Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
021-190-057
L AP21=f 9-57 JOEL SMITH NE corner Evans Reimer d., & French Ave., Gridley '�� 6'-11- Permit# 1935-75P,E(u , MH) ELEC . a.� GAS z 7S / SUPPORT STRUCTURE REQ. n O COMPACTION TEST REQ. -r.P 21-19-57 Permit# 2210-75E(s)-for 1935-75) -- AP 21-19-57 CONTR: ;Twin City MH Sale Permit# 2401-75MHI Issued G 3- ;�-r 21-19-57 HAROLD E. SMITH �• n� 800 French Ave, Gridley �I/�o�� Contr: Royce Guhl Permit#1819-85E(add ele ser/3 phase) 021-190-057 PERMIT#95-1574 LAMMEY, Leroy & Mary 810 French Ave., Gridley MHI Ex Site 021-190-057 PERMIT#95-1783 LAMMEY, Leroy & Mary "- 810 French Ave., Gridley Install Gas Line/MH O vj�-- fv PoVIbE 244x 4 5-14 PPO te7s (j,) IfAil. f--) t-ct4Tt64j� 7*u a Lvn f. r6 co BU, AP f� � sc � C jr : COUNTY DEPARTMEW ROVED _ � r i, , ' + • • Y a. rte. r `1 .. �.. ` I, � ` ` _ 1`, -- S z . _ � . ,_ ,rar, iai�d .�..�ir.s.�.r...aa.. ..a . i �_ � � Y ' � ti� � 1 .. � � t • � ♦ � ..1 FI � ! � - _._-� - - � - ti � i his set of pians and speciticnfions MUST b: M. xept on the job of all times and it is unlrraful -tr.-- make any changes or alterations on some without wri f fen permission from the Department of. Pv i'r L,Qy'y_1 m �. _ Works, County of Ruts. _ _ .. NOTE:—All Materials & Workmanship Shall Accordance with Recognized Goad Practices andL��� of a quality pre cr16ed for the Specified use-in-40— Uniform Building, Plumbing & Mechonicol Codes and .� Fhe Nationol Electrical Coop. V911- Lc'A j ►d T we t L of structures ocalion equipment sha!l bo as alivwn !- r & CWT Of rjl Q rr �- Cb lottis Butte County iroental--HQalth v'>�m Dat____.___...._._____. � ...._...^...._ _.........__.._ tignature VF- I F1L� c�� y ',MH Util. liPERMIT NO. 1935-75P,E gg P P E M r MH UTIL. :PERMIT NO. r PERMIT EXPIRES 7a OWNER Joel Smith ICONTR. LOCATION (A.P. 21-19-57 ) i NE comer Evans Reimer Rd., & French Ave.' Gridley Temp. Power-Reft Called PG&E Temp. Elea Serv9!1/-1—.2-r75 Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED_ � ( (Signature) t i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback /f 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 Pipi Piers Roofing Se Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final ' Sanitation Patio FIREPLACE Final Footinas Footing _ ELECTRICAL_ F 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 Permanen Door Closer Final Final d DATE REMARKS ORoCORFjECTIONS ell 27 9. Electrical A. Is service large -enough to provide adequate -amperage -to mobilehome (must equal ratiink of mobilehome with a minimumof 1 amps and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Ye No B. Is the proper clearances around panels? Yes - No C. Is power supply cord or feeder assembly properly fused? Yest,_ N D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome atthe pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to .the "on" position. 4. Connect one lead of a test instrument to the mobilehome-grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electridal tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? .11. If everything okay, sign -off card and tag services. MOBILEHOME DATA ,p Manufacturer and/or Namestyl Length Width Vehicle Serial No. t State Identification No. Additional Information or Comments: .'`� MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with equired separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Ye(s� No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Secy 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If mo than a single unit; are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fl ible connector of adequate size and properly installed (1/2" ID man.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes 6 No C. Backflow - If coach is not State of CC: 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? YesL, No B. Does it have minimum" per foot slope and is it properly supported? Yes V No C. Are any leaks detected in drainage system after running 3 -gal ons of water through each fixture including washing machine standpipe?.Yes No Ca D. If coach is not State o liforni at 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 pot more than 6 ft. long? Note: All piping is to be at least as large as the mo i ome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK aser following procedure? Yes v/ P g P _ 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. ' 4. Connect gas meter to mobilehome with connectorZturn gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes 140 utility connections shall b located within 4 ft. outside the re- th i rd section of the mobile home on the left (road) side of the mobil home. Septic system and locations" —�"-s4t4-eto to be as Itte County Healith Dept, gL,irements. 1 W fhe Setback shall be 5 ft. from v the side property line and 50 ft. from ` the centerline of the road, permittirr (hit set of plans �MUST. bt maximum of a 2 ft. eave overhang, cept on the job at all times and it is unlaw•iul to mak(- any changes or alterations on same vait64,t written permisson from the Department of Public Works, County of Butte. - f LJ 1 +� v BUTTE COUNTY '3UILDING DEPARTMENT APPROVED 'i COUNTY OF BUTTE — DEPARTMENT OF PUBLICS 7 County Center Drive — Qroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Y w .