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Home My WebLink About024-010-095..24-01-95G.R. LOUGHMILLER162 Archer Ave, Gridley 313 FPermi�#475-89E(upgrade elec ser to 200N024-010-0915.* PERMI-T#&-2891ELECTRICGAS LINE I �SDCOMPACTION TEST REQ-L—Lo.SUPPORT STRUCT-REQ.MOBILEHOME INSTALLATION ' '- � . / ..24-01-95G.R. LOUGHMILLER162 Archer Ave, Gridley 313 FPermi�#475-89E(upgrade elec ser to 200N024-010-0915.* PERMI-T#&-2891ELECTRICGAS LINE I �SDCOMPACTION TEST REQ-L—Lo.SUPPORT STRUCT-REQ.MOBILEHOME INSTALLATION ' '- ..24-01-95G.R. LOUGHMILLER162 Archer Ave, Gridley 313 FPermi�#475-89E(upgrade elec ser to 200N024-010-0915.* PERMI-T#&-2891ELECTRICGAS LINE I �SDCOMPACTION TEST REQ-L—Lo.SUPPORT STRUCT-REQ.MOBILEHOME INSTALLATION RESIDENTIAL 024-010-095 PERMIT#94-2891 LOUGHMILLER, G.R. 8, SHARON 162 ARCHER AVE., GRIDLEY MOBILEHOME UTILITIES (REPLACE SF W/MH) OFFICE COPY Address GAS Meter B Datel2zl y R ELECTY �IC e Meter B Dat JOB FINALED (Da��&�� Signature m V OK 0 Not OK Not Applicable Not Ready MOBILE HOMES Date MOWI-EHOME UTILITIES (Plans) OK except #'s P<;e6`in_g Requi ements-setbacks-Easements ,2"S��pecial MH Support Sketch J�,-fewer: Location -Test -Fall -C/O Concrete 4. Wpef--L—ocation-Test-Easement Needed (Sketch) &41!(�ricity; Location-Clearences-Grndf7/Amp-concrete 0-veps; Location-Test-Wra It I ///"Nat.or/ /"L"ft./ /�AG?"' 7. �t�aearance & Disconnect IIA'Utility Clearance Date �CCard B -vv Date Card B-1 Date Card 9-41" Date Card B-1 Date MOBIV HOME INSTALLATION (Plans) OK except #'s 4. 7'—Zoning Requirements -Setbacks Easements Oe-rovings; size -spacing -Marriage Line ��H Test-Demand-Valve—Connector leq,�Picity; MH Test -C rossovers- Brea ke rs-C lea ra nces On-, MH Test -Fall -Flex Connector a ef�' MH T st-Regulator-Connector 5er'and Sewer Connected -C/O to Grade -HD Approval and Electricity Tagged Emf.-insD.-Sketch ZtT Cert. of Occupancy DateWJW�ard 13-14��V Date Card B-1 f Date Card B_t�� Date Card B-1 Ili MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requir.ements-Setbacks-Easements 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Decks; Griders and/or Joists- Decking-Braci ng-Sta i rs-Rails 4. Wood Awn.; Posts-Beams-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; Nail ing-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. Setbac ks- Ease men Is 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 -Pane I boa rds- 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 V OK 0 Not OK Not Applicable Not Ready RESIDENTIAL Date UNDERFLOOR (Plans) OK except ff's 1. Zon i ng -Setbacks-Ease men ts-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Sternwalls, Main; Steel-Blockouts-Wrapped 6. Sternwalls, Garage; Steel- Bloc ko uts-Wra pped 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/0 -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. Pienums & Ducts; Clea rance- Mate ria I -Su pport- 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 #'s Water Htr.: Vent -Access -Combust ion 17. Wale� Pipe: Test'& Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection 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 4's 22. Fixture & Transformer Clearance -Ins. Protection - ---------------- - - -- - - - - - - - 23.- E-lec. Recept-acles Spacing -Lights & Switches at -Doors ------------- 2-4.-Size-Boxes-&-N.o. of Cond ucto rs-Sta pled . . ...... . ............. 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 -Al ---- - ----- - -------------- - ----------------------------- 29. Range Circ. ! / ga. Cu or Al -Oven Circ. / / ga. Cu or Al. . --Insulated Neutral --------- 0 -Yes - ------ 0 No ------------------- 30. Service -Riser Conductors & Ground -Main Disconnect . -------------- - ---------------------------- ------- ------ 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 -------------- ------------------------------- ------------------- I ----------- Date Card B-1 -Date Card B-1 Date MECHANICAL (Permit) Ok except ft's 34. A. C. Ducts Insu lation & Support 35. Vent Fan: Exhaust above insulation ----------------------------------------- - -- - ------------------------------------ 36. Condensate Drain & Overflow: Size & Grade -------------- - -------------------------------------------------------- ----------- 37. Furnance-Vent: Access -Comb. Air-RetUrn Air Vent -1 15 outlet ---------- = ---------- --------------------------------------------------- 38. Attic Access & Platform it Furnance in Attic ------------------------------------------------------------------------------------ ------------------------------------------------------- --------------------------- Date Card B-1 Date Card B-1 - --------------------------------------------------------------- ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors ------- --------------------------------------------- - --------- -------- :_____4_0.. W-all-s-Stucs-Nailing. Spacing-& Bracing -Plates -Sound ------------- 41. Bearing Walls over Girders & Floor Nailing ----------------------------------------- - ----- - -------------------- 42. Draft.Stop in Walls (rat proof) ------------------------ ------------------------------------------------------ ----------- - 43.- F -ire -Stops: Furred Ceilings -Stairs -Chases -Tub ----------- - ----- 44. Headers & Beam -Size & Bearing a"n, . gle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. CIng. Joist-Rftr. ties -Pu rl in -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4 8. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ----- 49.-Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. -Garage Fire Protecti6n Framing 51. Property Line Firewall-& Openings Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Ru n -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------- --55.-Siding-Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. -Glazing Area -Glass Protection -Skylights -Plastic Shear Walls: -Nailing -Bolts -------------- 59, Insulation -Walls -Ceilings ------- - ----- 60. -Infiltration -Walls -Windows Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s -------------- 61. -,Ext. Steps -Door & Sidelight Protection- Land i ngs 62. Smoke Detector 1 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection -------------- 64. Bedroom Exiting ----------------- ------ 65. G.F.I. & Bath Fixtures & Tub Access -Spa --------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------- 67. Stairs & Rails ------------ 68. Fireplace or Stove: Clea ra nces- Hearth -------------- ------------------ 69. Elec. Outlets at Wood Panel: Int. & Ext. ---------------------------- 70. KiI.