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HomeMy WebLinkAbout025-060-02513 �-"-025-06-0-025 93-136 RYA ,,.HELEN 879 .-'LATTIN'ARD, 'hIGGS -AG TURAL-EXEMPTION PERM TRACTOR, HAY, FEED I. Ln C161 i, BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. – DCo – O –O2K – (D ZONING _S OWNER I_ el,� _ \ 1) PHONE NO.�_� OWN 'S ADDRES c� `1 LOCATION OF BUILDING USE OF BUILDING 0 SIZE OF STRUCTURE 2� ' X a j--2—C)C> SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME --)—C – STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE M M Cp ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: �S 5 f FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Lit 19,3 Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a building permit. FLOOD PARC P. R007 ISSUE Receipt No. '] — �/ Manager Building Division_ By �f White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date �� g� `f14I Mme'. S�f71.�if�Y' N' COU NTYOF BUTTE - DEPARTMENT OF DEVELOPM ENT SERVICES - BUILDING DIVISION OWNER 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 1-11"elell) Proposed Building Use APPLICATION DATA SHEET �1/j Building Inspector A. P. No. 6-2% -a0 - (-):),s Date 8 1 11 Qi 3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. All items have been submitted. ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ..................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. 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). .. .. .. . Ire -Inspection request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ............................................ . 29. Documentation of legal access . ..................... . .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32' Plan check list . ..................................................... 33. .34. When you issue the permit, process as follows: . ajI to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date. Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ♦OB MAC -CO METAL BUILDINGS SHEET NO. OF PROOUCT 2044 (Singh SAeem) 2054 (Padded) a Inc., Groton. Mau.0147I. To Order PHONE TOLL FREE I-M225.6,1a0 ` _ SSS7_S2lb F PERMIT NO.�' PERMIT EXPIRES 4 OWNER Brad & Penelope Gardner owner CONTR. 25-06-25 ASSESSOR PARCEL 879 Lattin Rd., Biggs LOCATION 9 1 M i F I p c' s. } t Temp. Power Pole 1 Called PG&E Temp. Elec. Service -Z Called PG&E X"� r Temp. Gas Service Cal led PG&/ JOBVI AED (Date) Signature V = OK ? 0 = Not OK = Not Applicable = Not Ready- MOBILEHOMES r MISCELLANEOUS` Date MOBILEHOME UTILITIES (Pla OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's o ing Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements oil ; Special MH Support—Sketch ' 2. Footings; Size—Depth—Spacing—Connectors ewer ocation—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater ocation—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing 5 lectricity; Location—Clearances—Grnd.— Amp—Co ete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures •6.-92S�o Mion—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors tility Clearance 7. Elec. C -BI ate "— Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBIL ME INSTALLATION (P s) OK except N's Date POOLS (Plans) OK except b's '1 Zoning Requirements—Setbacks—Easements 1, Setbacks—Easements Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 9-6aet-MFilest—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining jeel�ectricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI Dr in; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI Wa r; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed J�nater and SewerConnected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater A"Fias and ElecAticity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9 xits; Insp.—Sketch _ 10'—Cert. of Occupancy 9. Health Department Approval Card -BI 10. Plumb; Cir. Test—Water Supply Test Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 19 a Xl� V = OK ' 0 = Not O1c� -=�Not Applicable Not Ready RESIDENTIAL jSingl,e and Duplex) � Date UNDERFLOOR Plans OK except H's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches ,& Decks,,Soils-Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Date _ PLUMBING 14. 15. Date Card -BI Date (Permit) OK except #'s Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except k's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. - - 23. 24. 25. 26. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 72. Insulation -Foam -Looked in Attic ❑ Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No 75, Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) 36. 37. OK except H's Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub '41._Header 42. 43. 44. & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) •-------- '�' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS i 695 Oleander Avenue, Chico — Phone 343-4211, Ezt. 70 f _ ' 7 County Center Drive, Oroville — Phone 534-4541 Skyway and, Elliott Road, Paradise — Phone 877-3435 CORRECTION' NOTICE &Ze�- BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinande 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. . �-/fir - Dasdo�; c� . �-/fir - Dasdo�; COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number -Ko' for the following location: Owner .A. i� - r •. , r ✓ . , ��r . Owner's Address S' 7 ,r r i x Mobilehome Mfg.. e * 7` Model Year Insignia No. / f?` Serial No. "r- •-,n' r It is hereby certified for occupancy at the above described location and pmay be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow- Installer, Pink - D.P.W. r MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to,plot plan? ,Yes` No 2. 'Does the mobilehome have required clearances above ground? (Sec.5085) Yes_ No 3. Are footings and supports.properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes_ .No_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7: Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum 'k" per foot slope and is it properly supported? Yes_ No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?..Yes_ No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the.gas supply with an approved 3/.4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2: Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with -slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ No. 