-v -• ,..I+, Baa —I vw k— -1 Ly VI UU— — OIIICI UPUI1 tI IV above-mentioned property for insp ction purposes. X /,L�W Date"/— /—/ —Signature of Perrmmitteee or Agent Receipt No. 4,24 o z 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 UBLIC WORKS BY g;;g— Date S —1' _ 7-1 Building permit expires Date ................... �l� — BUILDING Owner r SQ. FT. OCC. BUILDING VALUATION Mailing Address `. ,s� Telep one No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address vPLUMBING No. @ FEE PERMIT FILING FEE $2 -Go 'e r zez Each Trap 1.50 C"7� CL Repair drainage or vent piping 1,50 Water piping 1-59• e�}i Each gas water heater or vent 1.50 A. P. No. �./—/ —� 7 Zon' Gas piping system 1 - 5 outlets p,QrU Each additional outlet .30 F W S tion Fire Dept. Fir77eZone' Use Permit Building sewer 5� EQA Parking Parcel Plans eclaration Parcel_ ap 60' R/W Improvem fits Lawn sprinkler system 2.00 Recd _tVIan arce pproval PI pproval Permit Fee $ $ 3 P•C NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3,00 _3, 6V Main service incl. 1 meter.?,(9 qQ 3,0-0 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home E Others ❑ Ra6ge, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal� io ' Receps., switches & fix outlets 2 ba 11:L 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp.or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities -5-00 Jam, c�77 Temp. Power Pole 5.00 License No. Classification Misc. wiring t J l am exempt from the Contractors License Laws of the State of California. Permit 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. 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. @ 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 $� y w .-v -• ,..I+, Baa —I vw k— -1 Ly VI UU— — OIIICI UPUI1 tI IV above-mentioned property for insp ction purposes. X /,L�W Date"/— /—/ —Signature of Perrmmitteee or Agent Receipt No. 4,24 o z 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 UBLIC WORKS BY g;;g— Date S —1' _ 7-1 Building permit expires Date ................... �l� — COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 70 7 County Center Drive — Crovi Ile, California 95965 / Tel ephon.e: ,534-4541 / APPLICATION AND PERMIT P/ aurnorice representatives or the county of butte to enter upon the above-mentioned property for /inspection purposes. Signature of Permitee or Agent Receipt No. 1 S 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 0 PUBLIC WORKS Puildin Date %.ig permit expires Date G -3- 76 BUILDING Owner © _ SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace _ Contractor (J�// �— ,lLc Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone N -Permit Fee Building Ad/dress SPLUMBING No. @ FEE PERMIT FILING FEE $3.00 _ / — /V A 4411,4:_ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No._ — l -- Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel eclaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans ec'd Parcel Approval Plo Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethan 12) - Single Family ❑ Duplex ❑ Mobil Home, Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 'b20 Receps., switches & fix outlets 120 10 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�/J Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 - Temp. Power Pole 5.00 License No.%-7SD _ l J Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Is 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. El 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. @ 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 S / O 30� TOTAL PERMIT FEE $ O D aurnorice representatives or the county of butte to enter upon the above-mentioned property for /inspection purposes. Signature of Permitee or Agent Receipt No. 1 S 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 0 PUBLIC WORKS Puildin Date %.ig permit expires Date G -3- 76 V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS//, �— %� 7 County Center Drive — Oroville, California 95965 C/ / Telelihone:' 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property �t for inspection /purposes. G 6 X X Date �• % ( % Signature of Permite or Agent y/ Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code apzWpr resolutions to do work indicated above for which a een paid. R OF IC WORKS B Date SQL' permit sxpii;e Date -/12-74-- 74 BUILDING TSQ. Owner 01SA, / FT. OCC. BUILDING VALUATION Mailing Address S� Telephone No. — Z O Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 `j Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N—� —�— Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Ftesl 4< San+te*et'r Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Flans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plans Rec'd I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 did Al-i�+,y/T / 3� Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Mv Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures y pd2 Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. coo I er, gar. d i sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Faciliti s 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ • ,,g $ 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. MECHANICAL No. @ 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property �t for inspection /purposes. G 6 X X Date �• % ( % Signature of Permite or Agent y/ Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code apzWpr resolutions to do work indicated above for which a een paid. R OF IC WORKS B Date SQL' permit sxpii;e Date -/12-74-- 74 DOCUMENTARY TRANSFER TAX $_ 6.95 XXX COMPUTED ON FULL VALUE OF PROPERTY CONVEYED OR COMPUTED ON FULL VALUE LESS LIENS AND ENCUMBRANCES REMAINING AT TIME OF SALE. detem4ning tax RECORDED AT THE REQUEST OF: FRONTIER TITLE COMPANY MAIL TAX BILL TO: Mr. & Mrs. Harold Eugene Smith Route 2, Box 652 9235 Gridley, Calif. 95948 NCRow No. 5066 A. P. NO. ABOVE SPACE FOR RECORDER GRANT DEED FOR VALUABLE CONSIDERATION. -WINIFRED E FINK AND ANITA P FINK, his wife DO HEREBY GRANT TO TAX PAW HAROLD EUGENE SMITH AND HILDA JEAN SMITH, his wife, as joint tenants That real property situate in the...... UniRC.Qrpox atad... aY'e.a.............Count, of .... utte State of California, described as follows: Parcel 3, as shown on that certain Map filed in the office of the Recorder of the County of Butte, State of California, on April 29, 1974 in Book 49 of Parcel Maps, at page 77. Reserving therefrom and together with a non-exclusive easement for ingress and egress over a 60 foot strip of land and a 50 foot radius cul-de-sac as shown on said Map. Dated: ...... Auguat... 