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A E S E • -, I ' o Io 4 . 1f �9 24-09-79 D D EBERLY DONALD L. EBExLY " 24-09-79 15 Ne uII 3 Way, Gridley 87P,E(util, MH) a , 15 Neilsen Rd, Gridley ©0 o PErmit¢#103-87A A bicultural Bldg„Exe. - - arm implements, _ 2 �} horticu ure) i T STR REQf LEPE 4 TION TEST RE ?4-09-79 -87K 1(i tall MH) A E S E • -, I ' o Io 4 . 1f �9 cm COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral 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.Q -� AG ZONING OWNER PFAQNE NO. OWNEPSgDDRES LOCATION OF BUILDING /0le�S IST q USED BUILDING SIZE OF STRUCTURE 7 r Ix G'� = SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME -K_ STEEL CONCRETE OTHER (Specify) T PE OF SIDING o� 6; ROOF COVERING �'(�. S ' 1p FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ 'So CD Lj mo . AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows; FRONT SIDES �S� REAR— EAR— AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date _ IT> (2-1 1 Permit Fee - $25.00 Receipt No. 6 OMa / Signature of Owner The above described AG Building is exempt from a buil ing permit. Director of P lico BY t'& — Date White - DPW, Yellow - Assessor, Pink - B. L, Goldenrod - Applicant COUNTY OF BUTTE - DEPARTMENT,,6F,IPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILI .,,CALIFQRNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET r ' Permit No. OWNER :t1Y G� C� / A. P, No. 5�` 7C Proposed Building Use �"q /,//)c,7G/� Building Inspector & / Date 1,' At time of permit application, I was advised theJollowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/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. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. es of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from _ HealthDept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for—..----,, .. _ _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — 20. Plot plan approval from city of _ 21. _ — — 22. — When you issue the pg.rmit� /process as follows: Mail to owner; Mail to contractor. - Telephoneh��'' 7giW and hold for pickup of t_i°� office, Deliver w/inspector. Other _ Applicant _ te 1 1 Copy of plans sent Health Dept.; Fire Dept., Other Date 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---naiI—counter by date Contractor, designer, owner, was advised ct above required data by —phone —ma iI—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date CERAMIC VASES Telephone: (916) 921-5791 P.O. Box 420793 Sacramento, CA 95841 lee; . �- v" *rwa J�a,�j JUAW, iazl ,� ���•�/ .,fir -t��. Gam- � '`� 11 PERMIT NO. PERMIT EXPIRES OWNER DONALD EBERLY CONTR. OWner. ASSESSOR PARCEL 24-09-79 LOCATION Nielson -Way, Gridley— Temp. Pow Called Temp. Eloc Coiled ToMp. Gas Called 40B FINAL Signatu A OFFICE COPY Address GAS Date Meter By- ELECTRIC1�rate Meer By = OK 0=Not OK = Not Readyable MOBILE HOMES MISCELLANEOUS Date MgPILE HOME UTILITIES Plans OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s ning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements . Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel �-,Water; ewer: Location -Test -Fall -C/O -Concrete Loc -T d (Sketch) 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing lectricity; Location-Clearances-Grnd.-j�WAmp-Concrete 6.Gcation-Test-Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elea 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date// -_:O' Gard -131 Date 10. Roof; Shthg-Roofing Card -131 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date O ILEHOME INSTALLATION Plans OK except #'s . Zoning Requirements -Setbacks -Easements Card -131 Date Card -81 Date Footings; Size- acing -Marriage Line Card -131 Date Card -81 Date 3. as; MH T -Demand-Valu -Connector (i 4. lectricity H Tes rossovers- rea ers-Clearances Date POOLS (Plans) OK except #'s it Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements It (nWat< MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability lTWater an ewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining �/ &-frGas and Electricity Tagged Exits; Insp.