HomeMy WebLinkAbout021-132-003FH A �E
I % S
343 D
Pe rm tj
21--;132-03
C H A%�E S BEMISH SR.
11343 D ,snup Avenue, Gridley
AV V t:ow
Permit#i i9-85P,E(util, MH)ag emp
ELEC S '�OW
GASMr- A SjTjb�'
SUPPORT STRUCTURE �tE.Q_ZVO 7 -,A,
COMPACTION TEST REQ
Z -B: --r,,3'2 - 3
Contr.,
Cal -Ov,1-et--fiMH,Ser
Permit#2-1,rr-3-85NHI
IsWe-dn
i� 7
NVI
PERMIT NO. 4449�-�, E (NH)
PERMIT EXPIRES
OWNER CHAR -LES -BEMISH SR.-
CONTR., owner
ASSESSOR PARCEL 2.1-132-03
1343 Dewsnup Avenue, Gridley
LOCATION
T
y OFFICE COPY
Address
Temp.Powc
Called GAS
Meter By—
a
ELECT 1C
Temp. Elec Meter By oin D a t
\Ij
Called[
Temp. Gas Service
CalledPG&E
JOB FINALED (Date)
Signaiure
OK
0 = Not OK
- = Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILPItOME, UTILITIES (Plans) OK except #'s
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
J."'ZQAWgf Req u i rements-Setbac ks- Easements
Special MH Support -Sketch
1. Zoning Requirements-Setbacks�Easements
2. Footings; Size -Depth -Spacing -Connectors
.,Sewer; Location"Test-Fall-C/0-Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
5aW; Local i on- Test- Easement Needed (Sketch)
4. Wood Awn.; Posts -Beams -Rftrs.-Connec.-Shthg.-Rfg.-Bracing
Ejjectricity; Location-Clearances-Grnd.;� / Amp -Concrete
5. Alum. Awn.; Column�-Connections-Splice-Decal-Enclosures
R"`Gas� Location -Test -Wrap: Nat. or/ /"L"ft./ /" LPG
6. Carports; Windows -Doors
01"Utility Clearance
7. Elec.
Card-Bl,w
pate 7//06SCard-BI 0,0 Date 2�,2*
Card -BI
Date Card -BI Date
Card -B IFj!J2
Date %-M -,(IT C a r d - 131 Date
'jCard-BI
Date Card -BI Date
Date
ftlj::�HOMIE INSTALLATION (Plans) OK except #'s
Date
POOLS (Plans) OK except #'s
&f.` Zopoing Req u I rements-Setbac: ks- Easements
1 . Setbacks -Easements
4!:-foqvngs: Size -spacing -Marriage Line
2. Soils; Compaction -Structure, Stability
r ----MH Test -Demand -Valve -Connector
3. Pool Structu re; Steel -Connections -Thickness -Dead Men -Lining
VElectricity; MH Test -C rossovers- Brea kers-C learances
4. Elec.; Receptacles and Lighting; Distances-GFI
��,-MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
<2�1 MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
Po' Waterand Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
T, -Ila -s and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes-Enclos ures- Pane lboards- Ins. to Main in Conduit
9. Exits;-Insp.-Sketch
10r-C—ert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date 'Card -BI Date
Card -B I
Date Card -BI Date
Card B -I
Date 'Card -BI Date
Card -BI
Date Card -BI Date
/_1 1
305
S-3 G
C,-� -�� ';� �t
>
P
OK
Not,OKv
Not Applicable
Not Ready RESIDENTIA1 (Singl.e,and Duplex)
Date
UNDERFLOOR (Plans) OK except#'s
Date
FRAMING (Continued)
1. Zoning req u ire ments-Setbac ks- Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Solls-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 -R i se -Run- Land i ng- Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Sternwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Sternwalls, Garage; Steel-Blockouts-Wrapped-Slab
52.
53.
Sid ing-Nai I ing-Veneer
Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
9. Gas Pipe; Size -Anchors
10. Water Pipe: Test-Anchors-Regu lator-Sery ice Test
54.
55.
Glazing Area -Glass Protect ion -Sky I ights-P last ic
Shear Walls; Nailing -Bolts
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protect ion- Land I ngs
57. Smoke Detector
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except #'s
14.
15.
Water Ht.; Vent� Access -Combust ion Air
Water Pipe; Test & Anchors -Nail Protection
58.
Furnace; Vents -C I eara nce-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
DXV.; 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
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails -
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
65.
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL (Permit) OK except #'s
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -C loser
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -C leara nce-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. & Mach. Equip. Listed for Location
22. Size Boxes & No. of Conductors -Stapled
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
25.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size
72.