28.....19.7..4 .................................... -,e'aG?......r...... .. _ ....... ...... ViINF D F .s�` . .. �.-....V....:......... �.r.%......V ......................... A TTA' P FINK STATEOF CALIFORNIA........................................................................................................ ....................COUNTY OF ... ,S.UTTER........................... .. (ss: On ......... August ....2.8., ..... 19.7..4 .......................... before me the undersigned. a Notary Public in and for the State of California, having my principal place of business in said..• ..Utt.e.r.....County, personally appeared .... :Kini.fred,,,E•.._F nk...and•-•Anita•...P.........., MW JWW �'.1%i,�C.............................................................................................................................................................................................................................................. known to e SiA°aff to the within Instrument, and acknowledged to me that..they.......................... I� executed th me.FFICIAL S _ � -�/ -' V+iLLIAM F. MeCOtWIN ^tiTa ' .. .. .................................? .....j SU''—�FR COUNTY w1....lam F. MCCOW..n Notary ....Y....Pu Public My Commis3ion EuFires JAN. 24,1977 ....................................................................................................'..'....'..I........ ........ �rs�.•�coh.�,r�cas.rwvo.� Printed or typed name of Notary Public MAIL TAX BILLS TO ADDRESS ABOVE FRONTIER TITLE COMPANY END OF DOCUMENT n 4 1 C.11All 074 , V,Vi rte COul.I 0 a r ::E Mr. & Mrs. Harold Eugene Smith Route 2, Box 652 9235 Gridley, Calif. 95948 NCRow No. 5066 A. P. NO. ABOVE SPACE FOR RECORDER GRANT DEED FOR VALUABLE CONSIDERATION. -WINIFRED E FINK AND ANITA P FINK, his wife DO HEREBY GRANT TO TAX PAW HAROLD EUGENE SMITH AND HILDA JEAN SMITH, his wife, as joint tenants That real property situate in the...... UniRC.Qrpox atad... aY'e.a.............Count, of .... utte State of California, described as follows: Parcel 3, as shown on that certain Map filed in the office of the Recorder of the County of Butte, State of California, on April 29, 1974 in Book 49 of Parcel Maps, at page 77. Reserving therefrom and together with a non-exclusive easement for ingress and egress over a 60 foot strip of land and a 50 foot radius cul-de-sac as shown on said Map. Dated: ...... Auguat... 28.....19.7..4 .................................... -,e'aG?......r...... .. _ ....... ...... ViINF D F .s�` . .. �.-....V....:......... �.r.%......V ......................... A TTA' P FINK STATEOF CALIFORNIA........................................................................................................ ....................COUNTY OF ... ,S.UTTER........................... .. (ss: On ......... August ....2.8., ..... 19.7..4 .......................... before me the undersigned. a Notary Public in and for the State of California, having my principal place of business in said..• ..Utt.e.r.....County, personally appeared .... :Kini.fred,,,E•.._F nk...and•-•Anita•...P.........., MW JWW �'.1%i,�C.............................................................................................................................................................................................................................................. known to e SiA°aff to the within Instrument, and acknowledged to me that..they.......................... I� executed th me.FFICIAL S _ � -�/ -' V+iLLIAM F. MeCOtWIN ^tiTa ' .. .. .................................? .....j SU''—�FR COUNTY w1....lam F. MCCOW..n Notary ....Y....Pu Public My Commis3ion EuFires JAN. 24,1977 ....................................................................................................'..'....'..I........ ........ �rs�.•�coh.�,r�cas.rwvo.� Printed or typed name of Notary Public MAIL TAX BILLS TO ADDRESS ABOVE FRONTIER TITLE COMPANY END OF DOCUMENT CL rt 1 1. 2. 3. 4. 5. 6. 7 go COUNTY OF BUTTE - Department of Public Works 7 County Center D, ive,, �Oroville, California PHONE: 534-4541 MOBILEIIOMc INSTALLATION INFORMATION Lot.Facilities Plot plan dimensioned, location of mobile and ut'lity connections? Yes No Ele rical. service equipment ampacity Z6tJ Circuit breaker ampacity /0-0 Permanent Wiring Connectio " Ampacity 1Aj) R�eep C"`ire t -y Gas: . Natural-----,- LPG Gas riser size Drain inlet size 3 Waver riser. size 3/ - Are utility connections located outside the rear 1/3 of the mobilehome within 4 feet of the left -wall? Yes X No If not, show di.mensions. above. Is the mobilehome clear of septic tank, leach fields and located outside public utility easements? Yes ✓ No Do you propose to do other work on the property other than the mobilehome installation which will require a permit Y Yes No X If so, specify Mbbilehome Dat�aj 1. Length 6/;0 WidthZ`- Manufacturer Z 41 -165,e Vehicle Serial No. S- ±o Insignia Control No. 2. Feeder assembly ampacity Conduit size Z " Power supply cord (ampd 3. Gas inlet size Mob! eheme �ete- size_ „C R --�.. 4. Drain connector: describe on reverse side 5. Water connector: describe on'reverse side 6. Designed loads: Roof live load ::?