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022-204-022
-- - AP 22 - 204 -iii• Z41. Ralph Thengvall . s/s Pryde,Rd ,_ 700' W. of Hwy. 99E, Biggs /12 —:;;� Permit 38 -75 P,E (util./MH ) ELEC. S GAS SUPPORT STRUC ...� COMPACTION TEST REQ, dJ?l AP 22-204-15 Permit 4501-75 MHI Issued 22-204-22 ON- OSWALT 3 Pryde Ave, Biggs ontr : Four Co Roofing a K, - 9 3 Permit#3320-86B(reroof/SF) THENGVALL, Ralph 208-72B**�` 873-68B,c ? _207-72B*x 158-69PX 775-68Ph '+ 180-72P*'-"- =69E 7 _ _68;E -- 170 72E*;- l20 , s/s Pryde Ave. lst house west of, 99E, Gridle-� (add'ition)l(3 extend fami� room & remodel-s\ kitchen) ("RENEWAL of 873-68B) -------------------- J2 . . . " 022-204-022 PERMIT#94-140AG DEWALT, DONALD L. 53 PRYDE' AVE.,' GRIDLEY _AG EXEMPT PERMIT-AG�STR ` 022-20-4-022 98-146 A DONALD L DEWALT 53 PRYDE AVE, GRIDLEY (AG EXEMP-AG STORAGE) i - Jan -04-99 10:15 MILLAR ELEVATOR .^ MILLAR ELEVATOR SERVICE CO. 500 Carlton Court So. San Francisco, CA 94080 Phone No.: (650) 737-5775 Fax No.: (650) 952-0845 FAX TRANSMISSION COVER LETTER rJ DATE: 650 9520845 P.01 FROM., ! Don DeWalt - Repair Superintendent +" Number of pages sent ( Including Cover Sheet MESSAGE: IF THE TOTAL NUMBER OF PAGES DO NOT AGREE WITS THOSE RECEIVED, PLEASE CALL SENDER. f� V yq, 114 Jan -04-99 10:15 MILLAR ELEVATOR . 650 9520845 P.02 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 Phone: 916-S3e-7541 DONALD L. DEWAI.T / �w 521 MENLO OAKS DR. MENLO PARK, CA 94025 RE: AG EXEMPI' PrR,J11T#98-146A(; DATE: _ 12/29/98 A. P. # 022-204-022 with reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engineered calculations Typical Plan Sheet Owner -Builder verification Fm List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer-of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plana and calcs, 3/4 sets, with wet signature on plane. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturers installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.8_M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage— Driveway rai.nage—Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of SO* subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other: Pirasr_cPF(,Ta 111r EXACT 119E OF THE BUILDING INCLUDING SPECIFIC ITEMS TO BE STORED. Should you have any questions concerning the above, please contact SCOTT RUTHERFORD of this office. MCV:ahb Y very t , c el C. viesra, C.B.O. Man ger, uilding Inspection t %A v♦ eu V J l-, f': C-jDi�AZ,� �;-T,,,� or I -s"va cl, I 7. Alan- f7 Jan-04-99 10:15 MILLAR ELEVATOR 650 9520845 P.03 016040�2 -- ......-__ Arra! _ �' _._ .��� �� ,�v� �-�,�G� �_ . _ _ . .---- _... __ . _. ... ��� .-.SSI �" _. - _..- - - _..----.-.--.. _ ... _-- ---...-..-.--- PAO lewt Jr �, BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO r Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 3�0�1 Oe� ZONING /J OWNER `�Al,qL.;D Z- ��-� HQNF. NO. PW06,-7V77 OWNER'S ADD SS t-� LOCATION OF BUILDING 06 A vf-E. A607760vA171" USE OF BUILDING 46, SIZE OF STRUCTURE / �E/ ' X _ 6F�SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL_ CONCRETE OTHER (Specify) TYPE OF SIDING ROOF C VERING FLOOR PE ESTIMATED COST OF CONSTRUCTION $ r-9D� AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows:�✓ i FRONT ✓5 SIDES 1rLrt/ REAR 20v AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. �7 _ �,'--) X Date -15Pe Signature of Owner Permit Fee$60.00 Receipt No. 11-7 The above described AG Building is exempt from a building permit. FL PARCEL VD ROOF GSUE Manager Building Division By Date 1 `White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant 1� COUNTY OF BUTTE - DEPARTI ENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, oroville CA 95965 Phone: 916-538-7541 DONALD L. DEWALT 521 MENLO OAKS DR. MENLO PARK, CA 94025 RE:AG EXEMPT PERMIT#98-146AG A.P. # 022-204-022 With reference to the above subject: Attached is: Application for permit Building Plans Engineered -Calculations Owner -Builder Verification Fm DATE: 12/29/98 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for.Non-Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50* subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations /expired 'permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other: ' pTFA4F CPFC'TFy THE FXACT UsE OF THE BUILDING INCLUDING SPECIFIC ITEMS TO BE STORED. Should you have any questions concerning the