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71 Elec. Outlets & Receptacles at Kit. Counter 72' Garage Fire Door: Swing- Land i ng -Close r ---------------------------------- Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location --------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------- 7;. Insulation -Foam -Looked in Attic 0 Yes ---------------- - - ----------- - 78. Guard Rails & Deck Const ruction- Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes ----------------------------- 80. Following insild.: Drive 0 Yes 0 No: Walks 0 Yes 0 No; Planters 0 Yes 0 No -------------------------------- ------------- 81-.. Stucco: Brow -n -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 B-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 9,5965 -:Telephone (916) 538-7541 w NO. APPLICATION ANb PERMIT A�T /' I ASSESSOR PARCEL NUMBER 024-010-095 ZONING ISRI/GUR BUILDING PERMIT OWNER G.R & SHARON LOUGHMILLER TELEPHONE SQ. FT. OCC. BUILDING VALIDATION Z OWNEWS MAILING ADDRESS 169 ARCHER AVE., GRIDLEY, CA -95948 CONTRACTOR'S NAME OWNER E CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NnNF UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee -X=O& $ ARCHITECT OR ENGINEER NnN-F. LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 169 ARCHER AVEE GRIDLEY PERMIT FEE $ 23.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME 1 PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF Q Duplex 0 Mobilehome)p Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer - 15.00 Mobile Home Es XV @20-00 60.00 TYPE OF WORK New 0 Addition Q Remodel Q Utilities QA Installation El Other 0 DescribeWork: 3 BEDR00�1 (REPLACE SF WPM PERMIT FEE $ 80.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 11v OR LESS 200A 0 LESS 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. & ACC. BLDS. 3.5� sFTO.' CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) Q I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) EI 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) Q I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET ON-RESID. RANCH CIRC ITS a U @7.50 POWER APPARATUS & SINGLE OUTLET CIR. I Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 @ .60 P Ex. Occup. A PLNS..OR UTLETS IRESID I EA —BAL. 5.00 Temporary Service 23.00 Mobile Home Facilities 20-00 20.00 Misc. Wiring 23.00 li� WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 0 This permit is for $ 100.00 (valuation) or less. rvices, 0 1 have placed on file with the County of Butte Dept. of Development Se Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in anymannerso asto become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California 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 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 i consequence D�f ing of this permit. X 7n pe grant Z", Date Signature of Applicant -Wowner Q Contractor 13 Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height it / U Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE I TOTAL FEE $ 1 I — HAZ. I D. FEES I IMP I F D WV I F H 11 This permit is hereby issued under . of the Butte County Code and/or indicated above for which fees have By_ PERMIT EXPIRES ON 'fDate) the applicable provisions Resolutions to do work been paid. Datq 41 — 170428 — f",00 Receipt No. 7,� WHITE-D.O.S.-B.D. CANARY -ASSESSOR f /P INK -INSPECTOR GOLDENROD-APPLICAN� I/ CERTIFICATE OF ANCHOR. INSTALLATION Title 25 CGH Mobliehorne Parks Act Section 1326 (b)(3) I certify those portions of the tiedown system installed below grade were not damaged prior to. or as a result of the installation, were not modified prior to or during the installation, ind were installed in accordance with the manufacturer's installation instructions, plans and specifications of the engineered tiedown system referenced on this certificate. Tiiedown.System: Manufacturer: Model: ' & 6 / Installed. by: Date:' ��n�twner:' Licenso No.: COUNTY OF BUTTE BUILDINGDI,�,ISION :A ,DEPARTMENT OF'DEVAL'OPMENT SERVICES 1469 Humboldt d, Chicb, CA - (916) 891-2751 7 County Ce . Di 'e'., Oroville, CA - (916) 538-7541 747 Elliot Road Paradise, CA - (916) 872-6307 C )PRRECTION NOTICE 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 nol'ify this office when correction of work is pompleted. If you have any questions pertaining to this matteu, or need additional explanation, please contact this office immediat ly. D a t e n s p e c- t*7o' r'�'. REV 10/92 'j � - ' ' - -�4 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT 60 DEVLOPMENT. SERVICES 1469 Humboldt Road, Chic6, CA - (91-6) �)B91:-2751 7 County Center Drive, Oroville, CA - (916-) '538-754T 747 Elliott Road, Paradise, CA - (916) 672-6307'-.: J4 CORRECTION NOTICE: - ;2 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte Cc'?unt y Ordinances exist at -o the above address and should be corrected. Please notify this office when 'c"or'rection of work is completed. If you have any questions pertaining to this matter, -or need additional explanation, please contact this office immediately. Date �Z- Inspector REV 10/92 COU NTY(?f BUTTE - DEPARTMENT OF DEVEIJ'�, NT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,cALIFORNIA95965 -TELEPHONE (916)538-7541 Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector At time of permit application, I was advised the following data' -must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items a b n submitted ......................................... h Ae - ee -It nw�N 2. Plot'plansV4 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. Mobilehomej "nd ufact Isoelation instructions, 2 sets. Feesof $ ........................... Impact feesfis-shown on attached schedule. 12. California Department of Forestry plan approval/fees ......................... A 13. Flood elevation letter (100 year flood) by C iforniaEngineer ................... 14. Sanitation and plot plan approvE 0 71e, Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley . ............. 17. Plannirig.ppproyal for (A) Use: (B) Parking: 18. Contact Lana-bevelopment.about (A� Improvements (B) Drainage ............ 19. Driveway permit (construction approval required prior to occupancy). P;,�41��o; r6q.uest 20. Pre -inspection for required. to Building Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... -71 Owner -Builder Verification (Given to owner_, Mail to owner Recorded copy of Agricultural Acknowledgement Statement . ...... ; ............. Y,6 25. Lette of signature authorization . ........... y1***- ***1 .............. 26 Copy of recorded deed of parcel ��ration and 60 riq�t of way to a public road ...... . X 's ' �1— Lette of intent on building use. el ...... q. . ........... 28. Mobilehome utility clearance ............. 1i ............................. 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, proQess asklows: 1VIdII tU UWIMI. Mail to contractor. 2y '�A C --T Telephone -4e�n hold for ptclup at office. Deliver with inspector. Other it- -cxx C) V I L..�CF,7 Parcel Creation Acreage Applicant J/1"wX L Date /�//Zqf Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution Date Copy of plans sent Health Dept. _ Fire Dept. -----.,9ther Date By The following data must be submitted prior to permit iSSL 1. Index permit for above items No. 2. Additional items required: new item not checked above). 