-j psf. Wind load A5;- psf. . (only for nobilehomes manufactured after October 7, 1973) Manufac rer's installation instructions? Yes No 8. Will the mobile home be installed on a separate support structure? Yes No ✓/ ^For plans and specifications of support system, see other side. 0 2p ADDITIONAL COII�D!7,dTS Drain Connector, Describe Water Connector, Describe a LOAD BEARING SUPPORT AND "200TING INFORMATION — Pier Spacing Used .L--/ Maximum Pier Load`s �) Maximum Column Load (multi -units only) Soil Bearing Capacity. /4-1-y Footing Dimension L'sed` 2/Z —Z.cL TYPE OF PIER USED Steel Concrete Concrete Block X Other TYPE OF FOOTING MATERIAL USED Pressure Treated Wood %C Concrete Xt dwood (Grade) her Approved Type __ 7LO�iU BEA* �/ SUPPORTS BUTTE COUNTY BUILDING MPARTMENT APPROVED R4 � � 1 �'A 0i- r,? -5'7 ue LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 196 Memorial Way ® 7 County Center Drive ❑ 747 Elliott Road Reply to Chico, California 95926 Oroville, California 95965 Paradise, California 95969 Telephone: 916/891-2727 Telephone.: -916/534-4281 Telephone: 916/872-2961, Ext. 58 February 28, 1985 Mr. David Hammons 515 Daisy Dane Gridley, CA 95948 RE:. Complaint - Harolth, Nle corner Evans -Reimer Road and French Avenue, Gridley - AP// 21-19-57 reed A-5) Dear Mr. Hammons: On February 21.and 25, 1985, I visited the above listed property to determine if there were any violations of pentinent health laws. I contacted the son of the owner and checked the premises. No wastes were found in the drainage ditches. Garbage was in a large dumpster. I determined that the business operation was a wholesale produce venture, and not under Health Depart-.. m ent permit regulation. Smith has permits for two roadside produce vehicles. No truck parking onto the French Avenue roadway was evident. If it does occur, the Butte County Sheriff should be notified. I referred the complaint to the Planning Department for a possible zoning vio- lation. There may also.be a violation of Public Works regulations, i.e. permit for construction of the produce.building. Very truly yours, 6"ward�J. nyJr., R.S. Division of Environmental Health HJS11ml f cc: Public Works _ Jim Glander Planning - Vince Anzalone erm ;ts W efQ re—_ U i T- — din n Lcs aT�cvy-, Icy ears vie G3�b -7a?? l._ Fermit#1819-85E Harold E. Smith 800 French Ave, Gri( a f U) -J IL t 4 r OFFICE COPY a Address GAS Date Meter By ELECTRIC Dat Meter By : r t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cg01ifornia„95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER I TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 i Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G JW I 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ I t Describe work: _ r + F — — f j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 r Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. t 2/20sgft 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 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 NEW CONSTR. MULTI -OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS NON.R ESID.R (POWER OUTLETTUS IN) CIR Ex. Occup(OUTLETS OR FIXTURES SAL@300 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 $ ; r 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 County of 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 of the granting of this permit. X Date Signature of Applicant — Owner Contractor ❑ Agent Q 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 $ OCCu P. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. r WHITE-D.P.W.. YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville; Cahfohiia 95965 - Telephone 916/534-4541 a � APPLICATION AND PERMIT PERMIT NO. w ASSESSOR PARCEL UMBER — � — ZONING ' BUILDING PERMIT OWNER C � � TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIL G ADD ESS Soo JQJ 9PI'd CONT CTOR'S NAME �L1) TELEPHONE CONTRACT 'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S "RILING ADDRESS Permit Fee $ ARCHIT CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS QO �1n PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCE MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Add i Reodel ❑ lities ❑ Installa ' ❑ Other ❑ Describe work` el y V t _ F Permit Fee $ Contractor ELECTRICAL ELECTRICAL PERMIT Filing Fee 10.00 Main service 8011 OR LESS 100 AMP OR LESS 10.00 itmin Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full 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 NEW CONSTR ULTI.OUTLET NON -RES,., CIRCUITS) 2,50 ea NEW CONST R. ( POWER APPARATUS &) NON -RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES gA 50C 300 FIXED APPLNS, OR EX. Occup. OUTLETS IRESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /s 1 Permit Fee $ Contractor 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. 29 1 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all Ii bilities, judgments, costs, and expenses which may in any way accrue aga'Ins said County in conse uence of tft granting of this per it. X- )Yr�1 Date Signature of Applicant — Owner❑ 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 $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OAPUBLIC .r BY PERMIT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date //_ /�%/^_ 6 y -,z C, Receipt No. � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT CRESIDENTIAL 021-190-057 PERMIT#95-1574 LAMMEY, Leroy & Mary o' 810 French Ave., Gridley /MHI Ex Site JOB FINALED (Date) Signature J=OK 0= Not OK' Not = Not Readyable MOBILEHOMES B Date ,MO0ME UTILITIES (Plans) OK except #'s 1J Requi ements-Setbacks-Easements it Spe al MH Support Sketch -cation-Test-Fall-C/O Concrete r; Location -Test -Easement Needed (Sketch) AMM trfcity; Location-Clearences-Grnd-/ /Amp -Concrete as; Location-Test-Wra ft. / /"Nat. or/ /" L"ft./ / G ell Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MO LE HOME INSTALLATION (Plans) OK except #'s 1. ing Requirements -Setbacks Easements t . Foo ' gs; Size -Spacing -Marriage Line e-das; MH Test -Dem d -Valve— onnector36 1 4. Ele tricity; M T st-Gros er Breaker Clearances 1 `_5lDrain; MH Test -Fall -Flex Connector r; MH Test -Regulator -Connector 7. t, -'r and Sewer Connected -C/O to Grade -HD Approval -Gas and Electricity Tagged QL�x Insp.-Sketch 10. Cert. of Occupancy Dateand B-1 Date Card B-1 Date Card B-1 Date Card B-1 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- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. 