1 nsu lat ion- Foam- Looked in Attic [-] Yes
73.
Guard Rails & Deck Construct ion -Post Caps
26.
Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor 0 Yes
27.
Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or Al,
Insulated Neutral E]Yes El No
75.
Following instld.: Drive E] Yes E] No; Walks 0 Yes []No;
Planters 0 Yes El No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Pane Is-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptac I e -U nderg round
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Perrr.it) OK except #'s
83.
84.
Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
39.
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
CIng. Joist-Rftr. Ties-Purlin- Roof Brac.-Truss-Shthng-R-Ung.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protect i on -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
003-
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. It you have any question pertaining to this
matter, or need additional explanation, please contact th�s office immedialely.
Inspector Date—
.,I
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 8911-2�51
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
a US
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date. —� 211—
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: -5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
- X '.�
IMIT 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.
�'v� /C)'j
-7
Inspector— (AAn Date
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
A
OROVILLE, CALIFORNIA — 534-4541
PERMIT NO.'
Address or location of mobilehome 3 C4- -S V"NPA 1� 1 01 It
Owner's name MA -;4 W, I't-,
Owner's address A- k, v tj /et j
Insignia or hud number So 9 4
Manufacturer's name —F/(PP JAL e4
Serial number of V..I.N. -A 're
Year of manufactul-
17N I-
'ving Installation) (Date)
(of i ia pr
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE -MOBI LEHOME.INSTALLATION
ACCE"PTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USEb-WHEN THEr,,,
MOBILIEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
5)3B White'.. Owner;-. Ye,11-ow -!nstal.ler, �ink -,DP:W._
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovilfe, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT D_�V4
ASSESSOR PARCEL NUMBER
,1. 1-
ZONING
A-6-
BUILDING PERMIT
OWN" a
TI�LEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
Q,11 Al a %,N t J C) A4 le 1-1 A18A 4
CONTRACTOR'S N -AME
9
HONE
-37 if
CONTRACTOR'S MAILING ADDRF-55
Fireplace
CONSTRUCTION LENDER
-
Total Valuation 1$
Filing Fee
$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER DIV%
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER's MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
'Q_4 A 9 t n (J1 AA) Q -
PLUMBING PERMIT
Filingffee 10.00
Each Trap
2.00
Solar Water Heater
20.00
1-1 q4A
Water piping
5.00
LOT NO.
SUBDIVISION NAME PARCEL JAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF TRUCTURE
SF[:] DuplexR Mobileh SPECIFY
Building sewer
5.00
Mobile Home IGS -f 6t#t-
TYPE OF WORK
New 0 AdditionEJ �Nmode 10 Utilities P5"' Installation[D Other[]
Describe work: A-40 T��5� Q ( MA 22P
Permit Fee
$
contractor
ELECTRICAL PERMIT
FilingFee 10.00
600V OR LESS
Main service 100 AMR OR LESS
10.00 In
A
Main service EA. ADD -L 100 AMP
2.50 sb
NEW CONST. DWELLING OCCUP.&)
OR ADDNS. ( ACC. BLDGS.
21/20sqft,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
E-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
f r sale. (Sec. 7044)
1, as the owner, am exclusively contracting wi licens d contract-
ors.(Sec.7044)F.XeCT1Ut dejfAet:l, 9 IWOG
F1 I am exempt under Sec.-, Business ancl Frotessions Code
for this reason
NEW CONSTR. ( MULTI-.UTLET
N.N_RES'D, BRANCH CIRCUITS)
2.50 ea
NEW.CONSTR (POWER APPARATUS IN)
NON RESID, SINGLE OUTLET CIR.
Ex. OCCUP(OUTLETS OR FIXTURES 20@500
FIXED APPLNS 0 R _.BAL030C
Ex. occup. OUTLETS (RIESI'D. I EA.) 2.00
-Temporary service 10.00
Mobile Home Facilities
15-00 S.DQ
Misc. Wiring 15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-] The permit is for $100.00 (valuation) or less.
V, have placed on file with the dounty of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self-Inswe.
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 Consequence of the granting of this perm t.
X Date
Signature of Applicant - Owner �Contractor E] Agent El
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 / $
OCCUP. GROUP
I TYPE OF CONST.-TWP7
I t;J
I I :;Yt
This permit is hereby issued under
sion f the Butte County Code and/or
, I c ed bove for which
wor di c
I E&TOR OF PUBLIC
By(XZ&"__
PERMIT EXPIRES Date
the ap plicable provi-
resolutions to do
fees have been paid.