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 y _ Date Plans checked by Date Plans approved by _ 7 Date//, -,;-(/V F PA Sets of plans on hold in File cabinet AP folder Copy Department of Public Works S E.H. US4 9M M Plan AMwW V: z3u Mg Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location Plan Approved for: Sewage Disposal Water Supply: Public Clearance for J bedroom mobile home. Other I - AP# Private Well _r --rA r o, Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist --Date R/01) Thu got Of PUna and k"p, Or' th,%Job acail tin-re"Iftauam Muff be n a 8 and. It is uniawfui to pe hangeS or saterations on OaMo withcrut, -1646 rMigat oaf, 0 tDepartment Of Pub.U6 d le- /7 - (0 J'y A# 01 Go With B6:,Ih RecoiMbed Good P"aat'04 fUld 0 ��IbOd In'. a for t4e Spscj_teo 0 1 r 'Use 0' a tj yl, tbLg. jW&Wv!�, , UlmblDg A' UsobAlUCU, APHROVED B :Ali utte COunty Envi. r0nmental He Ith X te ALL S-rRUC ---------- TUF;ES AND ig i. OVERHANG ��,nature I EOUIP'. ENr S SHALL 13E CLEAP INCLUDI A Qtz-r ft UACK OF f;- ALL EAsFurmil 9.1 s 11 -- a r 'r A SIDE A r EArk Pjic"pp FT. FROA4 -rIjE no M� �Ty LINES A OF STRUCT&F, AID CENTERLIMS SHA A 2 FT. CAVE - Vt ES AND E0LrIpA4E U. 0 RMANG. MT EX(;,. : vp YJ L SLI IM", L CIE ;Te w" cft. Tin ai w", T ay. A IAW, co. jo E)VAW COUNTY OF R.UTTE Dgpartment of Development S�rvices Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION 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. 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. 1 (have/have not).. signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner A Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and.returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califorriie, 95965 - Telephone (916) 538-7541 PERMIT NO. 0 APPLICATION AND PERMIT .19 ARCEL NUMBER 'M I - 0/ 0 - 0 96- Fx//w BUILDING PERMIT '77A 9- shaybn A M Ilea- k- TELEPHON SQ. FT. OCC. BUILDING VALUATION Ow7ZT—G;7&&,, 4ve P` r Ic C?15-9 8� CO2MTOFrSNAME A I Air- C TELEPHONE CONTRACTOR'S MAJUNG ADDRESS Fireplace C=N LENDIR y) ip-, UN KNOWN Total Valuation $ Filing Fee $ .129;m LENDER'S MAILING ADDRESS Permit Fee $ ARCHVEO OR ENr.IW1 ER ,-t/ t'9 il e., LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ -- - ARCHITECT OR ENGWEEWS MAILING ADDRESS Penalty $ BUILDING ADDRESS v eq PERMIT FEE $ A, 00 --y-aza: PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME 1 PARCK MAP 1 Each gas water heater or vent 15.00 USE OF STRUCTURE SF 0 Duplex 0 Mobilehome K Other SKC-1FY---- Gas piping system 1 - 5 outlets 15.00 Building sewer .,,. In. 1�2n 15.00 Mobile Home US 9�1 MY @20.00 TYPE OF WORK New El Addition Q Remodel 0 Utilities K Installation Q Other Q DescribeW �rk- C -f PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 1 6"' 0 OR LESS 200A . LESS 23.00 -41-90a RMEMr-Z Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. & ACC. BLDS. 1 3.50 sr. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) C3 I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) Cl 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) 0 1 am exempt under Sec. , Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET I NON-AESID. BRANCH CIRCUITS 1 @7.50 POWER APPARATUS ( & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 1.55- BAL. .50 FIXED AP"S. OR Ex. Occup. OUTIETS (RESID.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20. Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 0 This permit is for $ 100.00 (valuation) or less. 0 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 0 1 shall not employ any person in anymannerso asto become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state thatthe above informationis correct. I agree to comply to all Butte County Ordinances and California 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 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 - 0 Owner CI Contractor Q Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee T$-77 Energy Inspection Fee I $ C I CONST. TYPE TOTA / L FEE $ — HAZ. E- 1 0. FE S IMP I Ft;K COF I PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County C�de and/or Resolutions to do work indicated above for which fees have been paid. By_ Date— PERMIT EXPIRES ON Mare) Receipt No. I �0 i WHITE-D.D. ANAR'?-ASSESSOR PINK -INSPECTOR GOLD ENRO D-APPLI CANT I f.:,q _T S U P P ABESCO ENGINEERED T --DOWNS IE -MANUFACTURED HOME AND COWMRCIAL -COACH TIEDOWN CALCULATIONS AND 5CIIEDULES FOR Sl?4GLE 0TlRT.E/TPTPT.V ANT) C)TIAT)—Wlnrq G ENERAL NOTES WIND--- 85 MPH EXPOSVRE "C" SEISMIC - ZONC 4 $OIL --- 1,000 LBS, PSF LOAD SEARING AW06 -EARTH ANCHM #601 OR #602 MAY VC USED FOR BOTH SIDE AND END VEDOWNS, A,750 LBS.-MINIMOM TOTAL LOAD CAPACITY (TESTED 7,000 LOS.) 3jl50 LOS.-WORKiNG LOAD CAPACITY (1.3 SArEl-Y FACTOR) Titdon STRAPS ARt TO BE AVESCO'S STECL STRAP5 41606 AND #614. THESE STRAPS MEETS FEDERAL SPECIFICATION 00-S-7atH FOR TYPE 1. CLASS S. GRADt 1 STRAPPING AND BE AT LEAST 1 1/4* 035 ZINC-OLATED. 12=; * 4,750 LBS. -MINIMUM TOTAL LOAD CAPACIrY (TESTED 5,900 LSS.) * 3,150 LBS. -WORKING LOAD CAPACITY (1-5 SAFEtY FACTOR) TitDOWNS ARE LOCATEID ALONG THC OUTSIDE CliA$SIS BEAMS. PLACE AN AeESCO EAAfH A14CHOR AT 21 IN FROM EACH END OF EACH OUTSILIE CHASSIS 8EAM, DISTRIBUTE THE REMAININO TIEDOwN MNLY'ALONG THE CHAS$iS BEAMS, E40. -.11fDOWNS ARE LOCATED At DOTH ENDS OF EACH Ul.11T(S?,, THEY ARE TO BE PLACED AT EACH END QF -CHA*S$IS BEAMS, OF EACH TrANSPORTAEILE SECTION OF T.1 WILDING. 5� THE �AUMBZR OF TIEDOWNS REQUIRED ON EACH SIV�/END QF UNIT(S) ARE DASED ON YHE LATERAL LOAPS ;DUC TO 85 MPH NVIND EXPMAE "C" OR SE15MIC Z014C 4--NYHICHEVER IS OREATER. ROVAL 7 - 7ST-A-T7"'"'�PR 0 �VA L�� AT P I . - . V ' .. " PACIrtO CON$ULTING CKOINErr?3. 4X 9L C -1,W10 AV!L SAC, Ck W21 Ftfl -= V I . 4 APPROVID 10 colink'71 ON$ NqrW App,o,,jl does n#j twihoellf or'sporovo offlInfam af 9K E cxjoaj.�offl t"Virlp"topl)l of ;:4 laws "4 wo a4 cwt'f"J� Of COD AN -4 S4146Ms App?'o A ? Tbli � 4u*_ A D "I co 9 4 F P, 1 1 C. G: A --T X IJ F, P L_ c 0 ABESCO TIEDOWNS COUN I � J)ITTSBUR G E T15STINCT LWORATORY PJ�SA*,* TEST # I Pull CuP Tj;f` In A SANDY SOIL, A3, 1)(30tig a Donsily of - RESULTS. Actuol PvIj OvIt: 124.90 lbi 3'. ? c U R610. 7.00()"'*Ibj. Avorago Verlooligm t^nvojurod in illf;hostI.448 TEST 12t Pull Ouf,Tosljn, R00q. SOIL, Al. I . lovirig a ();jnsllX . of -133.65 lbs./Cv$ffg ReSUL S: Aolual p(III 04f%37,000 lbs, Averap ootlqcjlon TEST (""Urld Im InchVac -.771 A Pull Owl- Tost In ADODE SOIL, M. ljovInq , p I . RESULTS1 Acluol P' . 0 D�10Y of- 87.23 lbs./tu.ff. ull Out -7,000 Iba, kalrdoo Doffift-Pon moo. -W -.1d 41 Inch03:1 'FAA -',U= (30 INIPH EXP "C" AND SEJq�NC ZONE 4 ' - WIDTH T.D.A. L0,,0/�8,A0 TQT RA 3 40 7' ST L. #614 7' STL. 406 DOLT - STRAP IY/BVC STRAP W/11OLI3 N #LON SINOLE dO FT. TOP, 13.320 LDS.- - 4, 662 LOS.] rypc TYPE WIDE #60.2 48'.T,D.A. #600 SPLrT #010 STABILIZER J30LT Cc NUT 4,662 LOS. a 2 PLATE 60 FT 333 392 19,980 LBS. . . ... . .... . 5,488 LBS. 7 ENGINE ERINC, CALCULATIONS 70 FT. 333 453 -p LU, WIND EXP "t" y- c- r- LAT:s(l 6,342 LOS. 8 2 5.6 PSP 333 PLr=0,186 WLAT-(?s,s PsF)(I3,)=333 PLF rA 40 FT. 333 333 13.320 LBS. Ic 2cl�m ZONE 4 . . . ................... . . . . . . . . . . . . . . . . . . WIDE -0-186(DL) 333 �3Z 16,650 US. 9.324 1.9$. vw 0-106 g10 P S F) PSt)(,'%-j,',")+(2 WALL -5)(w)(10 Psrj 4 TO 28' ? 