Hicks Lane,South 44° 41' 54" East, 394.05 feet; thence South 38° 22' 34" East, 755.00 feet to the South.line of said Section 4; thence North 89° 54' 50" East, along said South line of -Section 4, a distance of 280.39 feet to the East line of the East half of the Southeast quarter of said Section 4; thence North 000 01' West along said East line a' distance of 1624.92 feet; thence West 1058.22 feet to the true point of beginning. EXHIBIT "A" I COUNTY OF BUTTE - Department of Public Works y 7 County Center Drive., Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. ; Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing' your build- ing.permit. .No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed.property improvement (yes or no) C'r' I (have/have not) f%y e signed an application for a building ' permit for the proposed -work. �( I have contracted with the following person (firm) to provide the proposed /\ construction: Name Address City Phone Contractors License No. 4� I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name ..,Address City Phone Contractors License No. I will'provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work S igned : Property Owner Social Secuity Date NOTE: This Owner -Builder Verification is .sent to you as required.by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit.'