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_ No B. Is there proper clearances'around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly -conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification No. Additional Information or Comments: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO S PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone.916/ 34-4541 �+ _ APPLICATION AND PERMIT ASSESSOR PARCEL NUr�B ffl�v/'�� ZONING BUILDING P T OW ER g,4 Ll FAIA 0,6 , olv TELEPHONE gq�_S/® ' SQ. FT. OCC. BUILDING VALUATI N OWNE 5 MAI1141 A DRE S I� ONTRAC TO '5 NAMETELEPHONE CONTRACTOR'S MAILING ADDRESS ell, C_0 C 4, • CONSTRUCTION LEND KR UNKNOWN Fireplace Total Valuation I $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ _ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 7 �. g� 621 C PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF S CTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation D? Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADONS. ( ACCLBLDGS.CCUP.&� 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑—Fam licensed under provisions of Chapt.9, Div. 3 of the Business and Professio s Code and my license is in full or a and effect. 91 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) ❑ 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 R. ULT'. OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 50L� BAL�1oc Ex. Occup.(OUT ETSFIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating . Cooling Hood 2.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 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 ,s/aall>County in consequence of the granting of this permit. r/ X (��""�'-r �� Date �� �d Signature of Applicant — Owner ❑ Contractor ❑ Agent Q— An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in/height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 0 OJ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By "� PEOJT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Z{i Receipt No. y D WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 2 LOB ILE HOME SUPPORT DATA L C��. SJ ,if• other than single wryce, �9�C� rlobilelzc5me riff. S vt furnish Setup Model '_;o. _ 6 el Year Width ,(ft.) Box Length 6 (ft.) 'Tagalong or Expanco Size �"�: f_t. (SHOW SUPPORT DETAILS BELOW) �� __ c On all mobilehomes manufactured after October 7, 1973, furnish =aniu_acturer's installation -manual and structural setup sheets (if not on file with the County o= Butte). All center supports measured fro -mi front of mobilehome unless othenaise specified. Single S' b.xo (ft.)(in;) Center support locations* (ft.)(in.) (.ft.)(in.) (ft.)(in.) I V I (ft.)` (in.) *If center.piers are other than dram above, draw in -locations, spacing, and dimensions_ Footin gs (check.one) E-4--1!Wood either pressure treated o Z oundation grade. Fj 2. Other (specify) Supaorts (check one) �Concret.e block. [:]'2. Other (specify) TagaIono or Expando, show support details.' V1 -- Typical Support in.) Footing Size -- "?x. Pier Spacing -- Yax. Overhang 6--� BUTTE COUNTY BUILDING DEPARTMENI.. �Z BUTTE COUNTY DEPARTMEigT OF PUBLIC WORKS 7 County Center Drive,-Oroville, CA. PHONE: 534-4541 MOBILEMr INSTALLATION SHEET 1. otm?r°s name: �� H�610 9EeJ 2. Installer's name: 94E, e--- 3. Is the site currently under permit? Yes / / No ,.If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) 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 (If no, clarify 5. What is the mobilehome electrical rating? ----------------------- 6. What is the mobilehome site service rating? --------------------- 7. What is the mobilehome site circuit breaker rating? ------=------ 8. Is there.any other electric load to be served by the mobilehome site service? -----------=-------------------------------------- (If yes, identify the load and size: (Load) . S Amps Q ^- Amps J S D Amps Yes / / No (Amps) 9. What is the mobilehome site gas pips size? ---------------------- /v ¢ r(in.). 10. What is the type of gas service? ------------------------'----- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? /y0 ��� (ft.) 12. What is the mobilehome gas demand? --------------------------•---- - 0 �'�� (BTU) (This information not required if pipe length less than 6 ft. on natural gas or -less than 50 ft. on LPG.) ,�5-n6--?,f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION'AND PERMIT PERMIT NO, ASSESSO PA�EL UMBER - ZONING A-2— BUILDING P IT OWN TELEPHONE S0. FT. OCC -1 BUILDING WLUATION OWNER'SMAI TNG ESS CON R CTO 'S NA LEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ LI) Penalty $ ARCHITECT OR ENGINEER'S MAILING ADD ESS Permit fee $ BUILDING ADDRESIR PLUMBING PERMIT Filing Fee 00 Each Trap 1 2.00 Repair drainage or vent piping 2.00 )n 0 C Water piping LOT NO.SUBDIVISION NAME P EL MAP Each qas water heater or vent 2,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer ,o Lawn sprinkler system 2.00 TYPE OF WORK __1 New r-] Addition El � Remodel❑ Utilities InstalIation❑ Other❑ Describe work: Permit Fee $ ,© Contractor ELECTRICAL PERMIT Filing Fee 00 Main service 10000 AMP OROOV OR LESS5.00 0 Main service EA. ADD'L too AMP 2.50 NEW CONST DWELING OR ADDNS. ( ACCLBLDGS.CCUP,&) 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CO ID Iz BRANCH CIRCUITS) 2.50 ea NEw CONSTR POWER APPARATUS NON.RESID, ( SINGLE OUTLET CIR.a Ex. Occup(OUTLETS OR FIXTURES 50@� BALetos FIXED APP LNS, OR Ex. Occup. OUTLETS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 b, Misc. Wiring 6.25 f •tVX0 WJ1 +P0 Permit Fee $ , Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor ; I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains aid County in consequence of the granting of this permit. XDate a � Signature of Ap licant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ , OCCUP. GROUP I TYPE OF CONST. PARC eu :oJ J IID I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 4-:> ter/ Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT ;s This set of plans and specifications MUST be NOTE:—All Materials & V1�orkmanship Ehe�i gQ frz kept on the job i3t all times and it is unlawful to �-- Accordance with Pecoanized Good Pracflc®s and make any changes or alterations on same with-`�'� 59 J of'a quality prescribed for the Specified uto f ri f ho out written permission from the Departure ►t of Uniform Building Plumbirn -0 M g b� echanicaj C'odgj and *'m f io�nal Electrical' Code. Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the c.Q P� mobilehome. t�N .00 !; Nay` The Bldg. Setback shall be.5 ft. from the aide property line and 50 ft. from the eenterine of the roadi permitting a maf• mum of a 2 ft. eavee overhang but entirely a� of Ou e�m � y 5 Lo A perrnit will be required for the installation of the mobilehome. MokJ►\rte: %m2.._ a.. 1,J BUTTE 000N I Y . BUILDING DEPARTMENT APPROVED `/J