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HomeMy WebLinkAbout025-210-032Joseph Pfister Pri.drive,3/4 mi.No.of Oro -Gridley Hwy,..- app.6/10'mi.W.of Hwy 70, Gridley Permit t 9 8-77P,E(UTI�'. , MH)� �7= ELEC./ 4' GAS 4 G S/46.. � SUHa T STRUCTURE REQ. AZ 0 COMPACTION TEST REQ. yn -- 25-21-8.032 Permit, $; 2621_-,78MH ' Issued •`- Kd� t 025-21-0--66&o' 2 92-0122 PFISTER, J.A. TRUST. ��i �� y CONTR: OWNER //'' l 1485 E GRIDLEY RD, GRIDLEY I ELEC SERV/SF B07-2614;,,; 025-210-032 MISCELLANEOUS , , ,"t' Electrical ELECT REPAIR: RISEk &,WEATHER1 ! _1485 E GRIDLEY • :�. r PFISTER, JOSEPH ANDRE ', a r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1485 E GRIDLEY Owner: Permit No: B07-2614 APN: 025-210-032 PFISTER, JOSEPH ANDRE Issued Date: 12/20/2007 By KCG Permit type: MISCELLANEOUS 1485 EAST GRIDLEY RD Subtype: Electrical GRIDLEY, CA 95948 Expiration Date: 12/19/2008 Description: ELECT REPAIR: RISER & WEATH Occupancy: Zoning: Contractor Applicant: Square Footage: NACHO'S ELECTRIC NACHO'S ELECTRIC Building Garage RemdUAddn 219 SHELDON AVENUE 219 SHELDON AVENUE GRIDLEY, CA 95948 GRIDLEY, CA 95948 (530)846-0655 (530)846-0655 Other Porch/Patio Total FEE INFORMATION Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B5740 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License NACHO'S ELECTRIC 898854 / C10 / 06/30/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a peril to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM DER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with ton a 7000) of Division 3 he Busi ss and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force an ffect. of Division 3 of the Business and Professions Code or that he or she is exempt therefrom and the basis for the Any alleged exemption. violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 0/2007 [$500); Please check one of the following: ❑ 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 Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does COn faC r' ignature Date�� WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by MMy ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: ection 3700 of the Labor Code, for the performance of the work for which this permit is issued. Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves Cartier: / t"TPyy' N Number. 4 V6 W 29et thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). e: (This section need not be completed if the permit is oris or one hundred ollars ($100) or ess. ❑ I AM EXEMPT under Section B. & P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS XCII SSUED, I shall not employ any person in any manner so as to become subject to the Workers' ompensation ws of California, and agree that if I should become subject to the workers' X 12/20/2007 compensatio provisions of Section 3700 ollthe Labor Code, I shall forthwith comply with those Owner's Signature Date provisions �r j 12/20/2007 I hereby cer..ify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signa r Date WAR NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, inducting death, and property damage caused arising out of, in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this peril. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the use oro pancy of any sidewalk, street, or subsidewalk. 1 hereby authorize representatives of Butte ATTORNEY'S FEES. County o enter the above Ptntioned property for inspection purposes. I hereby certify that I am the prop owner6rrffi orized to act on the property oyner s h tf. CONSTRUCTION LENDING AGENCY al l%1 Q Ut v � ��<7(� 007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Y.Meof Permittee [SIGN] Pript Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR. Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN # 261 was rn. 2 - � "When filed, this application and all supporting material becomes subject to the California ublic Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. CONTRACTO OWNER INFORMATION Last N If mow/ First Name Maili� City State /�� Zip G� y C T Phone Phon �/6 , des—_5_ Fax E-mail CONTRACTO Name Qr j Name Addresa/ y S16101&1 Cllr`_ city l state zip, 9� Phon �/6 , des—_5_ Fax E-mail Lic. # Class _lo APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail Sq FT- Living Garage State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT7S/G TURE X �6wfe____�- PROJECT LOCATION AP# 0 , ,r— ,=v/o —O 3.