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HomeMy WebLinkAbout025-220-024--k t r y'r 2 -22-2 MICHEAL KENDRICK W/S Stimpson R ,a� p�0 S of Cox Lane, Permit#7558-79P,E(util`,I) go GAS (3 .0 fir SUPPORT STRUCTURE REQ 1 025-220-024 PERMIT#95-26AG COMPACTION TEST REQ ylj ELLIS,•Jasper &Virginia a 21,'11 106 stimpson LN., Oroville25-2 Ag Exempt Permit-Ostrich,feed & ImplemCocMllan Paradise Permit#332-80MHI Issued / ;?/g X� Y A-Iw l /Film CLIFFORD COATS 106 Stimpson Rd, Oroville _/ ContR: Executive Homes d J/�7 Permit#3521-89MHI(existing si e) Issued 25-22-24 861-89B COATS, 1 ' f 106 S mpson v (ne w MH)/ 025-22-0-024 93-1414 MHI ELLIS,JASPER 106 STIMPSON, OROVILLE f j h a I CONTR: REID GRAVESHI// /' j'q3 MEXISTING SITE . 6 0 11 1 --k t r y'r 2 -22-2 MICHEAL KENDRICK W/S Stimpson R ,a� p�0 S of Cox Lane, Permit#7558-79P,E(util`,I) go GAS (3 .0 fir SUPPORT STRUCTURE REQ 1 025-220-024 PERMIT#95-26AG COMPACTION TEST REQ ylj ELLIS,•Jasper &Virginia a 21,'11 106 stimpson LN., Oroville25-2 Ag Exempt Permit-Ostrich,feed & ImplemCocMllan Paradise Permit#332-80MHI Issued / ;?/g X� Y A-Iw l /Film CLIFFORD COATS 106 Stimpson Rd, Oroville _/ ContR: Executive Homes d J/�7 Permit#3521-89MHI(existing si e) Issued 25-22-24 861-89B COATS, 1 ' f 106 S mpson v (ne w MH)/ 025-22-0-024 93-1414 MHI ELLIS,JASPER 106 STIMPSON, OROVILLE f j h a I CONTR: REID GRAVESHI// /' j'q3 MEXISTING SITE . 6 0 11 EL MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS— 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT'NO. Address or location of mobilehome S �� Owner's'name Owner's address // ,, Insignia or hud number V Manufacturer's name—, Serial number gfX.I.N. oia IF THE MOBILEHOME IS MOVED OR RELOCATED -,,HE MOBILEHUME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FO. M SHALL NOT BE USED. WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATI&1 S EM j `` V=OK O=Not OK~ - = Not Applicable RESIDENTIAL (tingle '& Duplex) = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; 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. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples - 15. Access & Ventilation 16; Insulation - Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nall Protection •18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access . 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Siie & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ina. 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/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date_ /Initials MECHANICAL (Permit) OK except #'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/Initials FRAMING (Plans) OK except #'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. Headers -& Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Puri In=roof Brec-Truss-Shthng.-Ring. 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 50. 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 Wells; Nailing -Bolts _ 59. Insulation -Walls -Ceilings "^ Z 60. Inflltration-Walls-Windows - D_ ate/Initials FINAL (Plana) OK except #'a �- 61. Ext. Steps -Door & Sidelight Protection -Landings- t 62. Smoke Detector 63. Furnace; Vents =Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mecfi?,Protecflon, 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub.Access-Spa 66. • Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; 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 -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. 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 -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: d RESIDENTIAL 025-22-0-024 ELLIS,JASPER 106 STIMPSON, OROVILLE CONTR: REID GRAVES MHI/EXISTING SITE 93-1414 MHI I N i i i V=OK O = Not OKNot r = Not Reeaadyeble MOBILE HOMES t Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1 1. Zoning Requirements -Setbacks -Easements { 2. Soils; Special MH Support Sketch { 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete ` 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials MOBILE HOME INSTALLATION Plana OK except #S Zoning Requirements -Setbacks Easements . ootings; Size- acing -Marriage Line H t -Demand -Valve -Connector ed-Zk Date/Initials POOLS (Plans) OK except #'s ctricity; MH Teat-Crossovers-Breakers-Clearances1. Setbacks -Easements 5 in; MH Test -Fall -Flex Connector I 2. Soils; Compaction -Structure Stability 6. Water; MH Teat -Regulator -Connector � 3. Pool Structure; Steel -Connections -Thickness 7. Water and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining n lectricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI ta, Inap.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater c 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Pf Boxes- Enclosures-Panelboards-Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test i i I a I M F COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WARPERMIT N9. . / 7 County Center Drive - Oroville, California 95965 - Telephone: 91 ,'538- 41 / = APPLICATWN AIS PERMIT ASSESSOR PARCEL NUMBER 025-220-024 ZONING A-5 BUILDING PERMIT OWNER TELEPHONE - _ I`Jasper _Ellj.s_,-.• i 532-1668 OWNER'S MAI LING AL,-.___ -. - -- - -r 106 Stim Son Rd. Oroville SO. FT. OCC. BUILDING VALUATION. CONTRACTOR 'S AME Reid Graves TELEPHONE CONTRACTOR'S MAILING DDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 3s.00 PLUMBING PERMIT Filing Fee 15.00 106 Stimpson Rd. , Oroville 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❑ 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 News_' Additioni_j RemodeIC Utilities [I Installationg Other ❑ Describe work: MHI Existing Site B.P. #3521-89 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200ALESS ORLESS 18.50 Main service 200A TO tOOOAI 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 OCCUPM OR ADDN5. \ ACC. BLDGS. _37.50 3.64sq.ft. NEW CONSTR RANCH TLET NON•R ESID BRANCH CIRC ITS CIRCUITS) @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 761FIXED APLNS.j EX. Occup. OU LETS PIRESID,IREA.) I 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. ❑ 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. j� 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 9gree 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. Xw- Date s— 17 -43 Sig�ure 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 $ 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL F $ 105.00 HAz DFEES I IMP I FLOo COF I PARCEL I PD I :HDf ISSUE i This permit is hereby issued under the cions of the Butte County Code and/or work indicated above for which fees LIC 1(n/ PERMIT EXPIRES De applicable pro-4- resolutions to do have been paid. WOR Receipt No. 141340 WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT � r nrr'1Y,7+Y� �1` " 7 hti "rYnvrl�•-rye'IMY'� c... ^111 'f'y'+`w'v`.��v`ly l.h �.f\""y�ti'�(r "'_1 'r• 44 '' ��•�r F1 y r. 411, r COUNTYOF BUTTE - DEPARTMENT`QF,DFVELOPMENT SERVI ES - UILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed B )Iding Use ?-5 r. N �. A. P. No. 0.?S- Building Inspector &0 Date - Zd - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $.................. . �r 11. Impact fees as shown on attached schedule. 5� . .... y 1-h� %ct,�.rE.vf 12. California Department of Forestry plan approval/fees. ........................ . Flood elevation letter (100 year flood) by California Engineer. . . t Sanitation and plot plan approval 01RO&,//r Health Department . ............ r7=- Z -y 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. ... . 20. Pre -inspection for Irel,speaion,eq eat required. . to Building Inspector (Date) 21. Contractor's license information. dV� �Name Style, Classification) . ... : ........ . 22. Certificate of Workmans Compensation Insurance. ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed ; and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ........ iT 33. 34. -yJ� l� Gam T7.0 r71� When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for picku at- -C office. Deliver with inspector. Other im - 1 (o n Parcel Creation Acreage Applicant mk Date S r 3 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: contractoresigner, owner, was advised of above required data by phone _mail Counter bDate--1-`��- Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by D Date - Q Y� Plans approved by Date• Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works _ Plot Plan Auachcd F •- u I I04r Pl:m Aunchcd — Sent to B. u. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance )b6oS r a5 - Owner Location AP# g e Disposal Water Su��l pply: Public Private Well Plan Approved for: Sewayy vs� Clearance for.3 bedroom mobile home. Other 4CN xISbpv-, -7beg /lou"N Hold final for: Final clearance O.K. for: NOTE: Environmental( Ijealth Specialist 8/92 /V&4 ate COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS pea 'I,i_PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538 7541 4tA Y'` APPLICATIONIAND PERMIT ASSESSOR 'PARCEL NUMBER ()�s -,2.20 -O�1/ ZONING /� -� BUILDING PERMIT OWNER ZjA5 jPP12 J TELEPHONE BUILDING VAI SQ, FT. OCC. L OWNER'S MAILING ADDRESS 44 son/ 112 ",40 8- ve CONSTRUCTION LENDER -`'i'�—••"• Fireplace TDtal 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 D6 sr,(' Sd AJ RZ) 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 ❑ Duplex[] MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition i_ Remodel L: Uti lities ❑ Installations Other Describe work: MAI-- is%(/f S' �O Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 .. Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A> 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8 OR ADDNS. ( ACC. BLDGS. 3.64sq.ft. NEW CONST R. RANCH TLETCIRCUITS) NON-RESIO BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76d Ex. Occup. OUTLETS FIXED PIRESID IREA.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for S100.00 (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. 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 FiIingFee 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 ac rue against said County in consequence of the granting of this permit. X Date X � Si natuA F—! 9 PP – OWner Contractor E] Agent ❑ Applicant re of 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 70 ��----- Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ /e5�5_dcr HAz 1 0FEES IMP I FLOOD I CDF PARCEL I PD I HD I ISSUE This permit is hereby issued under the sions of the Butte Count Code and/or y work indicated above for which fees DIRECTAR.AF.PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date j I I 1Z7/3ZJA Receipt No. 7 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT vO�Np ; and ' �N�e in f6 es cn6 040 OV, 0. 50Qi'DF`� NOTE: All42aterials gtffirknranehip S] Accordance with R,ecogrizsw Good Pra,c fern::_. and make an-- wFTff @h i Works, APPROVED Butte County Environmental Health --AQ_ �__aply-0--- of. a Quahty,Prescr_bed for the Bjpc: ' ed usq I i in the Uniforzr. Building, Piusnbing F� 1vie6� Codes and the National Electric4 gods, ;. ?; I' sa at O of. a Quahty,Prescr_bed for the Bjpc: ' ed usq I i in the Uniforzr. Building, Piusnbing F� 1vie6� Codes and the National Electric4 gods, ;. ?; 5510CTC/6626 3BEDROOM - 2BATHS - CATHEDRAL .THRU-OUT (1,687 SO.FT.) p MOBILEHOME SUPPORT DATA X*e If othet thansingle wide, .4M bi hoe fr furnish Setup Model No.Ssloe lo` Year o le m M S P G� 626 - Widtha25�(ft..) Box Length�(ft.) Tagalong or Expando Size ft.- x fRt On all mobilehomes manufactured.after October 7,'1973, furnish manufacturer's installation manual and structural setup sheets.(if not -on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade.2.y -Other `{specify) ' SUPPORTS (check one) 1'. Concrete block. a 2. Other (specify) - Pier Footing Sizes and Locations : SINGLE -WIDE MULTI -WIDE in+ Line 1 Line 2 ` _ _ _ — — — — — —-- Line 2 Main Beams Line 2 —Line Line— — — — — — — — — — — — 2 Line ? Line 2 Main Beams ----------- — .y tineine 2 n.r Line 1 — — — — — — — — — s -Line Tag or Triple ---------- �. rin Line 1 Line 1 Piers:, • Line 1 Openings: Size -Min. ------------ Size -Min- ------------------ X - c .-.--_ _ - --acing-Max. `.---------; -. - �-Each-Sidelof Openings _ From Ends -Max.------- '_ With Width Over --------- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------ Size -Min - ------------------ Spacing -Max._---------- ,_._ , __ .. _.._ . Spacing -Max ----------------- -- From Ends -Max --------- From Ends -Max .------------- _ Line 3 Roof Loads:-- //Cv C ., Size -Min. ---------- Location --DLocation (From ron� _..__....v _Line 4 Piers: . o/ _ __.. _. _ -Line l-5..Piers:- (Under Bearing .Walls Only),._. Size -Min ----- ------ -- k Size-Min------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- „ Spacing -Max .--------------- , From Ends -Max.------- From Ends -Max .------------- Line 5 Roof Loads: Size -Min. ------------ "x "x 'k " "x 'k "x 1."x "x .1Location (From Front) �y BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: (' 2. Installer's Name: l [ O U 5: Ng4– C S 01 3. Is the site currently under permit? Yes IN No F] (If yes, furnish permit number 3 SZ 1 – ) OR Is the site an existing site? . Yes K No F-1 (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? YesC—R No F� (If no, clarify 5. What is the mobilehome electrical rating? --------------- 1062 6. What is the mobilehome site service rating? ------------- 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 (If yes, identify the load and size: 60e-1K_(Load) �O 9. What is the mobilehome site gas pipe size? -------------- 3( 10. What is the type of gas service? ------------------- Natural 11. What is the gas pipe length from meter or tank to the F07 No L! (Amps) (in.) LPG --------------------------------------------- mobilehome? 1,2 U (ft.) * 12. What is the mobilehome gas demand? --------;------------- (BTU) '(This information not required if pipe length less than 6 n natural gas or less than 50 ft. on LPG.) NEXT PAGE MUST BE COMPLETED TO PROCESS PEMNA, T?IwON. rs T1 7 ��?�Ep THE HOUSING EXPRESS 4f D MAY Z? '93 1531 SI<YI.IME: WOODLAND 916 372 9410 P.01 P.1 2 W J V w >>> o r BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District vw G(� Building Department No. A.P. Number dig e--" ?,2 Q 'U .z- Jurisdiction 0 City M1 County .Property Owner Property Location/Address 06 5, :"q, W --U/" Subdivison Lot No. Residential Development 0 0 Sq. Footage No. of Living MHI Addition Units Commercial/Industrial 0 Sq. Footage New Addition .-B 16o?7 (Group R) (Including Exterior Roofed Areas) r /;7 Building D partment Represents ive , Date p i (Floor Plans reviewed by School District Personnel) District Identification No. , L/9 2 0 7 'j l t OAA•z41 k (� tw &a& School District certifies that , (Applicant) (Street Address). (Phone Number) C!7 (City) — (State) (Zip Code) jr has complied with the requirements of Resolution No. by payment of $ representing square feet. School District R Paid by Check Number Bank Number Paid by Cash 7��' 3 Date Remarks: 10,<A -to IA' - If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CECQA), this project may be subject to additional school fees to school fees to fullymitigate its impact on the school district's schoolsits impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) THE HOLISJ N'G, E::-::F'P.ESS 91E. 372 9410 P.02 4`3 $KYL I ME, Aaa Mau,' SkYtino Homes. Inc. a 7 k1 WOC-Claild, Cali-Omia 95778 WWI— I BUILDING To whom it May concern: May 27, 1993 Tb,e standard gas line on a model # 5510 is designed for the f(Alowing appliances and ratingsl. Furnace_.... 