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HomeMy WebLinkAbout025-360-032 6Qff<X0NN-------------- 4997 ----..._----- 4997 Pow House Hill Rd Contr. ppul Oroville Permit��2417-86PEherty ELEC S tor�,4 1, MH) GAS L PG• 3 ` /S COMPACTION TEST RE(Q) d �� SUPPORT STRUCTURE R b Contr: Pa Daugherty Permi 273-86NHI Is s d��/ B;it lu9'1_' ,Permit#4014-88P,E(ut ` '-1091=87) - e ELEC . /0 O GAS _ SUPPORT STRUCTURE Q. y 3� Peit#670-89MHI - -- ----- - --- issued�Yln 0364+e-63g-!j�- ( 00-1521 EWING, JAY , 4997 POWER HOUSE HILL RD., ORO MH UTILITIES �a. d10 • da F 'tiiot100-1522 ER HOUSE HI� RD., ORO ALLATION B08-0873 025-360-032 RESIDENTIAL•'. ,SFD-Mobile Home PFS -NEW-MH; EX SITE; PERM-FND-(2043) 4997 POWER HOUSE HILL RD E WIN 03_ 00-093AG EWING, JAY 4997 POWER HOUSE HILL RD. ORO AG. BLDG. � `" ' J E 4 ` AG00-146 AY 4997 POWER HOUSE HILL RD OROVID 1 AGRICULTURAL BUILDING �i s I� N .��ir — .. -. _ r-�..+.� ter. � _ _ _ _ I y � � �a J BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line (IVR) :(530) 538-4365 Office: (530) 538-7541 Fax: (530) 538-2140 Website for Online Permits/Renewal Payments: www.buttecounty.net/dds Permit No: B08-0873 Issued: 6/2/2008 Address: 4997 POWER HOUSE HILL RD Area: OROVILLE Owner: EWING, JAY D Applicant: FREEDOM HOMES Permit Type: SFD-Mobile Home PFS APN: 025-360-032 Description: NEW MH, EX SITE, PERM FND (2043) REP Flood Zone: None SRA Area: No SETBACKS for Zonine. AG. SRA. PW Front: 20 Ultimate R/W from CL: 30 Rear: 10 SRA: Side: 10 AG: Other: Total Setback from Centerline of Road:20+30 ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 ShearwalVB.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Fin<ei's Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco2- -- - - - Stucco �, Bldg Permit: ' OFFICE COPY Setbac Address: r Pool P1I Gas Teti Pre -G 'GAS By: Date �bC PoolE Electric B M Pool F' y: ,., Date:_ Pre -Plaster -- - — - - - Manufactured Homes Setbacks 132 Blocking/Underpining 612 V 11 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 JWr U -2o Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: a — Serial Numbers: Length x Width: #A4 U Insignia: Public Works Final 538-7681 Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 1 801 R• F I Project F inal is a certaticati of occupancy foYsidcnfi") PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSI IANCE. IF WORK HAS COMME UI 1 Yl� RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector. Copy ,t L BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 4997 POWER HOUSE HILL RD Owner: Permit No: B08-0873 APN: 025-360-032 EWING, JAY D, Issued Date: 6/2/2008 By GLB Permit type: RESIDENTIAL 4997 POWER HOUSE HILL RD Subtype: SFD-Mobile Home PFS OROVILLE, CA 95965 Expiration Date: 6/2/2009 Description: NEW MH, EX SITE, PERM FND (20- (530) 693-0087 Occupancy: R-3 Zoning: Q1 01 Contractor Applicant: Square Footage: FREEDOM HOMES FREEDOM HOMES Building Garage Remdl/Addn 2243 FEATHER RIVER BLVD 2243 FEATHER RIVER BLVD 2,043 OROVILLE, CA 95965 OROVILLE, CA 95965 Other Porch/Patio Total (530)532-3301 (530)532-3301 2,043 _... FEE INFORMATIONIN ; :?f, DBEH Building Review Fee $78.90 Rpoi DBF MH Plan Check $241.16 U °51 - DBFIRE Fire Inspection (SRA) $107.00 DBFIRE SRA Fire Plan Review (S $107.00 DBMSC Mobile Home Permit Fee. $361.74 DBSMIP Residential $13.28 (J O Total Charged: $909.08 Fees Paid: $909.08 Balance Due: $0.00 Receipt No: B7528 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License FREEDOM HOMES 839031 / B / 5/31/2010 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 6/2/2008 the applicant to a civil penalty of not more than five hundred dollars [$5001; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. prove for the purpose of sale.). I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the XL Specialty Insuran RWD9435192 7/1/2008 Carrier: p tY Policy Number: Exp. Date: Contractor's License Law.). (This section nee not be completed if the permit is or one