-;t Property City WORKER'S COMPENSATION Policy Number Carrie t%r�ee If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address ESCR PTION OR SC PE OF WORK: t n' a No Occ. Type Const. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. r 41 1 Butte Count yDepartment ofDevelopmentServices Tim Snellings, Director I Pete Calarco, Assistant Director o�UTlE. 7 County Center Drive oo 0 Oroville, CA 95965 0 (530) 538-7601 Telephone o o (530) 538-7785 Facsimile UN'�y www.buftecounty.net/dds AD MINISTRATION * BUILDING * PLANNING May 26, 2005 Larry Pfister & Joann Pfister -Cummings 9 Schroder Dr. Oroville Re: Application for Lot Line Adjustment, LLA 06-31 A.P. Number(s) 025-210-008, 009 Dear Applicant: On May 26, 2005, the Department of Development Services made the finding that the Lot Line Adjustment on the above referenced property is exempt from environmental review, and approved the project subject to the conditions on the attached page. Should you appeal the decision of the Dept. of Development Services, please submit your appeal, in writing, with the appeal fee of $50.00, to the Clerk of the Board of Supervisors, 25 County Center Drive, Oroville, California 95965, prior to 4:00 p.m., June 12, 2006. The conditions of approval must be met within thirty-six (36) months from the date of approval by the Department of Development Services or the approval will be considered null and void. If you have any questions concerning this matter, please contact this office at (530) 538- 7601, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, (�C rles histlethwaite, AICP Planning Manager JH/ cc: John D Christofferson, P.L.S, 220 Grand Ave., Oroville, CA 95965 Environmental Health Department Building. Division CONDITIONS OF APPROVAL Larry Pfister & Joann Pfister -Cummings, Lot Line Adjustment, LLA 06-31, 025-210-009, 009: lot,line adjustment between three exisiting parcels, located on the North side of East Gridley Rd about 3/4 of a mile west of the East Gridley Rd. -Hwy to Intersection. 1427 & 1485 East Gridley Rd. GridleyQ� 1. New lot or parcel lines shall comply with setback requirements of applicable zoning and building ordinances. 2. Deeds and plats (if required) shall be submitted to the Department of Public Works, Land Development Division, for checking and approval prior to recordation and shall contain the notes specified below. Include a legal description signed by a registered civil engineer licensed prior to 1982 or a professional land surveyor. 3. Provide documentation from a title company on the applicant's choice verifying any deed of trust affected has been partially re -conveyed or modified to reflect the lot line adjustment and to prevent the creation of any additional lot or parcel. 4. Prior to recordation of deeds, provide documentation verifying payment of taxes as reguired by Subsection (b) of Section 20-95 of the Butte County Code and as specified in Article 8 of Chapter 4 of Division 2 of Title 7,of the Government Code, commencing with Section 66492. Deed Note (To be placed on any deed to effect lot line adjustment) The purpose of this deed is to effect a lot line adjustment as approved by the County of Butte on The above described lands are to be combined with and become a part of those lands as described in the deed to as filed for record in Butte County Official records at Serial Number Book at Page . No additional lots or parcels are created hereby. The scope of review of said lot line adjustment was limited as specified in Government Code Section 66412(d), and approval of it does not constitute assurance that future applications for building permits or other land use entitlements on the modified lots or parcels will be approved by the County of Butte. Plat Note (to be placed on any required Plat) This plat does not constitute a legal description of the lots or parcels depicted and does not show all easements of record on or affecting said lots or parcels. Lot Line Adjustment Conditions of Approval - Butte County COUNTY OF BUTTE - DEPA;TMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 92„122 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 25,.21-09 ZONING