70F400 BTUH Ranqej including top burners and oven.... 45,000 BTUR Water heater....30,000 The standard input draw for a standard 5510 wQuld total 14D,000 BTUH. If OPtional appjjance$� are o,rder d e$ the draw would increase. The standard gas line has beeri designed to handle appliances with the t following ratings - Furnace.... 100,000 BTUR Range-.... 60,000 8 TUH Water heater... 32,000 BTUH The standard gas line is to'' handle a draw of 192,000 BTFJFJ. Sincerely, je fixunner (>Uali- y control Woodland Division A NOTE: =All Materials & Workmanship ;.$hall -.'.,Be :in... _ This set of -plans and specifications MUST be .4 .. Accordance with . Reconniied Goad:: 'Practices .'and :. kept on the job 'at all times and it is ua�lawful fo of a quality prescribed for the Specified use in the matte any changes or alternli�ns on same without Uniform Build°�ng,.`t>m ing & Machanical Cod s and. wri a permission from the Department of Public 'the NationaG'�clectri.cal._.Code,_..._...---'_.:._-......._...;.-.:.......__:..__:._.__�__:.._._: -Work Coun+y .of Butte. ^_...-_.._........_. _...._. _ 'A setback of 5 ft. from --the - ,property.lines.and a setback of 50ft. from the road centerline' shall be clear of ':structures or equipment except :fora 2.ft. eave overhang. BUTTE COUNTY BUILDING DEPARTMENT A3Ps, �QVED Utility connections shall be within' .:._, :_i..:._...... .. _ obilehome, either 4 ft. of the m - 60 'in directly beh' d or.within the rear l :.� e_ ft 'half of the roadsid left) o he • -..,` •mob'eilhome . p _ \3 '.:...A permit will be'required.for the 5 • tom,-�-c?�` installation: of the mobilehome. V t 504.SQ: FT..MINIMU . :EOR MOBILES s. 09 'A setback of 5 ft. from --the - ,property.lines.and a setback of 50ft. from the road centerline' shall be clear of ':structures or equipment except :fora 2.ft. eave overhang. BUTTE COUNTY BUILDING DEPARTMENT A3Ps, �QVED VARIES 36" MIN. 6' ON r r T1 '-�A -P_ v N N n -P 7Q c' rrn r'-li 7jv x^ T G ,' i�30"7- 3.4" /HWDRAIL HEIGHT LJ N _p Q-) m �� o 7Q I ' 3 0 x x �• � -t= t 7 r w4 L_ p o 'f � —I m m -40CD a � 6' ON r r T1 '-�A -P_ v N N n -P 7Q c' rrn r'-li 7jv x^ T G ,' i�30"7- 3.4" /HWDRAIL HEIGHT LJ N _p Q-) m �� o 7Q I l c 0 II poN •D r w4 L_ —I m 71 II -40CD e C> -� �1 —i < opo,\ i mFz TJ "' o 0 � z 100 AP W I DT Z 7a .1- co f 6' ON r r T1 '-�A -P_ v N N n -P 7Q c' rrn r'-li 7jv x^ T G ,' i�30"7- 3.4" /HWDRAIL HEIGHT LJ N .A X I l c II poN L_ —I m 71 II C> II II —i -n TJ " MIN. STAIR - AP W I DT 7a .1- f X .A X (Witness— Individual) J TICOR TITLE INSURANCE STATE OF CALIFORNIA COUNTY OF R„t-tp SS' On Oct. 20, 1989 before me, the undersigned, a Notary Public in and for said State, personally appeared Philip J. Kuykendall personally known to me to be the person whose name is subscribed to the within Instrument, or proved to be such by the oath of a credible witness who is personally known to me, as being the subscribing Witness thereto, said subscribing Witness being by me duly sworn, deposes and says: That this witness resides in eeeee eepe■Haea■e •■�Y�Y�i• Y Mi rn CA tu........ move ■ OFFICIAL SEAL ■ and that said witness was present and saw L.JOYNE� b Jasper Ellis NOTARY PUBLIC —CALIFORNIA • personally known to said witness to be the same person o �. ° PRINCIPAL OFFICE IN a described in and whose name is subscribed to the within ■ ! Ni,. BUTTE COUNTY ■ � and annexed Instrument as a party thereto, execute.andMy Commission Expires October 18, 1991 a deliver the same, and that affiant subscribed his/her • a.,.u■■u.uu.ee. e..ee.ee. ree..■eeeee■e■ee■e name to the within Instrument as a Witness. WITNESS my hand and official seal. SignedUv /�� I (This area for official notarial seal) r 89-041213 Rec Fee 5.00 Cash 5.00 '. Recorded Official Records j County of 1 -Butte`' -` PAWY SHOWN Candace J. Grubbs Recorder 9 : 23am 20 -Oct -89 1 _BG r 1 ' Retur-n to U!'W - AGR1C.ULTtlIt_AI_, _STATEM1Wr OF ACKNOWLF,DCEMENT t rOlt RPSIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement ;? be recorded prior to issuance of a building permit. j The property described herein 'i's adjacent to land or included ? within an area -zoned for agricultural purposes, and residepts of this '•' property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticide so - and fertilizers; and from the pursuit of agricultural operations including) but riot limite( to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dual smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on; adjacent property should be prepared to accept such inconvenience or disconform from. nor"': necessary farm operations. All that real property situate in the County of Butte, State of California' as follows: described-""! Lot 33, as shown on that certain Map entitled, "Official Map of Watt's GridleyColon No, .3, Butte County, 'California", which Man was recorde ` y d:: l `, •. �. in the office of the Recorder of the'County of Butte, State of California,` _A J on March 28, 1913 in Book 7 of Maps, at nage 57,. 'J Date:--%O—,-7-0-if0/ Skate cnnnty _. — Philip J . xu Vencgili—� ,Wjtness r. PROPERTY OWNERS, V cx OL ) on this the day of 19,__0 before SS, me, the undersigned Notary Public, personally appeared of ) ; Personally known to me. Ll Proved to me on the basis Of satisfactory evidence. to be the person(s) whose hams s � ) subscribed td 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`s 6N Present A,P,•No..,025-22=0-024-0 APN 025-22-0-024-0 Notary Public �Nn OF DOCUMENT O��F OQG o�-\ aG��O 0 = VK .0=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAM;NG (Continued) I 'I. Zoning-Setbacks;-Easements-F!ood-Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils -Steel -Elea Grnd.-/ /" Fig. Depth 46. Cing. Joist-Rftr. Ties - Purlin-Roof Brae.-Truss-Shthng.-Rfng.11 3. Fig., Garage; Soils -Steel-/ /" Fig. Depth 47. Fireplace Ties or Type A FI!re-Fireplace Throat Clearance t _ 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Rornex 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 7. Slab; Steel -Wrapped 50. Garage Fire Protection Framing f 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall-Fittings-Test-2-way--C/'O-Sewer Test 53. Stairs; Width-Fieadroom-Rise-Run-landing-Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59.Insulation-Walls-Clg. _ 60. Infiltration-Walls-Wndws Card -131 Date Card -81 Date _ Card -B1 Date Card -B1 Date Card -81 Date Card -B1 Date -' Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s - 16. Water Ht. Vent -Access -Combustion Air. -Baffle FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection _Date 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures &_ Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels _Card -B1 Date Card -61 Date 67. Stairs &Rails Card -B1 Date Card -B1 Date _ 68, Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. &Ext. Date ELECTRICAL (Permit) OK except #'s _- 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearanc^- - 22. F!xture & Transformer Clearance -Ins. Protection 71. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing -Landing -Closer 24. Size Boxes & No. of Conductors -Stapled 73, A.C. Duct in Garage -Damper 25. Romex Installed Close to Edge of Studs & C.J. - 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection _ _ 26. Equip. Ground made up w/Meth. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I. ;% 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or At 78. Elec. Receptacles in Garage; (G.F.I.)-Romer Protec. -- 77. insulation -Foam -Looked in Attic ❑Yes 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 78. Guard Rails & Deck Construction -Post Caps _ 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -�• 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ Nc-: Planters ❑ Yes ❑ No 33. Smoke Detector $1. Stucco; Brown -Finish Card -81 Date Card -81 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -61 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing _ 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground -� 35. Vert Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection - 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet _-_ 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates Card -131 Date Card -61 Date 92. Roofing Certificate Card -81 Date Card -131 Date Card -81 Date Card -61 Date Card -B1 Date Gard -B1 Date - -Date FRAMING (Plans) OK except #'s Card -61 Date Ca -d-B1 Date 39. Sills, Proper Material & Anchors - Comments at Final: _ - 40. Walls Studs- Nailing, Spacing & Bracing-Plates-Sourid 41. Bearing Walls over Girders & Floor Nailing - 42. Draft Stop in Walls (rat proof) _ 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub ---- - -�"� 44. Header & Beam -Size & Bearing 25-22-24 3521-89B COATS, Clifford 106 Stimpson Rd, Oroville Contr: Executive Homes (MHI/existing site) PER PERMIT EXPIRES r OWNER -- CONTR. ASSESSOR PARCEL LOCATION Temp. Power Pale Called PG&E 'temp. Elec. Service Called PG&E Temp. Gia Service y ecs Called PG&E Q -_ JOB FINALED (Date) Signature 1 y 9 M-. = OK 0 = Not OK Not Not Ready MOBILE lOBILE 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-Clearances-Grnd.-/ / Amp -Concrete i 6. Gas; Location -Test -Wrap: / P'L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -61 Date Card -81 Date Card -81 Date Card -131 Date Date MO LEHOME INSTALLATION (Plans) OK except #'s MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Colufnns-Connections-Splice-Decal-Enclosure 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings V. Z_gning Requirements -Setbacks -Easements Card -81 Date Card -131 Date Foo ings; Size -Spacing -Marriage Line Card -81 Date Card -81 Date "MH Test -Demand -Valve -Connector EI ricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s Drat ; MH Test -Fall -Flex Connector 1. Setbacks -Easements r; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability Water and Sewer Connected- /O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - S2 Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -81 Dat d , and -B1 Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -81 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -B1 Date Card -131 Date MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCESOrANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. i ?k 6"" . *. ..-.t- COUNTY _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS i` 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 E 747 Elliott Road, Paradise— Phone: 872-6307 ORRECTION NOTICE ::)fl!—Q/ RMIT 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 Inspector C Date_ r ©Q �— t J COUNTY OF BUTTE - DEPA TMENT OF PUBLIC WORKS � PERMIT NO. 7 County Center Drive - Oroville, Cglil"5965 - Telephone: 916/538-7541 _ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - a � ZONI 10 BUILDING PERMI OWNER 7_01%4_oFax b�O ✓` S TELEPHONE ylO SO, FT. OCC. BUILDING VALUATION OWNER' MAILING ADDRESS CONJILACTOR'S NAME TELEPHONE CONTRACTOR'S M ILING ADDRESS -3Q , t 14' y ,U✓, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fele $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /Sj, 0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ./� ` l I Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 V Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAIS Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeU2--_'Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK ��/ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation L°J Other ❑ Describe work: AI.S /IGC. P. S� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROOV OR LESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ['l am licensed under provisions of Chapt. 9, Div. 3 of the BUslne$S and Professions Code and my license is in full force and effect. License No. ,�6' /�J Classification C�� � 1, Elas 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.a OR ADDNS. ACC. BLDGS. , /20sgft NEW CONSTR. TI -OUTLET NON-RESID BRANCH CIRC., TS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES DALO 30 5AL@30 FIXED APLNS. Ex. OCCup. OUTLETS P(RESID.)REA.) 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): 0 �oe permit is for $100.00 (valuation) or less. t1^�� have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee j Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains."41 C ty in nsequence�f he granting of this permit. Date /1-0�/ �Q - e C2 Signature f A li nt — Owner 9 r PP Contractor � Agent ❑ An OSHA 1permiis required for excavations over 5'0" deep and demolition or construct- ion of structures ove 3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CONST.TYPEJ sc,IooL FLoo PAgC L PD HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for w ich I C 0 UBLIC X�l BY PER IT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date9 tt r� f// "�®� Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDEN ROD-AP►LI CANT y,�['rf"�i'�..+<"'(,,"'�v,-,r�� -++i JY �"`"`�"�''q-F"r�,'�Jtr`H.i!�.-dFt?yri-ei,."+3+Tr't,�;j�+�:wlt:.-f^r.. ,-��-. ..�. ,♦ �,��^w..:rr 3...,;.�, i�-�.. �� n. .. ._�.: COUNTY OF BUTTE -DEPARTMENT.. ai U.BLIC WORKS - BUILDING DIVISION " 7 COUNTY CENTER DRIVE - OROVILLF"c' :1I 1 NIA 95965 - TELEPHONE: 916/538-7541 'PERMIT APPLICATION DATA SHEET' ,^ Permit No. Oil i OWNER �' A. P. No. t), Proposed Building UseCIX iS l�1 K 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........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Comlplete 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 ............... 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 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 ❑) ..... �. Recorded copy of Agricultural Acknowledgment Statement ......... ad 25. Letter of signature authorization ................................... 26. •i -(Date)t 27. When you issue the permit, process as follows: Mailto owner. Mail to contractor. Telephone*21 and hold for pickup at L) rC) office. Deliver w/inspector. Other . t A Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuanc : (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---jnail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date - Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW 3 TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Final clearance O.R. for: Clearance for bedroom mobile home. Other NOTE *** Water Supply Water Supply Date Sanitarian NOTE: ---All Materials &WorkmensF�ip, ::Steal! e : Be in....' This set of plans and specifications MUST be AccoM66ce with . Recoigniied'* Gon'd,' Practice's . and : kept on the job -at all times and it is unlawful to - of a -quality prescribe4 ,for. the Speeified -use in Ap make any changes or alterations on same without Uniform Building,, Plumbing & .Mechanical. Cod s and. wri a permission from the Department of Public the National Electrical .Code. Work ,County of Butte. Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half of the road'side_(left) of the 'mobilehome. 