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-Enclosures-Panelboards-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 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils -Elea Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 - Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti'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 ti'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 Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------------ - --------------------------- -------------- 31-. ------- -------------•------------------------------- 31. Equip Cleara-nces 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 ti's 34. A.C. Ducts Insulation & Support ------------------------------------- -------------- ------------- 35.- Vent Fan: Exhaust above insulation 36. Condensate Drain & Overflow: Size & Grade -- --------------------------------- ------- 37 - ----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 ti's 39. Sils. Proper Material & Anchors ------- ------- ------------------------------------------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------- -- - - --- ----------------- --- - ------------------- 41. ----------------- 41 Bearing Walls over Girders & Floor Nailing --- ------ - --- -------------------------------------- ---------------------------- 42, ---------------- 42. Draft Stop in Walls (rat proof) -------------------------------- -------------------- 43 Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------ - Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued)'t 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 -Head room -Rise- Run- Land in Fire Protection ----------- _ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------- --55. --Siding-Nailing Veneer ------- -- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic --------------- --- 58. Shear Walls: Nailing -Bolts ----------------------- 59. Insulation -Walls -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 ti'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 & S_u_b_panel: Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth -------------- ------------------ ------- -- 6J. 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. & Equip. _Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------- ----- 7-,. Insulation -Foam -Looked in Attic ❑ Yes -------------78.-Guard-Rails & Deck -Const ruction- Post Caps ------------------------ - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes • ----------------------------------------- 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No -------------------------------------------- ---- 81. Stucco: Brown -Finish -------------------- --82.-.A.C.------- --- -- Unit: Disconnect. Electrical, Plumbing ------ -------------------------- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing -- --------- ---------------------------------------- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House -- --- ------------------------------------------- - 87. Glass Protection - ---------- --------------- ------ 88. Corrections from Previous 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-6-1-------------Date---------Card B-1 -- -- ------------------------------------ -- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021"-190-057 ZONING BUILDING PERMIT OWNER LEROY &MARY LA)vLKEY TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 810 FRENCH AVE GRIDLEY CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS_ MAMMAL' AVE PERMITFEE $ GRIDLEY PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑K Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U5lities ll Installation ❑ Other ❑ Describe Work: INSTALL GAS LINE - Mobile Home S l W @20.00 20.00 PERMITFEE $ 40.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 000 V OR LESS \ ( 200A OR LESS J 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ACDNS. ( a ACC. BLDS. ) s0. 3.SQ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( a POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL 9 .50 Ex. Occup. (OURESIDJ EA FIXED OUTLETS ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. i �_-- Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee is OCC CONST. TYPE TOTAL FEE $ 40.00 HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have B0 PERMITEXPIRESON applicable provisions Resolutions to do work been paid. �y �� 7 /_1 Date / 06 (Oa ) Receipt No. /j � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD•APPLICANT MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ---PHONE (916) 538-7541 APN: PERMIT NO.: Ownets: Name: Owners: Address: �3f; Mobilehome �'� Y.' Year of Manufacturer Lam/ "` Manufacture: G Serial number^7 10-73 ) =• Insignia or 2 1HILID.....—er: � 1 or V.I.N. J V —3 Official approving installation: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor _A6 MOBILEHOME INSTALLATION ACCEPTANCEY' COUNTY OF BUTTE' t DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO.: Owners: Name: Owners: Address: Mobilehomel 7 Year of 1i 1971 Manufacturer /'� Manufacture: Serial number / ' Insignia or �j� I /� �' or V.I.N. V HUD number:` w Official approving installation: Date: If the mobilehome"is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall f not be used when the mobilehome is installed on a foundation system. .. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor i MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE 4'„ "` DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 ' APN: PERMIT NO.: Owners: . Name: r Owners: Address: Mobilehome j —�i..� / \// Year of rr Manufacture: /97) Manufacturer i'� / ( Serial number ' V / � 3 Insignia or ��i� � "� or V.I.N. V HUD number: _,,7 Official approving installation: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor t Lf .r}-�._.--r---"ti.("'•�--yf•�Y'Y�`•'f'�''""�..ry.�•,.„ti,lt-w'�"SN ".+-r+l4e,.�. �.•"'�,�-..r..-y�Y 7�-'"'-v�JN'ir'^ v^vey�'�-,!X`w--..