above, please contact SCOTT RUTHERFORD of this office. Yo very t j; Nlic*el C./ Vieira, C.B.O. MCV:ahb Manoger, Building Inspection BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENtEKDRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ftl P MIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and,96nstructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structures all not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NOen ^ �1'a p� ZONING OWNER � PHONE l� 3c46 —7o7 OWNER'S FSS LOCATION OF BUILDING �� �� �� <%/�✓ L/ USE OF BUILDING SIZE OF STRUCTURE ( n �� / ' X c� � lf� SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME —X— STEEL CONCRETE OTHER (Spec4y) TYPE OFS DING �� ROOF IN ilvepxle FLOOR TY E ESTIMAT COST OF CONSTBUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT SS /i"�^`� SIDES" REAR S^^� AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. 41 --- AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a L/ mobilehome, and 40'feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation ✓ USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply he requirements in effect at that time and before occupancy. Date — Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a building permit. Receipt No. 16 K, FL PAR L P. ROOF,NVG17 ISSUE Manager Building Division By d Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant 1-11 ylrti:�f`i�y >,n.jA".I7''r�"!'.Tej�� ` :x �'.6"e'rF•T•.+h:Jq t'�f s'- I� (�..1r1G:���IS �r/�►fir f t,�i' .t 4; �.`ti". _ `+.-t' _ .,.-.-t ••�. t . :i x^ [ ^- il�*.� ` i"�T�' . R '+ - TT �S�t.�'� :,� - .. �r.a......L'\ • .l^I I'H COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7a t PE M T APPLICATION DATA SHEET yy ' OWNER � tA. P,r,J�o. Proposed Building Use Building Inspector Date At time of per i application,' I was advised the following! data must. be submitted prior to permit processing and/or issuance: DATE RECEIVED BY s have been submitted . .............. ........................ . 1, All item 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). ... . 9.. Mobilehome data and manufacturers installation instructions, 2 sets. ........... 10. Fees of $ �% . ... x' °................................. . 11. Impact fees as shown on attached s6edule. .............................. 12. California Department of Forestry -plan approval/fees......................... J 13. Flood elevation letter (100 year flood) by California Engineer ................... ' 14. Sanitation and plot plan approval 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). . . Pre -Inspection reque--{s 20. Pre -inspection for 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 list . ..................................................... 33. 34. When you issue the permit, process as follows: C7Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date 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 Date Plans approved by, Date .� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Permit#3320-86B Don Oswalt 53 Pryde Ave, Biggs COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ,`'S Jd_ k ASSESSOR PARCEL NUMBER 22-20-4-27 ZONING BUILDING PERMIT OWNER- - Don'Oswalt • TELE_ H; NE 468-1i)? SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS v 53 Pryde Ave. , Biggs, CA 34 scivar ,A S >ako Ro-roof CONTRACTOR'S NAME Dour Counties Roofing Co. TELEPHONE 343-1416 CONTRACTOR'S MAILING ADDRESS 1060 HIMM Marauder St., Chico, CA 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ nn Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 56.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 53 Pryde Ave., Biggs, CA Permit fee $ 66.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sew 5.00 Mobile Home S I G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other d; Describe work: Re—roof Permit Fee $ 'Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10„00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): © 1 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. 489246 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPAM '/z2sgft OR AODNS. ACC. BLOGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC S POWER APPA flus e) SINGLE OUT T CIR. Sot EX. Occup( OUTLETSO FIXTURES SAL030 EX. OCCUp. OUTLFlTS (R FIxED PP.r )RE A.� 2.00 Temporary ser ice 10.00 Mobile Homy Facilities _ 15.00 Misc.IViwing, 15.00 ► 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. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT/ Filing Fee 10.00 Heating Cooling Hood 1-, 3.00 Ventilatio pertnit�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•conse'quOnce of the granting of this permit. ..1� 0. P t/f �c� ,� Oct. 31 1986 +%��-• 1��- Date • Sig 'tore of Applicant — . owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over inkheight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 66.50 occuP. I CONST*TYPEJ I JFL.0.JF'.FkCrLJ PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or sions work indicated above for which DIRECTOR OF PUBLIC By ,0:.�� � -- _ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ,1, /3((stories Receipt No. / `�% I''N / WHITE-D.P.W.. YELLOW-ASEE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 22_20_ -22 ZONING, _ BUILDING PERMIT OWNER Don Oswalt TELIPHONE 848-1036 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 53 Pryde Ave., Biggs, CA 34 s uar s Shake Re -roof CONTRACTOR'SNAME Four Counties Roofing Co. TELEPHONE 343-1416 CONTRACTOR'S MAILING ADDRESS 1060 Marauder St., Chico CA 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 56.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 53 Pr de Ave. Biggs, CA Permit fee $ 66.50 PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar or heat pump water heat 20.00 LOT NO. SUBDIVISION NAME^ PARCEL MAP Water piping 5.00 Each qas water heat or vent 5.00 USE OF STRUCTURE SF [y Duplex❑ Mobilehome❑ Other SPECIFY Gas piping syste 1 - 5 outlets 5.00 Building sew 5.00 Mobile H e S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other RR Describe work: Re—roof "it Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10 Main service EA. ADD'L 100 AMP 2.50 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. 489246 Classification C-39 ❑ 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Na ADDNSCONST DWEACCLLIN GOCCUP a S. 2'/z2sgft NEW CONSTR. ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC S POWER AP I- AR.Of US e\ (SINGLE OUT T CIR. / Ex. OCCUp(OUTLETs FIXTURES .ALO 30 FIXED JePPLNS. EX. DCCUp. OUTL S II RESID )REA.� 2.00 Temporary ser 'ce 10.00 Mobile Hom Facilities 15.00 Misc. �yi n g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. a 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.VentiIati 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 ::)e deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Perm ee $ Contractor I certify that I.have,read this application and state that the above information is correct. I agreelto comply -to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon .the above-mentioned property for inspection purposes. I also agreeto,save, indemnify and keep harmless the County of Butte against all liabilities,"judgments, costs, and expenses which may in any way accrue agai t gid County;,io s u nce f the granting of this permit. ` Date Oct. 31, 1986 Si nor re of Applicant — Owner ❑ Contractor ❑ Agent ly� 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 66.50 OCCUP. CONST.TYPE I IFLOODIPARCELI PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date —A Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINY. -INSPECTOR, GOLDENROD -APPLICANT 9861 9 A®tj 2-2:-2 64 -:15+ hPermit #5241-7,,B (reinstall awning ,for MH)-- t_._r BOUNTY OF BUTTE — DEPART'NT"OF PUBLIC WORKS ME 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT — IVI — IVVIVOaIILQvca U1 L11V IoUUllly UI DUMC IU UrItUl UpUll In6 above-mentioned property for inspection purposes. Date27 "' 8 aSignture ofPermite or Agent La Receipt No. b& White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner �( �� �- SQ. FT. OCC. BUILDING VALUATION Mailing Address QQZg Telephone N Fireplace Contractor Total Valuation O Mailing Address Permit Fee — Plan Checking Fee &/or Penalty Telephone No. Permit Fee '_ 777-7—_ Building AddressS Q �O r PLUMBING No. @ FEE PERMIT FILING FEE $3.00 t'J' c(A/ .9/ , 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. Q • " t Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F lt)1.e anitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Declaration Ma, Parcel P 60' R/W Improvements P Lawn sprinkler system 2.00 �Plaanns Bldg. P9er"s Recd Parcel pprovol Pla 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) (more than 12) rVI Single Family ❑ Duplex ❑ Mobil Home AdOthers ❑ Range, Cook -top or Oven 1.00 w,(v ` Water Heater or Space Heater 1.00 Light fixtures b (d2 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. 