60 FT. 3,33/392 COUN I � J)ITTSBUR G E T15STINCT LWORATORY PJ�SA*,* TEST # I Pull CuP Tj;f` In A SANDY SOIL, A3, 1)(30tig a Donsily of - RESULTS. Actuol PvIj OvIt: 124.90 lbi 3'. ? c U R610. 7.00()"'*Ibj. Avorago Verlooligm t^nvojurod in illf;hostI.448 TEST 12t Pull Ouf,Tosljn, R00q. SOIL, Al. I . lovirig a ();jnsllX . of -133.65 lbs./Cv$ffg ReSUL S: Aolual p(III 04f%37,000 lbs, Averap ootlqcjlon TEST (""Urld Im InchVac -.771 A Pull Owl- Tost In ADODE SOIL, M. ljovInq , p I . RESULTS1 Acluol P' . 0 D�10Y of- 87.23 lbs./tu.ff. ull Out -7,000 Iba, kalrdoo Doffift-Pon moo. -W -.1d 41 Inch03:1 'FAA -',U= (30 INIPH EXP "C" AND SEJq�NC ZONE 4 ' - WIDTH LENOTH L0,,0/�8,A0 TQT RA 3 40 #IRAN$ #LON SINOLE dO FT. 13.320 LDS.- - 4, 662 LOS.] rypc TYPE WIDE 50 FT. 16,6$ 0 LOS ' 4,662 LOS. a 2 TO 1 �4' 60 FT 333 392 19,980 LBS. . . ... . .... . 5,488 LBS. 7 2 70 FT. 333 453 :2 6,342 LOS. 8 2 DQUOLE 40 FT. 333 333 13.320 LBS. 9,324 5 4 WIDE 50 FT. 333 �3Z 16,650 US. 9.324 1.9$. �d 4 TO 28' ? 60 FT. 3,33/392 19,980 LBS. 10.9 7 LBS, 7 4 azossnk—mmm 70 FT, 3 3 453 23.3 0 LOS. I I a4 M. 4 TRIPLE _j0F'T. 3331353 '333 13,320 LOS, 13,986 LOS, WIDE 50 FT. "FT IA rqn 10; TO 42' 80 392 19.2 8k LOS. I 16 4 -64f2_&6_LL8S. 7 7D'.'FT 33 453 .19,1 4 " 26 LB$. 8 'OUAD 0 FT. 333 333 M320 IG.650 1.83. 5 .8 WIDE 50 FT. TO 501 60 FT. 3,33 392 19.980 LOS. 70 COUN I � J)ITTSBUR G E T15STINCT LWORATORY PJ�SA*,* TEST # I Pull CuP Tj;f` In A SANDY SOIL, A3, 1)(30tig a Donsily of - RESULTS. Actuol PvIj OvIt: 124.90 lbi 3'. ? c U R610. 7.00()"'*Ibj. Avorago Verlooligm t^nvojurod in illf;hostI.448 TEST 12t Pull Ouf,Tosljn, R00q. SOIL, Al. I . lovirig a ();jnsllX . of -133.65 lbs./Cv$ffg ReSUL S: Aolual p(III 04f%37,000 lbs, Averap ootlqcjlon TEST (""Urld Im InchVac -.771 A Pull Owl- Tost In ADODE SOIL, M. ljovInq , p I . RESULTS1 Acluol P' . 0 D�10Y of- 87.23 lbs./tu.ff. ull Out -7,000 Iba, kalrdoo Doffift-Pon moo. -W -.1d 41 Inch03:1 wt WINO= 85 m,p-h- Exp. -C" SEISMIC:* ZONE 4 REQUIRED NUMBER OF TIEDOTfNS FOR EACH—S--f—DEAND EACH �D po, WIND= 85 M.p.h. Exp. 'V < SEISMIC= ZONE 4 TUC Typt (DISCIE CHART SEE CHART [LENOTil OF UNIT`[ 26" Q- I $0, Q A r CYCKY IFACCP V I - -- -= LSIIIGLE WIDE UIU�4] 4_17- 4 1314 IIE4 13.LVD&Y LENGI Mics TOTAL Tj� OWt4S� 20 SINGLE WIDE folor" YA40 DOUBLZ WIDE $91 C14ARr wt WINO= 85 m,p-h- Exp. -C" SEISMIC:* ZONE 4 REQUIRED NUMBER OF TIEDOTfNS FOR EACH—S--f—DEAND EACH �D po, WIND= 85 M.p.h. Exp. 'V < SEISMIC= ZONE 4 TUC NVUBBIR OF TIPDOWNS FO, SEE CHART [LENOTil OF UNIT`[ 26" Q- I $0, < -Atno- LT!ITOMI QCAT!2Nj_9 I E I LP -1-3 [E-[-tT—E I - -- -= LSIIIGLE WIDE UIU�4] 4_17- 4 1314 IIE4 13.LVD&Y VA=IV4wV 1PACMICKYLY &'AtMf.-' TOTAL Tj� OWt4S� 20 folor" YA40 DOUBLZ WIDE $91 C14ARr WIND= 85 mp.h. rxp. C TYPE SEISMIC= ZONE 4 Ut - 14—D Q llr4 RFQUIPED UMBER- OF 3 FOR -TIE ILUXT—HOF W -11T 961 1 -0 1 2 V SIDE AND EACH BN A�C TRiPig 'WIDE TYPE $cc I�HARY WIND= 85 m.p.h. Exp. 'C' SEISMIC= ZONE 4 -PIP Tyr[ (D [15�m ?o Won OF TIEDOWIS FOR SIDE)AND'YNACH ENDI LENGTH- OF V?IIT .30, 401 sat -61, --66, 700 s I t 3 1 k Is I E str% -- - F: DEDOWN LOCATION SHICLE WE -UNIT E LRT! DOWI s"" " 4 5 0 JAC FTo TIEDOWNS 20 -- U 542 �SFE— JUILDING DGRAPTMEN, rl MKYIff Y P a U"OTH VANU DPPo vFn.. 2U&D—MDE i� 0 3. 7 P, _T PI 1-11 x SEg 2gTAIL CHASSIS T . YPE TTIERN7 C14ASSIS 1014 STL. TRAP — SEE DETAIL"Aft TYPE OTIEDOWN TIE DOWN 606 STL. ANCHOR (TYP) ITRAP A (TYPICAL) SUPPL-1-11 Co 2VAILA r'Typ�f SIDE VIEW END VIEW OETAIL It B ti TYPE 0— END TIEDPWN chcK umc DETAIL Vo (TYPICAL) NOTE, VERTICAL OR ANCULAR 1131AW1101 0 MIW� a e. a ca __._m w ft ww-.k *q: 14'4' 4-f WARNING!� CHECK -FIRST FOR UNVER1=VND WILITIES. 2. INSTALL ANCHQRS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTVIRSANCE4, UNTIL HEAD 19 FLUSH WITH STA90ZER PLATE. ANCHOR$ SHOULD BE 114STALLEO VELOW rROST LINE. `:A" AITACH' STRAPS TO CHASSIS IFEAM IN MANNER SHOWN. -4. INSERT STRAP THROUOH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN 7IG14TEN BOLT UNTIL STRAP Is 314vol 5.ASESCO, NAME IS STAMPED IN ANCHOR HEAD. INSTALL GROUND ANCH011 INTO GROUND, LEAVING W-12' OF SHArt CXPO$E9. PLACE STABILIZER PLATE NCXT TO SHAFT BETWEEN ,ANCHOR AND CHASSIS REAM, AIID WIVE INTO OROUND. vy co U/v Ain PA 00 JINTO-THE GPM 0r) IWIANC9011 MEAD IS PLVSN !F YMMI STAOILIZER PLAT�. ;.THIS -PROVIDES SECUAE MTEMN ACMW LAMA M01VEMENT. fm 4p 40 i* 9~4411 916 in "^W" 06 a q"ftm".4ft'4% adftftm* 0 0 9%P— w CONTRACTORS VERIFICATION I rERTIrY THAT I HAvE INSTALLED - THE AGCSC 0 ANCHORING SYStEM AS PER THE INSTALLATION INSTRUCtIONt. I HAVE MAOE NO MODIFICATIONSvTO. THE- ANCA0011,10 SYSTEM OR TO THE BUILDING STRUCTURE, COMPANY HAMEt-- CONTRACTORS LIC.1 DATE: TnT01 P -Ad r L I I L' L L I %',I OL I it t,-;;% U V% U i", I �SKL L I L NSF RODF LOAD 17 'Viv 7 1 1:1DUIREL'INIS 'TAE".r SEE MATING LINI PARING UE. -E 7-7 Al b vT OF SEE PERIMETER UMT FARING REOUIREMENITS TABLE. 1 7 E S 1- c-7 F:E rm?43 PLIU41 At -,'D FIE R LOO. CAIPA.CrrY MAV%1v,.,rGS FOR REOUIREMENTS-OF VAIN FA IL S U F PORT CAFAC;ITY P%D FDDTif%'G SIZE. V,01f.'r. LINE FIEF-ING 1;,E*Lt* E E MIMI FZ-Sl I ISI 21--) V. -UR -OF. I 3 -F -D V-11;0� It I ki NT F fJ D; ETH P.IBID; K t t WAV . L L C.: ti FF.:)"I rX-1 1:!l t:ls,! I tz'sT I F I)ST I f D 5 -, fjiR LOID CIVI �IiY 1� Its. Z C> -7 D 3s 60 -11-Y.7-0 z-1 7,?/7/ F " .:)I I 1� z Z/,Y* 2 8 z Z/ ZI z IVY 3 4�1 I . � -, i" ---, - A OT. 1,:%'-JTE: f s:zc. s t)Lt E-� cr, 1 CODPSr 9 :,..t t -7B -17N,) VOJE. It SD�! C*r,d'1,ic)1,)E ditel sp- E thE Fir Load Cz;)zc�,,),O,EyJt)- c), ViE HD-i)t TE:�hri:c;-:', IrLOL211EUmMnLyal lot rnr" hOdo1,c2I::O!i1*;D1k. PER11,'-fT[F. FIEF"M* F-IOUIRIMMIS It -Ell L t I c 1.0 LA.: I S V":., IL %..,HEN ' b i%'. I 1� L. D!.t 4, r.E F RD t.� f F. D!�l Of LP -11 . )p ! 1;! 1 LL 1IND a c 1-60 fAfS fgczfT 0j L OCCE M 01� ploop— z <.. I I N _T ve -cy O-Jc w"Ar Pyru4i: UTIUTI K.. 6.p 0— int h,4 - � L_ __ --------------- CPT, 1q, & mtj FI&LX q1, - / 7 7 UpuFr POST m1a es: Ow r_1 CL 114.0 �,F. 1EIK, _�i E Ilz No. LOAD _TT '9 1-8 .1 Ta Lz_ 5-m' A A 1. 1, 1%11" AA_ UFLIFT FEDERAL MANUFACTURED HOUSING C' "TRUCT" Lu & SAFErv,:.ANDARDS Q) (D OCT 0 8 193 3 4 POST TA113 9 al r;A 5 5 13"(1V OA F3 '3z * , IA E-. 5% _LOAD 5'-e,;V IND TE 21 14J-5 0 DESCRIPTION GLAZ A FLEETWOOD 1� ISCA1. `�,_ I0ILq4 SHT i F 1 .. , 14"x 4LI V. su C:) ra -2. 3-2 1.5 A POU151-- ___ — — 51")c 101 4 - ';Ll oe 1— 1-10 2" . C�T-T^r—& 4* a d�ENT 3 , 67; — SALESLINE. V REV A J; 11. C7 -5-L Y.,5uc;,ep. 11-0 0e_T^e_0r4 ef 7- '5i^ FF -TY 34.�, 11. Ill" 4. A IV- I I I IV 5A 151 -31 u) INEFICATES 12' BEARING IS AEC). q1, - / 7 7 UpuFr POST m1a es: Ow r_1 CL 114.0 �,F. 1EIK, _�i E Ilz No. LOAD _TT '9 1-8 .1 Ta Lz_ 5-m' A A 1. 1, zoot: 7/� /,57' IV -0 NOTES- t) This floor Fix Truy te tult ki ai ex2ct rmrror km0c 2bag -he lenrch m&or wWth am5. WINDOW/00011 SCHEDULE FEDERAL MANUFACTURED HOUSING C' "TRUCT" Lu & SAFErv,:.ANDARDS Q) (D OCT 0 8 193 3 4 a -w 9 al r;A 5 5 13"(1V OA F3 '3z * , 2 13 c. -On .. 1 1 -1 1 IND TE 21 14J-5 0 DESCRIPTION GLAZ 30 i FLEETWOOD 1� ISCA1. `�,_ I0ILq4 SHT i F 1 .. , 14"x 4LI V. su C:) ra -2. 