-Sketch ' 4. Elec.; Receptacles and Lighting, Distances-GFI 0. Cert. of Occupancy 1 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-Panel board s -Ins. to Main in Conduit Card -Bt Date and -B1 Date Card -Bt Date /,/ and -B1 Date 9. Health Department Approval U v a �' 10. Plumb.; Cir. Test -Water Supply Test 'Card -81 Date Card -81 Date Card -81 Data Card -131 Date �S�D / 4� Ic WI/ = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable =Plot Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material=Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -61 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -B1 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic O Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive 0 Yes ❑ No; Walks o Yes O No; Planters O Yes 0 No 80. Stucco; Brown -Finish Card -131 Date Card -131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 82. Vents Above Roof; PIbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 utlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -61 Date Card -131 Date Card -61 Date Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors Card -131 Date Card -131 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT.OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 jj`� PERMIT N0. - `� F`7 Address or location of mobile home1_�� /UQI (sto.,-, ' � Owner's name 1'—N� '1) e) kP k- I L4 Owner's address Insignia or hud number R. Manufacturer's name Serial number of V.-I.N._ Year of manufacture 17�'LL� (Official ApproSJng Installation) - r (Dat IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEP,TANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. Address or location of mobilehome Owner's -tame Owner's address Insignia Dr hud number ManufacUrer's name Serial nurnber of V.I.N. Year of manufacture (Official Approving Installation) (Date) IF THE AOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEP)IANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEiOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872.-6307 CORRECTION NOTICE I OWNER PERMIT I 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. m,F� Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. • 7 County Center Drive - Oroville, Cralifornia 95965 - Telephone: 916/538-7541 1✓ APPLICATION AND PERMIT `7 ASSESSOR P ,C� 0NLyMBE� j Zo"' G S BUILDING PERMIT OWNER TE EPH NE •X� SO. FT. OCC. BUILDING VALuAlricfi OWNER'S AJ/IIG ADORESS� /vim_ � CONTRACTOR/R'S NAME LEP' ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDIRES$ 7, Permit fee $ 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[] MobilehomeZ Other - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home1rS)RU:d_ 0.00 ea ' W TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR LE Main service 100 AMP ORSLESS 10.00 Id, cro Main service EA. ADD'L 100 AMP 2.50 •. �O CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N` , OR ADDNS. ACC. BLDGS. / 0sgft NEW CONSTR. TI -OUTLET 2.50 ea NON.RESID .BRA C CIRC 1 S /POWER APPARATUS a (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES SA 030 FIXED APPLNSR Ex. Occup. OUTLETS IRESID )E A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1010 Misc. Wiring 15.00 9 Permit Fee $ 7 307 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 R Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 g nting of this perm't. X Date Zl Signature of Applicant — Owner Contract o ❑ Agent ❑ An OSHA permit is required for excavations over 0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 07. oc P. CONST.TYPc JSCNOOLJFVJPAn PD /D t/ ISSUE This permit is hereby issued under sions the Butte County Code and/or wor I iCated bove for which 1 ECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable pro vi• resolutions to do fees have been paid. WORKS 9t yr d Date / Receipt No. �Q WNITE-O.P.W.. YELLOW-A3e CSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT :r ..