1 t, o - �Cz .i. . 5odw' FT.. MINIMU �j MOBILES 10 -A setback of 5 ft. from -the . property Iines:and a setback of 50ff. from the road' centerline shall be clear of ;structures or equipment except :for a 2:ft. eave overhang. BUTTE COUNTY BUILDING DEPARTMENT APPROVED. r � BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,10roville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: (''/¢ j 2. Installer's Name: 3. Is the site currently under permit? (If yes, furnish permit number Is the site an existing site? . (If yes, furnish two plot plans.) Yes 0 No Yes Rr, _) OR No 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? --------------- Amps 6. What is the mobilehome site service rating? ------------- /)C7 Amps 7. What is the mobilehome site circuit breaker rating? ----- ZOO— Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes ❑ No (If yes, identify.the load and size: (Load) (Amps) 9. What is the mobilehome'site gas pipe size. -------------- (in. ) 10. What is the t as service? ---------------- ype of g --- Natural F] LPG -[� 11. What is the gas pipe length from meter or'tank to the mobilehome?--------------------------------------------- %', 12. What is the mobilehome gas demand? ---------------------- (f t'. ) (BTU) ' *(This information not required if pipe length less than 6 ft, on natural gas or less.than 50 ft. on LPG.) WM LDING APSW. MOBILEROME SUPPORT DATA If other than single wide, Mobileh4ine Mfr. _ Model No. Year ,Lb l CC% _ rC! -� furnish Setup Width(ft.) Box Length(ft.) Tagalong or Expando Size ft, x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte).. FOOTINGS (check one)If/I1. Wood -pressure treated or foundation grade.2. Other (specify) SUPPORTS (check one)Concrete block. El2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Line 2 Line--___— ------ _ Main Beams --- — — — — — -- — Line Tag Tag or Triple Line 1 Line 1 Piers: :S,ize-Min.------------ Spacing-max - -----------Spacing-Max. --------- From Endo -Max. ------- ' Line 2 Piero: Size -Min .------------ „ x Spacing -Max.--------- From Ends -Max .------- Line 3 Roof Loads: Size -Min .------------ Location (From Front) Line 1 Openings: Size -Min. ------------------ uX u Each Side of Openings With Width Over --------- " Line 3 Piero: (Under Bearing Wall Only) Size -Min ------------------- x Spacing -Max.------:-----_-- From Endo -Max .----------=- „X i,X 11 „X Line 5 Piero: (Under Bearing Walla Only) Size -Min .------------------ „% „ Spacing -Max.--------------- From Ends -Max.------------- '- e 4 Piero: Size -Min ------------- Spacing-Max ---------- From ------------Spacing-Max.--------- From Ends -Max.------- r_ „ Line 5 Roof loads: Sita- Min.- -------=--- nX „X uX 11x 1.1 location (Prom Front) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: } Owner Owner's Address`+yf-� �- - - Mobilehome Mfg. _ t , v _ �' Model + Year - f Insignia No. Serial No. E� _ It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date • !'- By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. a 9 COUNTY OF BUTTE »- - - - DEPARTMENT OF PUBLIC WORKS fi95 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE UILDING OR PROPERTY ADDRESS 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 matt r, or need additional explanation, please contact this office immediately. Lb Inspector Date_"" fJ, ii d - fi- 0 . .. 755.--�9P E — •PERMIT NO. � t � PERMIT EXPIRES. i /4/y/l OWNER MICHEAL KENDRICK CONTR. owner LOCATION (A.P. 25-22-24 ) W/S Stimpson Rd, app 1500' S of Cox Ln, Oroville COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` . BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Se ck Firewall Soil Piping Forms Parapets 1st Floor Main g. Restroom Finish 2nd Floor FootQk Windows 3rd Floor i Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage V964ts Water Htr. iStemwall N, Insulao6n Heaters Slab Carport Footings haovicar ehysically nformancdde of ex. structure Appliances Gas Piping & Test Temp. Gas Slab anal Sanitation r Patio FIREPLACE Final Footings Footin ' Masonry Walls Throat Rou h I Reinf. Steel Final Fixtures ' Bond Beam FIR SPRINKLERS Motors Framing Test N.Water Htr. i Stucco Final Subpanels Mesh MECHANI L Grd. Fault Prot. Scratch Heatina Service Brown Cooling Temp. Pole 'Fin Ducts Underground Int or Lath Ventilation Permanent i oor Closer Final Final 1 MOBILEHOME UTILITIES ----------------- Elec_ Service .. Elec. Pedestal ( Water Piping Sewer s Gas Piping BI E OME INSTALLATION - - - - - - - - - - - Support fElec. Continuity Water Piping — 3 t Drainage Gas Piping DATE REMARKS OR CORRECTIONS Temp. Power Pole Ca I I eldle P G& E Temp. Elec. Serv.1— CTed PG&E (U^� Te p. Gas Serv. Called PG&E OB r INALED—`"���� (Date) (Signature) ) (NOTE: An entry must be made on this form each time you visit the job site.) i ELECTRO 21,06 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with squired separation from lot lines and buildings and generally conform to plot plan? Yes_ o 2. Does the mobilehome have required clearances above ground? -(Sec.5085) Yes�o 3.'.Are footings and supports properly sized, spaced, and braced as pe pproved plans? (Note possible variation at spring shackles.) (Sec..550082 & 5083)' Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes t/No_ 5. If more an an a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A.. Is fl able 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? Yeses No_ C.' Backflow - If coach is not Sta f alifornia approved, does.station have backflow device and pressure -relief valve? Ye 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at i� end? Yes No B. Does it have minimum 4" per foot slope and is it properly supported? YesZNo_ C'.. Are any leaks detected in drainage system after running 3 -cellons of water through each fixture including washing machine standpipe? Yes No_/ .D. If coach it e of California approved, does station have required trap and vent? Yes No 8. Gas.Piping and Gas Vents , r A. Connector - Is mobilehome connected to the'Igas'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 mobileho gas line inlet without reductions other'than the mobilehome connector. Yes o B. :Test OK as per following procedure? Yes_ZNo 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 mobilehotge with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes v No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 10 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes o_ B. Is there proper clearances around panels? Yes_ C. Is power supply cord or feeder assembly properly fused? Yes No_ D. Is continuity test satisfactory as per the following procedure? Yes_ 1. De -energize electrical wiring system of the mobilehome•at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors,. including neutral -conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon,completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle 111 Length_q_ Width cl C8 Vehicle Serial No ' State Identification No. Additional Information or Comments: 0 B N COUNTY OF BUTTE DEOARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 Tdlepfione: 534'-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned pr;K_Z purposes. -� Date Signature of Permitee or Agent Receipt No. 53 I u / 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— Building permit expires Date BUILDING Owner IM 1 `4L, Kt— SQ. FT. OCC. BUILDING VALUATION Mailing Address f2G•0, DEL (0ele h_ 212o. Contractor CA)ALIC-Z Mailing Address Fireplace Total Valuation Telephone No. Permit Fee � p��n,,��( Building AddressWFS SrtImPsoIJ P -a /'trim` Plan Checking Fee &/orPenalty Permit Fee 1s001 S OC CbX C.MG- PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,OQ Each TraD 1.50 ��p It4�," 7 Repair drainage or vent piping 1.50 A. P. No. 2� �� ��� oning &Planning Water piping 1.50 0 Each gas water heater or vent 1.50 F es 14.