hundred dollars ($100) or less.) i ❑ 1 AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Comp ation Laws of California, and agree that if I should become subject to the workers' X 6/2/2008 co ens ion provisions of Section 3700 o e Labor Code, I shall forthwith comply with those Owners Signature Date Povision . t f 6/2/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Sig re Date NTNG: FAILURE TO SECURE W FAILURE TO SECURE WERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE A D SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Co to enter the above mentioned property for inspection purposes. I hereby certify that I am the op owner or am author e'd t on the property o ers behalf. CONSTRUCTION LENDING AGENCY y /` 6/2/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for a Of Per itt0 IG Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1ner Contractor OR: Agent for OwAgent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENTOF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. b0 -0'691 BIN H C1n( FILE) "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public inforni:uiuu related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNEeR INFORMATION Last Name L;Zu//L �n First Name —T4 Mailing Address lvW 1)5Ao► City 0 PV�f�� State nLj `-� Zip 9?6W Phone 6 gs? Q en 8 Fax E-mail CONTRACTOR Name I E>oAi NolqES Address J112 �T f g 1 City ®��v7/ State Lv ZiP Phone �� o n Fax 0 T �- E-mail Lic. # t 31 Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City � 1u> Address Zip City Fax z � State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name oF��t9/N A�ES Address g --?y -?� K/ v4z City � 1u> State � Zip Phone ���_,,�L/ Fax z � E-mail PROJECT LOCATION AP# ©5?5'- o&0` 4 Property Address if c City WORKER'S COMPENSATION Policy Number-Po©/VW0oA5cp Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Ld�,eb Sq FT Living Garage Open Cov I ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: I I Zoning I A 9, 7-161 Flood Zone t X I SRA Yes Nc Occ. o f Type Const. Opovi Ile o Rc vt i �\Ier 7RA CA2.0b-� BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B08-0873 Job Address: 4997 POWER HOUSE HILL RD Contractor: FREEDOM HOMES 2243 FEATHER RIVER BLVD OROVILLE, CA 95965 Printed: 05/13/2008 2:20 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-10101 $78.90 05/13/2008 $78.90 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-10101 $107.00 05/13/2008 $107.00 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-10101 $107.00 05/13/2008 $107.00 DBMSC Mobile Home Permit Fee. 0010-440001-4210500-1010( $361.74 DBF MH Plan Check 0010-440001-4210500-10101 $241.16 05/13/2008 $241.16 DBSMIP Residential Printed By: Kourtni Graham 1001-0-280-1011298 $13.28 909.08 $534.06 Balance Due: $375.02 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fe ay change during the plan checking process. Signature: Date: 05/13/2008 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B08-0873 Date: 05/13/2008 Location: 4997 POWER HOUSE HILL RD By: KCG Parcel Number: 025-360-032 Sub Type: SFD-Mobile Home PI Owner Name: EWING, JAY D Phone: (530) 693-0087 Applicant: FREEDOM HOMES Phone: (530) 532-3301 Description: NEW MH, EX SITE, PERM FND (2043) REPLACEMENT Butte County requires a pre -construction inspection to pro -actively provide the fire departments requirements to the property owner. Your property is located within the Local Responsibility Area (LRA) of Butte County. All development within the LRA is required to meet the below requirements: California Fire Code (Residential fire flows/fire sprinklers, LPG tank protection) Requirements prior to scheduling the pre -inspection: Full plan submittal to Butte County Development Services -Building Division Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226. For the pre -inspection, the property owner or authorized agent (contractor) is required to meet the inspector at the construction site. I have read and understand the above pre -inspection requirements. 