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. Classification Misc. wiring I 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. 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation E2.00 Hood Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ ^ — IVI — IVVIVOaIILQvca U1 L11V IoUUllly UI DUMC IU UrItUl UpUll In6 above-mentioned property for inspection purposes. Date27 "' 8 aSignture ofPermite or Agent La Receipt No. b& White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date FI,E'MEMO. , OWNER 64 C,89 _?'f46-" C1 U q G AP N0. At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: By 1. All items have been submitted. 2. Plot plans in duplicate/triplicate. 3. Complete plans in duplicate/triplicate. 4. Complete engineered plans and calcs. 5. Fees of $ 6. Letter of signature authorization. 7. Sanitation approval. 8. iPlanning approval 9. kWorkmen's Compensation Insurance.Certificate. 10. 'Contractors license information. 11. ;Parcel declaration. 12. iAccess declaration. 13. Aunt Minnie information. . 14. Deed.of access. 15. Deed of parcel creation. When permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other eaaaama�oaaaaaonaaaaaaaaaaaao3aaeocoaoc---ao�eaeo�a��o�_aa.aoeoo_--n.n�ooe��oaocoaco�aoaanaoaa_ During plan checking process., the following data or information must be submitted prior to permit issuance: L-l""l. Index permit for items numbered/` above. 2.. Applicant advised by telephone we eed 3. Send letter to applicant. We need 4. Pre -inspection for 5. Other _�6. Plans c ed and/or approved by acs===ceao==cc.a.o.eeccc=eeo==�a�==�=oae�eaoa:QQ=�=aaaaaQaaaaaQa Additional Processing or Notes: NOT verified. (Index) _Date /0 " NOTE:—All Mate"i^'I'. & Workmanship Shall Be fn Accordance with RFc2nni7ed Gnod Practices and of a quality prescr-,b�rl for the Specified use in the Uniform Build'+ng, Plumbing & Machanical Codes and the National Electrical Code. This set of plans ' ' MUST be kept on the job at . times and it unlawful to make any changes o Item;jars o me without written permission fr . the Dnnr e�tofPublic Works, County of Butte. Th=�_Set back shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maximum of a 2 ft. eave overhang. BUTTE COUNTY T� BUILDING DEPARTNAr".`� APPROV0 1Iry I l25" in 606 (o :,-,77, ' I r�';_.1 1� o _0�5-\.,irk .�4•�" r'. ��,d� - .�lu` u.,ts;da Lit CLIP A" 30� }} V1nl.: 0l8 ,•02x1, 3005E 2810• ?=�+in, n.ornrr:ve::; ��I n 0 I \ ,lir.. :ens 'I' -IR = '19 A3i; U:1.= 3'I k.ai 45� t t v w I I 3..50" 3.80" (o.00' -- —"i ! I If F L A- I -.o es for I/¢" Loro2" l.\o� dinserial: 30031414 aium.,or envnl; l.5(0'1" 250' ,050' 1 C70 , 1 lin.Te.ne,YFz:7FGi ; U!t.='l0 k5i I� Corliinuousclip OIP_•NgM e NTAL PD T . fc0(03TG T— "U. r_ O 018"�O' _ o s. op swG(voc¢ oC S�\• I� J—� N .050' ` L Qoo\*n9 sho\1 k,¢ 142" Sq• c0 ¢np`sad $ Qci . SurQxt Orn[nmenlal wd\\ C�rv"rs ¢d. Pnir, or rLy2" ( `�aserial: 30031?1(e or sing\¢. 0 O;eaua! alum.; Min.Tesns. U.' Co25' RAws`NG YI'=2l ksiyU1V=24 I, rr,in4%"ra r'n �` I (gee clefail) Mokaria\: 000(03T� a\um. For Ornamental Posi end oi' tube. I•�" SQUARE us¢ two o471F, .187°R 25 V. s i 5/t�' bolts {sox s TU NNG s:ngl¢ pest. LNJ168'IZCtyp. r pTTA.( I-IMENT S¢¢ also no\a _F , t '2 SO" \4 0 �� 12s" Iz 5T R I P "A" r-------1 } d 31?' — 1.0(0" 3.60" �'I I r L a}eel �g Q34." O O ,023 10, �.,. Material: 3'005H281orGquol t\siak 0 sP O �1- 0' q°x,6-,c.187 alum.; .034' thick; Min. T. u, cel Ile' -.[eel ft- 4f P.= 29ksi, Ulf.- 3\ kso. l.5'L o' s 28' Coo'lim, wi\\, Qpprov¢dCorr,lor. Y• P. =210 V.Ss rusk r¢sis\" T': t . HEAVY DUTY TE E'er F: -A56 I A 3oosti♦2a\ soo. v cwt 25" S\NGLE POSI F-OOTINCA\ / ?"T. k"kc I. SZR\P j004N14 se6 V'AcL Ilk- OR STRUM". )N U. PART 2 '+OTED yy . oro. ontrtw,on,E • StaN kw =a sat gn -Sao \n blG' for len e, kk, ot'aFtedhm&nV? ' J2" 1ernel5 /J/I per ft. 4!!..-hme� t Slrip: Ornomcrltol l'Iq'sq pry` or sir\gl¢ 2'IrZ "Srl, loos\ v` �L Post 5�acing (see T�olo� MaF. e•� versa. 9 ;fnacin� 35'/ nt'.pcs` e�-roc 11 g'- 9 M.. Per. NA_ Ornnrn.II'-f Mn>r• Por 2.5" single - °v oe-•!evm."1 From the office of: � Modal CALIF. Approval Number Dote Expires: OREGON Appy 0110ANurn'ver VAUr loaV Oa>r a.