U BUILDING PERMIT OWNER J.A. Pfister Testimentar Trust TELEPHONE---' ELEPHONE--_ 846-4458 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1485 E Gridley Ed Gridley 95948 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 1485 E GridleyRd Gridley$ Permit fee 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 SFFgt Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK�yy New ❑ Addition ❑ Remodel ❑ Uti lities g Installation ❑ Other ❑ Describe work: replace main derVice located On ag building to supply house Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 18,50 Main service 200A TO 1000AI 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 ;Jo. 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 _37.50 NEW CONST. ( DWEL ING OCCUR.&) 3.64 sq.ft. OR ACDNS. ACC, 3LDG5. / NEW CONST R.MULTI-OUTLET ^ 5.00 NON-RESID BRANCH CIRC ITS POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURESL_ 764 FIXED Ex. DCCUp. P OUTLETS (RESID.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Pre ins tion 20.00 Permit Fee $ 53.50 — 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. 4I 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 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, judggents, costs, and expenses which may in any way accrue agaiV said County in c seque�pp of the granting of this permit. X / , Date l" ��' °y Signature ppfrcayt _ Owner Contractor El Agent ❑ An OSHA permit ifs 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 CONST TYPE TOTAL FEE $ 53.50 . HAz I DFEESj IMP I FLOOD I CDF I PARCEL I PD rD I ISSUE ✓ This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicat'td aLpvIEt fo� which fees have been paid. 66 //UIRECYDf F PUBLIC WORKS By X.l.�!/—:'`-- i Date /111 _ - PE MI EXPIRES Date // 3 Receipt No. 103775 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916;538.7541 92-122 APPLICATION AND PERMIT ASSESSOR PARCEL NUM13SM 25-21-09 ZONING U ' BUILDING PERMIT OWNER - J.A. Pfister Testimentar Trust TELEPHONE 846-4458 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1485 E GridleV Rd Gridley 95948 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 485 E GridleyRd Gridley$ Permit fee 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 a Duplex❑ 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 L`q' Installation❑ Other ❑ Describe work: replace main service located on ag building to supply house Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 18.50 Main service 200A TO 1000A) 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. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING oCCUP.&) 3.6Q sq.ft. OR ADDNS. ACC. BLDGS. // NEW CONSTR. ULTI-OUTLET NON-RESID BRANCH CIRCUITS) @ 5•�� POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES L.76 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Pre inspection 20.00 Permit Fee $ 53.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (-check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. Notic tG 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 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, jud ents, costs, and expenses which may in any way accrue again said Coun n c sequ✓ehe granting of this permit. Date signature o pp�" — Owner Contractor ❑ Agent ❑ An OSHA permit is required for exca ations over S'0" deep and demolition or construct- ion of structures over 3 stories in heig t. Mobile Home Installation Fee $ Ener Inspection Fee $ Energy P Occ CONST TYPE TOTAL FEE $ 53.50 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISS This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indic fa4pv,9-'o which fees have been paid. I F PUBLIC WORKS BY Date PE MI EXPIDate / Q3 Receipt No. 103776 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT R. v 1aI It r �M % 4" `"'� -" K.�"r 'i% 12L�'" trst,!y.fir f: rsry,Cv�a�E � P 1 1� COUNTY OF BUTTE - DEPARTMENT -OF. PUBLIC WORKS - BUILDING DIVISION • 7 COUNTY CENTER DRIVE - OROVI LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APP IOATION DATA SHEET C,✓ Permit No. c� OWNER 6 Pi ��Sr4 I� II A.. P. No. Proposed Building Use kW61C15 I/>���' -t:2V�GVBuilding Inspector Date � � -Z_ 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 I instructions ..................... ...... ...................'.. . 10. Fees of $ ..,y.