WORKS
Date /o
Receipt No. 4
WHITE-D.P.W., YELLOW-ASSFSSJR, PINK -INSPECTOR, GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASS9ZS J ARF
ZONI
�L
�E
BUILDING PERMIT
OWN_
—
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING A ESS
Z W5,4,,0R
2 11,5 ff�e-
CTOR-)ff
L 'Sir
0 N E
CONTRACTOR'S t AIL A
,�;�NG DDRESS, 0
'10d.? 6 , elfl"-) 9 C H ax,
Fireplace
CONSTRUCTION LENDER
JUNKNOWN
Total Valuation
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
SE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUIL71 �ADDRESS
4/ 5;
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME 7--7L
MAP
Each qas water heater or vent,
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF F-1 DuplexF� Mobileho ��Other SPECIFY
Building sewer
5.00
Mobile Home I S I G JWT—
10-00ea
TYPE OF WORK
NewF] Addition [:1 R emode I [J Uti lities [] Installation 2��OtherEl
Describe work:
'04L
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
main service 101V OR L.ESS
100 AMP OR LESS
10.00
Main service EA. AOO'L 100 AMP
2.50
NEW CON S T, ( DWELLING OCCUP.&)
OR ADDNS. ACC.BLDGS.
2'/20sqft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
g�-<am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in fulil f�orqp and effect.
License No. 411"7t20:3 — Classification C-6 (
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)
El I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
FI I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTFL ( MULTI -OUT LET
NO N.RES'D, BR ANCH CIRCUITS) 2.50 ea
NEW.CON,STF;L (POWER APPARATUS 6)
NON RES D. SINGLE OUTLET CIR.
20@500
Ex. OCCUP(OUTLETS OR FIXTURES IBAL@ 300
Ex. FIXED APPLNS. OR
OCCUP- OUTLETS (RESID.) EA.)
2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee - $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
T�� permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
W-�a- Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self-InVure.
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 shal I 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
agains id C nty in c ce of the granting of this permit
X Date
Signature of Applicant O,-�A E:1 Contractor KL—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 $ 0 0
TOTAL PERMIT FEE $
OCCUP. GROUP
PARCEL
PD-
H
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC,70)t OF PUBLIC
By. 1 4v--,
PE Rik EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
— Date 7, Z��,F
7 - -L, r;-
-7 - I
1
Receipt NO. '7 ct
WHITE-O.P.W., YELLOW-ASSZSSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT
i
SO
06 � /6 '�? � 9p
d ey
,Q YOO . 4
� 'k 16
W
.08 .09
IOVI .0Z L 1001'
60Z
Is & Workmanship Shall Be in
NOTE:—All Materia
.-ce with Recognized Good Practices and
Accordc Specified use in the
1; - I 'or the
of a quON-Y prescriv e--, T, * al Codes and
an!
umbing & Mech
I Building, PI
Uniforrr
ional'Electrical Code�
the Naf
.0,
%JI
4
This set of plans and spec-ifi,7-tions MUST be- ts
nA it. is. unlawful to
,ppt on Ae i'06, at all f;me
s, M
611ake any ch,.'i.ne -lf'-rm�ions'on some without
.jeS or
written permission from f he Department of Ptiblic
Works, County of Buffe.
Oz L.
Utilityconnections shall be within
4 ft. of the mobiiehome, either
directly behind or within the rear
half of the roadside (left) of the
1,�obilehome-
fo
A pormit will be required
Installcition of the mobileho e. I
A setback of 5 ft. from.fhe
500 SQ. Ff MINIMU
property lines and a setback
Eo�' moild
of 50 -ft. from the road
centerline.shall be clear of
structures or equipment except
0801�'"
for a 2 ft. eave overhang,
aFA*O- Dr- *LL- iZ=A S
- N'11
Ou YI:.--,.,-�,o,. N.
N
`-IB
UTTE,"-Cou -T
.D
EPARTMENT
WILOING
A 'P
PROVED
Return to DPW AGRICULTURAL STATEMENT -OF ACKNOWLEDGEYIENT 85�42290
FOR RESIDENTIAL DEVELOPPIENT
F�, R' li�QA�1�. IR
Section 26-8.1 of the Butte County Code requires this acknowledgement vi�hr �t� S
R
M
be recorded prior to.issuance of a building permit. PAM SHO
M0
[,!,I 12
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this
Q L E R; K, - R V'�� 0 1 0 E P% 0 -
property may be subject to inconveniences or discomfort arising from
,-- --- - - F E E,
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 occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations. ,
All that real property situate in the County of Butte, State of California, described
as follows: /04- tf 0 Co ION
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Date: Anril 25, 1985
State of California
SS.