• M i'��"y.•-y r ...r; �,:.. - .'{s `C 7i ,,1:. Y"=.•rr.' to •Y�v. f , r _. COUNTY OF BUTTE - DEPARTMENT1OF�,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C_?kLIFg'RNIA 95965 - TELEPHONE: 916/538-7541 V PERMIT APPLICA ON DATA SHEET Permit No. IJLJ �- OWNER ����� � A. P. No. Proposed Building Use / Building Inspector __,� Date �L1 , ) At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been subRfii - 2. Plot plans in duplicat�e/triplic , signed by preparer of plans. %/ 5, 3. Complete plans in dupllc' afe/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. C/ 6. School District "Fees Paid', Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. Fees of $ . . . . . . . . 9. etter of signature authorization. . . . . . . . Sanittition approval from Yal%///4�, Health- Dept. 11. Planning approval for (A) Use: (B) Parking: 12.. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) CA _14. Owner -Builder Verification (Given to owner0, Mail to ownerX) 1- /,0_.__..._15. Improvements may be required. . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for__.. ......._. _ Required- Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. 20. Plot plan approval from city of //Z4 21. _ - 22. — — — - When you issue the per yt, process as follows: Mail to owner; Mail to contractor. Telephone 13 Y', �� G� and hold for pickup t ? o /— ffice, Deliver w/inspector. Other Qj d 7" ,,` ji A A p p l i c a n t /°•' \fro--.�a Xl�. t o Copy of plans sent Health Dept.; Fire Dept., Other" Date The following data must be submitted p 'or to,permit 'ss ance: ( cle n ite, 1. Index permit for above items No. (p 2. Additional items required: __— above). Contractor, designer, owner, was advised of above required data by—phone---Mail counter by date Contractor, designer, owner, was advised c' above required data by—phone—mail—counter by date Plans checked by Date Plans approved by W Date Sets of plans on hold in File cabinet AP folder Copy—DPW T0: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 00",t owner location AP # Driveway permit C6170717— Je� has been issued for the above property. signure date. TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply) Hold final for: Final clearance O.K. for: Clearance for 2 bedroom mobile ome Other NOTE * * * Water Supply Water Supply Sanitarian Da e W 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 -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. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed 'construction: Name Address City Phone Contractors License No. 4.. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work�but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner 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 acid returned to our office before we are per- mitted to issue the permit. tnl We also need letter authorizing signature of Grant Eberly. Thank you. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,.Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION ntion 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (ham/have not) signed an application for a building permit for'the proposed work. 3. I have contracted with the following person (firm) to provide the proposed-, construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name .SFG 4 .. Address City Phone Contractors License No. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner IPOV; Social Secfurity Number Date �ti0tl .f /C1 1?' 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 per- mitted to issue the permit. 