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HomeMy WebLinkAbout025-160-030� S i 25-16-30 +Permit #6146-75P,E (relocaie/u'ii�. Ion existing site/MH) -- CAS SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. _ 25-16-30 CONTR: Twiri'Cities Trailer Sales, r Marysville�r/ ppermit #6148-75MHI /�i'Q / �b ermit e'2 025-16- 30` 91-3759 NAPHAN, ALF CONTR: MH CE R 6102 POWER HOUSE ILL R'D, OROVILL MH UTIL ,QhtP Via" GAS COMPACTION TEST REQ SUPPORT STRUCT REQ U 25-16-30 -3877 NAPHAN, Alfred 6102 Power Hous ill Rd, Oroville cont:MH Cent (mhi) 025-16-0-030 92-0280 NAPHAN, ALFRED CONTR : GRAHAM CONST 6102 POWER HOUSE HILL R OVIL 'MH/ADD 2 COV DECKS 25-16-30 DARWIN R. DATWYLER W/S Power Hse Hill Rd Permit#27-84A(Agricultural R7��, emp stg) °) a t/st9 of farm equip & feed 025-160-030 COOK 06-0121 6102 POWE3,ROUSFO D, OROLO Cont:3� �T ont:OWNE /✓� U EX M/H PERM PND p 0 F2 i RECORDING REQ*ESf]ZD BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 4t�_ iir�r� Recorded I Official yRecords I CoButteof I CAME L GRUBBS I County Clerk-Recorderl I I 03MM 03 -Feb -M I REC FEE 10.00 CONFORMED COPY 1.00 JC Page i of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM \ Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code `� Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. FRANK COOK REAL PROPERTY OWNER/LESSOR 6102 POWERHOUSE HILL ROAD MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-012- 530 538-7541 BUIL I E NO. TELEPHONE NUMBER r I SIGNATU F LOCAL AGENCY OFFICIAL DATE NO DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. CHAMPION 1991 SW654W MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER - 09926543144A/B 58'8" X 22'3" RAD617087/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 025-160-030 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. SQ' Preliminary Report Order No. BU -221261-3 MAM Description I The land referred to .herein is situated in the State of California, County of Butte, and is described as follows: THE NORTHEAST QUARTER OF SECTION 14, TOWNSHIP 18 NORTH, RANGE 3 EAST, M.D.B. & M. EXCEPTING THEREFROMTHAT STRIP OF LAND CONVEYED TO THE STATE OF CALIFORNIA BY DEED RECORDED FEBRUARY 13, 1973, IN BOOK 1816, PAGE 204, OFFICIAL RECORDS. t ALSO EXCEPTING THEREFROM, THAT PORTION OF LAND DEEDED TO THE STATE OF CALIFORMA IN DOC13MEI3T RECORDED AM 30, 1998, UMER BU= COUNTY RECORDER'S SERIAL NO. 98-26952. i ALSO EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND: BEGINNING AT THE SOUTHWEST CORNER OF THE NORTHEAST QUARTER OF SECTION 14, TOWNSHIP 18 NORTH, RANGE 3 EAST, M.D.B. & M.; THENCE EAST ALONG TETE SOUTH LINE OF THE NORTHEAST QUARTER OF SAID SECTION 14, A DISTANCE OF 808.33 FEET TO A POINT; THENCE NORTH AND PARALLEL WITH THE WEST LINE OF THE NORTHEAST QUARTER OF SAID SECTION 14, A DISTANCE OF 808.33 FEET TO A POINT; THENCE WEST AND PARALLEL WITH THE SAID SOUTH LINE OF THE NORTHEAST QUARTER OF SECTION 14, A DISTANCE OF 808.33 FEET -TO THE SAID WEST LINE OF SAID SECTION 14; THENCE SOUTH ALONG THE SAID WEST LINE, A DISTANCE OF 808.33 FEET TO THE POINT OF BEGINNING. APN 025-160-030-000 Pa4P. 4 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 3 -Feb -2006 2006-0005751 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. FRANK COOK REAL PROPERTY OWNEMESSOR 6102 POWERHOUSE HILL ROAD MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT artd CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-012 530 538-7541 B N0. TELEPHONE NUMBER ]-3v- CS SIGNA F LOCAL AGENCY OFFICIAL DATE NONtj DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO CHAMPION 1991 SW654W MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 09926543144A/B 58'8" X 22'3" RAD617087/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) SEE ATTACHED ASSESSOR'S PARCEL NUMBER 025-160-030 HCD FORM 433(A) REV. 8/91 Preliminary Report Description Order No. BU -221261-3 MAM The land referred to herein is situated in the State of California, County of Butte, and is described as follows: THE NORTHEAST QUARTER OF SECTION 14, TOWNSHIP 18 NORTH, RANGE 3 EAST, M.D.B. & M. EXCEP'T'ING THEREFROMTHAT STRIP OF LAND CONVEYED TO THE STATE OF CALIFORNIA BY DEED RECORDED FEBRUARY 13, 1973, IN BOOK 1816, PAGE 204, OFFICIAL RECORDS. ALSO EXCEPTING THEREFROM THAT PORTION OF LAND DEEDED TO THE STATE OF CALIFORNIA IN DOCUMENT RECORDED RM 30, 1998, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 98-26952. ALSO EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND: BEGINNING AT THE SOUTHWEST CORNER OF THE NORTHEAST QUARTER OF SECTION 14, TOWNSHIP 18 NORTH, RANGE 3 EAST, M.D.B. & M.; THENCE EAST ALONG THE SOUTH LINE OF THE NORTHEAST QUARTER OF SAID SECTION 14, A DISTANCE OF 808.33 FEET TO A POINT; THENCE NORTH AND PARALLEL WITH THE WEST LINE OF THE NORTHEAST QUARTER OF SAID SECTION 14, A DISTANCE OF 808.33 FEET TO A POINT; THENCE WEST AND PARALLEL WITH THE SAID SOUTH LINE OF THE NORTHEAST QUARTER OF SECTION 14, A DISTANCE OF 808.33 FEET TO THE SAID WEST LINE OF SAID SECTION 14; THENCE SOUTH ALONG THE SAID WEST LINE, A DISTANCE OF 808.33 FEET TO THE POINT OF BEGMT4G. APN 025-160-030-000 na FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-0121 Address or location of unit: 6102 POWER HOUSE HILL ROAD, PALERMO Legal Description of Real Property: 025-160-030 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: FRANK COOK Owner's address: 6102 POWERHOUSE HILL ROAD, PALERMO INSIGNIA OR HUD NUMBER: RAD617087/8 SERIAL NUMBER OR V.I.N.: 09926543144A/B MANUFACTURER'S NAME: CHAMPION YEAR: 1991 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD_ Manufactured Home Decal No: LAT7261 Manufacturer ID/Name 90086 CHAMPION HM Trade Name WOODLAKE Model SW654W DOM 11/07/1991 DFS 1 01/09/1992 RY Exp. Date Serial Number Label/Insignia Number Weight Length Width SPC SCC Exempt Use Type 09926543144A RAD617087 19,200 58'8" 11-8" 04 SFD LPT 099265431446 RAD617088 18,590 58'8", 11'8" Issued Total Fees Paid Jul 01, 2004 $132.00 Addressee ovswG qti FRANK K COOK •� �• 8139 BLACKWOOD LANE o 131 ° 1 i ROSEVILLE, CA 95747 3 � oil LU G O pEv��, Registered Owner(s) FRANK K COOK 8139 BLACKWOOD LANE ROSEVILLE, CA 95747 Situs Address 6102 POWER HOUSE HILL RD OROVILLE, CA 95965 Legal Owner(s) WILLIAM G BLOCHER BARBARA S BLOCHER Joint Tenants with Right of Survivorship 3873 HECKER PASS HWY GILROY, CA 95020 Lien Perfected On: 06/18/04 08:26:10 IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 3499916 07012004- 303 Butte County Department of Development Services. eurrf RRA IN O T E S 7 County Center Drive, Oroville, CA 95965 (530).538-7601 vnvw.butte.COLrntynetidds RESIDENTIAL APN: Permit No. 025-160-030 06-0121 Owner. _ +COOK 6102 POWER HOUSE ROAD, Site Address: •OROVILLE, -+ - Contractor. Cont: OWNER Type of Permit: SEX M/H PERM FND-" 1 i r _ / - l 70 ' i 7 CONDMONS CHECKED BY SRA _ FLOOD CERTIFICATE EQUIRED _ FIRE SPRINKLERS REQUIRED _ SPECIAL INSPECTION ITEMS _ VERIFY _ USE PERMIT CONDITIONS _ SUB -STANDARD HOUSING LETTER _ ENCROACHMENT PERMIT _ REINSPECTION FEE PAID _ ENV HLTH CLEARANCE DATE JOB FINALED: SIGNATURE: .=OK MANUFACTURED HOMES ! MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S'C O V E R S`C A R P O RTS `G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-C nnctrs -S hth g Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE JPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pniboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr, Fencing -Alarms 13 Bonding, Diving board or Slide P s� °tea �` o�m ds c Pool Drawing I OK Not OK RESIDENTIAL DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth ` 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 69 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1l Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn _ 14 Girders-Sills-Anchr Bol tsJoists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing . 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling'Joist-Rftr Ties -Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frpic Throat Clmc_ 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs . - 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Wi dth-Hdrm-Rise-Run-Landin g -Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass P rtctn -SkyLts-Plas tic 36 Shear Walls; Nailing -Bolts 37 Brace IntlExt Wall pnls 38 Insultn-Walls-Ceilings 39 lnfi ltration-Walls-Wndws DATE JELECTRICAL 40 Fxtr & Trnsfrmr CImc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga D CU or DAL AC Wire Sz ga ❑ CU or DAL 48 Range Circ ga ❑ CU or DAL Oven Circ ga ❑ CU or D AL Insulated Neutral DYes DNo 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector Single & Duplex) DATE PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub. Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping M E C H A N I C A L l 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings Ij 67 Smoke Detector 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr In Garage; abv-fir-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cirnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cimc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Pimb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cirnc Drnge Planters Dyes DNo 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-Cirnc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr &Sewer Crinctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler f• BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060121 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed underp ll�J provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: XVIN: 025-160-030-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 6102 POWER HOUSE HILL RD PAL Date: Contractor: Map Index: Description: EX MH EX SITE PERM FNDN (1416) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: COOK, FRANK permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 6102 POWERHOUSE HILL RD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the basis for the alleged exemption. Any 530-532-0773 violation of Section 7031.5 by any applicant for a permit subjects the applica fo a civil penalty of not more than five hundred dollars ($500).): 70 I , as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: COOK, FRANK Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does .6102 POWERHOUSE HILL RD such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95965 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) license pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 to Busines Pr fess de Owner: Date: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #/: Valuation: $0.00 Census Code: CrI certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forth wi comply ith those provisions. Date: 1 Applicant: WARNING: Failure to secure workers' compensation coverage isr?