„ .... ` ...................... 11. Chico Urban Area fees paid ........................................ 12. Park fees paid ..............................t ..................... 13• 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 approvrequired prior to occupancy) —��0. Pre -Inspection for -'ISG UGPiF�i al ,j+t 1 O e 5 required Pre-Inspec. request to/ —• 21 - y z.�� Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 1 .. 22. Certificate of Warkmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... 24. Recorded copy of•Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... H. 27. When you issue the permit, proce s as follows: Mail to owner. Mail to contractor, _lLTelephone �6' 0and hold for pickup at office. Deliver w/inspector. Other ' Applicant Date 4/0 IV Copy of ! .az-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not•checked above). 1. Index permit for above items No. 2. Additional items required: , ./ Contractor, designer, owner, was advised of above required data by_phone--nail—counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_counte�'by date Plans checked by Date Plans approved by �� Date _ Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 95965 - Telephone: 916✓538-7541 APPLICATION AND PERMIT PERMIT NO. z- z� ASSESSOR PARCEL NUMBER ;z�v -oo ZON.NG t1 BUILDING PERMIT OWNER nn L, �.,I_- Pf'�S�CA`�'GW � TE EPHONE ' i-�fSEj SO. FT. OCC. BUILDING VALUATION OWNEfi��SLIN r A�D,DR r�uy CONT//77RACTOR'S NAME ocwielz TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �) I� �I /� 4[/ Cr- `/fA l/ �r Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFTg_ Duplex❑ 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 ❑ Additionn❑ Other ❑ /1 Describe work: �a,615�AWV s4e0/l Z-_ L 0617,Cd _ 461017U�Ycl,(�V!X i'p Svf / NOUS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 _ ' Main service 200AORLESS 18.50 0 Main service 200ATO1000AI 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. 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 ADDN5. 1 ACC. / 3.64 sq.ft. MULTI -OUTLET NEW RESID.CON5TRANCH CIRCUITS) NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 76 FIXED APLNS. Ex. OCCup. OUTLETS P(RESID IRE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 e _/US .0 .20.6a Permit Fee $ 513.50 — 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 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 again said Coun in c nsegue ce of the granting of this permit. c/ �Date J_�� `/� Signoture o I' t - OwnContractor ❑ Agent ❑ An OSHA permit Is required fore cavatians 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 CONST TYPE TOTAL FEES 5.3-- HAz 1 0FEE$ I IMP FLOOD I CDF PARCEL PD HD ISSUE j 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. !63 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541' J. - OWNER -BUILDER VERIFICATION Attention Property Owner: _ An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of LI2. e proposed property improvement (yes or no) 1� (have/have not) signed an application for a building permit r the proposed w c. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. )I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. S. 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: r Property Owner Social Security Numbe Date T NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. PRE -INSPECTION OWNER: ( Co e DATE LOCATION: I J�, �/Y CJ'0`/!l� . P. CONTRACTOR: ( WW OL ZONING u PRE -INSPECTION FOR: / 7 �161kC 10AII l 10 A/ Al- ?55�1 1 l0 !V 4- -- DATE TO INSPECTOR (� PERMIT HISTORY: NONE N- AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: </I:f TENNAi`IT : � r OCCUPIED "-HAS ELECTRIC �-:J-HKS-GAS �S SANITATION FACILITIES �EATED-COOLED PERSON CONTACTED 3�� S OTHER COMMENTS: ACTI RECOMMENDED: ISSUE = GwI�mmm HOLD FOR f OTHER: - /r/6, -DN- /4� 1400/4 "elc. 0a/4 ,2lcua — W07--5 v DECLARATION REGARDING LOTS OR PARCELS I certify that as owner of the property acquired by deed in Volume g , Page j J C Official Records of Butte County, (AP# �)S- j .