4' zl-of 7� .3s-16 —J17 c,4 0-7 - v - � rczo-,-, Oct- e Z2:-tk-j- ,� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 Donald Eberly P.O. Box 2488 E1 Macero, CA 95618 With reference,to the above subject: Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER l„d-We need the following information: PHONE: 916-538-7.541 DATE 11/.20,187 RE: Building Permit Application forMo ilehome Utilities A.P. �� 24-09-79 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan -Sheet List of Codes Enforced Permit application signed and completed where indicated with all copies returned. Fees. of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. ---XX Plot plans in tri nl i apta , Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville,'for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. V OTHER We also need a letter of ninntnrP anthnri7 ti an f. -,r � ('rstntFh�_tn Ri,g_n the permit application Also, Gridlpy School ni stri .•t fecas wi i i h Le = Ai n before we may issue your ins alfa ion spit You called for an inspection for 11123/87• however, we will not be AMP to do an inspection without having your permit app ination issued,Please contact this office as soon as nnQc4 hla Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director. of Public Works .F. Glander Chief Building Inspector Return t�/DPW AGRICULTURAL STATEil'UNT OF ACKNOWLEDGEMENT FOR. RESIDENTIAL DEVELOPMENT RECORDED B COUNTY =� OFFICIAL RECORDS BY section 26-8.1 of the Butte County Code requires' this acknowledgement be recorded prior to issuance of a building permit. 87-42179 The property described herein is adjacent to land or included 181 NOV 12 All 10: 43 within an area zoned for agricultural purposes, and residents of this CaNDaCE J. GRUF3BS property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited- to herb iMP&FPQ89c8 E&•s.,-. and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience -or disconform from normal, necessary farm operations. All that real pro'p'erty' situate in the County of Butte, State of California, described as follows: SE �� T�1�� FIF . NOTCO pRIGTNAMPAREI) WITH OOCVMENT r �, r'' '> Date : s :l_ x(i�4: '.:r. `_'r..fri,., r!. t ti PROPER_ TY OWNERS :'. r t i ,.. kk. r .;fir ! •� T ! R'p i�'�i i4� LA,i•• !' !+'F bi�Y '� £.` �� •!r tiL� Hh L.t-' A r 1✓�s: {i On State. this the `q1 rday SS. me, the undersigned Notary Public', p County of -0K' K ) N I \J {. OFFICIAL SEAT, , ►', jAN L AN�RIG m NOTARY PUBLIC v CALIFORNIA BUTTE COUNTY SAY comm. expires i,11AY 19. 19v X117'+ imit.Street.-Chico„!A95.$tfi Are ..t , efore 77 .,�f ,.� fJ�`' t � �11ti� .7!�'�Y• [Y l�.:f' .t l4 .-its .yYtl 0 ..: fT 3Rmc Yfl 4"Y�' W!r� K (` .��` L:K•f 1+��.r�.� " {�•^7 +,`-i;r'zs •. � T'".� ., ti 3� ' t `.�' >i gym« � .�� ,�5t4{ .ax•x1" � d •erg tt t ' Fersonal�'y.; known to me`(, Proved; to5mei on�the��basis 4�f satisfactory evidence'. to be the person(s) whose names) I) subscribed to the within instrument and acknowledged that 'n executed the same for the purposes therein contained. IN WITNESS ',-THEREOF, I hereunto set my hand and official seal. Notary Publid 4 A. asJOINT TENANTS all that real properh'situAteinthe ar,a Cuuno- of ws: The Souch half of the Northwest gtiditer of' tile Northwest quarter, and the South- WCSt quarter of the Northwest quarter of Section 7, Township 17 North, Range 3 List, N.D.B. 6 N., lying taut of Ilwy. 99E, as described In that certain Deet :- corded in Book 36 of Deeds, at page 406, recu:ds of Butte County, Callfa:nia. r- ” F_\CEPTING THEREFROM that port iohidescribed;ar, Pareel 1 of that certain "Parcel ' Wap' of a:',xyrtiort of t. -.e Wes: hale_34 `;,;O`'qua.rter of said SEction. 7, which Parcel Hap was filed in thl o'f.fice of the Recorder of the County of Butte, State o` California, February 2,"`1974 in.Book 49 of Parcel :!aps, at page 21. �.___ YYY�,�,�, t'u�: �� SL.2— ll� i rs�i t <+-e: )r_�-'t/r<r •/t .:-- -- J.i,a y• i -_-._ "ATI: OF CAI.IF(IK%lA .1 t),Xlaccr. erlb+.—Zdhel,.rrmr.l� .,ndr rrnN. Nauy. Public. in anJ fa uid \lois, prr...n U .rt.rared_— Joseph Patrick Hughes and !targaret Desmond Ino.