3-2 1.5 A POU151-- ___ — — 51")c 101 4 - ';Ll oe 1— 1-10 2" . C�T-T^r—& 4* a d�ENT 3 , 67; — SALESLINE. V REV A J; 11. C7 zoot: 7/� /,57' IV -0 NOTES- t) This floor Fix Truy te tult ki ai ex2ct rmrror km0c 2bag -he lenrch m&or wWth am5. WINDOW/00011 SCHEDULE FEDERAL MANUFACTURED HOUSING C' "TRUCT" Lu & SAFErv,:.ANDARDS Q) (D OCT 0 8 193 3 4 a -w 9 al r;A 5 5 13"(1V OA F3 '3z * , . 98FARr1v;S.;. c. -On .. IND TE 21 NO, SIZE DESCRIPTION GLAZ �EHT SIZE 1 1 DESCRIPTION GLAZ LEGEND: CM MAIN DISTRIBUTION PANEL () SEE ELECT. CIR SPECS. a S�PPLY AIR GRILLEAEG S SWITCH III rvp LIGHT FIXTURE I.1 AIR SUPPLY THERMOSTAT IL FAN CEIL.-a REGISTER (D EXHAL�ST & CE SHEAA.ALL SUOXE DETECTOR 0 SUPPORT POST OOR BELL TRAAiSF04MER (1 Rig RETURN AIR GRILLE FLEETWOOD 1� ISCA1. TITLE. LA 7AN FL90R PL SHT i F 1 .. , 14"x 4LI V. su C:) ra -2. 3-2 1.5 A POU151-- ___ — — 51")c 101 4 - ';Ll oe 1— 1-10 2" . C�T-T^r—& 4* a d�ENT 3 , 67; — SALESLINE. V REV A J; 11. C7 -5-L Y.,5uc;,ep. 11-0 0e_T^e_0r4 ef 7- '5i^ FF -TY 34.�, 11. Ill" zoot: 7/� /,57' BUTTE COUNTY DEPARTMENT -OF PUBLIC WORKS 7 County CdhLer Drive, Oroville, CA. PHONE: 538-'7541. MOBILEHONE INSTALLATION SHEET 1. Owner's Name: 7 2. Installer's Name: 3. Is the site�cur,r ently under permit? Yes No (If yes, furnish permit numberw2j OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will.the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of a 11 setbacks and easements? Yes L�� No 17 (If no, clarify 5. What is the mobilehome electrical rating? --------------- /,0 c> Amps 6. What is the mobilehome site service rating? ------------- 16C) Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------- Yes No (If yes, identify the load and size: (Load) —(Amps) 9. What is the mobi1ehome site gas pipe size? --------------- (in.) 10. What is the type of gas-seivice? -------- ---------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? -------------------------------------------- (ft.) 12. What is the mobilehome gas demand? ---------------------- OZS�S (BTU) *(This information not required if pipe length less than 6 ft. on (N"IdUCY .�n��YxalAgas or less than 50 ft. on LPG.) . lar -4, -VITI rj j. C3 OBILEROME SUPPORT DATA If other than single wide, f 't, Mobilehome M;;r. utnish:,Setup Model No. 5-1—ce Year Wi dth 624 (ft.) Box Length ,,,:, 0 (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 (if not on file with the County of Butte). FOOTINGS (check one) E �,- Wood -pressure treated or foundation grade. F� 2. other (specify) SUPPORTS (check one) E�l Concrete block. R 2. other (specify) Pier Footing Sizes and Locations 7-�-�kk Pt> )t:0 P- Uj 0 SINGLE -WIDE MULTI -WIDE L,n� ' ! - , — Line 1 ,i� . 2 Line 2 Main Beams .Line 2 Line 2 Line I Piers: Size -Min - ------------ Spacing-Max - --------- From Ends -Max - ------- Line 2 Piers: Size -Min - ------------ Spacing-Max - --------- �5_ From Ends -Max -------- r I - Line 3 Roof Loads: Size -Min ------------- Location (From Front) Line 4 Piers: Size -Min ------------- Spacing-Max ---------- From Ends -Max -------- Main Beams Line Linc- :TLLlinee Tag or Triple Line 1 Openi &9: Size -Min - ------------------ Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min -------------------- ,x Spacing -Max ---------------- From Ends -Max -------------- zj� q ..x 7,q Ztf op, I ,. d , 10 ,15-. 0 " I -- -, I , - e 5 Piers: (Under Bearing Walls Only) Size -Min ------------------- Spacing-Max ---------------- From Ends -Max -------------- Line 5 Roof Loads: Size -Min ------------- ..x I.X .1 Location (From Front) . - I - " WILDING DRPARTK�, P 10VG PR Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 94-45638 Building blvision FOR RESEDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be reco prior to issuance of a building permit. 94-0456381' Rec Fee 6.00 The property described herein is adjacent to land or included I Cash 6.00 within an area zoned for agricultural purposes, and residents 'Recorded I of this property may be subject 'to inconveniences or Official Records I discomfort arising from the use of agricultural chemicals, County of I including, but not limited to herbicides, - pesticides, and Butte I fertilizers; and from the pursuit of agricultural operations Candace J. Grubbs I including, but not limited to cultivation, plowing, spraying, Recorder I pruning, and harvesting which occasionally generate 1 : 29aTn 1 -Nov -94 1. P.UBL XX I dust,smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposesand residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations.. All that real property situate in the County of Butte, State of California, described as follows: Lot 33 of dridley Colony Noe 6, according to the Official MP thereof,ifiled In the office of the Recorder of;the County of Butte, State of California, April 12, 1906 In Map Book'S. at pro 20, lying Seat of the drai,=ge ditch of Drainage DiatrLct No* an@ of Butte County. ErAnING THERIrM Oat portion described " follows: 19GINN013 at the Northeast corner of s&14 Lot 33; thence vast along the North line of said Lot 33. a distance of 100 feet; thence South a0d parallel with the ' feet line of said Lot 33,11'a distame of 160, feet; thence Zest andparallel with to North li* of said Lot 33, a distance of 100 feet to a point on the Bast line of said lot 33; thence North along tU Bast litse of @aid Lot 33. a distance of 160 feet to the point of beginning. Date: PROPERTY OWNERS' Sharon Loughrn:141er State of California County of &Irze- On before me, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by 4is/her/their signature(s) on fie instrument, the person(s), or the entity upon behalf of which the person(s) acted,'executed the instrument. WITNESS my hand and official.seal. CAROLYN WING t Z COMM. # 1028326 Z ZZ Notary Public — California L, I Signature Seal: My'd BUTTE COUNTY orrm. EOres. MAY 30.1998 A.P. # le) /0 END OF DOCUMENT kA 040 a UFUFT POST Tple . No Z AMA - S, 0. LOAD A It 16) IT 15 Fa F "Fr (9 Q Q z e --f A V 1'.Jl ut b el J..J. 0' 3 orru k-,e.J scr-ro 6.r ut, ff w4t a 7,utt- L56.1 6I.F. A 11 --ii Luwj _r_ 4- T '6 E:O 5 1 5,A eo 11'61V a-, L FA b e,, Eli 4 us Us INMATES Z* GWRIG IS SE -0, IT :r to Iw IUZ UPLIFT POST TTIla CE Ir cf1r. 114 F. \"ZEeE-55f_0 LOAO G 170.1 t. EPTRY IIZ-&1 6.0:. 'A �_'- 2 4 41 1 A IV -III -3 101 qI c a) FEDERAL MAIII.IFACTURED MM. 0 HOLISM 9 *qMLICI FA Lij C \,a rro*r a SAFErv;:ANDARDS IMP ThS P100r PLM —Y bc hAt In m CxWt frd c .11, 0, --oa 13 11-0c *= 111M WOO ar&or wWth.ax& a- E m (D a- 4- c '33 __Z OCT 0 8 191j CC < WINDOW/DOOR SCHEDULE Lu 4 cL 40 SIZ11 GLAX VtNf NO SQ1 DESCRIPTION G`.Az "ChIf LEGEN r 6EAA2sG 6 AEG. = __ 0: CEO M -M O'SmauTpa" PAPML FLEETWOOD TITILI 4- 14"A 4LI st-1c;, rs -k 3_1 1.5 319 MCT CIR $.q[C$, 0 SUPVLT AIM GAILMAIG -C j e-OTIAC-& 4.5 FLOOFgLAN SHT I st*s 10 D12%V. OF I i��& 2. L -0 2-L QAA— 9-o&V REV -7. _suc;v_-F-_ 11.0 13- M ix.."r G CIn_ FAN S.IAA.ALL J- . _- 11.0 1-3- A 00 +4 S-0.1 OITICTO. SUPPORT POST OAT[ qp�.&U,-o - If - C AILPF (_5 -40 SAFIE" 3.4.( -Ti -75 000A afts. famsrowfa --G1%A[1UT`-AIRO-1Ltf SC -L9 3,,G-. I.., A u- lb 6F - 0 1 1 OEM, 2 P 475-89E G. R. LG�Q4m-.41-ler Ve. . 162 Archer Ave Gri dley 17� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS. 7 County Center Drive - Oroville,'California 95965 - Telephone: 916/538-7541 AN6 F�kRMIT PERMIT NO. — !