[S* Kion Fire Dept. Fire Zone I Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking lans P rcel Declaration parcel Ma p 60' /W Improvements p Each additional outlet .30 W ding sewer 5.00 Lir Bld . Plans Recd Parcel AEBroval ons Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ 3 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 600V OR LESSE ��/' Main service 100 AMP OR LSS 5.00 Vv Single Family ❑ Duplex ❑ Mobil Home 10 Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. 51 22sgft OR ADDNS. ACC. BLDGS. 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 of: MULTI-OT NEW RESID.CONSTBRANCH CIRCUITS) NON-RESID. ( BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS B NON.RESID. (SINGLE OUTLET CU'R. EX. OCCUD(OUTLETS OR FIXTURES BAL@1 FIXED APstyle Ex. Occup. ( OUT ETS P(RESID )KEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 LS, 60 License No. Classification Mis .Wiring 6.25 sl .20, .ZOO am exempt from the Contractors License Laws of the State of California. Permit Fee $ 217. 50 $ -% MECHANICAL No. @ 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. 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. PERMIT FILING FEE $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 Land Development Fee $ ,2Cy,(00 TOTAL PERMIT FEE $ V9 5C authorize representatives of the County of Butte to enter upon the above-mentioned pr;K_Z purposes. -� Date Signature of Permitee or Agent Receipt No. 53 I u / 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— Building permit expires Date CAL GAS CAL GAS-GRIDLEY, INC. January 23, 1980 To Whom It May Concern: We are installing a two stage LP Gas System for Mr. Michael Kendrick at Rt. #2 Box 2430C Oroville. The first stage is from the tank to the Mobil Home and will be One Hundred Ten (110) feet with ten (10) pounds pressure and a capacity of One Million (11000,000) BTU's. The second stage is located at the Mobil Home with eleven (11) inches water column. Very truly yours, Cal Gas Gridley Walter Guy C7 Plant Manager WG/s P. 0. BOX 277 • HIGHWAY 99E • GRIDLEY, CALIFORNIA 95948 • PHONE (916) 846-5661 OR (916) 742-1508 4COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS J County Center Drive - Oroville, California 95965A Telephohe: 5n4-4541 C—��/ APPLICATION AND PERMIT BUILDING Own c r SQ. FT. OCC. BUILDING VALUATION L Mailing Address Telephone No. Contrac%,-V,�,,C Tr\,mcn nr'�—�t`(�►�Qr� Q n` 0�.' Mailing Add Building Address . Isdo S/o A. P. No. Zoning �-Plannin F� I Ale- SaFire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im rovemer Plans Declaration P P Bldg. Plans Recd I Parcel Akproval I P14y'Irp-proval . NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 91 .��1lii/G�l7Cf'- Single Family ❑ Duplex ❑ Mobil Home 10 Others ❑ 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: License No. 277 Classification 6 Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee 6a 6'250 BAL@1 ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD•L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. OR ADDNS. DWELLING OCCUP. 'r' ACC. SLOGS. NEW CONSTR. NOW RESID_ T (MULTI -OUTLET 1 BRANCH CIRCUITS $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 FEE FEE Ex. OCCUDIOUTLETS OR FIXTURES 6a 6'250 BAL@1 FIXED APPLNS. O EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. lcihave placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this Ventilation permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. 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 above-mentioned property for inspection purposes. Date Signature off�PeCmitee or Agent Receipt No. "✓ ` \' �� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant (11 nd Development -Flee �u Is TOTAL PERMIT FEE $ ---.# This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above r which fees have been paid. IRE T R OF PW ELIC WORKS &5* WVW - . Date / Building permit expires Date -�C�f 1. Owner's name: r , BUTTE COUNTY DEPARTMENT. -OF PUBLIC. WORKS- 7 County Center Drive, Oroville, CA. ; PHONE: .534-4541 MOBILEHOME INSTALLATION SHEET 2.. Installer's nae!C '�`tl MQ�t �,"�t`(1�_`-Nc�Q )L��2_ -- - 3. Is the site currently under permit? Yet / V/ 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 mobil'ehome 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 ) (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- Y -V _(in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to he mobilehome?' 20 (ft.) -------�----� ----- 12. What is the mobilehome gas demand. --- -- -- (ETU) (This information not required `if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? ---------------------- �' Amps 7.. What is',the mobilehome site circuit breaker rating? ------------- \ Amps 8. Is there any other electric load to be served by the mobil e site service? ------------- - F. --P--- ------- ----- Yes � No 15, (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- Y -V _(in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to he mobilehome?' 20 (ft.) -------�----� ----- 12. What is the mobilehome gas demand. --- -- -- (ETU) (This information not required `if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide , Mobilehome Mfr. ��Q o �l. furnish Setup Model No. Year 27 Width Aq (ft.) Box Length6q (ft.) Tagalong or Expando Size/ ft. xt2D 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 fi.le'with the 'County of Butte). All center supports measured from front of mobilehome'unless otherwise specified. Footings (check one) Single U 1. Wood either A' pressure treated or foundation grade. D D2. Other Z (ft.)(in.) (in.) (in.) 0 . (specify) Center support Center support locations* footing sizes Supports (check one) _ (in.) 1: Concrete block. x. O L Other (specify) '(ft.),(in.) (in.) (.in.) *---Tagalong or Expando,' show support details. (in.) (in.) r .\. x3b -- Typical Support • ( in. Y ( in.`) Footing Size F— Y. (ft.)(in.) (in.) (in.) ` ' -- Max. Pier Spacing Max. Overhang (ft.)((in.) (ft.)(in.) O a y a 6tim COUNTN 3UILDING DEPARTMENT L`'" iz:?W , / Z� 3 D � V GD APP . � *If center piers are.other than drawn above, dram in..lnratinnc_ nnanina_ and dimensions. ❑ B.I.N. REQUEST FOR INSPECTION PermitN Location: fig ,'/ Owner:_ Con ractor or Ten nt: Compla' BLDG. PLUMB/MEC E CTRIC M M Form Rough oug orrecti Frame Top Out Temp. ce Fin Stucco Gas Piping Service Fireplace ON Temp. Gas Undergr OTHER Bond Beam Sewer Piping Well Circuit Insulation Water Piping Corrections Shower Pan C io DVJ Final Corrections Fi al FOR I N,6 P. Final Date: I "Time: Note: H.U. XIE CTIO s Housing ob Status Permit Renewal V n ies ON a.m. ,19 p.m. Mr. Jasper Ellis Rt. 3, Box 3330 Parma, Idaho 83660 RE: A.P. 25-22-24 Dear Mr. Ellis: BEAUTY _.RIVE OROVILLE, CALIFORNIA 95965-3381 TELEPHONE: (916) 534.4621 February 27, 1985 It has been brought to our attention by Mr. Jim Glander, Chief Building Inspector for the Butte County Public Works Department, that you have installed a mobile home and awning and constructed a deck on your property located off Stimpson Road in the Oroville area, without obtaining the required permits and inspections. Section 26-1 of the Butte County Code ates that the County has adopted the 1979 Edition of the Uniform Bui ing Code. The Uniform Building Code requires that all persons con tr.ucting buildings within the County of Butte, except for agri ltural