� Lam t g SPA 2-1[0 V Alaska. Arkansps, Panne. Califorma. Diahict of Columbia, Florida, Hawaii. Illinois, Irdiana. Maine. Massachusetts. Marland. Michigan. Missouri. Nevada. New Hamp. q 10 9 F 2-\1 share. New Jersey. New Mexico. Nen York, Ohio. Oklahoma. Oregon. Texas. m SpA 2-\a Vermont. Virginia. Washington. Wisconsin b Wyoming. ATTACHED (UPLIFT 10 psf) . 1l 6PA2-\0l O z This plan sheet is the property of the engineer and may not be 12 SPgq-20 na.w:�s roweew X331- 10 - °"rc 1-3 \'-13 copied or reused entirely or in part, except by company named OR STRUM". )N U. PART 2 '+OTED yy . oro. ontrtw,on,E • StaN kw =a sat gn -Sao \n blG' for len e, kk, ot'aFtedhm&nV? ' J2" 1ernel5 /J/I per ft. 4!!..-hme� t Slrip: Ornomcrltol l'Iq'sq pry` or sir\gl¢ 2'IrZ "Srl, loos\ v` �L Post 5�acing (see T�olo� MaF. e•� versa. 9 ;fnacin� 35'/ nt'.pcs` e�-roc 11 g'- 9 M.. Per. NA_ Ornnrn.II'-f Mn>r• Por 2.5" single - °v oe-•!evm."1 From the office of: INDUSTRIES G stA1JDA'OS ROBERT W. HALISSLER STATE Lam t REG-I,STERED STRUCTURAL ENGINEER 3383 E Gage St., Huntington Park, Calif. 90255 V Alaska. Arkansps, Panne. Califorma. Diahict of Columbia, Florida, Hawaii. Illinois, Irdiana. Maine. Massachusetts. Marland. Michigan. Missouri. Nevada. New Hamp. ,e Tele. 583--0901 AWNING MOBILEHOME OOpSQ I A KING share. New Jersey. New Mexico. Nen York, Ohio. Oklahoma. Oregon. Texas. m ® Vermont. Virginia. Washington. Wisconsin b Wyoming. ATTACHED (UPLIFT 10 psf) . 6942 Van Nuys Blvd., Van Nays, Calif. 91405 997-0401 O z This plan sheet is the property of the engineer and may not be on.wn err _ eordw.o Ar: ( .J !:'•e r :� rr / y / s ' na.w:�s roweew X331- 10 ' °"rc 1-3 \'-13 copied or reused entirely or in part, except by company named aEv:SE° 'Z— \-13 in this title block. Ft• •. .r;'_,n CALIF. SE698 11011111111111 v� D� r V Z m ® m O z r le in NOTE:—All MaterialsA& i Workmanship Good Sh icles6 and. Accordance with R_ . of a quality pre'cr,l'^'I for the Specified use in the Uniform Budd • g. in Plumbing & Machanical Codes and . the National Electrical Code. This set of plans � MUST 6e kept 'on the job at all times and it is unlawful to make any changes or altero+ions on same without written permission from the Department of Public- Works, ublicWorks, County of Butte. BUTTE COUNTY . from The Setback shall de50 ft, from BUILDING DEPARTMENT the side property line an RTMENT the centerline of the road, permitting o((p APPROVED a maximum of a 2 ft. save overha�+9• i x'129" n (w04 6 �U1r_.La — -- CLIP A o C oho ♦ loses for I/4' b011e tiinteriol: 3o031{!4 alu—,or equ{snli Min.Tons.Y.F=i%Fsi \ U11.= x20 Opp --NAM S NTAL P0, 1U. I Lblo'1" .`160' Corl}inuous011 s f (.0(.3,TG C- -[,op surQocc ac s!'1. 1 ]aaV\nc� shcE11 b2 42' Sq. d adj. surQxc Ornnrnenlal OREGON Aorreva\ Nu.'+\oay Oa�a �i/ a>posad we\\dra:r`ori, Pei Ir,as2y2 sing l¢ �Ifli r I/4 belly , 'U'brn e> I. �SCe def it sjv - ---- rn;n. Y2' ff ra�,xr++•'. I end -A"1 robe• ' =. us iw .10•' 0. "A' 5/ifn' b Irspov, S,ncr, post• ATTACHED (UPLIFT IO Ps �1nl.:,ol8",.022 3oo5F-281or e>rioa: a:on,;r.:m:; r�I P 0 I — 1'16"iZ f�lir.: :end "(.P = 1`114ei; U11.= 31 i9i .Compr.Y. P,'2( icl� SPA4-@0 r,RAwrNG N•�u]!R 2331-10 .31r N I r L tle�l • �B • �- 1 1 O-'129 ti0 I yr..29kei, Ulf= 31 kei. 4S Com pa V.P. =2fo kSt HE DUTY 5TEE.L N;OOTINCA r-4156 I A i L (.00" 10.00' � i r� ►—•. .. _"�- _ .. I I.OG4'; 1.10[1•'.—_T— tiinteriol: 3o031{!4 alu—,or equ{snli Min.Tons.Y.F=i%Fsi \ U11.= x20 Opp --NAM S NTAL P0, 1U. I Lblo'1" .`160' Corl}inuous011 s f (.0(.3,TG C- -[,op surQocc ac s!'1. 1 ]aaV\nc� shcE11 b2 42' Sq. d adj. surQxc Ornnrnenlal OREGON Aorreva\ Nu.'+\oay Oa�a �i/ a>posad we\\dra:r`ori, Pei Ir,as2y2 sing l¢ �Ifli r I/4 belly , 'U'brn e> I. �SCe def it sjv fo25" r I _ rn;n. Y2' ff ra�,xr++•'. I end -A"1 robe• ' =. us iw I o47rF .IS -7'R 5/ifn' b Irspov, S,ncr, post• ATTACHED (UPLIFT IO Ps L 168 R (tEis yp. r . Sae Iso nein \a- — 1'16"iZ o i SPA4-@0 r,RAwrNG N•�u]!R 2331-10 .31r N copied or reused entirely or part, in this title bloc k. VI1- .... .,;';m L tle�l • �B • �- 1 1 O-'129 Maler;ak 3005HIAt or equal :034' th,ck; Min. Tcns. 1�" steel Ft yr..29kei, Ulf= 31 kei. 00.4¢cl wli\, Qppr�¢d rE so� Com pa V.P. =2fo kSt HE DUTY 5TEE.L N;OOTINCA r-4156 I A �1 From the office of: INDUSTRIES oal Md Num'oer CALIF, Approval Number Date' F7spira s: OREGON Aorreva\ Nu.'