�2 7 — n / ASS:�OR PARCEL NUMBF-R JiL -191 - %5-- ZO KG 1 BUILDING PERMIT OWN P NE SQ . FT. OCC. BUILDING VALUATION OWN"'S MAI G A�DRESS //1 —1 'A Ld r V 96-94ko e, :NKACTOF;r*S NAME )kmr- Y— T E L EPP _ONTE Cd-NTRACTaR'S MAILING ADDRESS Fireplace CO STRUCTION LENDER .2N V, & UNKNOWN I Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCRITECT OR ENGINEER'S MAILING ADDRESS Penalty $ I BUILDING ADDRESS J/o re, heLr Ale, Permit fee $ PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 (I t4 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 SFA DuplexF� MobilehomeFj Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 10-00ea TYPE OF WORK New F� Addition Remodel JUtilitief� Ins allationEl Other Describe w o If, It 24 rie Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 1(),6)0 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1 1 1, as the owner, am exclusively contracting with licensed connaut- ors. (Sec. 7044) 4 hw I am exempt under Sec.—, Business and Professions Code fo'r this reason NEW CONST DWELLING occup.ai) 1/2 ftq ft OR ADDNS. ACC.BLDGS. NEW CONSTR. MUCTI-OUTLET N 0 BR ANCH CIRCUITS) J2.50eal N.R.r POWER APPARATUS &) (SINGLE OUTLET CIR._ Ex. Occup(OUTLETS OR FIXTURES 2A @ 50t 5 L@300 OCCUP. FIXED APPLNS. OR 1 Ex. OUTLETS (RESIC.) EA.Y 2.00 —Temporary service 10.00 Mobile Home Facilities 15.00 Misq. Wiring 15.00 - re. - In's In I Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-1 The permit is for $100-00 (valuation) or less. E] 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. INI 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 muit,forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Fi I ing Fee 10.00 Heating Cooling Hood 3.00 1 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above informat-ion- is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against all liabilities, judgments, (�Iosts, and expenses which may in any way accrue against,said County in consequence of the granting of this pe I O'� , r7,, X - Z , /we <_ �. t * - Signature of Applican;_- f OwZge Contractor D Agent n , 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 $ occup. I CONST.TYPIJ ISCHOOLI FLOODI PARCELI PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated aboye for / ich #-,. BLIC v PERMIT EXPIRES Date, the applicable provi- resolutions to do fees have been paid. WORKS Date -2, Z 3 - r Receipt No WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT COUNTY OF BUTTE DEPAR�MENT OF PUBLIC WORKS - 196 Memorial Way. Chico — Phone: 891-275,1 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 C R CTION NOTICE OWNER PERMIT N( A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work,is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. '7—i /I t k ' A A I A A W �W 71112 (A Inspector Date— COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Californib 95965 - Telephone: 916/538-7541 APPLICAtION-AD PERMIT ASS:�OR PARCEL NUMB ZON G t BUILDING PERMIT 0 IN?61 ITE F gPHON 0 5 Q. FT. J�CC. BUILDING VALGATION OWNER'SMAILU4G AIJDRESS Aff I I — I S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS BUILDING ADDRESS Fireplace I UNKNOWN Total Valuation $ Filing Fee Permit Fee LICENSE NO. Plan Checking Fee Energy Plan Checking Fee alty Permit fee 11q I ilail LOT NO. SUBDIVISION NAME PARCEL/AAP USE OF STRUCTURE —A SFN Duplexn Mobilehomen Other SPECIFY TYPE OF WORK New n Addition RemodeIE:IJ - Ins allationEl Other J0 17 4Uti I i t iefl Describe (yj 14 ILI- e -.W I f W`� C V C C—V C�M A�_ 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 rVI 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed kUIILICIL;L- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (ch eck one): 17 The permit is for $100-00 (valuation) or less. E] 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. VI I shall not employ any person in any manner so as to become subject 4!2kj to the W. C. laws of California. Notice to Applicant: It 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabipties, judgments, t s SP4iiI a expenses wh i ch ay in any way accrue against t Mid County in -o e he granting of t is permy. wt�z (�_ C-?—�nt 1:214 / Signature of Applican;--- )_ O"r 0( Contractor 1:1 Agent I—Y An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. �?E== W"ITE-D.P.W.. YELLOW-ASSE330R. PINK-INSPZCTOR. GOLDENROD-APPLI CANT PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S I G I W 1311111111111111 CONN BOOM om EM OM OEM NEW NMI mim"M I Permit Fee $ 10.00 10.00 Contractor ELECTRICAL PERMIT FilingFee 10.00. Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 Cooling NEW CONST DWELLING OCCU OR ADDNS. ACC. BLDGS. osq ft Hood NEW CONSTFL MULTI -OUTLET NON.RESID. 12 CI CU ITS) a 12.50 ea Venti lation P�ZH P,;Z RZTUS.&) (SINGLE OUTLET CIR Permit Fee Ex. Occup(OUTLETS OR FIXTURES 00500 1.2ALO 300 Contractor OCCUP. FIXED APPLNS OR Ex. OUTLETS ( RESI'D.) EA.) 2.00 Mobile Home Installation Fee Temporary service 10.00 Energy Inspection.Fee Mobile Home Facilities 15.00 TOTAL PERMIT FEE Mi!& Wiring 15.00 75, t9D Y f�e- - J- n b J0 ISCHOOLI FLOODIPARCELI I Permit Fee If $ LIV9 - Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 Heating Cooling Hood 3.00 Venti lation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection.Fee $ TOTAL PERMIT FEE $ OCCUP.1 CONST.TYPEJ ISCHOOLI FLOODIPARCELI PD I No I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated ab e for ich fees have been paid. I E UBLIC WORKS By. Date_?=�Z-34 PERMIT EXPIRES Date- !. � 1. 44 COUNTY OF BUTTE - DEPARTMENT OF RUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - 95965 - TELEPHONE: 916/538-7541 I I , Q�4 PERMIT APPLICATION DATA SHEET I . i 4 Permit No. OWNER t, 0 4 ,,, " // 4- A. P. No. Proposed Building Use 41r, 1 CV � f/ . ;0a .- Building Inspector /14101L Date L .,At time of permit application, I was advised the following data must be submitted prior to Oermit processing and/or issuance: W, j DATE RECEIVED APPROVED 1. All items have been submitted . ..................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings . . �,N .......... 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions ...................................................... , .4r 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ t1. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use:—(B) Parking: . ......... 17 Imnrnv ments may be required. 8.. �D i veway permit (constructi n approval required prior to occupancy) ... �9_ r rl a � Pre-19spec. requestE Q __ - _ e -Inspection for — (�L- 0 required ...... Building Inspector C2 -J (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner 13, Mail to owner 0) * * * * * * 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mai I to owner. —Mail to contractor. Telephone and hold for pickup at —office. —Deliver w/inspector. Other Appi icant��/Z Date,�-� -,,g/ Copy of plans sent — H ealth Dept., —Fire Dept., — Other— Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not.checked above). Contractor, designer, owner, was advised of above required data by—phone--Mall — counter by— date Contractor, designer, owner, was advised of above required data by—pho counter by— date Plans checked.by Date Plans approved by I — Date Copy—DPW Sets of plans on hold in —File cabinet _AP folder COUNTY OF BUTTE Department of Public Works 7 County Center Drive, Oroville,'CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner-b4ilder",bu'ilding permit has been a pplied 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. 