05/13/2008 Date 4Kgnature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at btt6:HbUlleflre.orF!/FlEggLelintion/t)rotplan/protplan.html Rev'd 3/3/08 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds a�rt� p E1VT �L� g National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment (LESS THAN 1 ACRE 1 Reference Number: B08-0873 Date: 05/13/2008 Location: 4997 POWER HOUSE HILL RD By: KCG Parcel Number: 025-360-032 Sub Type: SFD-Mobile Home PI Owner Name: EWING, JAY D Phone: (530) 693-0087 Description: NEW MH, EX SITE, PERM FND (2043) REPLACEMENT By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 05/13/2008 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-0873 Location: 4997 POWER HOUSE HILL RD Parcel Number: 025-360-032 Date: 05/13/2008 Owner Name: EWING, JAY D Phone: (530) 693-0087 Description: NEW MH, EX SITE, PERM FND (2043) REPLACEMENT Signature of Applicant: Date: 05/13/2008 F E Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds "PERMIT APPLICATION DATA SHEET" Reference Number: B08-0873 Date: 05/13/2008 Location: 4997 POWER HOUSE HILL RD Parcel Number: 025-360-032 Owner Name: EWING, JAY D By: KCG Sub Type: SFD-Mobile Home PI Phone: (530) 693-0087 Description: NEW MH, EX SITE, PERM FND (2043) REPLACEMENT The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS ❑ 0 Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 8954711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions ❑ rl City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ❑ M Other: ❑ ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: Date: 05/13/2008 FILE BUTTE COUNTY DEVELOPMENT FEE OvT CERTIFICATION FORM • Feather River Recreation & Park District Assessor's Parcel Number (s): 025-360-032 Property Owner (s): EWING, JAY D Building Permit Number: B08-0873 Project Location/Address: 4997 POWER HOUSE HILL RD OROVILLE Project Description: NEW MH, EX SITE, PERM FND (2043) R Type of Residential Development Permit Type: RESIDENTIAL Permit Subtype: SFD-Mobile Home PFS Building Type: New Mobile/Manufactured Ht New/Additional Sq Ftg: 2,043 Certificate of Existing Square Footage Existing Sq Ftg: 1540 MH Replacement: Yes Existing Construction Type: Residential- Mobile/Manufactured Home Demo Permit Issued?: No Demo Permit Issued Date: Verified by Building Records: Building R Verified by Assessment Records: Comments: Replacing previous existing mobile with new mobile home. 05/13/2008 Buil ng Department fpresentative Date FRRPD ❑ CARD ❑ PRPD ❑ DRPD certifies that: 8 Applicant Name Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution N by Payment of:� Dwelling Units @ $ Square Feet @ $ Remarks: Paid by Check No: A Paid by Cash: Recreation and Park District Repr ntatrve per unit for a total of $ per sq foot for a total of $ Receipt No: T 1 Date MOBILEHOME BUILDING RECORD �� � � G-- us s Nome f 3+7 F¢- eJz'h"��--tc�`i`i T Mail Address 3oo3. (SM11 /'-IvC— �,.�,r..:'': ? PARCEL N0. V= ----2-7--b<> t+ -° 11 us ODEL ���t` (tJ[�i 1 TYPE ❑ Single Wide IJ Expondo V4 Double Wide [Tog J I ]Triple Wide 0Other QUALITY CLASS O YEAR. BUILT IQ k7 ROOMS Descrip- f1O" FLOOR N0. OF MAT'L PLB• DESCRIPTION No. FIXT'S KITCHEN FEATURES •- (p -61 L. r, Cabinets 2�Y' MAtJUF. �I I n 'I Counters rIIL... r� L.F. Remarks EXTERIOR ROOF STYLE SKIRTING Entry Garb. Dis . Dishwasher Hood•Fon Alum. Panels Arched Alum. Panels Range -Oven Compactor Microwave Masonite Panels Flat Alum. Shiplap Living /� Cry G. �?LQ Cawl. _ Alum. Shiplop Siding Goble Masonite Dining r1 Decorotive Stone Cut Up Fiberglass Family SPECIAL INTERIOR FEATURES Other I Pitch: MH Brick or Stone Great Rm.. t Bar -Wet, Or Hutch Book Case Exp. Fasteners O'Hang Ft. Other Den Fireplace Coih. Ceiling Extra Both _ WINDOWS ROOF COVER HEATING 5 Minimum Galy. Iron Forced Air Bedroom G SPECIAL IiXTERIOR FEATURES Tract Size Enameled Steel Downflow Dress Rm. Window Awnings Shutters Shake R Picture IV Asphalt Shgl._ Upflow Bay Compo. Wall or Floor Both 11 Slid Doors Gravel, Rock Other Bath ?i 1 0-" L MOBILE HOME RATING (E.G.A.F.P.); Lin. Ft. Other Set-up for A/C Both Yi INSULATION FOUNDATION COOLING _ Quality ConditionAppearance Con(orm Locotio" Floor R- Permanent Refrig. H.P. Kitchen t/ 10Yt I Walls R- Piers Heat Pump Bonus Rm. - PARK RATING (E.G.A.F.P.)