buildings, are required to obtain a permit from the Coun y Building Department. Section 26-6 of the Butte County Code states'�\'hat: "It shall be unlawful for any person, firm, or corporation to erect, construct, alter, repair, move, remove, improve, convert, demolish or equip any building or structure in the unincorporated areas of the County or to cause the same to be done contrary to or in violation of any of the provisions of this chapter. "The use or occupancy of any building in violation of any of the provisions of this chapter is hereby declared to be a public nuisance and may be abated in a manner provided by law." Section 1-7 of the Butte County Code provides that any violation of any provision of the Code constitutes a misdemeanor, or in the discretion of the District Attorney, be charged. as an infraction. The penalty for a misdemeanor is punishment by a fine" not exceeding $500.00 or imprisonment. The punishment for an infraction shall be a fine not to exceed the sum of $500.00. I Mr'. Jasper. Ellis Page 2. f February 27, 1985 Therefore, you are to.immediately remove the mobile home and awning you have installed and the deck you have constructed on your property located off Stimpson Road in the Oroville area, until you have obtained the proper permits, inspections and approvals, from the Butte County Department of Public Works. Very truly ours, D EN Butte County Counsel DMS: jeI cc: Jim Glander / Chief Building Inspector. B File No. r, BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng, /S.I. Sub. & Pcl. Maps Permits Addr. County Counsel Department of Public Works Building Permit - AP #25-22-24 January 10, 1985 With reference to the above.subject, attached are copies of correspondence sent to Jasper Ellis about:a mobilehome and awning installed, and about.a deck constructed on his property without permits, inspections, and approvals from this office.. To date, we have had no reply. Would you please send him the normal letter about obtaining permits. Should you have any questions concerning this, please contact me. Orinal signed by, J, F. Glander JFG:aj Attachments J.F. Glander Chief Building Inspector CERTIFIED MAIL Jasper Ellis Rt 3, Boa 3330 Parma, Idaho 83660 Dear Mr. Ellis:. LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS .`� 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (Bill) CHEFF December 27, 1984 rector RE: Permits and inspections. AP # 25-22-24 With reference to the above subject, on November 27, 1984 we wrote you a letter requesting that you obtain the required permits and the required inspections from this office for the work you have done as follows: Installed a ■obile+home, an awning, and constructed a deck on your property located off Stimpson, Road, Oroville, Since both permits and inspections are required by both State and County laws, unless you have obtained the required permits and made arrangements for the required inspections within ten days of the date you receive this letter, the matter will be referred to the proper authorities for appropriate action. Should you have any questions concerning this matter, please contact us. Yours very truly, -��illikw Cdof€ — � Director of Public Works Original signed by J. F. Glazder J.F. Glander JFG:aj Chief Building Inspector cc: Building Inspector • Oroville t Count � LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS. 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 I Telephone: (916) 534-4541 WILLIAM (Pill) CHEFF Director November A7, 1984 I JBspstr 8111* RE: Building Permit Rt 3, 3" 3330 A.P. # 39»23-24 Yar"$ Idaho 83660. Does 1W Ellis With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits .and inspections from this office for the work you are doing as follows: Installed a iabilehowe, 8n aSf U*, Sad constructed a dock 00 your ' property located ©f! stimpsoa Riad. orOvillo. Since permits and inspections are required by both State and County laws, please contact this office within ten (10) days of the date of this letter, submit two (2) complete sets of plans, apply for the required permits, and pay the appropriate fees: All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation.in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. Yours very truly, Director of Public Works Original signed by J. F. Glander J.F. Glander JFG:aj Chief Building Inspector cc:� Building Inspector ©sovill* ,lsses8o>r T COUNTY OF BUTTE e DEPARTMENT OF PUBLIC WORKS %(/1"96 Memorial Way, Chico — Phone: 891-2751 County Center Drive, Oroville Phone: 534541 ,way and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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 mattQr, or need additional explanation, please contact this office immediately, 3UTTE COUNTY DEPA ZNT OF PUBLI, SPECIAL INSPECTION REPORT A Q r: Building Location: Type of Inspection requested: A. B. 1. Housing ".2. 2. Financing% / 3. 4. Other (specify)s Present use of building: Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: _ 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12., Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: para17 A.P. # Date of Ins n Inspector of/ Occupancy to D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments". E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: S. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: S. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete �esc�riptio 2. What acta,o� ake�(give complete description): 3. What action recommended: A. Information only - file. / B. Hold for ten days, then write letter. %% C. Write letter. / / D. Other: BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT:4F DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, OatIFORNIA 95965 -TELEPHONE: (916) 538-7541 . AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. sa Agricultural building is defined as follows: Agricultural building is a structure designZandstructed o house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSE 02y PARCE O ZONING LJS— OWNE PHONE NO. OWNE-76 i MAO Sen �+ lJ NO v l C� 7�7` �s LOCAT ON F BUILDCNG. � � � ���� SD rn© , USE OF B IN VC 0 SIZE OF STRUCTURE u 0 /QA SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME _>L STEEL CONCRETE OTHER (Specify) TYPE OF SlINS �-t/ ROOF PVERING W FLOOR PE rd e rife_ ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT A� SIDES ppo"., REAR 5 `-'"'i' AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date -3 - 4 --Is Signature of Owner .4 Permit Fee - $60.00 Receipt No. The above described AG Building is exempt from a building permit. FLOG I PtptL I P.D�/ ROOFIJtIG' ISSU Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant AN ��'i��.�ll^r�w�z'►yyy-Gid'Wl�'F(,jt"•'i9f��?'ip�i'7�t`"�'5'1'��F7�it{�Jwi'�i's��by�"r+•.,��:kY ,r-..r�'ve.r..F.�.-w.�r rr,-fyr'.--..wfw+��;a;+^t.�. res...., .... COUNTY OF BUTTE'- DEPARTMENTOPDEVE,�LO�MENTSERVICES - BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVI LLE, CkLIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER L Proposed Building Use Building Inspector At time of 71.AII cation, I was advised the foll ing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY tems have been submitted. ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . ............................. . 12: California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department. ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy)... . �Preanspedion requesi 20. Pre -inspection for required. . to Building Inspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. .... . . . . .I . . . . . . . . . . . . . . . . . . . . . . . .: ...... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed.or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: A Mail to owner. Mail to contractor. Telephone and hold for ick at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data:fby _phone,_-mailCounter by _ Date � Plans checked by Date �`Plans'approved'by 'Dake' Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works eOWd* af X Utte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Clifford Coats ADDRESS: 3347 Milky Way CITY & STATE: Biggs, CA 95917 IMPORTANT: October.1, , 1990 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 Owner has decided not to do work. Permit #3861-89B, AP#25-22-24 Receipt #54149, datpd 11.114./Rg-. Total Permit Fees Paid ------------------------------- $35.00 Retain Plan Checking Fee ----------------- Retain Building Permit Filing Fee-------- 10.00 Total Permit Fees Retained--------------------------- 25.00 DUE------------------------------------- $10.00 TOTAL $10100 1, the undersigned, declare under penalty of perjury that the services or articles claimed have been perform d or deliyeted, and that this claim is true and correct as stated.(I Dated this .;2 . ............... day of .... .. .............. -4q.0 at ...?...!" L tS....�?� .. Calif. Q .\ rG... ......................... S ture Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articl.IZZ ted above have been performed or de- livered and that there is a Budget Appropriation or Specific Board Approval ED (Checkone) for a sem .. ....... ..... ...._..................... Dated this ........1St ................... day of ..Oct9ber...... 1999, at .... Qfi.l[.y..ille.... Cellf. ........... .......ItH apartmeed or uthorizuty Dept. Ezp. 421.0.5.0.0 . I. Code ........�F4. ... .............. Code ...........................PAYABLE FROM .......COAS.t.....Perm:.tS............................... ........... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. 1 COUNTY OF BUTTE -DEPARTMENT OF PUBLIC - v 7 County Center Drive - Orovil•le, California 95965 - Telephone: APPLICATION AND PERMIT WORKS PERIT N0. 916/538-7541 �/ ASSESSOR 1A EL NUM ER ZONING BUILDING PERMIT 0�� TELEPHONE o SQ. FT. OCC. BUILDING VALUATION OW ER S ILIADDRESS, I Q 0. (/I C 2C CONt5ACTOR'S NAME TELEPHONE CONTRACT R'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ O AR ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6 6 ( AOYI Permit fee $ PLUMBING PERMIT Filing Fee 10.00 —a h Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U t i Iities ❑ Installation ❑ Other Describe work: �!' �1ry _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR011 OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (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 (� 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.g+ OR ADONIS.(ACC. BLDGS. , /z2sgft NEW CONSTRESID, RANCHUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50C BALO 30 FIXED APPLNS. Ex. OCCUp. OUTLETS (RESID )KEA.) 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): ❑ 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 FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 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 saiq County in conse ence of the granting of this permit. X ��,_ Date Signatur o Applicont — Owner N 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 $ occ CONST TYPE --��LL� AL E TOTAL FEE $ W HAZ CUA PARK '- � PAR PD HD ISSUE ✓ This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated abov for which fees have been paid. D1 E OR PUBLIC WORKS BY Date PERMIT EXPIRES Date Receipt No.—S-9-,3 p q � WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT a t . _,.- � ..._ _-.v:•-.r.. .,. . g .=-.t '.f,. a -ssar;,'7�9Rt ri-t"�..'."'':i „it.-,. i�'�:.:. ='! COUNTY OF BUTTE - DEPARTMENT OF- PUBLIC WORKS - BUILDING (VISI N 4 .ey I af.'• u .e'st . 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION IATA SHEET Permit No. 1Z OWNER �f 1 'R00rcl C'no fs A. P. No. I��- Proposed Building Use 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. p`reparer of plans ........ 3. Complete plans in duplicate/triplicate; sighed 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. S hool Distri t fees paid ............. . . Sanitation approval from ie�� ; . - 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 J1 Building Inspector (Gate) 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 ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 41 I It 27. 'i';w,pSOyl Y'OVI When you issue the permit, process as follows: Mail to owne"— I Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other -� q Applicant ��L=e-� Date /�rJ�r -K, Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circlenewitem 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 _mail—counter by date Plans checked by Date Plans approved by Date Z/— Sets of plans on hold in . File cabinet AP folder Copy—DPW TO Building Department fs.: FROM: Environmental Health SUBJECT: Sanitation Clearance owner Lodation AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other *V f -"C NOTE * * * Ajr�- Sanitarian Bit! COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner": An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major lab and materials for construction of the proposed property improvement P'or 2. I (have/have not) signed an application for a building permit for the proposed wor . 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 1 11 City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Securitye umb Date —1/ J � — 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. ,moi' 4p�` OUNTY OF BUTTE PFFICIAL RE IP7 54342 ar�-53 FFIC OR D PARTM NT ISSUING RECEIPT Received from J j �-�j The Sum of I P d q (Ai C, � /� 9� �J D© For �A15 /V)V - i1�a i Received: /CASH ❑ CHECKv UAVUV UUWNESS FORMS • (916) 743-8511 Received By Title By COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872.-6307 CORRECTION NOTICE S OWNER "4/ T 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 Inspector_y'`I Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �. j_dr � Permit No. L �i OWNER �l i tTrC� L-�7�C is A. . No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 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. 13.hool Dis r' t fees paid. 14. Sanitation approval from o ra V 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 of DPW. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -Inspection for required. 21. Contractor's license information (No., Name Style, Classification). 22. Certificate of Workmans 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. 26. ZD 27. c ivnASO✓t When you issue the permit, process as follows: Mail to owner. Telephone and hold for pickup at office. Other OrOV-1 ale Mail to contractor. _Deliver w/inspector. Applicant L o--,�LDate Z/ GENERAL INFORMATION BUILDING DEPARTMENT OFFICES HEALTH DEPARTMENT OFFICES Chico. . . . 196 Memorial Way Chico. . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. Orovi I le . . . 7 County Center Drive Orovi I le . . . 7 County Center Drive Phone: 538-7541 Phone: 538-7281 Hours: 8:00 a.m. - 5:00 p.m. Hours: 8:00 a.m. - 10:00 a.m. Paradise. 747 Elliott Road Paradise. . . 747 Elliott Road Phone: 872-6307 Phone: 872-6308 Hours: 8:00 a.m. - 9:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 538-7601 — Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant `A setback of 5 ft. from --the . .property lines and a setback of 50ff. from the road centerline shall be clear of ';structures or equipment except :for a 2:ft. eave overhang. BUTTE COUNTY _ BUILDING DEPARTMENT -- APPROVED