1 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) -,'AliY-' 2. 1 (have/have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide th e proposed construction: Name Address City Phone Contractors License No. 4., 1 plan to provide portio ' ns of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address - City Phone Contractors License No. 5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number :: Date -7 - P - NOTE: This Owner-Builddr Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COU Couni Ass C OR PARCEL NUMB ,,_ / (7 ZON BUILDING PERMIT OWNE 0 U P ZNE& SO. FT. OCC. BUILDING VALUATION OWNER.SMAIL G A -35 1JDRF 1 td_ V r (1-V Y-11 I LLEPF40NE CONTRACT—CA'S MA;LING ADDRESS Fireplace CXORUCTION LENDER D V1 tA-- UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH ECT OR ENGINEER ,i` 7� ki (—, LICENSE NO. — Plan Checking Fee $ Energy Plan Checking Fee $ AACAIfECT OR ENGINFER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4110- Permit fee $ PLUMBING PERMIT FilingFee 10.00 W Each Trap 2.00 r Solar or heat pump water heater 20-00 LOT NO. SUBDIVISION NAME PARCELAAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF DupIexFJ MobilehomeFl Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10 .00 ea. TYPE OF WORK NewF� Addition Remodel[] Utilitie Ins allation[I Other Describe a M /4 Permit Fee $ Contractor ELECTRICAL PERMIT Fi I i ng Fee 10.00. 0) \1 Main service 6111 OR LESS 100 AMP OR LESS 10.00 /0-001 Main service EA. ADD -L 100 AMP 2.50 CV,,S(D 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 4 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) 1, 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 OCCUP.al OR ADCNS. ACC.BLOGS. 21/20scift NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50 ea POWER APPARATUS.&) (SINGLE OUTLET CIR Ex. OCCUP(OUTLETS OR FIXTURES 20 1 50t SAL0301 FIXED APPLNS. OR % Ex. Occup. OUTLETS (RESIO.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi!�. Wiring 15-00 A4-- - 1175 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): "I'he permit is for $100.00 (vaiva-,ion) or !ess. 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 FilingFee 10-00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I - h - ave read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiLities, judgments, q t d expenses which may in any way accrue 0 �!, es� a t agmnst/4'aicl County, in. of he granting of this perm�t. &e X uate Signature of Applicant O"r�Controctor E] Agent An OSHA permit is ryuired for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE $ occUP.1 CONST.TYPCJ ISCHOOLI FLOOD PARCELI POJ:O I ISSUE FTThis permit is hereby issued under sions of the Butte County Code and/or sic wo 'k 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. WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLD ENROO-APPL I CANT 12 Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESEDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this y-VjIll, acknowledgement be recorded prior, to issuance . of a building ORIGINAL DOCUMENT permit. The property described herein is adjacent to land or included within an area zoned f6r agricultural purposes, and residents in of this property may be subject to inconveniences or NOV 01 discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides,- pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary &m operations. All that real property situate in the County of Butte, State of California, described as follows: lot 33 of drLdley Colony No* 6, according to the Official Map thereof,-ftled In the office of the Ftecordw of:the County of Butte, State of California, April 12, 1906 In Map Bcok'5, at peg* 20, lyLng Ust of the dta"e ditch cf'Dralnage District No. One of Butte County. EXMING THERErROM that portion described as follows: WGINNING at the Northeast corner of said Lot 33; thence West along the North line of said 14t 33, a distance of 100 feet; thence South ard parallel with the Cast line of @aid Lot 33,;I'a ftstame of 160 feet;.tbance cast andiarallel with 1he North Hhe of4aid Lot 33. a distance of 100 feet to a point on the &&at line of said lot 33; thence North alorg the Zest ILtse of said Lot 33; a dLmitance of 160 feet to the point of beginnirg, Date: 7ut/'/ PROPERTY OWNERS - Sharon Loughrr&her State of Califorma County Of A19G- On before me, / personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their 'authorized capacity(ies), and that by his/her/their signature(s) on fie instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. CAPOLYN WING COMM. 0 1028326 Z Z Z Z Notary Public - Califfornic BUM CouNTY Signature Seal: My -Pomm. Explros MAY 30. 1998 A.P.#- OQ�- 0 .AP # o2-, 611d OWNER P ERMIT4 "g— 'UTIL.CLEARANCE DATE t. �2- INSPECTOR' ELECTRIC GAS Support Struc. Compaction Test�Re . Service Size Other Load Type Pipe Size Length YES NO YES NO COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Cblifornia �R,E)65 - Telephone (916) 538-7541 o;41 _r) IT 0. APPLICATION AND PERMIT C 9H/ ASSESSOR PARCEL NUMBER 094-010-095 ZONING SR1 105 BUILDING PERMIT OWNER G_R_ & SHARON L-0-1112MI11,17R TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNEWS MAILING ADDRESS 162 GRaDlEY, 95948 -A.RCHER. -AXE CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 PermitFee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 23-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 43.0 162 ARGHER AVE GRiDLEY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME 1 PARCEL AP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF 0 Duplex 0 Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer '5*00 Mobile Home J!E20OO TYPE OF WORK New Q Addition El Rernodel El Utilities 0 Installation Other El DescribeWork: PERMIT FEE Contractor ELECTRICAL PERMIT Filing Fee 20.00 OV OR LESS Main Service " OA OR LESS 20 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. & ACC. BLOS. 3.5 0 s.T. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) Q I am a licensed under provisions of Chapter 9, Division 3 of the Business and P f I. ns Code and my license is in full force and effect. 'ro e s: No. Classification Licens 1 , as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. BRANCH CIRCUITS @7.50 POW Err APPARATUS & SINGLE OUTLET CIR. 1 Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 SAL. @ .50 Ex. Occup. OFIXED APPLNS. OR UTLETS (RESID.) EAv 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): 0 This permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Ishall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the W Wor orker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling — Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California 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 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 CouAntyin consequen of I 'e granting of this permit. X Date 9 f ic C On ture of Applicant Owner 0 Contractor El Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 I IMP I _0191 S�F PARCEL I PO HD — 11 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. 