— Ceiling R• Tie Downs+r Thru Wall Utility v Ny Evap. Cool Overall Location General Appeew-ce Recreation Facilities Overall Quality TOTALS DESIGN EFF. DEPR.. SQ. FEET R.C.N. R.C.N. YEAR TYPE CLASS YR. TS�BLE MAIN IMP. MAIN IMP. TOTAL a ADDLOEPR. I I C GOOD R.C. L.N.D. Type %Good R.C. APPRAISER GATE REVIEN'.ED DATt CK ( I I - I _ i t 5 1� IL 19,9 33 11 y is Ci319 f 19 _ IT UNIT AREA CO COST UNIT AREA COSY COST UNIT UNIT COST COST AREA COST COST AREA COST COST. Mobile Home Q (S (" O Z Q Oa -9-7000 O (7.6 G O od 0 I I Air Conditioning vop. Cooler I D Bar LGO I SkirtingI Other I TOTAL R.C.N. MAIN A0 3E f Corport/Porch Roof /V Porch -Z _y I Storage Shed I 38Z i I SUB -TOTAL R.C.N. j Deduct (Singlewidis) 0� 'TOTAL R.C.N, 1 070017 1171,(01 1 1 370 04J I BUTTE COUNTY SCHOOL FEE CERTIFICATION FORM (One form per Building) School District: Oroville Union High School District Building Permit Number: B08-0873 Tax Rate Area No: 099,00-7 Assessor's Parcel Number (s): 025-360-032 Jurisdiction: County Property Owner (s): EWING, JAY D Project Location/Address: 4997 POWER HOUSE HILL RD OROVILLE Type of Development Residential Development: Yes Q 0 Sq. Footage: 2,043 No of Living Mobile Home Addition/ "Supplemental to Units Installation Conversion Permit M Cr. Demo - existing 1540 g *(No Foundation Inspection) sq. ft. Net total sq. ft. Deed Restricted Sq. Footage: 0 Attach signed coov of Deed Commercial/Industrial: =New Addition Restriction and Notice of Limits Use as itV ocumen Sq. Footage: Project Description: NEW MH, EX SITE, PERM FND (2043) REPLACEMENT (Includinil LixteriorRoofed Areas 05/13/2008 Buil ing Department R&Vresentative Date District Indentification No. _ 0-80-137 C) School District certifies that�v, - W, XnA (Pay &) `k°1q'1 i�c E( �o�s� �M 'kk, (N 'k 9SI Lb (Street Address) (City) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. I Qs S O by payment of $ �- representing a O y square feet. AB 2926 $ FULL MITIGATION $ -:!�>- (Ia�oR School District Representative Date Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by sumitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. subsequent o the School Districtepresen a ive signing this Butte County Schools Impact Pee Certification Form, the coo District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (School District) Yellow (Building Department) Pink (Applicant) DDS—School Fee Form rev'd 3.10.08 CERTIFICATE OF EXISTING SQUARE FOOTAGE Oroville Union High School District Building Permit Number: B08-0873 Assessor's Parcel Number (s): 025-360-032 Project Location/Address: 4997 POWER HOUSE HILL RD OROVILLE Existing Sq Ftg: 1540 MH Replacement: Yes Existing Construction Type: NEW MH, EX SITE, PERM FND (2043) REPLACEMENT Demo Permit Issued?: No Demo Permit Issued Date: Verified by: Building R Comments: Replacing previous existing mobile with new mobile home 05/13/2008 Date % ���� Gr f MOBILEHOME BUILDING RECORD * PARCEL NO. '�7 � ! ' STATE OF CALIFORNIA NUMBER: SINESS, TVANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSINGAND COMMUNITY_ DEVELOPMENT DIVISION OF CODES AND STANDARDS 8-7-51- 57 4 MANUFACTURED HOUSING PROGRAM MANUFACTURER CERTIFICATE .OF-GRI:GIR DISTRIBUTION: ORIGINAL (PINK)/ / FORWARD TO THE INVENTORY CREDITOR UNLESS THERE IS NONE, THEN FORWARD,TO"T.H P.URCHASER'(DEALER'. RiTRANSFEREE)z. - ~ COPY / (WHITE) (/ FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 -(GOLDENROD) TO BE RETAINED BY THE MANUFACTURER HCD 483.0 - Side 1 - (7/97) ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING NUMBER OF `❑ SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS 3 COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: C IH N iNUFACTURING WEST7 INC. HF1126458 MANUFACTURER ADDRESS: SUGGESTED'RETAIL"'PRICE: ' ' 5th a PRCIFIC BLVD SW, ALBAW OR 97321 Ci State(zip) MANUFACTURER TRADE NAME'. - ' MODEL NAME AND/OR NUMBER: DATE -OF MANUFACTURE: MOD YR 172a u Inns 7XFqV-91211 2M 04128/66 NAME OF DEALER OR TRANSFEREE=(OWNERSHIP TRANSFERREDTO): CALIF. DEALER -NUMBER 'OR DATE'OF TRANSFER:' TRANSFEREE DESIGNATION: FREEDOM HOMES-OROVILLE 04/28/06 DEALER OR TRANSFEREE ADDRESS: StreeE ('EITHER RIVER BLVD, MILLE, C4 935965 CI State(zip) INVENTORY CREDITOR NAME: e. • INVENTORY CREDITOR ADDRESS: (Street) C' State(zip) SECTION MANUFACTURER -SERIAL NUMBER HCD INSIGNWOR�HUDtABEL-NUMBER• LENGTH--,-- --WIDTH_. ^°-•WEIGHT°� - t� INCHES ..(INCHES). POUNDS i ALBO 547OR R AL66305glof A GRE494876 680 ✓ 162 19,569. c AL0830547OR B g ORE484977 S w L�a 162 ALB038547RR +C" ME48W , ; , . ,. . , -:L :3x162-' 13, "'21;113' t7--- TRANSPORTER NAME: TRANSPORTER ADDRESS: Street C. DESTINATION FOR UNIT DESCRIBED ABOVE: (N... ...r Lt Q '- - 1' - . 1 11 f T :, WOE, C. .. .. State ` .. .:r_-... (zip). _. -..: I certify under penalty of perjury under the laws of the State of California that the above facts aro Uue and correct . Executed on ,715:as `c a4 at (Countyi (State) is .. - z. •.ta . SIGNATURE OF AUTHORIZED AGENT: DISTRIBUTION: ORIGINAL (PINK)/ / FORWARD TO THE INVENTORY CREDITOR UNLESS THERE IS NONE, THEN FORWARD,TO"T.H P.URCHASER'(DEALER'. RiTRANSFEREE)z. - ~ COPY / (WHITE) (/ FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 -(GOLDENROD) TO BE RETAINED BY THE MANUFACTURER HCD 483.0 - Side 1 - (7/97) N ]aura COUNTY Butte County Building Division MAY 13 20M MANUFACTURED HOME SUPPORT DATA S�vicEs01101 Owner's name: _ A.P.#Home Manufacturer:Da -&o Model Number/ Name:_ Manufacture Year: Width: Q'-6," (ft.) Length. d (ft.) FOOTINGS: Wood - pressure tr ated or foundation grade[KOther:[ ] SUPPORTS: Concrete block Other:[ 1 Provide manufacturer's installation manual support X12jv�� pp rt blocking requirements and state approved or engineered foundation or tie down system specification_ COUNTY ���GCCOU�9 1 T Pier Footing Sizes and Locations SINGLE WIDE Line 1 _ ----- Line 2 Section 1 Line Line 1 Piers: Minimum size piers: Spacing maximum: From ends maximum: t Li -he -2 Piers: -- minimum' size piers: Spacing maximum: From ends maximum: Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): -Line 4 Roof Loads:, Minimum size piers: Location (from front): Minimum size piers: Location (continued): Section 2 3UILD1 NC Di-A.'11SIOi m ARM, WVFD Line 1 Line 2 Line 3 _ Line 2 Line 4 (triple wide only) Section 3 Line 2 Snow Load: p psf r X [ My Snow Load requirements may be obtained at 0 100 hftp://www.upstate-ca.com/bufte/bufte_county/ Insert AP #, view snow load in lower right comer. ,Line 1 OreninQs _ /V X �y Minimum size pier: i yf j X ( �� 0 N " Required at each side of openings over Dy D wide. 0 ' — r 6'-1 UB' !'-I Vd' d' -p• 3'•5 V!' 7 d Vl' 7'•1 VI' } nl I I I I Bb 500 j I — — STANDARD CARPET 1.1045 Roa7 FAMILY ROCn I 10 F �:. Lo PSF - �� O 1 0 PSF 70 P5F O ILL y _.—._ 3 30 P'f J 30 PSF O 30 PSF r O . — . 3 0 PY 1 J0 FSF f� 3 70 PSF OENING ROOM MASTER BEORCON q .. ......: ... ...... ..i AF 'P —� 4L ` O#7."f �4 BEORa0nS711 �ALLAITARDROSES TOTAL US'•0' O70 P5F O7 30 P5F Oj 30 PSF \W–j) '^-J�.•' ^ I �I I �, 111 VV O3 30 PSF LINO f a•b , n-0 '� J OPTIONAL CARPET KAIIECtLEST BATH SCRAP CUEST Barn SCRAP 29 30 PEP y O� �p PSF O2� 7\\P5F 3 1 70 PSF Q� _ 3 3mP5F O30PSF 3 `•F O3 30 PSF 30 PSF ' 1 PSF B-6:50.0 I ` LP10 OLBO -04 * ® (30# ONLY) T— S. '-9 V0' '� X�1'•1 V7- 5'-6' I4Y.!' !'-B W- 5'•0• 5'-0' ►i�) 0 1_�:L6 • ,.3 ✓' �� /--riZ�-//� i 2--0.f / N (20# & 30# ONLY) BUTTE ®Uri: 6 1 PIER' NO. CAPACITY FOOTING SIZE REQUIRED (S0. IN.) PIER Gt, IS10 PAECRIiY FOOTING SIZE REQUIRED (S0. W.) PIER PIER f00PNC SIZE REQUIRED APACITY(S0. IN.) ply PER FOOTING SIZE REQUIRED (S0. INJ 1IL®� A'' A ! a (185.) 