^ In me to lr the PervtS,_ .hu.e n+me 9 are .nl•.criheJ ,c. rhe w;IL�n m.lrumem, .nd ad.n I,dFed to me Ih.l .t he- 14 e.eculed the ..me. Ruth H. King `"rt Rll r sio cl: DX`-f:UM04T FOR NOTARY SEAL OR STAMP hes s...u,...ur uu........u,,;wr. u:..t.,A Crw"'•'ur3 ;UI:. tUJ.IlY -•\�'_ �' tt, :s .utw• I. F... '. , 17. late NAIL TAX 5TATEYENT5 AS .^.IRE=TED ADOVE I -a CZ C C"7+ CD M-= Y RECORDING REOUESTEO By I ;,;:_-„ti ,ra C;JNUS F �••• Donald Eberly 1 LCUISE KltriNhEi •"""•• 3601 Maplewood Lone COUNEy FEmpiel- y�•� SacrIlkaentot California J . 185: Title Order Nt•._ Escrow No. -� SPACE ABOVE THIS LINE FOR RECORDER'S t/SE U.rumentary tranAfer Ux 3•.160.05. ,,,.. 1RXCompnted on full Value of Proyerty tune yed. or .00.... "Same AB —boven 0 ::,O;)U s ... '.;: Va:ae le.n liens .nd'errumllrarre•. rem.inin, thereon At time of wte. .• L tNEJ �+.4to..CauSx.T�t1e.C.amps�t'•7..b�.a ..� �� /• 3lnbibibuar 31ain.t T, manip Dab W[aier.r: T.tl[ FOR VALUE RECEIVED. _ ,...._ ... ._...._ . asJOINT TENANTS all that real properh'situAteinthe ar,a Cuuno- of ws: The Souch half of the Northwest gtiditer of' tile Northwest quarter, and the South- WCSt quarter of the Northwest quarter of Section 7, Township 17 North, Range 3 List, N.D.B. 6 N., lying taut of Ilwy. 99E, as described In that certain Deet :- corded in Book 36 of Deeds, at page 406, recu:ds of Butte County, Callfa:nia. r- ” F_\CEPTING THEREFROM that port iohidescribed;ar, Pareel 1 of that certain "Parcel ' Wap' of a:',xyrtiort of t. -.e Wes: hale_34 `;,;O`'qua.rter of said SEction. 7, which Parcel Hap was filed in thl o'f.fice of the Recorder of the County of Butte, State o` California, February 2,"`1974 in.Book 49 of Parcel :!aps, at page 21. �.___ YYY�,�,�, t'u�: �� SL.2— ll� i rs�i t <+-e: )r_�-'t/r<r •/t .:-- -- J.i,a y• i -_-._ "ATI: OF CAI.IF(IK%lA .1 t),Xlaccr. erlb+.—Zdhel,.rrmr.l� .,ndr rrnN. Nauy. Public. in anJ fa uid \lois, prr...n U .rt.rared_— Joseph Patrick Hughes and !targaret Desmond Ino.^ In me to lr the PervtS,_ .hu.e n+me 9 are .nl•.criheJ ,c. rhe w;IL�n m.lrumem, .nd ad.n I,dFed to me Ih.l .t he- 14 e.eculed the ..me. Ruth H. King `"rt Rll r sio cl: DX`-f:UM04T FOR NOTARY SEAL OR STAMP hes s...u,...ur uu........u,,;wr. u:..t.,A Crw"'•'ur3 ;UI:. tUJ.IlY -•\�'_ �' tt, :s .utw• I. F... '. , 17. late NAIL TAX 5TATEYENT5 AS .^.IRE=TED ADOVE I -a CZ C C"7+ CD M-= Y AP # .-`��0 9,r7 9 OWNER PERMIT # MH UT IL . CLEARANCE DATE 7 �, — —eZ 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 PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone: APPLICATION AND PERMIT WORKS PERMIT /0. 916/538-754 qiso ASSESSOR -PARCEL NUMBER ZONING C BUILDING PERMIT OWNER TELEPHO ED SO. FT. OCC. BUILDING VALUATION OWNER' MAILI ADOREy$S/ OO�r//t CON RACTO •SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20,00 LOT NO. ?/ SUBDIVISION NAME PARCEL MAP --Z Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehom Other " SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationA Other ❑ Describe work: L,SDDln/sem) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main Service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 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 1, as the owner, or my employees With Wages as their sole compen- l v 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 OCCUP.al ,/:¢Sgft OR ACDNS. ACC, SLOGS. NEW LET NON•RESID CONSTR. .BRATCO CTRCT TS 2.50 ea RUS e POWER APPAAT (SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES eA 0 0 FIXED APLNS. OR P Ex. Occup. OUTLETS IRESID.1 EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. Not a 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 g Hood 3.00 Ventilation permit Fee = Contractor I certify that I have read this application and state that the above information is correct. 1 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. 