^r.r"•Y�++s�-{rv'^rlr�JLrf;•,.l•7..n.r'"^�' w.'f ^�,I"' Y MOBILEHOME INSTALLATION ACCEPTANCE , COUNTY OF BUTTE;P*j$ Y DEPARTMENT OF DEVELOPMENT SERVICES t BUILDING DIVISION --7 COUN rY CENTER DRIVE 4+ OROVILLE, CA 95965 --PHONE (916) 538-7541: APN: PERMIT NO.: Owner's: Name: Owners: Address: Mobilehome Year of /971 Manufacturer Manufacture: Serial number 1 �1 0 73 Insignia or � Q� or V.I.N. i (� HUD number: Official approving installation: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome, is installed on a foundation system. Sys! %,t 5138 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Z-Ahj 44 1 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you hove any questions pertaining to this matter, or need additional explanation, please cont ct this office immediately. 17 444 L& G 4 v 1 0/L) G,� or �J 1 . , , w �;cx';'�R�:4�`t�iF�'�`,.:de�y�.y.r...;s�,�. .. . � r - �.:p•;r.rx,..^ � ... .. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021-190-057 ZONING AS - BUILDING PERMIT OWNER LEROY & MARY TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 810 FRENCH AVE CRT CONTRACTOR'S NAME �•� llYl l\ i:�I� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 3.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 810 FRENCE AVE PERMITFEE $ 43.00 GRIDLEY PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X1 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation CY Other ❑ Describe Work: - Mobile Home I S I G1 W @20.00 PERMITFEE $ Contractor _. ELECTRICAL PERMIT Filina Fee 20.'00 Main Service 000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class IL No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Laor the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 (, POWERSINGLE APPARATUUS ) 8 OTLET CIR. Ex` Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL .50 Ex. Occup. OUTLEEDTS �FESIO.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contrdctor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wjth those provisions. X _ ; _ Date Igna ure of App c n - ❑ Owner ❑ Co actor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 143.00 HAZ. I D. FEES I IMP I FLOOD I COF PARCEL Po I HD I ISSU This permit is hereby issued under the of the Butte Countypp Code and/or indicated bove for 4vhich fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date ?%/zA6 (Date) Receipt No. / ,11�0 ,�' PAl — ' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, •faliforhia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021-190-057 ZONING BUILDI PERMIT OWNER LEROY &MARY LAMMEY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 810 FRENCH AVE GRIDLEY CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 810 FRENCH AVE PERMITFEE $ GRIDLEY PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Y] Installation ❑ Other ❑ Describe Work: INSTALL GAS LINE Mobile Home ISI CXIW 920.00 PERMITFEE S 40.00 Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service800v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( d ACC. BUDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 2U @ 1.00 BAL .SO50 Ex. Occup. OUTIED PPLNS. OR Fa ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wi those provisions. __ Date Signature A - ❑ Owner ❑ C ntractor ❑ Agent X lisequired OSHA permfor excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE I TOTAL FEE $ 40.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE, This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been B PERMITEXPIRESON a (Dat provisions to do work paid. J-11,;26An ate ) Receipt No. Q(a K2 WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville,,California 95965 - Telephone (916) 538-7541 APPL' ICATIOI4AND PERMIT PERMIT NO. ASSESSORP NU BER �' �NtNO BUILDING PERMIT OWNS TELEPHONE SO. FT. OCC. BUILDING VALUATION ' OW7 MAILING AD .CONTRACTOR'SNAME. - GAJ ►' ••�/�� - _ TELEPHONE' TELEPHONE- - _ .. . CONTRACTORS MAILING ADDRESS - - _ Fireplace - CONSTRUCTION LENDER - UNKNOWN - Total Valuation $ - Filing Fee $ 20.0.0 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUflOINGADDRESSPERMITFEE o S PLUMBING PERMIT Filing Fee 20.00 1 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME RCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uililies A Installation ❑ Other ❑ Describe Work: Mobile HomeiS G W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service Goov oR u¢Ss ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SO. OR ADDNS. ( a ACC. BLDS. ) 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET Ci,7. ) Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL Q .So EX. Occup. ( OUTLETS (RESIFIXED D.OERA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. X Date .Signature of Applicant - ❑ Owner ❑ Contractor . ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ i OD HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON me applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT •. •- �M.n+^•+��'.;T•-..i+. r-'^'_�... Fi-- n y ,.�5- i .. i_ .._ _ .. ., ! COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER P No. P - I OS"7 Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... bio . Mobilehome data and manufacturer's installation instructions, 2 sets. ...........(f 10. Fees of $ . ............... . Impact fees as shown on attached schedule.�L.�'` ............... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by C ifornia Engineer. . 14. Sanitation and plot plan approval 1'UVII L.4 Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. . st 20. Pre -ins ection for toBuisingIns ecuer p required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . .....................:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check ist. ..... ....`�, ........................................... 33. O W 6 t (\+n - 34. \ b- 34. When you issue the permit p ocess as follows: Mail to owner. Mail to contractor. _-Telephone _ and hold for pickup at ()iwl Ile . office. Deliver with inspector. Other Parcel Creation gz✓� sr,r �t}� Acreage Applicant Date 7 -'t- L5 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By 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 _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by t B %Ia•\ts Date % -1 Plans approved by G (Q f3a Y✓ 5 Date % :�3_ Sets of plans on hold in File cabinet �_ AP folder Copy - Department of Public Works TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance F H.H. USE ONLY Plot Plan Attached Ploor Plan Atmehed Seat to E.n. 7 —) ,,2-- i yy� wner ✓ Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for J--, bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: IFC t �S Environmental Health Specialist 8/92 Date r' f O.B.