�^ unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. q—I�V (� CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereb?issued under the applicable provisions of the Butte County Cod nd/or ResoI do , do ork indic d above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: l a3 6 Name: PERMIT EXPIRES N: O Address: JDatey ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the o er. agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official for r docu e6nt of B tte County. I hereby authorize representatives of Butte County to enterupon the above mentioned property for inspection pur ose . Signature: Print Name: l� (� d Date: caner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 $UT�'� BUTTE COUNTY /0 © DEPARTMENT OF DEVELOPMENT SERVICES ° BUILDING PERMIT APPLICATION 0 o AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 o` `—` ''=a' ' o OFFICE #: (530) 538-7541 c A FEE WILL BE REQUIRED AT TIME OFAPPLICATION 0CJAIWebsite: www.buttecounty.net/dds "PLEASE PRINT CLEARLY' APPLICANT INFORMATION OWNER INFORMATION Last Na City First Nam moi, Ad ress _ W Ci ` ` St as Fax Fax E-mail Lic. # APPLICANT INFORMATION CONTRACTOR Name City Address Zp City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zp City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zp Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address led Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. 4':. BIN # PROJECT LOCATION Ito0-030 Property Address led City 16 La V11�2r Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name I'1 �— Address Description or Sc f ork: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receipt #: Date: Amount: r) 9 Bldg SRA Sheriff Other 1 5-- Total EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application on an application after expiration, a new application, plans and fees will. be required. In order•to renew action'. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within'two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for per issued; however, on issued permits refunds can only be made if'no construction work has been done. Filing fees; plan- check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION y KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications'must be submitted to the Building Division in order to apply for a permit. INCOMPLE BMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 1. Site plan, 3 r 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete ns, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.., ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and -supporting documentation in duplicate: ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. 6. Manufactured homes: (A) Installationmanual, (B) Marriage line info, (C) Floor Plan, (D) Tie down r fnd plans, all in duplicate ' ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning V review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5.. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ ❑ 7. Worker's Compensation Carrier and Policy Number. 8: Owner -Builder Verification (if required). x; v ❑ 9. Letter of Signature authorization (if required). . ❑ 10. ecorded copy of Agricultural Acknowledgment Statement. ❑ 11 Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, orMCO. ❑ 12. Sanitation and site plan approval from h Environmental Health Department. If you have questions or would like additional information regarding this process, please contact'a Permit Assistant at (530) 538-7541. .y EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application on an application after expiration, a new application, plans and fees will. be required. In order•to renew action'. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within'two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for per issued; however, on issued permits refunds can only be made if'no construction work has been done. Filing fees; plan- check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION y KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 ;� nv. •x .,-•,�'Y`: N�....C"_d.r!`..`�...�^Y ti.,��y.^4!'Y". ". ori-.,•-„tt,__r ,..^��.yF,>•`�ti.. ,•.w..� ry""G..-.+,,�-.^�.r ��. "'�cy^�r�+tom'....,- -..^ Y".'�..� `��r^.-^... `'.....w � • ,. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS/OIUs 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER`. t i- , ASSESSOR PARCEL NUMBER OLe G ' y 3 U Proposed Building Use: W2kf permit Technician: Cwd, Date: 9 U� Items required in order to apply for a p rmit. All boxes MUST be checked OR marked NA in orde' to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. O 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 0 4. Engineered truss details and layouts in duplicate. No faxesl 0 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. O 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (),Tie down or fndplans, all in duplicate. -� o 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. O 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. 0 11. Letter of intent fog non-residential` buildings.' ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in O Chico 0 Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ 0 17. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 019. Erosion Control Plan Required ......................................... ............................. 20. Fees as shown on the attached Schedule of Fees Due Sheet.....' ......n ❑ 21. City of Chico Plumbing permit ............................................. ... 0 22. Site plan and business license approval from the City of Biggs .............................. 0 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 0 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ............ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... O26. NPDES Form.....................................................................................:....... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... O 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... O 31. Letter of Signature authorization ............................ 0 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits ...................... ❑ 34. Deed Restriction........................................................... . [!�j 35. ,5 description, M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: 0 37. Other: When issued Telephone C e \` �1L0 ' 1 rD and hold for pickup. I have been Informed of the above items and equirements for obtaining a building permit. Applicant: --;7Date: 1.. Index permit application for the above items numbered: Plan Check Letter 2. Additional items re ' Contractor, design owner, as advised of the above data by O phone, mai , ❑ counter, by Date: IQ Cp Contractor, designer, r, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, O mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: ev Date: Structural reviewed by: Date: Structural approved b : Date: Note transfer by: Date: Yellow: Building Division. 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 material for construction of this proposed property improvement: YES [LJ'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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 .butte County Department of Development Services ADMINISTRATION `BUILDING `GIS `PLANNING 7 County Center Drive 95965 Oroville, CA , (530) 538-7541 Telephone v L'Oy y (20).538-2140 Facsimile " .4 -fit • :�� • OWNER -BUILDER INFORMATION`` Dear Property Owner: An application for a building pennit has been submitted in your name listing yourself as the builder of the property improvements specified. _ For your protection you`should be aware that as "owner -builder" you are the responsible party of record on such a'',-' r pernudC Building permits are not required to be signed by property owners unless they are personally performing their o�vn . work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law. to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all pen -nits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you shouldfbe aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials,µ and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or' ' subcontractors, then you may bean employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject ,... . to several obligations including state and federal income tax withholding, federal social security, taxes, workers' compensation insurance, disability. insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and; if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for safe, property owners who are not licensed contractors are allowed to perform their_' work personally or through their own employees, without a licensed contractor or subcontractor, only under linuted',•. R. conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying,that the property owner is providing his or her own labor and material personally. Building" permits are not required to be signed by property Yowners unless they are perfonning their own work personally. - Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware' the verification is returned. of these matters. The building permit will not be issued until t Sincerely, P ' Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code..._.; ­ ,r i it Oroville, CA , (530) 538-7541 Telephone v L'Oy y (20).538-2140 Facsimile " .4 -fit • :�� • OWNER -BUILDER INFORMATION`` Dear Property Owner: An application for a building pennit has been submitted in your name listing yourself as the builder of the property improvements specified. _ For your protection you`should be aware that as "owner -builder" you are the responsible party of record on such a'',-' r pernudC Building permits are not required to be signed by property owners unless they are personally performing their o�vn . work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law. to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all pen -nits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you shouldfbe aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials,µ and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or' ' subcontractors, then you may bean employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject ,... . to several obligations including state and federal income tax withholding, federal social security, taxes, workers' compensation insurance, disability. insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and; if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for safe, property owners who are not licensed contractors are allowed to perform their_' work personally or through their own employees, without a licensed contractor or subcontractor, only under linuted',•. R. conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying,that the property owner is providing his or her own labor and material personally. Building" permits are not required to be signed by property Yowners unless they are perfonning their own work personally. - Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware' the verification is returned. of these matters. The building permit will not be issued until t Sincerely, P ' Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code..._.; ­ ,r i M2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind. Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Engineer Approval moms FOUNDATION SYSTEM ASAL]'K AND SAFETY CODE. SECTION 18351 APPROVED TIO CORRECTIONS NOTSD APPROVAL DOSS NOT AUTHORIZE OR APPROVE ANY SNS OR DEVIATION FROM REQUIREMENT'S OF APP1.SrAKS STATE LAWS AND REGULATIONS stow of Cidwarals Oa/ft Md d M0M6i -d Cumm"r DMMPMd ,-� t)pv m OF CODES AND STANDARDS r xi2 Concrete system BUTTE COUNTY BUILDING DIVISION APPROVED Page 1 of 8 0 0 0 0 O X12 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Nigher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip foofings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.306g 'Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to'that-•provided.by.a,coating�'of zinc on steel of not less than 0.30 ounces per square foot of surface coating.:.:. 'page 2 of 8 0 0 0 0 sF a /aJ- F 1K Aee-- I I NO AESIDENTIAL 025-16-0-030 92-0280 ` NAPHAN, ALFRED CONTR: GRAHAM CONST 6102 POWER HOUSE HILL RD, OROVILL MH/ADD 2 COV DECKS JOB FINALE Signature d=OK O = Not OK Not = Not Ready MOBILE MOBILE HOMES , Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P1 ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date QECXS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. ning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel t,,--T_qe Griders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts- Bea ms- Rftrs.-Connectors ' Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh of; Shthg-Roofing Wit.; Steps -Doors -Landings Date d B- ate Card B-1 DateZ. and B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except f#'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe. Test & Anchor -Nail Protection 18. D.W.V ; Test -Fittings & Anchor -Nail Protection ---- ------ ---- - ------------------ 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ---------------------- ------------------------------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ✓r's 22. Fixture & Transformer Clearance -Ins. Protection -------------- - ---- ----------------------------------------- ------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- ------------------------------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. - ------------------------------------------------ 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water -------------- 2 Appliance Circuts in Kitchen & Conductor Size!GFI --------------------- -----------------------------------'-------------- 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size r / ga ------------------Cu or --- ---AI ----------------------------- ---------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - -------------------------------------------------------------- . 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------------ -------------------------------- ------------- 31. Equip. -Clearances Panels-Motors-Mech. Equip. ---------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ----- -- ------- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------- -- - --.._.....------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ------- ----------------------------------------------- 35. Vent Fan Exhaust above insulation - ---------------------------------------------------------------------- ------ ---------------- 36 Condensate Drain & Overflow: Size & Grade ------------------------------------------------------ - -- ---_ ..-.....__ _. 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----- -- ------------------------------------------- - -- - 38 Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 ------------------------------------------------------------- ---- --------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors ------ ----------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ----------------------------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) ------------ -------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------ 44. -----------------------------44. Headers & Beam -Size & Bearing >ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing 51. Property Line Firewall & Openings ------------------------------ - 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits --------------------------------- 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --------------- ------------- ---- --- 55._Siding-Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------------------------ - Date Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except t#'s ------------- 61. Ext. Steps -Door & Sidelight Protection -Landings ------------- -- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection --------------- 64. Bedroom Exiting ----------- - 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels -------------------------- 67. ---67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth I- 69. Elec. Outlets at Wood Panel: Int. & Ext. ------------------------------ 70. ----------------------------70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ---------------------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter - ---------------- ----------------- 72. -Garage Fire Door: Swing -Landing -Closer ----------- ----- - 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb Air-Connector-P.R.V. . In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location ------------------------------------ 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --------------- ------- --------- ------ 7i. Insulation -Foam -Looked in Attic ❑ Yes - -------------------------------- 78. Guard Rails & Deck Construction -Post Caps ------------------------------------------ - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No --------------------------------- 81. Stucco_Brown-Finish ------------------------------- -- - 82. A.C. Unit: Disconnect. Electrical, Plumbing .. --- - - --------------------------- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ... - - - - -------------------------- ----- 84. Water Well; Disconnect, Electrical, Plumbing -------- ------------------------- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House -------------- --------------------------- 87. Glass Protection _ -...----------------------------------------- -- 88. Corrections from Previous Inspections . - -- ---- -------------------- ------------------- 89. Gas -Test -Me - ters 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- t Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/536-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING. r,. .4 BUILDING PERMIT OWNER TELEPHONE A SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIINTAMAIMPAN 6102 P019ER HOUSE HILL RD OROVILLE 456 C 5,928 CONTRACTOR'SNAME ITELEPHONE GRAHAM CONST X11 -1-7.71 CONTRACTOR'S MAILING ADDRESS P.O. BOX 5655 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ 5,928 Filing Fee g $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 67.50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 33.70 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6102 P ja R HOUSE HILL ROAD Permit fee $ 116.20 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomep Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Uti lities ❑ Installation[] Other ❑ Describe work: 2 COVERED DECKS _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW penalty I declare under of perjury (check . per l y(econe): 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.;�aG(or-R 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 OR ADDNS. .fk ACC. BLDGS. 3.60 sq.ft. NON-RESID NEW CONSTR BRANCH CIRCUITS @ 5.00 POWER APPARATUS (SINGLE OUTLET CIa,R. Ex. Occup(ouTLETs OR FIXTURES 20 76d FIXED \\ Ex. DCCUp. OUTLETS PRESID )REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. L!d ' 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 1 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Date /'" 3�' `%.i Signature of licant - owner 9 P ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONSTTYPE TOTAL FEE $ HAz DFEES IMP FLOOD A COF PARCEL PD HD Issu This ermit is hereby issued under the p Y sions of the Butte County Code and/or work indi ed above for which fees D E R OF PUBLIC By .� PERMIT EXPIRES Date 2 applicable provi- PP � � resolutions to do have been paid. WORKS ate Z ! 3 Receipt No.I(1gAng WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ���.sk�� -.'xG(1a`..rC'Rf4�,�'�n'�i'ii'.y � ��y{'sgp�ryrr�.r- rw, . yr .r...+wm+'wn•.-F+.'-mwrtwv-.r--^r^.'Wwi� �::.� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER'DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT AL , XT1*07 EET Permit No. OWNER . P. No. Proposed Building Use 2' �U�Pr Uef� Building Inspector Date f 3 (-ClZ— At time of permit application, I was advised the follov&#1 w "t*UbTA ,ggbr to permit processing and/or issuance: Id -r�. 1- /!