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 granting of this per it. X Date Signature of Applicant — Owner ❑ Cant Ctor ❑ Agent ❑ An OSHA permit is required for excavations o er 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ �} Energy Inspection Fee $ TOTAL PERMIT $ occuP. CONST.TYPEJ ISC22FLOODIPARCELI Pt I NO 1 1390E This tis hereby issued under sio oft Butte County Code and/or k indi eted OV for Which R OF. PUBLIC �_4m- BY t PERT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7 D /�J/✓,/_' v}/(� /✓W(1 U Receipt No. _39QK0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .�� COUNTY OF .BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION <. 7 COUNTY CENTER DRIVE - OROVILLE,,CAL+IFORNIA 95965 - TELEPHONE: 916/538-7541 j PERMIT APPLICATION DATA SHEET Permit No. OWNERs A. P. No. Proposed Building Use ���— Building Inspector i40 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/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. zN-A 5. Plans with Energy Design Compliance Statement. . . . . . G Ckg�b School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from _ Health Dept. . . 11. 12. 13. 4, 5. 16. 17. 18. 19. Planning approval for (A) Use: (B) Parking: . Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner0, Mail to owner] ) Improvements may be required Mobilehome Installation Data. Pre -Inspection for ..-___.. .. _ _ Required. Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit, Pre-Inspec.request to Building Inspector When, you issue, the X --Telephone A Other it, roce s as follows: Mail too ,,own�er, Mail to contractor_ and hold for pickup alboffice, Deliver w/inspector. Appl ican Copy of plans sent Health Dept.; Fire Dept., Other Da The following data must be submitted prior to per it issua 1. Index permit for above items No. l 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_✓-nail ' counter by date Contractor, designer, owner, was advised c? 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—DPW (Date) 'l CERTIFICATION OF COMPLIANCE WITH GRIDLEY UNION HIGH SCHOOL DISTRICT RESOLUTION NO. 17-8687 NO..—.af_.L3 " Gri minion igh S oof' Di ic�t certif1 tPat name of ermit ppiicant) hone no.) (cit;") (state) . ' (zip) has complied with the i ments .of Resolution No. 17-8687 regardin residenti or cpmmercial/ii dustrial unit(s) on Assessor Parcel No. � `f -o,? - '7 `7 by t thepeyment of fees of $ /�D � 2!1-72 , —representing 7_ square feet. (doie) (GUHSD representative) + J Gridley Union High School District V2 East Gridley Road, Suite B Gridley, California 95948 CERTIFICATION OF COMPLIANCE SCHOOL DISTRICT DEVELOPMENT IMPACT FEES PART I TO BE COMPLETED BY APPLICANT Property Owner's Name C_ "Owner's Address Project Address �� Parcel No. (yi-o Lot. No. i ty County TYPE OF CONSTRUCTION Please Check Please Check ? Residential Construction Single Family Residential Reconstruction Multiple Family: Commercial/Indust. Constrn. -No.-of Units Commercial/Indust. Reconst. s Mobile/Mfg. Home "Aunt Minnie" TOTAL NUMBER OF SQUARE FEET THIS CERTIFICATION COVERS ONLY THE AMOUNT OF SQUARE FOOTAGE INDICATED ABOVE. ANY ADDITIONS AND/OR CORRECTIONS TO THE -SQUARE FOOTAGE FOR THE PROJECT WILL REQUIRE AN. AMENDMENT TO THE CERTIFICATION• OF COMPLIANCE. FALSIFICATION OF THE SQUARE FGOTAGE IS CAUSE FOR REVOCCCATION OF THE CERTIFICATION OF COMPLIANCE. Applicant's Name �Q�'f - Date —1 1 Iq (�7 Applicant's Signature PART II TO BE COMPLETED BY SCHOOL DISTRICT Certification of Compliance No. (Receipt No..) Fees Collected Residential # 6 ;7 P, sq. ft. x $1.50 - $ Commercial/Indust. # sq . ft. x $0.25 a $ Exempt from Fees Reason AS THE AUTHORIZED SCHOOL DISTRICT OFFICIAL, I HEREBY CERTIFY THAT THE REQUIRE- MENTS OF GOVERNMENT CODE SECTION 65995 HAVE BEEN COMPLIED WITH BY THE ABOVE SIGNED APPLICANT! Signature Title IN Original --School District Copy - Applicant Copy - Building Department al COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) a 