+\oay Oa�a g 9pA'2-1!o Aiaska. Arkansps, Awona. California, District of Columbia. Florida, Hawaii Illinois, Indana. Maine, Massachusetts. Maryland, Michigan, Missouri, Nevada. New Hamp• C1 Io sPA 2-\j shire. New Jersey, New Mexico, New York, Ohio. Oklahoma. Oregon. Texas, SrA2-\a Vermont. Virginia. Washington. Wisconsin 6 Wyoming. ATTACHED (UPLIFT IO Ps 11 6PA2-A This plan sheet is the property of the engineer and may not be in except by Company named l2 SPA4-@0 r,RAwrNG N•�u]!R 2331-10 ' °A'E 1-3\'� copied or reused entirely or part, in this title bloc k. VI1- .... .,;';m )a STRUCTUat ,N 12• ►AIIT 1 rOTgO • onr emhxiowoY r Sr1/r low nNdd Min.slope per =a said � Ornomcrital l4q"Sq• pc5t or sin9le QUC Sq. \Dost .OZ 8'. ?facerial: 3001111(ar or &eua!'alum.5 Min.Teno. Aw ANG Y?. 21 kei] U!1:-241c3i. 0.Avl Mc,�eria\� &o(e3T(o a\um. ForOrnamen{al Pa51 U1t.=30 4s. M\n.V.P.= I C," SOUAKE 'LS ks TUEANCA — ATTP./ LAMENT _ _ _•. r. 034" �Sf O 023' th\ ck p I Ci 0 c' 28" r. 3ooS"%6k seanelalk 2.5" SINGLE POSZ RX i1S*TACH. SZR\P 3004~34 sac exoltxe \\. Sae table' for ler, r�11, al'altnahm nt. Panels ir ells-=lwmen� Poel Spacing (see Tnole� Max. emu rvernan9 (fnsc;n� 35 ot'.pea1 awned %'-'5` MAW. for 11/R" 0rnnrn. ; ll' -4" MnY- for 2.6" sin'le. V From the office of: INDUSTRIES STAN G STANDARDS A?n2 ROBERT W. HAUSSLER STATE . REGISTERED STRUCTURAL ENGINEER 3383 E Gage St.. Huntington Park, Calif. 90255 Aiaska. Arkansps, Awona. California, District of Columbia. Florida, Hawaii Illinois, Indana. Maine, Massachusetts. Maryland, Michigan, Missouri, Nevada. New Hamp• Tele. 583-0901 MOBILEHOME 10psf ALINING • _ shire. New Jersey, New Mexico, New York, Ohio. Oklahoma. Oregon. Texas, moi' 6 Vermont. Virginia. Washington. Wisconsin 6 Wyoming. ATTACHED (UPLIFT IO Ps 6641 Van Nuys Blyd., Van Nuys, Calif. 91405 997.0401 This plan sheet is the property of the engineer and may not be in except by Company named ORAWN pY, R OVCD aC: �"? r / r!' ' .'' I /v a :• 1 - r,RAwrNG N•�u]!R 2331-10 ' °A'E 1-3\'� copied or reused entirely or part, in this title bloc k. VI1- .... .,;';m CALIF. SE696 REv6SE ui y w �a MH UTIL. 1 ._....3.85775 P,E PERMIT NO. P E M AMH UTIL. PERMIT NO. PERMIT -EXPIRES OWNER Ralph Thengvall + '.> 'ONTR. owner -LOCATION (A.P. 22-204-15 ) s/s'ft',& Rd., 70 ' W. of 99E Bi s i f . t' n, Temp. Power Pole J/�h Called PG&E/ Temp. Elec. Serv. Called PG&E Temp. Gas Se Called PJOB� 1 NALED 7 /� (Date) (Signature) 1 1,21 TO:. Building Department FRO.I: Environmental Health RE:Sewage and/or mater Clearance 04NER LOCATIOid A .P Has been approved for: >` S.-S JAGE. DISPOSAL Q /f 5-MM SUP ?LY Gid Sanitarian Date S95-775 COUNTY OF BUTTE DEPARTMENT OF PUB•LIC'WORKS RUILDIM INSPECTION RECORD r BUILDING BUILDING (Cont'd) PLUMBING Setback ' 2 '� 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 Pi ing Piers Roofing Sewer 41 Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test / �7 Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELE TRICAL Masonry Walls Throat Rough" Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. ' Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final /' 7, 2-7 DATE REMARKS OR CORR TION 9. Electrical" k A. Is service large enough to provide adequa�e amperage -to mobilehome (must equal rating o. mobilchome with a minimum of 100 amp) 'acrd VtEher facilities ,on lot, i.e., water pumps, garage, cabana, _etc-.? •Yes�o B. Is there.proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity .test satisfactory as per the following procedure. Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding condi:ctor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts ofthe 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 electrical tests, the lot or site service equipment may be approved for energizing. Is job card signed by health Department for water and sanitation? r - 11. If everything okay, sign off card and tag services. i OBT1EHOM. E DATA Manufacturer and/or Namestyle 6:�z Length °2� width Vehicle Serial No. C�134? State Identification No. Additional InfQrmatiop or Comments: evs MOBILEHO'ME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located w'th equired seyaration,from lot lines and buildings and generally conform to plot plan? Yes _ No- 2.Does the mobilehome have required clearances above ground? (Sec. 5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as pe, approved plans? (Note ,possible variation at spring shackles.) (Sec/ 