171 B I/ Date J PERMIT EXPIRES ON / oM, 061 t Receipt No. I!��q 2 2 WHITE-D.D.S.-B.D. CANARY-ASSETSOR PINK -INSPECTOR GOLDENROD -APPLICANT MOYILEHOME INSTALLATION ACC EPTANCE C UNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING Dr\r1t1ON--7 COUNTY CENTER DRIVE OROVILLE, CA 95965 -PHONE (916) 538-7541 APN: PERMIT NO.: Owners: Nam Owners: Address: Mobilehome Year of Manufacturer t're- Manufac u Serial number 95 Insignia or or V.I. N. HUD numbere Official appro!incynstallat, v__ ion. Date: IAA� If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This forym shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -installer, Pink -Bldg., Gold -Assessor 4-11 COUNTYOF BUTTE -DEPARTMENT OF DEVI BUILDING DIVISION \97 ENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE;(!ALIFORNIA95965 �- TELEPHONE (916) 538-7,541 PERMIT APPLICATION DATA SHEET OWNER 'm d 1A A` A. P. No. -190 -499,5- Proposed Building Use _7Building Inspector Date 40 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 d 9. etails and layout in duplicate (required prior to plan check) . .... Mobilehome data an nufacturer's installation instructions, 2 sets . ........... 10. Fees of . ......................................... ll. Impact fees as shown on attached schedule ............................... 19. California Department of Forestry plan approval/fees ......................... 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) ...... ;r� Pre4l e�o 4uea 20. Pre -inspection for required. to Building lnspecl�or (Date) 21. 'Contractor's license information. (No., Name Style, Classification) . ............. 22. Certificate of Workmans Compensation'linsurance . .......................... 23. Owner -Builder Verification (Given to owner_, Mail to owner ............. . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. qopy 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 * * * --: ................................ ��-.,-Plan ck list . . . ...... .. .... .......... 33. ef DCU)PI E14 onnaL64 34. When you issue the permit, process as follows: Mail 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. N Fire Dept. _ Air Pollution brate Copy of plans sent Health Dept. _ Fire Dept. Other - Date By The following data must be submitted prior e: (Circle new item not checked above):- i 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 adAseo of above required data by - phone _ mail -Count y Date ' I.- lans approved by Dat Plans checked by //V ---Date. IZ-IZI--qr f A Sets of plans on hold in F,ile cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER CS ro P1 A. P. # O��-'-O/O /e�� 11 OL I PROPOSED BUILDING USE /V/V V DATE /0 REC**# DATE REC C SCHOOL DISTRICT FEES 61 (paid at District Off—ice) ......................... SHERIFF FEES (paid at Building Depar me�) ko_ 10 Residential ...... �x t7e4� 0 unit amt. Commercial (sqft) x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ 7 —units amt - *Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division)i .............. 6. SRA FIRE INSPECTION AND PLAN CHECK $89.00 ...... .(paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE BUTTE COUNTY SCHOOLS 4MPACT,FEE CERTIFICATION FORM (One Form Per Build,ing) School District V) A.P. N'umber 00 - 0(8 Jurisdiction City Property Owner a - a - + Sba ron 0 JAQ Property Location/Address Subdivison Residential Development [� CHI No. of Living Units Commercial/[ nd ustrial New Building Department No. County r Lot No. Sq., Footage Addition (G R) up C) X Sq. Footage Addition (Floor Plans reviewed by School District Personnel) 102 M ;_ 7 District Identificatio No. e4A1;za'1f 16;k School District certifies that (Applicao 2 - (Street Address) (Phone Number) Date - (Including Exterior Roofed Areas) . I (City) has complied with the requirements of Resolution No. repres;6� < 699 0 square feet. (State) (Zip Code) by payment of $ _4p_ I ''* "'�Ae�4 Aa Ap SchooKbistrict R s ive p6re -entat' < jD, �e., Paid by Clieck Number Re Ka—rks. Bank Number Paid by Cash If, subsequent to the School District Representative signing this"Butte County Schools Impact Fee C�Aification Form, the School District is notified by the applicable Cocal Planning Agency that th.is pF.oiject is being reviewed under the California Environmental Quality Act (CEQA), this.project may 4e-46bject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building -department), Pink (school district) feeformmkl (4/92) A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,, Califo(nia $5965 - Telephone 1916) 538-7541 APPLICATION -AND PERMIT PERMIT NO. ASS7nN _fZ) /0 ZONSRV BUILDING PERMIT own TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW mJDAD"Ps h 4 CO- V CONTRACTOR'S NAME LEPWONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LMDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ J Energy Plan Checking Fee $ ARCHITECT OR ENGINFEWS MAILING ADDRESS 6 4 Penalty $ BUILDING ADDRESS V_ A PERMIT FEE $ A PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 10 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME I PARCEL MAf Each gas water heater or vent 15.00 USE OF STRUCTURE SF 0 Duplex 0 Mobilehome Other Ix SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 0.00 TYPE OF WORK New Q Addition 0 Remodel 0 Utilities 0 lnstallation)4 Other 0 DescribeWork: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 600V OR LISS I 200A OR LESS 1 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ACC. BLDS. 3.50 sNi. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) * I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification * 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the struc.ture is not intended or offered for sale. (Sec 7044) 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) 1 am exempt under Sec. Business and Professions Code forthis reason NEW.CONST. MULTI -OUTLET NON RESID. BRANCH CIRCU ITS @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 20 @ 1.50 SAL. 0 .50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): 0 This permit is for $ 100.00 (valuation) or less. 0 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 0 Ishall not employ any person in any manner so asto become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any against said ounty in consequence of the granting of this permit. C x Datew;; 7; Signature of Applicant - 0 Owner Q Contractor 0 Agent An OSHA 1)ermit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee (9 0 Energy Inspection Fee $ OCC CONST. TYPE I L FEE $ LtA TOTA 71�) I IIAZ. I D. FEES I IMP f-FLOW1 COF I PARCEL I PD I HD I ISSUE 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. By Date PERMIT EXPIRES ON (Date) ReceiptNo. WHIT E-O.O.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J