1000 PSF E PSR 2000 PSF NO. (LBS.) 1000 PSF 1500 PSF 2000 PSF NO. (LBS.) 1000 PSF 1500 PSF 2000 PSF N0. CAPACI BS.) 1000 PSF 1500 PSF 2000 PT ' �J 1 2000 288 192 laa 3 4000 576 Jga 288 5 6000 86a 576 4J2 7 10000 1440 960 72p APPROVED ���®t I�� 2 2500 360 240 180 4 5000 720 480 360 6 gp0 1152 768 576 8 12000 1728 1152 864 /, \VO Manufacturing West, Inc. TITLE CARPET & PIER PRODUCT "OOEL NO. Albany Division - Plant #972 0 2 02-501K-05 2445 S. W. PACIFIC. BLVD. SUPPORT LOCATIONS so' DATE ALBANY, OR 97321 2,0<5 10-29-04 Phone (S41) 926-8651 DRAWING FILE INFORMATION DRAWN BT : SHEET REVISED Fox (866) 491-6847 ALBANY DIVISION (6- WALLS) . E. COL` IN1 —A2 _ 6o' rwst- 0.1 :QbIl 154. s.d Ent, -------- ------------ WH ""OTTE Cotj-py W-35 WW -2. -21 op. 0- UILIDIN-C -'i" Isla r MEADOW VIEW 11 - 02-501K-05 APPROVED THREE BEDROOM, FAMILY ROOM - 2,025 SQ. FT. Manufacturing West, Inc. OR I.c TLE PRODUCT NOOEL NO. Albany Division - Plont #972 b 2 02-501K-05 2445 S.W. PACIFIC BLVD. SALES FLOOR PLAN so. FT. ALBANY, OR 97321 WE 2,025 10-29-04 Phone (541) 926-8631 DRAWING FILE INFOR-TIO. Fox (8 66) 491-6847- ALBANY DIVISION (6' WALLS) . DRAWN 8': E. COLVIN sHrEr REVISED I -Al Ont ta.y — BATH - — - — - — - — - — - MASTER BEDROOM I $nel,es FAMILY ROOM LLL.C<eq I L wv.—'s i.0 Ont — - — - — - — - - X (Se r 0- w-, e .'0 KITCHEN is BEDROOM #3 OPT,RETREATARE DINING ROOM Is,anaBREAKFAST we 11! w,,,, �$—r.. eowLoren 140-9 001, Cwle,ld C!b" BEDROOM 42 06 FAU BATH LITI Y LIVING ROOM 6o' rwst- 0.1 :QbIl 154. s.d Ent, -------- ------------ WH ""OTTE Cotj-py W-35 WW -2. -21 op. 0- UILIDIN-C -'i" Isla r MEADOW VIEW 11 - 02-501K-05 APPROVED THREE BEDROOM, FAMILY ROOM - 2,025 SQ. FT. Manufacturing West, Inc. OR I.c TLE PRODUCT NOOEL NO. Albany Division - Plont #972 b 2 02-501K-05 2445 S.W. PACIFIC BLVD. SALES FLOOR PLAN so. FT. ALBANY, OR 97321 WE 2,025 10-29-04 Phone (541) 926-8631 DRAWING FILE INFOR-TIO. Fox (8 66) 491-6847- ALBANY DIVISION (6' WALLS) . DRAWN 8': E. COLVIN sHrEr REVISED I -Al Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone I, is PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Ground System Xi2 Concrete System PoUrr.1 COUNTY MAY 13 2008 I'i APPROVED Engineer Approval State Approval 1dANUFACTURED IIOMF./MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED MBIECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OP APPLICABLE STATE LAWS AND REUULATIONS 8410 orcamomin bapattnt OrRmaing and Comfuun1w Da*a30pm0at FMICY OF� � AND 6TANDA1tp>f nATB D. (dpmata) Thk Plan AppmW EVW. Pana 1 of R .10 Engineer Approval State Approval 1dANUFACTURED IIOMF./MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED MBIECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OP APPLICABLE STATE LAWS AND REUULATIONS 8410 orcamomin bapattnt OrRmaing and Comfuun1w Da*a30pm0at FMICY OF� � AND 6TANDA1tp>f nATB D. (dpmata) Thk Plan AppmW EVW. Pana 1 of R FR m 8@081150 our I NOTES RESIDENTIAL PERMIT NO. 036-53-0-032 00-1522 I I EWING, JAY - - -- 4997 POWER HOUSE HILL RD., ORO MH INSTALLATION THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) (2) STATEMENT OF FACTS(ONLY ON NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL #'S SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. t FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter By Date ELECTRI Meter By JOB FINALED (Date) Signature ./ = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clea rances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG Electric 7. Well Clearance & Discorinect Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cen. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 F6�P)0�, MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 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- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK 0 = Not OK - = Not Applicable =Not Ready RESIDENTIAL (; Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Hir.