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes �NO 5. If mor gl than a s e nit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fle ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes--4//No C. Backflow - If coach is not to California approved, does station have backflow.device and pressure -relief valve? Yes_,Z No 7, Wastes and Drains A. Is connection made with Schedule 40 DWV and.have flex connectors at each end? es No B. Does it have minimum 4' per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running3 gallons of water through each fixture including washi_n _ achine standpipe?. Yes No D. If coach"is not tate of Californi approved, does station have required trap and vent? Yes !INo 8. Gas Piping and Gas Vents A. Connector - Is mobilehome.connected to the gas supply with an approved 3/4" minimum mobilehome connector 'not more than 6 ft. long? Note: All piping is to be at least as large as the mobi Nome gas line iril-et without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. *Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mabilehome with connector,tur" on gas, test connections with. soapy water. C. Are all appliance vents properly installed? Yes I J Owner Mailing Address • 1 -COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WK • r, 57 '-' 7� 7 County Center Drive — Oroville, California 95965 c� Telephone: 534-4541 / APPLICATION AND PERMIT v/ BUILDING SQ. FT. I OCC. BUILDING VALUATION one No. yId IVa Contractor Fireplace Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address S v 490-4, PLUMBING PERMIT FILING FEE � '7CO Each Trap Repair drainage or vent piping Water piping A d Each gas water heater or vent A. P. No. n.0` .S Zonin Gas piping system 1 - 5 outlets Each additional outlet F a on Fire Dept. Fire Zone Use Permit Building sewer EQA Parking Plans aParcel Ma la a ' p 60' R/W Im rovements p Lawn sprinkler system . PI s Recd Porce pproval jP PlanJApprovol Permit Fee ELECTRICAL NEW ❑ ADDITION ❑ UTILITIES19 OTHER ❑ PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel 02 or less) (more than 1: Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Recaps., 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 Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole @ ' FEE T3.00.8,n 1.50 1.50 4, 9 Q.G 1.50 a.se' b •t .30 2.00 Misc. wrong License No. Classification I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. Lrl Z certify that in 1he performance of the work for which this Ventilation permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X4f /7 Date S' nature of Permitee orA gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE 1$ a qk2? 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. DIREJQTOR OF JFUBLIC WORKS By ,1 Date -.4906101%-prrmit expires Date ����, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION ANQ PERMIT , authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Cy Date v S' nature o elrmitee r Agent Receipt No. 1- 3 1�: 3 T . 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 nFF PUBLIC WORKS By Date//- Z/- 71 u1Iding permit expires Date /i - L/ - 7J. BUILDIN Owner U G L , SQ. FT. OCC. BUILDING VALUATION Mai I ing Address l e d X 1 2. G VTolephone f No c� a Fireplace Contractor wNet, Total Valuation Mailing Address • Permit Fee Plan Checking Fee &/or Penalty e Tlephone No. • Permit Fee Building AddressPLUMBING DO ' �' No.1 @ I FEE. PERMIT FILING FEE $3.00 (,V V Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �2 -^l�.i A. P. No. Q Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Wk. Sati Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma p 60' R/W Im r ments p Lawn sprinkler system 2.00 Bldg. s.Rec'd Parcelproval Pans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 / Q P7 pQ .- Main service incl. 1 meter 5 ^ Additional meters, each 1..00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bU d2 Recaps„ switches & fix outlets 20 P 25 bat A In 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 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 $ $ 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. dl 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 1 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 O TOTAL PERMIT FEE $ ^ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Cy Date v S' nature o elrmitee r Agent Receipt No. 1- 3 1�: 3 T . 