/v %''W! ih DATE RECEIVED APPROVED 1. tems have been sub ted. ../.�.fu ��j�. �J��.x.. ���uu� .bN.../. r Plot plans in pli riplicate, signed by pr parer 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. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ........................................ 12. Park fees paid .................................................... 13. School District fees paid .............. —&eftj4_Sanitation approval from elapoi Health Department 2 —7� 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request 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 Acknowledgment Statement .......... 25. Letter of signature authorization ................................... 26. 27. When yoissue the permit, process as follows: Mail to owner. Mail to contractor. _Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Qal 1''2I_X_ ,�-- 0 Copy of Hdz-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 submittedprior to permi is uance: (Circle new item not checked above). 1. Index permit for above items No. 2, Additional items required: £ca/ % 1047 6z.J ' 7d G / �lOriS ni/ l _% ) A" ��,,, 7, - Con tor, designer, owner, was advised of above required data by_phone___rnaiI—counter by 614�1date oG� Contractor, designer, o,ptne eer, was advised of above required data by—phone—mail counter by date &`( Plans checked by Dat — 4 Plans approved by 1 Date Z Sets of plans on hoYd in File cabinet AP folder Copy—DPW TO Building Department 11 FROM: Environmental Health SUBJECT: Sanitation Clearance / O0jeY l/5 - 6 63a Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: or droom"mabl1ehome . ILO Water Supply Other NOTE V4� Sanitaria Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 96968 - Telephone: 916.'538.7641 APPLICATION AND PERMIT PERMIT NO. A33E33 R NUMSKR / 636 ZONING , BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S M ILING AD?RES owed f���� ,�l R 19 /> CONT CTOR' NAMFr TELEPHONE (L d � A � �o. �S � � EX -/,27/ CONTITACTORIS MAILING AC, ORES D QCS6 S Fireplace C NSTRUCTION LENDER UNKNOWN Total Valuation $ .S Z Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 675-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee a Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ P BUILDING ADDRESS !?' Penult fee [; $ PLUMBING PERMIT Filing Fee 15.00 64 �J Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 US OF STRUCTURE SFO Duplexr Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ��\– coue D iprCgs Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 18.50 200A OR LESS Main service 200ATO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under enact of (check penalty perjury Iur Y (econe): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ t, 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.&) 3.64sq.ft. OR ADONS. ACC. SLOGS. / NEW CONSTR U TI.OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) 20 76d EX. OCCUp(OUTLETS OR FIXTURESFIXED APLNS. Ex. Occup. OUTLETS (PRESID IRE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g "15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑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. ❑ 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 FiIirig Fee 15.00 Heating Cooling g Hood 6.50 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 against said County in consequence of the granting of this permit. X Date Si nature of Applicant – Owner 9 PP ❑ Contractor ❑ Agent ❑ An OSHA ion of structures tover 3gstories oin height.ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P OCC CONST TYPE p TOTAL FEE $ r �'— HAZ 1 0FEES I IMP I FLOOO I COF I PARCEL I PD Ho I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 109609 WHITE-O.P.W.. YELLOW-AI8C330R. PINK-INSPCCTOR. COLD ENROD-AP►LI CANT 0 0 Q' �UWEQ F1ovSE. WILL -Ri _ �sg ,os SRN P��� �a�� 0 SEPr�c T.�i�K L ALFRED RIANAAI vs � � r i CaUALS APOUJO Butte Cowni'l entiai Envir•,onmVa ENVIRONI.RdIEN7'AL HEAL FEB 0 3.1992 Oroville, California IN -a -)SIP �0-- cn m L°/Y LU -C E ' 9,,2,,8 �G Q m Q• 1 ll _.-�. cn m L°/Y LU -C E ' 9,,2,,8 3977, RESIDENTIAL 025-16-0-03091-3759 NAPHAN, ALFRED CONTR: MH CENTER 6102 POWER HOUSE HILL RD, OROVILL MH UTIL OFFICE COPY Address 1, GAS Meter By /��� q� ELECTRIC IC Meter By JOB FINALED (Date) _ Signature /' . I J = OK O = Not OK Not atile ' ' M MOBILE HOES MISCELLANEOUS =Not Ready Ready 3' Date MILE HOME UTILITIES Plans OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s oning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements .Soils; Special MH Support Sketch f 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -T asement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors r✓ Electricity: Location-Clearences-Grn Am Concrete Shthg.-Rfg.-Bracing 6. Location- t-Wra /"L"ft. p: ; 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures I / /'Nat. or/ "L" ft./Pf-LPG 1 6. Carports; Windows -Doors { Well Clearance & Disconnect t 7. Electric tility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing '. Date Card B-1 Date Card B-1 11. Ext.; Steps -Doors -Landings I Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s . 1. Zoning Requirements -Setbacks Easements Date Card B-1 Date Card B-1 �rFootings; Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 a;,- Gas; MH Test-Demand-Valve—Connector Date POOLS (Plans) OK except #'s �E�ctricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements d . Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability ater; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness Water and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining as and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI 9. s; Ins Sketch 5. Elec.; Pool Lighting; 15 volts-GFI Cert. of Occupancy 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. Dated — --J.( Card B-1 Date Card B-1 ; Boxes- Enclosures -Pane lboa rds- Ins. to Main in Conduit Date Card B-1 Date Card B-1 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test I Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK f O = Not OK , =NoRcable Not Ready RESIDENTIAL (Single uplex) = Date UNIDERFWOR (Plans) OK except a's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks, Soils -Steel-/ /Ftg. Depth Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rfy. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance, 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped ---------------- 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions , 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6a. Hold Downs and Special Anchors ----------- --50.-0.Garage--------- 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation_ 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle - ---------------------- 17 Water Pipe: Test & Anchor -Nail Protection ---------------------------------- ----- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------------------------- - ------------------ 19. Shower Pan; Test, First Floor -Tub Access 20. -Test -Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors -------------------------------------------- -------------------------- Date Card B-1 Date Card B-1 ------------------------ ------------------------------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except u's 22.- Fixture & Transformer Clearance -Ins. Protection ----------------------------------------- _____23._-Elec. Receptacles Spacing -Lights & Switches at Doors -------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ---------- ---------------------------------------------------------------- - 25. Romex -Installed-Close to Edge of Studs & C.J. ------------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------------ - ---------------------------------------------- ------ -------- ----- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFl -------------------- - ---------------------------- -------- - ---------------------- 28. -------- ------------------------------------------------------------- 28. Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size ga. Cu or At -------------------------------------- ------------ I ---------------------------------- 29. ---------------------------------29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ---------------------------------------------------------------------------------- 30. Service_Riser Conductors & Ground -Main Disconnect --------- --------------------------------------------_--- 31. Equip. -Clearances Panels-Motors-Mech. Equip. ----------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector ------------------------------ ------------------------------------------------- Date Card B -t Date Card -B-1 ----------- - - ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ------- ---------------------------------------------- 35 Vent Fan Exhaust above insulation - -- - ------------ ---------------------------- ----------- 36. Condensate Drain & Overflow: Size & Grade --------------------------------- I ----------- I -------------------------- --- ...... 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --- --- ------ - --------------------------------------- -------- 38. ----- 38. Attic Access & Platform if Furnance in Attic ----------------------------------------------------------------------------------- ----------------------------- ---------- ------------------------------------- Date Card B-1 Date Card B-1 ----------------------------------------------------------- Date -----------------------_--------------------------Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------------- ------------------- ------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -- ----- - - - --------------------------. _ ... 41. Bearing Walls over Girders & Floor Nailing - --- ------------------ ------------------------- -------------- 42. Draft -Stop -m- Walls (rat proof) 43. Fire Stops. Furred Ceilings -Stairs -Chases -Tub ----------------------------------------------------- 44. Headers & Beam -Size & Bearing 51. Property Line Firewall & Openings 1 52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------------------- 55. Siding -Nailing Veneer --------------56.-Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ----- ----- 57. Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls: -Nailing -Bolts 59. Insulation -Walls -Ceilings ------------------------------ 60. Infiltration -Walls -Windows ----------------- ------------------------------------- -- Date Card B 1 Date Card B -1-j ------------------------------- -- Date Card B-1 Date Card^B-1J Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings y 62__ Smoke Detector - - ------------ ------------------ 63. Furnace: Vents -Clearance -Comb. Air -Connector- 1 In Garage: Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. -.G. -F. L& Bath Fixtures & Tub Access -Spa ----------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- 67. Stairs & Rails 68. Fireplace or Stove. Clearances -Hearth ----------- - ------------------------ 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door.Swing-Landing-Closer ------------------------- -------------- - 73.-A.C.-Duct in -Garage -Damper - -- - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------------------------------ 76.-Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;, Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - ... -------------------------------- --------------- - 80. Followinginstld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ----------------------------------------------- 81. -- --------------------d1. Slucco_Brown_Finish------- ------ 82. A.C. Unit. Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg -Appliance-Fireplace.-Clearance to Openings -84.--Water Well: Disconnect, Electrical. Plumbing 85. Exterior Elec. Trim; G F.I Receptacle -Underground 86. Ventilation Throughout House --- ----- --- - 87. Glass Protection ... -------------------------- 88. Corrections from Previous Inspections - - - -- -- -- -------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval - -- - - . -- - - - -- - - -- Y -- p ----------------- ------ 91. Ener Com liance Certificate -Other Certificates- ------ -------- - ------------------------ --- -- ----- --- Date Card B-1 Date Card B-1 -------------- ---------- --------------- Date Card B-1Date Card B-1 ----------------- ------------------------------- --- Date Card B-1 Date Card B-1 Comments at Final: �-- x,•...J+:-..fes-�.� _ Y ��.�1 � r w CdUNTY 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 /l/A OWNER PERMIT NO. 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. v • MOBILEHOME INSTALLATION ACCEPTANCE 4 vY COUNTY OF BUTTE 4 DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE'i OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. �- Address or location of mobi lehome Q /(� e) U4^� ZZ e v Owner's name y a.,• .ry..y,. .tai Owner's address �1 •. Insignia or hud number Manufacturer's name G ^� t Serial number of I.N. © -3)y�l ar of manufacture 'Ta �i J1f Icial proving n tallation ti � JLth. 'S 1 IF. THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION? t' ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USEDeWHEN THE' MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. t, 5138 t`d'.` y_ 4 psk Wv ,.> +:'+- e } White'- Owner, Yellow="'Insta`Ilet, Pink•='D P.W. "�` °'v` ' COUNTY OF BUTTE - DEOARTMENT OF PUBLIC WORKS PERMIT NO. t . 7 County Center Drive - Orovslle, Califorr?ia 95965 - Telephone: 916/538-7541 ' APPLICATION ANO PERMIT ASSESSOR PARCEL NUMBER 025-160-030 ZONING BUILDING PERMIT OWNER ALFRED NAPHAN 510 TELEPHONE 893-2265 SO. FT. OCC.1 BUILDING V LU TION OWNER'S MAILING ADDRESS 1255 CASTRO RANCH ROAD EL SOBRANTE rr CONTRACTOR'S NAME TELEPHONE MOBILE M 741-3818 CONTRACTOR'S MAILING ADDRESS 1225 B STREET MARYSVILLE CA 95901 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ IeOl*_ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS G POWER HOUSE HILL ROAD Permit fee $ 20.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ❑ Duplex❑ Mobilehome© Other MF(; NnTTgF Mobile Home @ 15.00 45 00 SPECIFY TYPE OF WORKrrYY--�� New ❑ Addition [:]Remodel [:]LJ Utilities Installation❑ Other ❑ Permit Fee $ Describe work: 4 BDRM ...- 2p jnr-CQ r,t:h Ijjt Qn _ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 18.50 50 Main service 200A To 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �i am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Z(oq0 Classification d(•7 NEW CONST. / DWELLING OCCUP.&\ OR ADONS. 1 ACC. BLDGS. / NEW CONSTR ULTI.OUTLET NON•RESID BRANCH CIRC ITS POWER APPARATUS h\ (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 3.6Qsq.ft. @ 5.00 z) 16, F]I, as the owner, or my employees with wages as their sole compen- EX. OCCUp. OUTLETS ((RESID IREA.� I 3.00 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) Temporary service Mobile Home Facilities Misc. Wiring 15.00 15.00 15.00 '15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ 4$,50 — WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT FilIng Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating -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. Cooling g ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Ventilation e 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 again d County I consequence of the granting of this permit. Mobile Home Installation Fee Energy Inspection Fee OCC CONST TYPE I TOTAL FEE HAz 1 0FEES IM FLO D COF — — S $ c $ I PARC P HD ISSUE j X ' -ter Date -` c- l This permit is hereby issued under the applicable provi- Signature of Applicant — Owners Contractor ❑ Agent An OSHA ion of structures tover 3gstories height. ons over 5'0" deep and demolition or construct- ions of the Butte County Code and/or resolutions to do work indicated ab for which fees have been paid. DI T I� OF U -L WORKS -o^iin Receipt No. l V WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ByDate PERPITZEFPIRES ate f7-17, —q OF i TO: Building DepartmenP FROM: Encroachment''Fermit Section t RE: D 1v ay Clearance Ala owner location AP # Driveway permit 4 si ature a has been issued for the above property. date "'i COUNTY=OF-BUTTEPART E OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY 8 NTF�R ;-10ROVIL1,; AL±IF1R1rlIA 95965 - TELEPHONE: 916/538-7541 PERMIT PLICATION DATA SHEET / Permit No. OWNER���Q� A P}�/V A. P. No.d Proposed Building Use of Building Inspector Date �10 1 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 .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... Scho)1e, District fees paid .............. 14 Sanitation approval from _1VQ1 Health Department la la Q/ (r City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... :6418. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) /0 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. ,/23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement .. fid' / 25. Letter of sit nature authorization 26. ; � >A b,, Sc,ie. A a.4- pl.owl- A,Toed a zz 41 �- When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 7-(l .3945 and hold for pickup at office. Deliver w/inspector. Other Applicant Date 16-24-D Copy of Hdz-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.1 2. Additional items required: Contractor, designer, owner, was advised of above required data by_pf one ail counter by 'r" .date S Contractor, designer, owner, was advised of above required data by_phbne—mal l—counter by date Plans checked byDate _Plans approved by Date[?Jtzjy Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTN1E1`4i' 0 PUBLIC WORKS PERMIT NO. 7 Ooiin y Center Drive - Orovlllo, Califortlift 95965 - Tolnlll-intln: 91n/6'IR-75411 , APPLICAi'ION AND PERMIT ASSESSOR PARCEL NUMBER BUILDING PERMIT OWNER _ OWNER'S MAILING A.DDR ESS TELEPHONE S io SQ. FT. OCC. BUILDING VALUATION f , CON R'���++((ACT H'S NAM �• TF_LEPHOP:P — CONTRACTOR'IrMAII ING ADDRESS _ �,/� CONSTRUCTION LENDER UNKNOWN ---- Fireplace Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILIrJG ADDRESS ---' Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS L^ �• U/�/ O T ��.t/G� . / ri�✓�� L Yll.r�r. M1�_ti Permit fee $ PLUMBING PERMIT FilirgFee 10.00 ------- Each Trap 2.00 - ---- - _ Soler or heat pump water heater 20.00 LOT NO. SUBOIVI :ION NAME PARCEL- MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF RUCT,/Ut��RE �/ SFO Duplex[] Mobilehome Other_Ar 8100 SC __ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea _ TYPE OF WORK New [l Addition ❑ Remodel❑ U if- 'es L✓J Instal Other �.� Describe work: _ � --!• --`- Permit Fee $ Contractor — ELECTRICAL PERMIT FllingFee 10.00 -- Main service 6001 OR LESS 100 AMP OR LE39 10.00 ---------- - CONTRACTORS LICENSE LAW I declare II der penalty of. perjury (check one): ('1" L ]]] 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. No. _2�_S Classification, C- (-1 -7 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) r] I am exempt under Sec. -, Business and Professions Code for this reason _ Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.N) OR AODNS. ACC. BLDGS. / �2dsgft NEw CONSTR. TI.oUTL r NON -RES,. BRA C IRC I S 2.5088 POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCCUp(OUTLET3 OR FIXTURES zo 9License eAL030 90 Ex. Occup. 0uTLET3 PIRESID . IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ -- - - - - _-- '� WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Ll The permit Is for $100.00 (valuation) or less. FAxhave 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor — MECHANICAL PERMIT Filing Fee 10.00 Heating — Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that 1 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 o1 Butte against all liabilities, judgments, costs, and expenses which may in any way ar.r;rue against 'd County in co equence of the granting of this permit. X- , 5� ­ - /Q �Z� +� 1 Date Signature of Applican - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile dome Installation Fee $ Energy Inspection Fee $ occ CONST TYPE — TOTAL FEE $ -- - itnz cuA PARK sCFll- Fl,p �' rpF Pqn PD I Hn. ISSUE This permit is hereby issued unoer the applicable provl- sions of the Butte County. Code and/or resolutions to do work Indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES EXPIRES D to ....� a..A Receipt No.----.--- -- ---- ---�— wNITE-D.P.W.. - YELLOW -Ase 2N08. PINK-INSrEc•ron. GOED [N ROa-AP^LIrA.MT .-.—,........-....-.....-.....•.....���.:��Y:..s-.�..-.-rr_:.��a.—�r-_v-s:-•s: uta .:_-.re.�ansr-n-•r:--•s- f_ F% .COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 -Telephone: 916:'538-7541 APPLICATIDN AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ "go 49V Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - v Permit fee $ D 00 PLUMBING PERMIT Filing Fee 115.00 Each Trap 5.001 r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF❑ Duplex❑.Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation[ Other ❑ ,. . Describe work: ' Permit Fee $ 720 Contractor ELECTRICAL PERMIT Filing Fee 15.00 ' • . • Main service 600V OR LESS 18.50 200A OR LESS Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjuiy (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification EJas 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./ 3.60 sq.ft. DWELLING OCCUP.�\ OR ADDNS. ( ACC. BLDGS. I NEW CONSTR ULTI-OUTLET NON.RESID. BRANCH CIRCUITS @ 5•00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APPLNS. 11 EX. Occup. OUTLETS (RESIO )REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ —; WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit' is for $100.00 (valuation) or less. ❑ 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.Ventilation 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 15.00 Heating Cooling g Hood 6.50 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 OT 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 – Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ t OCC ` CONST TYPE TOTAL FEE $ t ' HAz I DFEES IMP I FLOOD I CDF PARCEL PD RD ISSUE ` This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do ,' work indicated above for which fees have been paid. } DIRECTOR OF PUBLIC WORKS ; By Date PERMIT EXPIRES Date f Receipt No. WHITE-D.►.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT AP 16 c -3 OWNER /4/- 04, �J- PERmrr - M UTIL.C DATE . INSPECTOR ELECTRIC GAS Support Struc. Compaction Test. eq. -- Service Size Other Load T e Pipe Size Len th YES NO YES I NO :Vd, 7 7' TO � Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply 4---- Hold final for: Water Supply 7inal clearance O.R. for: Clearance for 24 bedroom mobile home. Other ' Water Supply �- Date San.tari R u o �+ NOTE.—P13 :w! ; .-ia� : V;l::� �;r^ + hip Shen be [r� 3 F.-.^. � �,c:• , .. -�� , .., Goad Practkea on.4 '° F �o� A q:,. .. •- ,,:�::::.�:f f�:; tht� �;-�cif�ed u.a In ti>F c s, / �Unifrir; 1.: itC!�'t'! 'r'ivmbing & Mechanical Csx1e� '� �- • o ia., Ind ttw� i`1,rt;onw Qactrical Cede. rA o i't.C�lrl from i'f?Gi D 1 A 2 i �cc+pt•,;-t., ,nc:;. and a setback }�5 n, {+.e n : "V of F��`t. from t.., r„zd F I � ctonteriine -c;nall be cisar of xW�1� structures or equipment except r 0 ;or a 2 f.. eave oyerhenp. t � n ,n I ,. c(naA 6� at1 ea-w,,"rA 141. -IST b6 +} w n 'rl� of \'. A Permis wiii re ' for .-,� installation of the mobilehome. 150' ASL P0wt2 Hov N,LC. Ra Fxrsrr�,g Dove I � � Q a N v A ✓► v` r Z: n Fxrsrr�,g Dove I � � T a N v A ✓► v` r Z: n a ZI W M A F 10-26-91 To Whom it May Concern, The singlewide mobile home has been removed from the property located at 6102 Power House Hill Rd. Oroville. AP#25-16-30 agt::� Date Alfred Naphan 9i 44553 Return to DPW AGRICULTURAL.STATEMENT OF ACKNOWLEDGEMENT FSR RESIDENTIAL DEVELOPRENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded_ prior to issuance of a building permit. The property described herein is adjacent 1 91-0445= 1 Rec Fee 5.00 to land or included within an area zoned I Check 5.00 for agricultural purposes, and residents Recorded 1 of this property may be subject to incon- Official Records veniences or discomfort arising from the use of agricultural chemicals, including, County of but not limited to herbicides, pesticides, Butte 1 and fertilizers; and from the pursuit. Candace J. Grubbs of agricultural operations including, Recorder but not limited to cultivation, plowing, 9:35am 22 -Oct -91 I XX 1 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural 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 farm operations. All that real property situate in the County of Butte,. State of California, described as follows: Date: -ft fullowin= deaultwl teal p.nfwi7 In tlw- Counfyaf Dutra Su,udC�ufw,ua. The NnrtheaaC quarter of Sectlon 14, Townahlp 18 North, Range 3 East, M.D.B. b :K. EXCEMOG T}{ =- , C`'I "t portion eonvayed by Deed from Josephine Bartolacelli, at al. cc the State of Calilcrnia, dnted November 16. 1972 and retarded February 13, 1973 in book -� 1816 of Official Recorsds, at page 204. AP ;t- z'�;- Ic c -ri State of ) On this the / day of SS. undersigned Notary Public, County of �d� /? /'%„ 1 `D /1 - PROPERTY OWNERS: personally/AC�re �Lc�- `6-- OFFICIAL SEAL EJ Personally known to me. Proved to me on the basis JUDY 9. aAIDRY M) .m of satisfactory evidence. NGik PY.FCBP COUNTYORNIA to be the person(s) whose name(s) , rJyCo.,rh.t�;�;;ESgp��1 29 1994 subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. � -_��-G3��-� tary Public Cl EN® OF DOCUMENT a a 0p 10 - u Q <� O T 3 cn ra U llCO!ia OD a DO 0� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P RMIT NO. ASSESSOR PARCEL NUMBER 025-160-030 ZONING U BUILDING PERMIT OWNER ALFRED NAPHAN (415) TELEPHONE 223-9444 S0. FT. OCC.1 BUILDING VALUATION. OWNER'S MAILING ADDRESS 1255 Castro Ranch Rd., E1 Sobrante CA 94803 CONTRACTOR'S NAME MObile Home Center TELEPHONE 741-3818 CONTRACTOR'S MAILING ADDRESS 1225 B. St. Mappville 95901 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 6102 Power House Hill Rd. Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeE] Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W 1 @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti li ies ❑ Installation g Other Describe work: MHI i -41L- .%'"�` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 100oA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ) I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code pand my license is in full force and effect. License No. ��) 1 os 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.&� OR ACDNS. 1 ACC. BLDGS. 3.64 sq.ft. NEW CONST R. ULTI.OUT LET NO N.RESID BRANCH CIRCU ITS ` 5.00 POWER APPARATUS .&) SINGLE OUTLET CIR. ) / Ex. Occup( OR FIXTURES 20 76 Ex. Occup. OUTLETS IIRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 1 15.00 Heating Cooling g Hood 6.50 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 against�Countyquence of the granting of this permit. f Date I - (- Signature of Applicant — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.I Mobile Home Installation Fee $70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL F $ 105.00 HAz DFEES - IMP - FL D CDF PARCEL C PD HD ✓PSX ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees E OF PUBLIC BY -- PERPAT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date m- Lt -q) Receipt No. WHITE-D.P.W., TEL LOW-AS8f o . - NSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPA TN�ENT-OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER D.R� t - OROVIL'LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Used �4 PHA A Permit No. ///11 P. No. bZ � _()3n Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .. 2. Plot plans in duplicate/triplicate„signed by preparer of plans. . * .... lans....... . 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........... :......... ......... ? ......... 6. Energy Design Compliance and supporting documentation -....... 7. Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation I ✓� instructions ...................... ................................. 10.' Fees o'f $ 11. Chico Urban Area fees paid ....................................... 12. rz Park fees paid �: School District fees paid .............. 14. Sanitation approval from Health.Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) , 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification tisiven to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. —26. Letter of signature authorizatio e Fee 27. GC B �� When 'you issue the permit, process as follows: Mail to owner, Mail to contractor. %4' _Telephone /-39- / 5� and hold for pickup at &// ce. Deliver w/inspector. Other Applicant / Datl .e 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 submittedp 1. Index permit for above items No. 2. Additional items required: ssuance: (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 of above required data by—phone —ma ll—counter by date Plans checked by A/) Date Plans approved by e Date 121IY ig/ Sets of plans on hold in File cabinet AP folder Copy—DPW .a . 1. Owner's Name: 2. Installer's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1,Fa-c- 1� AJAPNtiN MrA E C,C-. :D -c- 3. Is the site currently under permit? Yes F-1 No N OTE, '• I NSpEC DC Ta V�I�Y e-CrMVAL 6� oCID mCOlL-v- PoDelb - (If yes, furnish permit number (If ) OR Is the site an existing site? . Yes Will No [a 8. Is there any other electric load to be served by the mobilehome site service? ---------------------=---------- Yes Laj No (If yes, 'identify the load and size: LU6r.c,. (Load) o (Amps) 9. What is the mobilehome site gas pipe size? -------------- ��`( ►�rnyn (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?-=--------------------------------------------- (ft.) 12. What is the mobilehome gas demand? ---------------------- (BTU) '*(This information not required if pipe length less than 6 ft. om natural, gas or less than 50 ft. on LPG.) -' Finis f r, el c . VA IDEPA eq t d f d alio USG9 P 161sa-J� m l _S13 -77-91t (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 n �J (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6.. What is the mobilehome site service rating? ------------- mac% o 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 Laj No (If yes, 'identify the load and size: LU6r.c,. (Load) o (Amps) 9. What is the mobilehome site gas pipe size? -------------- ��`( ►�rnyn (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?-=--------------------------------------------- (ft.) 12. What is the mobilehome gas demand? ---------------------- (BTU) '*(This information not required if pipe length less than 6 ft. om natural, gas or less than 50 ft. on LPG.) -' Finis f r, el c . VA IDEPA eq t d f d alio USG9 P 161sa-J� m l _S13 -77-91t MOBILEHOME SUPPORT'DATA If other than, single wide, Mobilehome Mfr. 6q.APAh 01_1 furnish Setup Model, No. 60S Width (ft.) Box .Length `'S (ft. ) Tagalong or Expando S'ize� ft, xft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer `s installation manual :.and structural ----s��e��tup sheets (if not on file with the County of Butte). ll FOOTINGS (check one)17U1. Wood -pressure treated'or foundation grade . 