- I .......:...:.:....... .. :::.:.:::::::.:::::::.:.:<:.:IER .:.:..:..>�v.� - n; Y.:iti}iii:. ... :ii.•: .. w`.iY.J �i .:.;, .......::: i::: i::::::.:v-i:::, .:. .::n:vv.:::v}i;•i;..+ii; :::::::..:::::.: Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed pro erty improvement : YES NO[ ]. ZJ I HAVE HAVE NOT[ ] sign an application for a building permit for the proposed ork_ 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: QTY' PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NANIE ADDRESS PHON7E TYPE OF WORD SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: L,,S� I_I-A NOTE: This owner -Builder Verification is required by Section 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_ Dear Property Owner. .. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself~ you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by Iaw to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. 0 if you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tar withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be finazicial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and. if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. . A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95314. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 1, Sincerel�, ifteli Mrchael C. Vierra, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Informuion is required by Section 19830 of the California Health and Safety Code. _ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754y, PERMIT NO. APPLICATION AND PERMIT `�� /� / ASSESSOR PARCEL NUMBER 021-190-057 ZONING BUILDING PERMIT OWNER LEROY & MARY LAWRY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 81n FRENCH AVE GRTT)T.F.Y CONTRACTOR'S NAME 7, OWNE TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 810 FRENCH AVE PERMITFEE $ 43.00 CIRTMEY PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ]] Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation E� Other ❑ Describe Work: Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service a OV OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class I No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( a BLUE. ) SO. 3.50 FT. LTI- NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FUTURES ) 20 Q +.50 BAL 50 Ex. Occup. OUTLEEDTS(RESID.j en ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing g Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply w'th those provisions. X a& ��/� -� _ Date Igna ure of App c ❑ Owner ❑ Co actor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories height. Mobile Home Installation Fee Is 100,00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HA2. I D. FEES I IMP I FLOOD I CDF PARCEL PD I HD ISSU This permit is hereby issued under the applicable provisions of the utte County Code and/or Resolutions to do work indic_ a bove for hich fees have been paid. -7//Z 9 s— By Date / J PERMITEXPIRESON y�/L/7L (Date) -lin Receipt No. hoc �y '" �7 3• WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NC. APPLICATION AND PERMIT - " ASSESSOR PARCELNU _pg o 0 s mN(T BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MALN OF4S CONTRAC'TOR'S NgME TELEPHONE - CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation $ " Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS rte• r f PERMITFEE $ 3 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOTHO. SUBDNISIONSNAME PARCEI MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome K Other SPECIFYBuilding Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: Mobile Home ISI G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main ServiceOOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000" ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that*l am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUR OR "DONS. ( a UTLELDS ) SO. 3.5¢ FT. LTI.ACC NEW CONST. MULTI.OUTLET NON RFSIo. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) BAILL Q 1.00 .SO EX. Occup. (oUTLEE(RESID) °Ts .)EA ) 5.00 _ Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 Workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3r stories in height. Mobile Home Installation Fee Isloo.o Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ .3 MAZ. 0. FEES I IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have BY PERMITEXPIRESON applicable provisions to do work been paid. Date (betel Receipt No. p WHITE-D.O.S.-8.0. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT UL 12 '95 13:31 ABESCO 916_383-8831 .f i .. ABE SCO ENGINEERED � TIEDOWNS.: MANUFACTURED HOM - E AND COMMERCUIL COACH TIEDOWN CALCULATIONS AND SCHEDULES FOR SINGLE/DOUBLE/TRIPLE AND QUAD WADES DESIGN :LOADS - • WIND"= JUL 12 '95 13:32 ABESCO 916-383-8831 WIND= 55 m.p.h. Exp. *Cr t • �INa1 WRIi'd � .� mum WIDE WIND= 65 m.p.h. Exp. SEISMIC= ZONE 4 ID R>sgUltiFD NUIMM Of 73 WIND= B5 m.p.h. Exp. Derleulw— 'snLIC L TRIPLA WMB • WIND= 85 m.p.h. • Exp. SEISMICm ZONE .4 �� UNIT ' ' Lou )s �' • " E UNIT .