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 nFF PUBLIC WORKS By Date//- Z/- 71 u1Iding permit expires Date /i - L/ - 7J. a MOBILEHOME INSTALLATION INFORMATION SHEET Street or.Driveway CT r� tv 0) O o• a 'd 'b ,r-4 ti ,� •ri ci o O u rou a 41 A• 1p' a) a ro •r+ . 44 U � � � Za o cd O � O 0)0 II 4-1 ' 0 -14 Ic a) O(n > N N z O r4 •r, •ri D, 5 a) y 11 r{ O $4 fa L G 41 O G) >1 .O U" ro • U HG --i U U y c; 0 4a O P O a) u � 4-, Cwt U P4 O y >4 p 0 a) I t O O m 4, G .ro 1.4 1•1 ,—! ro• b G 0 A (n U) w C: ,•r1 1 cd 4J ,O H a O V. T 4-j ( rl ro 0 v u o 4-4 G0 r-1 o 5 .r, N (d o r -I u a) >+ .0 0 3 L 041 °)a.o r-4 41ro U.uo bt: 1-4 .0rA ro C-• roL) O . N a1 to F. � 1J O z ro u p W ro.� U ro 3 z H >~ lU a) •• •ri p '0-(]) � (U M •ri ou r. o o m a) LH W r -I °, r-4 a) r•1 y co w 0 a) rn T 0 rou ,n N O u -0.n r I^ O H 'O co P •ri 0 a) >,r4 u u cd O O pO O n r 4 O W s+ p a) N r -I N r7 t~ •ri a) a) O r -i [? 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U T a) (d to ro ro aJ ai Ql 4 t k a1 p 4 cd 44 (n a) •rl 4J O T Cl) O )-t 0 N 44 r1 ,.•N M "t u'1 ,O 1� W ADDITIONAL CO�D.",NITS Water'Connector, Describe LOAD BEARING SUPPORT AND i200TING INFO^dI1ATI0N Pier Spacing Used - -- leo, Maximum Pier Load� 14 Maximum Column Load (multi -units only) ts -----� Soil Bearing Capacity \ Footing Dimension Used `��TYPE OF PIER USED \` Steel Concrete Concrete Block_1::,— Other TYPE OF FOOTING MATERIAL USED Pressure Treated Wood ti Concrete Redwood (Grade) Other Approved Type LOAD BEARING SUPPORTS K-1 BUTTE COUNTY BUILDING DEPARrmEw APPROVED This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on some without written permission from the Department of Public Works, County of Butte. fib;/e. { a-0 it, The 01tivp Setba k shall be 5 ft. from the side property line and 50 f¢, from the centerline of the road, permitting a maximum of a 2 ft. eave overhang. Septic sysi Butt quirement! r m and location fid= to be as per my Health Dept. Re- permif will 13e required for the installation of the mobilehoe. ,u All utiliff connections shall be IQcated ARbin 4 ft. outside the rear third sec ion of the mobile home on the le (road) side of the mobile ' home. BUTTE COUNTY BUILDING DEPARTMEI APPROVED 76� i DEMLARATION REGAftR Ii'IG LOTS OR PARCELS T ce i-ify. that as owner of the property acquired by deed in - 1Tolu ;.z O i`?3 ;'age ' , Off ficial R cords of Butte County, (ESP. 1 an -requestins permission to build or instal -1 a.; addit.ie-nal living unit on this property. I will not divide the afore menti oiled property for sale, lease, .rz,-lt, or financing unless all cable lend- di��ision-lairs-arid rnap-r�cuire;lents -are cc,�p? ied-with. I aim, t conversant with the present zoning regulations affecting the azo-, emantioned property, and declore that I shall not violate saw-,. .I _ ?~eo_ese;lt that the proposed use of the additional living :unit is 4nd_t' anL_ fu=thea I�shall ?lot -change phis -proposed- use -of �h? additianai living unit' unless and until 'T receive V.L_ n aopro��a�.^ therefor frQ3 the County of Butte. 11 fully. .understand that .pursuant to Chapter 20 ofB'utteCounty. Code and §11535 et sv ; of the.. Business and .Professions Code that if fie t.'ne future, sell, 'lease, or finance..the.area on. or adjacent to said: complying with the applicable la*as and` o oveiment without fully ordi.Iances, that..! shall be -gulflty of a misdemeanor -and therefore,. -.subject to the' aforesaid peZnalties '.and imprisonnent. pursuant to law. Further,. this statement- shall -be-properly ac'_�no �ledg�d and -recorded at -the request -- 0fL4ie_County of_ -Butt?, wl .. N _ �; . {, e "iii!`?', i ... • r. �-,q t' ' • HUN i i _ FEES �:. j - - �• - • . 7j . Date NOT COMPARED WITH 395 ORIGINAL DOCUMENT - STA ' s COT;s: s Ori ) a" On this � tray of 197.x, before iZe, a iota ry Publi^ zr. and, fo : the CO L:-: y of St= e of California; resi �in� Ze:2ir., duly ca;;� l�szanE. l% an3�s:,rorn,pa_sonally appeared i' �< tl tom to . me 'to be th pz , on po". a.�c I7� SubScribed to the tii? t.hi1.1 illstr"ImenL. and ac' ,-le;le-dgI Ile %iu �'� �I12! executed. the same. T'- 1'4--__ .11i -EOT' I have heel.. t.0. set m nand .a:nd affixed rl Cou C j or ;'� �''� Ltle -cioV D?1L -ear I. 11 Ci _�s- - � PRINCIPAL OFFICE IN BUT -CE' COUNTY /:4y-CO;-rr.iss;on' expires July .:a�+u - s * v SEdi� 2335 6.d,:S�Y. ♦i '�' Rr ; �;`����r � .� � a+x.