2. Other (specify) SUPPORTS (check one) ma__� Concrete block.0 2. 'Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Zx MULTI -WIDE G G $ -0 G 2/ G in. 2 _ _ _ _ — — _ —. — Ling! e 2 ode' 2 Main Beams ° ne — — — —1°— — — — .� in Main Beams --—_—_----� Line 2 Line 1 • — -- — — — — — L -- _ +Line Tag or Triple Line 1 Line 1 Piers: Sire -Min. ------------ Spacing-Max - -----------Spacing-Max- --------- From Ends -Max .------- Line 2 Piers: t Size -Min.------------ „x Spacing -Max .------- From Ends -Max.--- --- Line 3 Roof Loads: Location (From Front) Line v niers: r Size -Min ------------- Spacing -Max.--------- From Ends -Max. ------- Line 1 Openings: Size -Min- ------------------ x n v Each Side of Opening's .With Width Over --------- Line 3 Piers: `(Under Bearing Wall Only) (ex : Size -Min -------------------Ix I. Spacing -Max---------------- - 1.0 From Ends -Max .------------- Ss D)A,6 V\(n 031E S Ci iC MACINACE L f t JC L6CA-716W Zx 30" Zx G G $ -0 G 2/ G ine 5 Piers: (Under Bearing Walls Only) ..� 1/ Glc,- W1>•> Size-Minn------------------- ux Spacing -Max---------------- I- „ From Ends -Max -------------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) Y le _ � � • r �r y, ;r RADCO ISO z wx q0 c APPROVED _ N Y le _ � � • r �r y, ;r Q W Support piers are required under porch posts and under fireplaces and wood-buming stoves located DOOR OR OPG. Lon floor overhangs. MAIN BEAM MAIN BEAM = B = Z MAIN BEAM ' MAIN BEAM DOOR OR OPG. 8.-0" 8.-0" 8 -0" 8 -0" 81-0. 40'-0" NOTE: Blocking of perimeter rail is required'at each side of the 1 arq entries exterior dogrs:locatecfYn�, bow,windows, recce ientri>. 3 i i r -r �^ sidewalM"an`d �aml other�open�ngg M t/Z the value"shown msrnarnege wa'ope. Caoa table, bWClty'a��alria!w'�ia,'tw w,. The diagram above shows the minimum required dplahome. It cement of blocks under the frame of a typical length to blocking your timportant extremely home as to the latest local codes ino check with local building tyour area. �FRAME BLOCKING Begirtby=placing_piers at front and rear of home. Starting at front, place piers at a maximum of`8' o:c. along tboth main beams the entire length of home. Follow this procedures r -any length of Champion -built home. Other blocking positions are also required -under -the center marriage walls, depending Sof the del. These positions marriage LdeterminedYby-the location 4 wall._Clearspans-may occur -ort -each section of the home or at� the -same location=of_.both;sections`-There must -be blocking f- -a -&rend at th'�►penirigs'showp as=A artd B on diagram aboife d Tiding brtittie,mWell For cl pan openings andfvV!NX' ape kand piercapacities-see the-chartshown above. FOR 60# ROOF LOAD ZONE SEE PAGE 10 n--- MA�RjAG,E WALL':BLOGKING PIER FOOTIN,mGaS Based on a soil capacity of 1000 Ib. per square foot, a suggested footing size for all piers is i'8GS F ME BCOCKINGyPIER.O g�d`orsai cape �t7001b. er s uare out, a suggested footing size for all piers is '8 ��e y° n Alternate methods are acceptable if they meet with local soil bearing capacities. to it is officials as to lthe latesttllocal codes in your area with local building SPACING FOR BLOCK' 28' wide 8'0" o.c. max. 32' wide 8'0" o.c. max. ZONE MINIMUM PIER CAPACITIES FOR MARRIAGE WALL OPENINGS (lbs.) 1 ' CLEAR SPAN DISTANCE IN40# MARRIAGE 30# WALL �2' ' 28.} -3 24' 28' ' 32' 24 4'-1"-8'-0" `1.304 1496 1720 1768 4 2328 22 2 1956 2244 2580 2652 0 3492 33 1.2'=1T t6=-0 26082992 3440 353 4048 61 0 ` „= a�an'1740 4300 0 5060 5 0 600 t NOTE: For 26' wide homes. use marriage wall pier capacities for 28' wide homes. VISING NPARTM80 M .a s,� �tvPE2iy LllvF Fhis set of plans .and spsci^iccx?iam MUST be en th© to at all titres hzr� i. is unlawful to 6 any clio"es 6r alfercl"Ons on sane without ften permission from the. nc-noy ime-4 of pum), W6. C.. A10V of 64U. I --Alf Mator'Wa ?. Wor1<manshlp Shag Be in Rdence with IZOCOfellred Good Practices awl. quality prey», ibFtf for tho Spedflsd ury in taw• orris OWId?ng, Plumbing & ti^,&Anka{ Cee W vef� � I ma2,i1-� 'P 19 OL, 0 .,,wk of 5 ft. frons tt's- property tines and a setback of JOft. from the road f centerline shall be clear of .-.. �� VD ,imctures or equipment exceP •,.� A ? h. #AV* Ove^-rI no* i y A permit will be required for the installation of the mobilehome. �XiSTlas � n 3071 01VI G DEPAIB IC 142 VID a a -V 7" . .. , o a 50 5SL `A �. O j�ow�z Hovsc, 14.LL 134 —Ni fA COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Unter Drive - Orovllle, California 95985 - Telephone: 918/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCIELNUM13EM ZONING BUILDING PERMIT OWNER LF14 }JRPf�>*1N TELEPHONE y, 5,2.2_ 3gy�c SO. FT. OCC. BUILDING VALUATION OWNER'S MAIL G��ADDRESS Gr �5-C ( Z`JS �flSte_c f��Mcl( R& LL a CONTRACT& 'S NAME O , Lr. TELEPHONE CONTRACTOR'S MAILING DDRESS IZZ S- g $'C' / LCrc ej'S �G ( Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 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 ttJ W O E� (40 -CC- I O ^fN t Permit fee P ` Gi PLUMBING PERMIT FIIIngFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ DUPIex❑ Mobilehome�g Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[-] InstallationN Other ❑ Describe work: l 's _ Permit Fee $ Contractor ELECTRICAL PERMIT FIIIngFee 15.00 Main service 2600AORLESS 18.50 Main service 200A TO t000A1 37.50 CONTRACTORS LICENSE LAW 1 declare under enalt of perjury (check one): penalty P � Y ) ❑ 1 am licensed under provisions of Chapt. 9. Div. 3 of the Business and Professions Code and my license Is In full force and effect. License .Jo. 2t'o )�0 5 —Classification Li El 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.y) OR ADONS. t ACC. BLDGS. 3.6#sq.ft. NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRCUITS) �1 ` 5.00 POWER APPARATUS S SINGLE OUTLET CIR. ( Ex. Occup\OUTLETS OR FIXTURES F1U47EjC FIXED APLNS Ex. OCCup. OUTLETS IRESID IREA.) 3.00 Temporary service- 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 15.00 Heating Cooling Hood 8.50 Ventilation p 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 accrueHA2 against said County In consequence of the granting of this permit. Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 6 `0 Ener Inspection Fee $ 9Y P Dcc CONST TYPE TOTAL FEES (�S-= DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date -"— Receipt No. 0363 V1_ -- WSfITG•q. P, W., YAS 60Yt•RSAS3SUR. PINK•INCRLGTP!?, 006gENR00•AeP41 r.�RT .war:.-.e...--.-...�.».-.�....�..�....�._...-.-...� ���np-r.,+�srsy�+yrw�"'�„!,�,:g;.{�,tb✓tW .,Y�,,� y,,�;.,,,»��-�„f+'�.,�.' ..�.�t'i�a• �..� BUTTE COUNTY SCHOOLS'DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number 0Q5 /�0-©,?auilding Department No. School -District. U11 -City D County � Jurisdiction 1 Property Owner Q ri Project Location/Address i AW e- A -0 viAe, Subdivision Loi`NNumber Residential Development: Sq. LivingFootage S # of Living MHI Addition ( Group ) 1 Units 6x10%I �t S., V Commercial/Industrial: Sq. Footage - New Addition (Including Exterior Roofed Areas) o �a 9 Building apartment Representative Date (Floor Plans reviewed by School District Personnel) District Id No. 92 0 3 4 4 lMV 1111_) Q111,61.1 41'b School District certifies that I n A 1 1. , yAppli"pa �Name�-/1 - (( Phone Number) R JJ ( Street Address) '(City) (State) (Zip Code) has complied with the requirements of Resolution No. � by the payment of $ representing square feet. School Di trict Representative Date PAID BY CHECK NO. R KS: BANK NO - S - .1 PAID BY CASH / white -applicant, yellow -building department, pink .schoo ,i's rict SCHOOL.FEE (8/88) r. eoun6A. c p a3idte. OROVILLE, CALIFORNIA CLAIM FOR PROFESSIONAL AND SPECIAL SERVICES CLAIMANT: MOBIEEHOME CENTER ADDRESS: 1225 B STREET CITY & STATE: MARYSVILLE, CA 95901 IMPORTANT: NOVEMBER 20, 1991 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT REFUND OF SHERIFF FEES PAID ON A.P.40595WHOMM. PROPERTY OWNER ALFRED NAPHAN, RECEIPT #103034, DATED 11/1/91. ---------------------------$360.00 REFUND DUE ------------------------------------------- $360.00 $360 00 REFUND OF SHERIFF FEES PAID ON A.P AQS PROPERTY OWNER JOSEPH ALLARD RECEIPT #101496 DATED 11/5/91. - SHERIFF FEES PAID --------------------------- $360.00 REFUND DUE------------------------------------------- $360.00 $36n -nn TOTAL $720 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim Is true and correct as stated. ... `' .......... qq ... , .................. � .... Dated thi•s"1A...I.. day of 11/�!.�.. 19. [.1.. at .i�/tJ+t/tC C� Calif. ��.�ct��` �'�.�+. ...................... Signature ¢f Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered rlivered and that ther/e is .& Budget Appropriation E] or Specific Board Approval qq (Check one) for ssm tt � Doted this............? rie.rh........ day of .../..tk.Y............. 19ti.. at .l.�l.�l��rk:i« �r Calif. r S� �...... Department Heed or Authorl Deputy Dep 1001 Ezp• F-1219 PAYABLE SHERIFF'S FEES ......._.................................. de ................................................ ABLE FROM .............................. .................. _..................... ....... .......... FUND 0 NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. I SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. A DECISION WAS MADE ON 11/8/91 BY THE COUNTY COUNSEL'S OFFICE OF BUTTE COUNTY THAT SHERIFF FEES NEED NOT BE PAID FOR REPLACING MOBILEHOMES ON EXISTING MOBILEHOME SITES. SINCE YOU PAID THESE FEES YOU ARE AUTHORIZED A REFUND. PLEASE DATE AND SIGN THE ATTACHED CLAIM FORM WHERE INDICATED AND RETURN TO THIS OFFICE. / /V PERMIT N0. 6146-75P,E P a E' M MH UTIL. ;PERMIT NO. PERMIT EXPIRES v OWNER Peter Giordano CONTR. owner L` 25-16-30 LOCATION (A.P. � ) 1300' off W/S Power House.Hill Rd., 4 mi. N. of E -W section, rovill 4 ` t .