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or M-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Comments at Final: FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) T Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rhr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wir. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive U Yes' NoMalks U Yes O No/Planters O Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ,.,,..�.-r,r-,,.�-...•,✓^_""�.-.!� _.+..+.�,. �•-•...y:..--tri+:-.._,-.._..�..-.'1_ ....�-�..,�..---_•-_�-. .. "-�.`_ i MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN-:� PERMIT NO.: Owner's Name: "Owner's Address, Mobilehome Manufacturer: ^� Year of Manufacttd'`r'e'J': 'r7 -I ' Serial Number or V.I.N.:Insignia or HUD Number: -Official approving installionw Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -owner, Yellow -Installer, Pink -Bldg, Gold -Assessor 4, r E r MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN:i PERMIT NO.: Owner's Name: _\ .1-1-/ -. ..1 t -�,' 4 Owner's Address: Mobilehome Manufacturer: Year of Manufacture: Serial Number or V I.N.:Insignia or HUD Number: Official approving installation: Date: \ v — v If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor - CONTRACTORS VERIFICATION - I CERTIFY THATN*1 HAVE O MODIFICATIONS T 0 THE THE ANCHORING SYSTEM OR TO HE BUILDING STALLATION STRUCTURE. INSTRUCTIONS. I HAVE MADE STRUCTURE. COMPANY NAME:_ CONTRACTORS LIC.# ----- DATE� SIGNATURE:__________________ S W I- 0 0 u N W m CHASSIS CONNECTION 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. INSERT STRAP, THROUGH SPLIT BOLT. CUT OFF EXCESS -STRAP NAND -THEN TIGHTEN BOLT UNTIL STRAP IS'°SNUG. COUNTY OF PUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96)' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-530-032 ZONING AT) 1/2 BUILDING PERMIT OWNER JAY 1) EWING TECEPIlck 519-0949 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4997 014ER HO UT RD, OROVIT-LE Energy Plan Checking Fee $ -SUE -1-1- PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome y Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation X3 Other ❑ Describe Work: jail EX SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR LESS Main Service 20 0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00So WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.50Fr. T. RESINEW D. MULTI.OIUTI.ET 97,50 APPARATU a SINGLE OUTLET CIR. Ex. OCCU FIXTURES OR FURES 20 @ I o0 BAL Q .50 FDIED APPLNS. OR Ex. Occup. ouTLErs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ Date 2 "�0 X&nA gp ant - er ❑ Contractor ❑ Agent AnIsrequired r excavations over 5'0" deep and demolition orconstruction`'/dof er 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 3 00 HAZ. I D. FEW IMP OD OF p HD This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By v PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date /ate Date Receipt No. 302021/$143.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. .,�. .(.. gra-�rw.[I+.F„•._;.:i�.if.?YH..,�.y��r"rs,�"�`ili►.v •1a ..- x.��.� "ti.. -v �. .. , � ,COUNTY OF BUZiTE, DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 14 . A ,7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: �w t''L ASSESSORPARC NUMBER: Proposed Building Use: � Building Inspector: Date: O C� At time of permit application, I was advised the following data must be submitted prior to permit pr4essing and/or issuance: .Date Received By items have been submitted.------------------------ -------_ -----------------------------=--------------- �Y. of plans,asets, signed by the preparer of plans. ------ - - 1 3--=------- ------------ E33. Complete plans, 3/4 sets, signed by the preparer of plans. --------------A--- ------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering ust be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan re iew) No faxes! --------- ❑6. Energy Design Compliance and supporting documentation. --------------- --------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. -------------------- --------------------------- 8 d ---------------------- ------------------------------------- Mar actured Home data and installation instructions cl ding Tie Down Specifications.