�TtEDOWNA rl pywjX om Loom �. -CU404rM y BUIL.mNP.. Ro , • ;, . P r \ 1 JUL 12 '95/]13:33 ABESCO 916-383-8831 �I AVlu r 1 #601 30` #602 48" T.D.A: T.D.A. ABESCO TIE DOWNS #606 7' STL #614 7' STL. STRAP W/BUC STRAP: W/HOLE #608 SPLIT BOLT 8 NUT P.4 ENGINEERING CALCULATIONS 86 WH WILD MW 'C 85 WH WAD Irk 'C Va 8E78MC ZONE 4 SLAT=(1.06)(1.3)(17)(1)=25.6 PSF 333 PLF=0:186 32.5)( )+160 WLAT=(25.6 PSF)(13')=333 PLF =50.8'=D 51' 885MC ZONE 4 V=0.186(DL) V=0.186 RIO PSF)(=o )+(:f+10 PSF)( )+(2 WALLS)(B')(10 PSF)] PITTSBURGE TESTNG LABORATORY %IbtyM DEPAFITMEN E TEST #1: Pull Out Test in SANDY SOIL, A3, having a Density of -124.9 1 OV RESULTS: Actual Pull Out=7.000 lbs. Average Deflection measured In I Eb TEST #2: Pull Out Test In ROCKY SOIL, Al. having a Density of -133. bs. ou.ft. RESULTS: Actual Pull Out=7.000 lbs. Average Deflection measured In inches= .771 :.. ., TEST #3: Pull Out Test In ADOBE SOIL, Aa, having a Density of- 87.23 Ibs./au.ft: RESULTS: Actual .Pull Out=7,000 lbs. Average Deflection measured In Inches= .824 WM= 85 MPH EXP Co AND 888MC ZONE 4 WIDTH LENGTH LOAD/LOAD TRANS LONG(TRANS)LONG TOTAL LOAD TOTAL LOAD /TRANS T.D. TYPE V /LONG T.D. TYPE 'r SINGLE WIDE TO 140 40 FT. 333/333 13,320 LBS. 4,662 LBS. 5 2 50 FT. 333/333 16,650 LBS. 4,662 LBS. 6 2 60 FT. 333/392_ 19,980 LBS. 5,488 LBS. 7 2 70 FT. 333/453 23,310 CBS. 6,342 LBS. 8 2 DOUBLE WIDE TO 28, 40 FT. 333/333 13,320 LBS. 9,324 LBS. 5 4 50 FT. 333/333 16,650 LBS. 9,324 LBS. 6 4 60 FT. 333/392 19,980 LBS, 10,976 LBS. 7 4 70 FT. 333/453 23,310 LBS. 12,684 LBS. 8 4 TRIPLE WIDE TO 421 QUAD WIDE TO 50' 40 FT. 333/333 13,320 LBS. 13,986 LBS. 5 6 50 FT. 333/333 16,650 LBS. 13,986 LBS. 6 6 50 FT. 333/392_ 19,980 LBS. 16,464 LIS. 7 6 70 FT. 333/453 23,310 LBS. 19,026 LOS. 8 40 FT. 333/333 13,320 LBS. 16,650 LOS. 5 6 8 50 FT. 333/333 16,650 LBS. 16,650 LOS. 6 8 60 FT. 333/392 19,980 LBS. 19,600 LBS. 7 8 70 FT. 1 333/453 23,310 LBS. 22,650 LBS. 8 8 PITTSBURGE TESTNG LABORATORY %IbtyM DEPAFITMEN E TEST #1: Pull Out Test in SANDY SOIL, A3, having a Density of -124.9 1 OV RESULTS: Actual Pull Out=7.000 lbs. Average Deflection measured In I Eb TEST #2: Pull Out Test In ROCKY SOIL, Al. having a Density of -133. bs. ou.ft. RESULTS: Actual Pull Out=7.000 lbs. Average Deflection measured In inches= .771 :.. ., TEST #3: Pull Out Test In ADOBE SOIL, Aa, having a Density of- 87.23 Ibs./au.ft: RESULTS: Actual .Pull Out=7,000 lbs. Average Deflection measured In Inches= .824 J JUL 12 '95 13:35 ABESCO 916-383-8831 P'S • ,, OMLL 0/113' HOLE AT MIO HECHT OF 1-13EAM SHOWN. SEE BEAM. INSTALL C & RFC CHASMS �•�'� 1/2' A307 SOLT FOR .CONNECTIONS� ~~~ fes. sale on /40e PILR BOLT—ON TOP SEE DETAIL 'A' a TYPE 4DTIE -DOWN I SEE 0 AIL N. la0t BTI. 806 STL giRAP '~ TYPE TIE DOWN STRAP j6tA mSTRAP je1A STL STRAP #608 SPLIT4Q.—d0' #NO SPOT SEE I—BEAM CHASSIS FOR SEE.I—BEAM CHASSIS FOR 80I.T. d1 NUT -60 BOLT i NUT TIE DOWN ANCHOR TIE DOWN ANCHOR C BEAM CHASSIS RFC BEAM CHASSIS 18 STABILIZER , LATE _—__----- --- _�jj�� . Ol OR ' 02T.D.A r 4 RAP • , . j614 STT. STRAP STL tint rYJifll AIrIO.�di1fl I BEAM CHAS818 DETAIL 'A' INSTALLATION INSTRUCTIONS CONTWICIRE WARNING I CHRCK FIRST FOR UNDCROROUND U11UTIEL 1. , INSTALL ANCHORS INTO SOIL APPLYING CONSTANT OQWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL HEAD IS FWSH WITH STABILIZER PLATE. ANCHOR$ SHOULD BE INSTALLED BELOW FROST LINE. 2. ATTACH STRAPS TO CHASSIS SEAM IN MANNER SHOWN. 3. INSERT STRAP THRQUGH SPLIT BOLT. CUT OFF 'EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUO. 4. ASESCO NAME 15 STAMPED IN ANCHOR HEAD. , INSTALL GROUND ANC90N PLACE STASIUZER PUTS ;' FINISH TURNING ANCHOR t; INTO OROUNO; LEAVING .►'. r; r NMT TO SHAFT BETWEEN :;' ;. INTO TH[ OROUNO UNTIL r -Ir 0► sK*7 ElIPOs1ED. :' ANCHOR AND CHASSIS .'';; ANCHOR NEAD'IS FLUSH BEAM. AND DRIVE INTO ' WITH STABILIZER PLATT. GROUND. �, . THIS PROViDII:S ![CURE ,' ' �.'• .... FRCRECgIIIOII .AQADIST LATERAL CONTRACTORS VERIRICAnON I C[RTIFY THAT 1 HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MAO[ NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. COMPANY NAMRI CONTRACTORS UC. j �r e `AC, ;k L School District A.P. Number I Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) Property Location/Address Building Department No, ty E4 County. Subdivison Lot No. Residential Development 0 �✓� Sq. Footage SOD No. of Living MHIAddition 4 (Group R) L Units'' 1 {Y D %14' Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) Bui dins Dena m nt eoresentative Date Identification No. Personnel) School District certifies that 94 (Applicant) 0 10 \-./ 1/Lz-1J1tGX1%--0 _ __ _ _ _ O r b — ✓ uG(o Street Address) (Phone Number) 46/x_ -- -- 9J (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing square feet. / A, Representative Paid by Check # Bank Number Paid by Cash Remarks: by.payment of $ -�-- Y (r AkB 2926 r ' $ f PULL MITIGATION $ �+ Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (11l94)dmm 1. Owner's Name: 2. Assessor's Parcel Number: 3. Installer's Name: n 4. Is the siie currently under permit? Yes[ ] No[ A Permit No. 5. Is the site an existing site? Yes[] No[ ] (If yes, furnish two plot plans). 06. What is the electrical rating of the mobilehome?Amperes. 7. What is the mobilehome site circuit breaker rating?' Amperes. 8. What is the electrical rating of the mobilehome site? o 00 Amperes. L�Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site. electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes- _. b) The main service:. Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane% None] 12. -Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 Mobilehome Manufacturer: Manufacture Year: If other than single wide, furnish Setup M del Number: Width: �(ft.) Length:_(ft.) Tagalong or Expando Size (ft.) x , (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block[ ] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI-WTDE Line 1 III ine 1 Line 2 Line 2 Main Beams Line2..............................................:.........................................ine 2 Line 1 Line 3 Line 2 ........................................................................................Main Beams ........................................................................................ine 2 ine 1 .................................................ine S Tag or Triple ine 4 ................................................. ET ine 1 Line 1' Piers: ' Size minimum: r 1 x Spacing maximum: I C` From ends -maximum: 4` Trop 2 piers: _ Size minimum: [Io2 ] x [a,}]. Spacing maximum: ` From ends -maximum: / ` - ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` N1 OVER APPROVED