-()-ppb ) , I am requesting permission to build or install an additional: living unit on this property._ I will not divide the aforementioned property for sale, lease, rent, or financing unless all applicable land division laws and map requirements are com- plied with. I am conversant with the present zoning -regulations affecting the aforementioned property, and declare that I shall not violate same. I represent that the proposed use of, the additional living unit is /���/Q�/� f��p 6q/v4c# and that further. I shall not change this proposed use of the additional living unit unless and until I receive written approval therefor from the County of Butte. I fully understand that pursuant to Chapter 20 of the Butte County Code and §1153S et seq of the Business and Professions Code that if I, in the future, sell, lease or finance the area on or adjacent to said improvement without fully complying with the applicable laws and ordinances, that I shall be guilty of a misdemeanor and therefore, subject to the aforesaid penalties and imprisonment pursuant to law. Further, this statement shall be properly acknowledged and recorded at the request of the -County of Butte. OFFICIAL RECORDS. BUTTE -UNTY-CALIF. er RF,CO°0S RE01.E�TE0, F" OCT 10 11 24 SM 1977 LOUISE I`�LU Nf ER Address r COUNTY RE '0tWE •tE NOT COMPARED W11H Date t OP.IGINAL nOCUMFNT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - STATE OF CALIFORNIA COUNTY OF Butte ss On this 7th day of October ,.197 7, before me, Ilona M. Henderson , a Notary Public in and for the County of Butte ,'State of California, residing therein, duly commis- sioned and sworn, personally appeared J.A. 1fister known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same. IN WITNESS WHEREOF I have hereunto set my hand and affixed my, official seal in the County of Butte the day and year in this certificate first above written. S96-1275 OFFICIAL qL HENDER& >, fJOTA^Y PUBLIC - CALIFORNIA �°*� P."!INCIPAL OFFICE' • IN Z� ... ( BUTT@ COUNTY LSY Ccrrtr;I;;;on [::-`.111-5 F obn!n ry 9, 1971 Y ..v.�.•vv��v-1/vrN�V �'Vv.'V .�.vVtiv'�iih,��•� Notary Pu lic- ,PE.�M)TNO. 4968-77P,E PERMIT EXPIRES OWNER Joseph.Pfister tCONTR. owner LOCATION (A.P. 25-21-8 Pri.dr.,3/4 mi.Kof Oro Gridley Hwy,app.6/10 mi. W.of Hwy 70, Gridley { j •t ) i t . t Temp. Power Pole Called PG&E Temp. Elea Serv.�0.., Called PG&E Temp. Gas Serv. / Called PeAB 9- JOB • FINALED •7 (Date) 00,_ (Signature) ' t i 9. Electrical ° A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a,minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes\/ No B. Is there proper clearances around panels? Yes—A No C. Is power supply cord,or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes k No 1. De -energize electrical wiring system of the mobilehome at the p esetal_ i 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4.' Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the 'site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the d.ectrical 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 /97.�e Manufacturer and/or Namestyle,4"Q"/ LengthWidthZ;(!�_ j Vehicle Serial No. 12- 71a `i- �o72 U- X 1 State Identification No. • 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_4No- 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Ye SX No 3. Are footings and supports properly sized, spaced, and braced aver approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If`mode than a single unit, are crossover connections properly installed? (Sec. 5088) Yes �( No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_)[ No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yees—A No C. Bac proved, does station have backflow device and pressure -relief valve? Yes— No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum k" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after runnin -gallons of water through each fixture including washing machine standpipe? Yes No D. a e o California approve .does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mob' ehome gas line iiilet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No Mese MECHANICAL n COUNTY OFf BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Scr ch Heati BUILDING A BUILDING (Cont'd) J PLUMBING tback kirewall All Piping F ms P a ets t Floor in Bldg. Re oom Finish 2n Floor otin s Wind s 3rd loor St wall Sidin To out Sla Roof Sh thing Water Pi 'n Piers Roofing Sewer Garage Fdn. Vents Fixtures FootinA StemwaI I Garage V ntk 4 Insulation Water Htr. Heaters Slab Carport Footings 4 Prov. for ph si Ily n icor