County of . Butte
MaEOFFICIAL SEAL
GARY D FIFE
NOTARY PUBLIC - CALIFORNIA
BUTtE COLINTY
My comm expires MAR 20, 1989
Present A.P. No.
PROPERTY OWNERS:
on this the 25th day of April M,85 , before
me, the undersigned Nbtary Public, personally a'opeared
Charles'Benish
Personally known to me. 1XX ed E16 me on the basis
. of satisfactory evidence.
to be the person(s) whose hame(s) is subscribed to
the within instrument and acknowledged that he
executed the same for the purposes therein contained'
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
por) or. Docum-m
" fn� - �, -
Ngfdry Publ V/
1p,
AGRICULTURAL, AFFIDAVIT. 15/J -Z 5/UO OA)
EMIPLOYEIR
E uploye Phone 3 7//-
T�,Rlployer's Address (Present) q3 de W CA
Nam.e of Owner
13 C/ 13 A u C', f-9 t V
Owner's Address
Owner's Assessor -1 s Parcel No. o 2- ---1,3- 2-- o o
Buil�ding/Environmental Health
Permit Description and Nubiber
Date I ss u e d ----By__
en
Planning -De art."a, Approval:
Zoiae /I- I)I,, e* 11 i ng on AP//
Date
By
do declare, subject to -the
penalty. of per -Jury, -that -1 am the employer of_.
1,9ex on AP// 0 3 -,Z -00
address (present) 11 14 &, - __ . . -
-.e aj
.a . -nd that I will 'be employer under'Section 24-21.22, A /5C for 'a t least-
-(-aT t —oCf-,!T-.
thirty-two (32) hours per week for at least'sixteen (16).weeks per year o -n.
19 "7 XI
Dated 57
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1. owner's name:
,BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS
'7 County Center Drive, Oroville,kCA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
2. Installer's name:
3. Is the site currently under permit? Yet No
(If yes, furnish permit number
Is the site an existing site? Yes -No
- . -,03.
OR
(If yes, furnish two (2) plot plans.) -
4. Will the mobilehome' be located at least 5 ft. away from septic tank and leach fieldis and
clear of all setbacks and easements? Yes No
(If no, clarify
5. What is the mobilehome electrical rating? ----------------------- a 6 Amps,
6. What*is'the mobilehome'-'site service rating? --------------------- 0 -Amps.
7.. What is the mobilehome site circuit breaker rating? --------------- AmDs
8. Is there'any other'electric load to be,.served by the mobilehome
siteservice? -------- ----- ----- ------------------------------- Yes No
(If yes, identify'the load and size: (Load) (Amps)
S
9. What is the mobilehome site gas pipe size? -------- --------------
10. 'What is the type of gas service? ----------------------- NaturalTZ7-- LPG
11. What is the gas pipe length from meter or tank to the mobilehome? A- 57 (f t.)
12. what is the mobilehome gas demand?,7---7 -------------------------- (BTU).
(This information not requir6d if pipe length less than .6 ft. on natural-gas.
or less than 50 ft. on LPG.)
21 1 �_o
BUTTE COUNTY
WILDING DEPARTM5W.
M
A P P Ir? 0 V E,
MOB ILEHOME SUPPOWI: DKfA
lf'ot�er than single wide,
Mobilehome Mfr. furnish Setup Model No. d4 o 3 Y e a r
)didth (ft.) Box Length Zt(D (ft.) Tagalong or Expando Size_-4�;��Xft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973j furnish manufacturer's installation
manual and'structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
Footings (check one)
single rq_r_-�Wood either
pressure treated or
0.71 V D I foundation * grade..
. (in.) (in.) 2. Othei(specify)
(ft.)(in.)
Center support Center support
locations* footing sizes Supporto.(cheek one)
(in.) a block.
G4 —Concret
.2. Other.. (specify)
(ft.)(in.) (in.) (in.)
ME
P,
(ft.)(in.) (in.) (in.)
X
(ft.- n.) (in.) (in.)
'LID
(ft.)l (in.) (in.)J(in.)
4
*If center piers ate other than drawn above,
draw in. -locations, spacing, and dimensions.
Tagalong or Expandd,'
show support -details.
1 "—�,�)X.30� -- Typical Support
I (In�) (in.) Footing Size
(ft.-Xin.)
(ft.) (in..)
-- Max. Pier Spacing
-- Max. Overhang
AP #
OWNER aami
PERMIT #
MH UTIL.CUARANCE DATE
INSPECTOR
ELECTRIC
GAS
Str c.
Compadtion
Test.Req.
;ervice
;ize
Other
Load
.-Type
Pi�e
Size
,,Support
Length
YES[ NO
YES NO
te-