> Temp. Power Pole Called &E Temp. Ele y5 Called PG&E Temp., Gas Serv. Called P JOB FINALED (Date) (Signal e) t r. .:_ . �, �; , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinci To out Slab Roof Sheathing Water Pi in �7 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footiri s Footing ELECTRICAL Masonry Walls Throat Rou h J Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS, Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS 9. Electrical A. Is -service large enough to prov de a egTa'tte amperage to mobilehome (must equal rating -of mobilehome with a minimum of .140 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No 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 theelectrical 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 Manufacture and/or Namestyle e- 1/ C� F► c G,( 7✓ Length Width Vehicle Serial N . State Identification No. oZ Q g �_5 Additional.Information or Comments: XNo B. Is there proper clearances around panels? Yes C. Is power supply cord or feeder assembly properly fused? Yes No_ 4 N0 D. Is continuity test satisfactory as per the following procedure? Yes 1. De -energize electrical wiring system of the mobilehome at the•peaestal. 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 theelectrical 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 Manufacture and/or Namestyle e- 1/ C� F► c G,( 7✓ Length Width Vehicle Serial N . State Identification No. oZ Q g �_5 Additional.Information or Comments: 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 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes! No _3. Are footings and supports properly sized, spaced, and braced as /pe -r approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes f/ No r 4. Is the mobilehome level? (Sec. 5088) Yes .1No 5. If more than a ngl unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of•adequ'dte size and properly installed (1/2" ID min.)? (Sec. 5566) Yeso B. Test - Does water piping withstand working pressure or 50 lbs. air test? Ye NO_ C. Backflow - If coach is not State4.10 California�a proved, does station have backflow device and pressure -relief valve? Yes `er 7. Wastes and Drains A. Is connection made with'Schedule-40 DWV and have flex connectors at each end? es y No B. Does rit have minimum" per foot slope.and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3- Ions of water through each fixture including washing machine standpipe? Yes No D. If coais not State .f C li�ornia approved, does station have required trap and vent? Yew✓ No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected�tolthe,gas supply�,with an approved 3/4" minimum mobilehome connector not -more than 6�ft.- long?`'Note: A11 piping is to be at least as large as the mobile ome gas line inlet without reductions' than the mobilehome connector. Yes No B. -Test OK aser following procedure? P g p ure. Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. t 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, tu.n On gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No ­ 4 • �, COUNTY OF BUTTE — DE,PART !ENT OF PUBLIC WORKS 7 County Center Drive —� UfoVTfle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ` BUILDING o Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address11 nn p�/%j �� (O✓Lo,� "— O/t� l/C// Telephone No.. Fireplace Contractor,ylg� Total Valuation Mai I ing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3 Each Trap 1.50 6 Repair drainage or vent piping 1.50 �l Jj M4 I P Water piping 1.50 F.!6 as water heater or vent 1.50 A. P. N�� �Fi �c� Zoning & Planning as system 1 - 5 outlets 1.50 Each additional outlet .30 Fs Sa It n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plags Declaration IParcel Map 60' R/W Im roveme is P Lawn sprinkler system 2.00 R' BI g. ans Recd Parc rove Plans Approval Permit Fee $ $ aL NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑1 Duplex ❑/ Mobil Home' Others ❑ ER Main service 10 0 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 ✓Y / !� ✓ �'6- OR ADDNS. l ACCNEW CONST_DWELBLDGS.CLING CUP. &) 120 sg ft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEW CON5TR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ' Ex. Occup(OUTLETS OR FIXTURES) 50@25 Ex. Occup.( FIXED APPLNS. OUTLETS ((RESID,)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00g ,(/-p License No. Classification rt Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ U p WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ WI have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 ahnvP-nnPntinnPrt nrnnorty fnr in e..*;n., . TOTAL PERMIT FEE $ j This permit is hereby P y issued under the applicable provisions of X Date�'� 7J� y es,ff Permittee /or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Ilk the butte t;ounty c;oae and/or resolutions to do work indicated above for which fees have been paid. DIRECTORAF PUBLIC WORKS Date %z'"y_ 71 " Building permit expires Date /L—y- 7( krd uTm. ci&Apm --- D&TE STXJlSJ C yrs 1110 n.s ISO -LY-1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive '—' O;ovilie, ealifornia 95965 Telephone: 534-4541 APPLICATION AND PERMIT 16Z,4enDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �Gv/ S !L Total Valuation Mailing Address S Permit Fee Plan Checking Fee&/or Penalty 111y14;11_1,._5 / �� v! Telephone No. .7_ — �� Permit Fee is Building Address — PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 w Each Trap 1.50 Dr a Repair drainage or vent piping 1.50 Water piping 1.50 17� gdo" Al Mch gas water heater or vent 1.50 A. P. No. 2_5--1,41 — 0 3 d Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe San4e+HO Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel M a - 60' R/1N Im rove ents P Lawn sprinkler system 2.00 Bldg: an"PI spec d^ Parcel Approval L Plan Approval Permit Fee$ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 -- Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home 10 Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 (�2 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: t Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.�77!?f4119�� Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for W men's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 ! 30 da TOTAL PERMIT FEE $ 3® �% �cF/�cOcnfall V 0 VI L 1G VVUllljr VI oUllc lV VMI l UPM. Ulti above-mentioned property for inspection purposes. XDate l� S' Signature of Permitee or Agen Receipt No. White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO 0 BLIC WORKS] BY Zn Date .t ermit expires Date I BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name'.-. ( Y l O r�8 �' 7-2 y f- 2. Installer's name: �� �c 6 g 7" /{ 1 -Pe s �' L- S•.. 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? ----------------------- E o " Amps 6. What is the mobilehome site service rating? --------------------- I " p Amps 7. What is the mobilehome sites circuit .breaker rating? ------------ C o Amps J, `. 8. Is there any other electric load to be served by the mobilehome (This information,not required if pipe length less than.6 ft. on natural gas or less than 50 ft, on LPG.) site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 5 (ft.) 12. :What is the mobilehome gas demand? ------------------------------ O G C"C2 (BTU) (This information,not required if pipe length less than.6 ft. on natural gas or less than 50 ft, on LPG.) MOBILEHOMI ..SU FFUKI DATA Mobilehome Mfr. ob •e Ufr 4 'e- Setup Model No. Year Width i�' (ft.) Length S- 2- (ft.) - Expando Size �, ft. (Draw support details -below) . 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) . ln: ,_, r�f° Center" Support„ %;If center.piers are other than drawn above, '-draw in locations, spacing, and -dimensions. Footings-(check.one) Wood either . pressure treated or fdn.`grade.: / 2. -Concrete pad. 3. Other, `specify T Supports (check one) ~ A/J 1.rConcrete block 2. Concrete piers 3. Steel piers .......... .... 4. Other, specify j Typical Support x Footing Size in. _ in. Max. Pier. Spacing in. Max.. Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED �00 8$. Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maximum. of a 2 ft. eave overhang. All utility connections shall be located within 4 ft. outside the rear . _ third section of the mobile home on the left (road) side of the mobile home. NOTE:—All Materials & Workmanship Shall Be in Accordnrce with Recngnized Good Practices and of a quality nrenn: ' d for the ' Specified use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. This set of plans MUST bo, kept on the iob at all F -nes and it is unlawful to make any changes or cgltnrr+=ons on same without' written permission from the Department of Public Works, County of Butte. I Septic system and location e %s t to be as per Butte County Health. Dept. Re- quirements. BUTTE COUNTY BUILDING DEPARTMENT APPROVED l� t. 5 r R a t. 5 a COUNTY OF BUTTE - DEOARTNENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. --7-- & 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. 0 ZONING A, , OWNER� PHONESNO. .� 1) -r� -r r� OWNER'S ADDRESS LOCATION OFUILDIN%LW I P �l 'IV a V16 1p 0_i� 712v USE OF BUILDING SIZE OF STRUCTURE SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify.) a r n. TYOF S ING ROOF CO E , G ZT FLOO TYPE ESTIM16TED COST OF CONSTRUCTION Cv� $ AG Buildings Aall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: t �' S 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. 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. 0_dWt_1x4A Date +-36-84- Signature of Owner'' Permit Fee - $25.00 The above described AGB Ilding is exempt from a building permit. Receipt No. % Director of Public Works By Date S �� White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant COUNTY OF BUTTE - DEPARTMEN7'OF PUBLIC.WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,.CAL'IFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. � OWNER yyt`J) Q it ti% ) SZ/'�(`.-1 A. P. No. Proposed Building Use/�/ Permit Fee Based Upon: Complete Contract Price DPW Valuation Other -(Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 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. 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-Insp17. Pre -Inspection for Required- Building request to (Date) P q Building Inspector 18. Other When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant 1 Date Copy of plans sent Health Dept., Fire Dept., Other U Date During the plan checking process, the following data must be.submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: r (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW - is I Ol �A 30 D 3D '-SID � (.o Li C) ; A -z -,M SD