ed C Confforof e structure Appliances Gas Piping & Test Temp. Gas Slab Final A Sanitation Patio IR LACE Final Footings Footing LECTRI t Masonry Walls Throat Rou h Reinf. Stee Final Fixtures Bond Bea FIRE SPRINKLE Motors Framing Test 4 Water Htr Stucco Final Suboan s Mese MECHANICAL Grd. F Ault Prot. Scr ch Heati Servl e B n Coo ng T mp. Pole nish D is nder round erior Lath VAntilation Permanent oor Closer anal anal MOBILEHOME UTILITIES - - - - - - - - - Elec. Service Elec. Pedestal Water Piping . Sewer Gas Piping M961LEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS e (NOTE: An entry must be made on this form each time you vislt the job site.) }. I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS t' 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE'OF OCCUPANCY This mobilehome has been installed in accordance with the requirements ;-,of the California Administrative Code, Title 25, Chapter• under permit_ number,&-*?"—/ePfor the following location: ',�C. � l�wner Owner's ddress ar'�-,aG Mobilehome Mfg.-���ct�-c A�i�:cL Model Year�9T� Insignia No. �/lr� (,� Serial No. /9/49 �- It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works j Date // //�c-� $y lCr�s,4� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED Ll COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 6j�-,77 Telephone: 534-4541c�yAPPLICATION AND PERMIT / BUILDING Owner J ( ste.r SQ. FT. OCC. BUILDING VALUATION Mai I ing Address111117 U lepi*. e Gn CI 10 7 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address r r 3 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 O Oro r w 0=2e rb x Each Trap 1.50 W L7 Repair drainage or vent piping 1.50 Water piping 1.50 Zadng verificaf'pnprjv Each gas water heater or vent 1.50 A. P. No.�Z Zonl .g Gas piping system'l - 5 outlets 1.50 1© Each additional outlet .30 F S ion Fire Dept. Fire Zone Use Pennit Building sewer 5.00 ®t0 EQA I ParkinPlans DeP r Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. PI ec'd Parcel roval Plo A oval Permit Fee $ ffUD 1$ 00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 3100 Main service 600V OR LESSf 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil HomOVER e Others ❑ 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. I DWELLING OCCUR. & OR ADDNS. ACC. BLDGS• ) 22sgft NEW CONSTR. MULTI -OUTLET NON•RESID. BRANCH CIRCUITS) 2.50ea ' NEW CONSTR. POWER APPARATUS &) NON•R ESID. (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: @ BAL1 Ex. Occup(OUTLETS OR FIXTURES)@FIXED APLNS Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 FA LoatI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 TOTAL PERMIT AEE .+u i [cFi Qu" uUVUS vi L"e %,GUnty UI DUt1e tU enter upun [ne above-mentioned property for inspection purposes. Datea •'I -J .at, Signature of-Permitee or Agent Receipt No. T White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS , By Date_ 10-X7-27 ding permit expires Date t\L s`fes- NOTE:—All Materials & Workmanship Shall Se in This set of plans and specifications MUST be Accordance with Recognized Good Practices and kept on the job at all times and it is unlawful -to of a quality prescribed for the Specified use in the male any changes or alterations on some without Uniform Building, Plumbing & Mechanical_ Codes and written permission from the Department of Public. the National Electrical Code. Works, County of Butte. Septic and, 'oea+iorr­0+iYG*d­ ina Ana drain du&x',4t to be as per 4Se*ack Buffevr Ith Dept. Re-�he shall be B ft. from the G��q�i `¢ ky��. quire ide property line and 50 ft. from the °� CV 6e r 4 enterline of the road, permitting a maxi- .�h eq'oi Unum of a 2 ft. eave overhang `but entirely e �®6ee/11 cut of all easements. h 1-I0Me.. �, /utility -all be All connecI ions sl all within 4 ft. outside the rear third nthem bil lrthe left (road) side of mobile home 0 bc+me. t _ t BUTTE COUNTY BUILDING DEPARTMENT APPROVE® ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 5344541 v APPLICATION AND PERMIT •-ter•--•--••••-••— -1 ...- --y — ­_ — _nam.uFv an above -me tioned property inspection purposes.