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name A/® V 4 -- Address Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I. have hired the following person to coordinate, supervise, and provide the major work: Name /PAI 6 Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work W OKI N \l P LLB�J F7_ C_W_L C_ 09 DL tau CZ'EcT9 044 iii i 1-i F(�A ►•� CtS I C�Ex s (0'3 - 8 (0 3 5:C -P i L. -r-t lPK Signed: ,.', PropertyOwne`r ;' Social Sec r'ty Number Date `'`1,ryj` 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 per- mitted to issue the permit. �� - 09- 79 COUNTY OF BUTTE �� OF P ELIC ORKS DEC 4 -1987 Q .. ■■■■■■■■■■■■■■■■■■ ■■■■■■■ �■ ■■■EEE �� ■■NEEM■■■■MESE■ P, & ■■■■■■■PlPr■■ ,�N -NN■r� ■ timploRm— A■■■ .■■■■m■.■.■..___....■■■■■■..■■■mni■iiiiiiiii��■■■ ■�■■iiiii�i����n ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■r.■■�■■■■■www^� ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ISI■�1 rCl�`MR�F`1Mrl ■■■■■■ ■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■■■■■■■■■■ ■■■■■ ■■■■BiE�'JF iiia f:;i■.tl!�1 t p� f P4`. Q �� +err 4q— _ M Ir ae1R�► �,....y. . y a' w r AL F , .f T 4. t d low �Y ii '7L BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: S-� 3. Is the site currently under permit? Yes No (If yes, furnish permit number V� S11 ) OR Is the site an existing site? Yes No l (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 all setbacks and easements? Yes No 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural a LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- G (ft. ) ti 12.• What is the mobilehome gas demand? ---------------------- (BTU) • `' .��(this information not required if pipe length less than 6 ft. on • f ' natuxgl gas or .less than 50 ft, on LPG.) 4/ (If no, clarify coo 5. What is the mobilehome electrical rating? --------------- Amps I o 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- _ Amps 8. Is there any other electric load to be served by the F-1 mobilehome site service? ------------- ------------------- M Yes No (If yes, identify the load and size: (Load) 'r, (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural a LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- G (ft. ) ti 12.• What is the mobilehome gas demand? ---------------------- (BTU) • `' .��(this information not required if pipe length less than 6 ft. on • f ' natuxgl gas or .less than 50 ft, on LPG.) 4/ MOBILEHOME SUPPORT DATA r If other than single wide, Mohilehome Mfr. \b furnish Setup Model No. Width (ft.) Box Length J0 Tagalong or Expando Size Year ( C p 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 n�j Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation grade. her (sp.cify) iR w coo SUPPORTS (check one) ®1. Concrete block. El 2. Other (specify) Pier Footing Sizes and Locations L NCLL.E-WIDE MULTI -WIDE Line 1 y„ Line 1 Line 2�„_ — — — _ —• _, — — Line 2 Main Beams ine2 — — — — — — — — _.. — _ — — .� .in Line 3 ---�'---- — ----- a Line 2 — — — _ — Main Beams — — — — � Line 2 Line 1 Piers: Size -Min.•- ----------- X ' Spacing -Mux. --------- Fr u linde-Max- -------E " lj!ie 2 Piers: 12— n D Size-Min.------------ Spaciiix-Max.--------- From Ends -Max. ------- Line 3 Wlof loads: Size-Min.------------ Line Tag Tag or Triple F_ line 4 Line 1 Line 1 Openings: Size -Min. ------------------ "x Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) ✓ Size -Min ------------------- x Spacing -Max ---------------- 00 ---------------0 From Ends -Max.------------- _ "x11 "x1.1 "x "x "x.11 "x "x I. "ic Location (From Front) - _ - _ _ _ _ - Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only) Sizc-Min.------------ .k Size -Min ------------------- „x Spaciux-Max.--------- „ Spacing -Max .--------------- From Ends -Max.------- From Ends -Max.------------- Line S Roof L.oada: Size -Mill .------------ __ Location (From Front) ,- _ _ _ _ _ w4� I