` az Dat1229 $ignotur' oaf" PermitePor Agent % Receipt No. / ` , ` 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F UBLIC WORKS � BY Date) ��� 7F uilding permit expires Date BUILDING Owner L�t&t to Ar SO. FT. OCC. BUILDING VALUATION Mailing Address b t-1 Al eq Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address r� a a- 3)VO Plan Checking Fee &/or Penalty Permit Fee G PLUMBING No. @ FEE PERMIT FILING FEE $3.00 h I Each Trap 1.50 Repair drainage or vent piping 1.50 �.. ^ .. A. P. No. vC Zon ing P. Planni g Water piping 1.50 Each gas water heater or vent 1.50 F� / U7ee. Seai.taiiea. Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improveme .ts Each additional outlet .30 Building sewer 5.00 Bldg. ns Recd L Parcel roval Plan . pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ILI, R` `% ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 SinESS le Family Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ Main service 600V OR LESS 10o AMP L 5.00 *L Main service EA. ADDtoo AMP 2.50 Main service OVER 600V 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBL GS.CCUPLING . 4� 20sgft 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: NEW CONSTR. BRANCH CIR T NON-RESID. � BRANCH CIRCUITS/ 12.50ea. NEW CONSTR (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTIIRES 5 L� Ex. OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby e Ak,It. 7T_ $ 3000 TOTAL PERMIT FEE $ 3D 101 •-ter•--•--••••-••— -1 ...- --y — ­_ — _nam.uFv an above -me tioned property inspection purposes.` az Dat1229 $ignotur' oaf" PermitePor Agent % Receipt No. / ` , ` 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F UBLIC WORKS � BY Date) ��� 7F uilding permit expires Date MOBILEHOME SUPPORT DATA If.other than single wide, Mobilehome Mfr. GOI&I-N 0Q_r,14Ct2 : furnish Setup Model No.-_14(o9-P+R 3GK. Year W14 Width old (ft.) Box Length (n5. (ft.) Tagalong or Expando Size ft. 'x �� ft. (SHOW 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). All center supports measured from front of mobilehome unless otherwise specified. O C� (ft .)(in;) Center support locations* (ft.)(in.) (ft.)(in.) ys' o (ft.)(in.) ar (ft.)l(in.) (in.) (in.) (in.)l (in.) la Typical Support in.) (in.) Footing Size b i to ii (ft.) (in.) �, g r( (ft.)(in.) -- Max. Pier Spacing -- Max. Overhang BUTTE COUNTY BUILDING DEPARTMEN! APPROVED *If center,piers are other -than drawn above, draw in -locations, spacing, and dimensions. v (check one) `Footings Single 1. Wood either A A- pressure treated or foundation grade. a�x3O2. (in.) (in.) Other (specify) ❑. Center support footing sizes Supports (check one) (in.) 1: Concrete block. a'� x�� ❑ 2.. Other (specify) (in.) (in.) 4 --Tagalong or Expando, show support details. (in.) (in.) (in.) (in.) (in.)l (in.) la Typical Support in.) (in.) Footing Size b i to ii (ft.) (in.) �, g r( (ft.)(in.) -- Max. Pier Spacing -- Max. Overhang BUTTE COUNTY BUILDING DEPARTMEN! APPROVED *If center,piers are other -than drawn above, draw in -locations, spacing, and dimensions. v BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 P MOBILEHOME•INSTALLATION SHEET 1. Owner's name: 166Q(�h ,� �siQk-- - 2. Installer's name: 3. Is the site currently under permit? Yes /ti/ No ( If yes, furnish permit number 4� Cok ^ `l rl �• E ) 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? ----------------------- �O Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to be served by the mobilehome a-� b Amps site service? --------------------------------------------------- Yes iff No / V/ (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 3% r, (in.) 10. What is the type of gas service? -------------------------- L- Natural / / LPG �/' 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTO) This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) n _ .. -- cuvj ilu \Uwg0051u1T NTLLh.r a0 /17lclif o ;f)011 AmPST a a DATE NO \ 0 s REVISION BY APP'D L.S. 4208 s/-n/gnnr ��' DATE MARCH 2006 PREPARED BY: - - - DRAWN MAR. 2006 DESIGNED JDC CHECKED JWC SCALE 1" = 200' OHN D. CHRISTOFFERSON, R.L.S.ZtATE+,4r%g& ENGINEERING SURVEYING - PLANNING 220 GRAND AVENUE OROVILLE, CA. (530)533-2068 VICINITY MAP rol OWN ERAPPLI CANT: JOSEPH ANDREW PPISTER TESTAMENTARY TRUST B LARRY D. PPISTER & JOANN'PFISTER-CUMMINGS 9 SCHRODER DRIVE- OROVILLE, CA 95966 ASSESSOR'S 025-210-008 & 025-210-009 ZONE & GENERAL PLAN: OFC /U WATER: INDIVIDUAL WELLS SEWERAGE: INDIVIDUAL SEPTIC SYSTEMS —PF ISTE i OF / SHEETS JOB NO. 05-101