---- EIA 9. 9. Fees of $ W. Impact fees as shown on the attached schedule. --�-=' ❑ 12. California Department of Forestry plan approval/fees. 13 Flood elevation certificate.---------------------------------------------------------------------------------------- 14. Sanitation and plot plan approval Health Department. ------------------------------------------ I ❑ 15. City of Chico plumbing permit. ---------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: ®JL (B) Parking: -------------------------- El18. Contact Land Development about ❑ Improvements, C3Drainage)�(fegal Parcel. ------------- - -- =- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). -------------- =----------- ❑ 20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number ----------------------- 023. Owner -Builder --------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑ 24. Letter of signature authorization. ------------------------------------------ 025. Recorded copy of Agricultural Acknowledgment Statement. ----------- 026. Letter of intent on building use. -------------------------------------------- 027. Manufactured Home utility clearance. ------------------------------------- ❑ 28. Existing violations and/or expired permits. ------------------------------- ❑ 9. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . ----------6W v - 0. Other: /_ /S 16 l0 12 l -- you issue errm rroocess as follows E3 Mail to owner, all to tra or. Pen elephone and hold for pickup at UiNt office. ❑ Deliver with i Qb LIP— I I 1 1 (Date) Applicant: Date: -7'-✓ r- Oc Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ P ution D By: Copy of plans sent ❑ Health Department, ❑ Fire Departmekt, 9 Other: � / A, Date: By: 1. Index permit application for the above items numbered: / I ❑ Plan Check List 2. Additional items required:! ; sk AtfW IV - Contractor, designer, owners as advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divis Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Build* n ivision counter, by Date: Plans reviewed by: Date: Plans approved by: Date: �- --� Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. SE ONLY Plot Plan Attache Floor Plan Attached Sant to B.D. -�^ JZ - TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance caner Location AP# Plan Approved for: Sewage Disposa1)-.��, Water Supply: Public P 'vete Well l Clearance for dwelling. Other ��� Y � i�9--��a�-®� ) �^ -� l aaP 14U � Hold final for: Final clearance O.K. for: NOTE: Envirori'mental Health Specialist l - I Z Date 8/96 � r 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 'or labor and materials for construction of the,-.-. pro�osedoperty improvement �^ ] NO[ ]. . T j HAVE NOT[ ] signed .aa'apphcation for a budding pernnt for the , P work. 3.- I have contracted with the following person (firm),`to provide the proposed construction: NAME: ADDRESS•..: ; , CITY: PHONE: - - _ --CONTRACTOR'S LICENSE NO. -.--.,:--.;.,-- 4. I plan to provide -portions of this work, -but I -have' hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. .I will provide some of the work but I- have contracted (hired) the followinp.Peisons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK;. SIGNED: PROPERTY OWNER: SOCIAL SECURITY r DATE: Z_ - A NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. r If you plan to do your own work, with the exception'of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage, any persons other than your immediate family,`.and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are - not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you. are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance; disability insurance costs, and unemployment compensation contnbutions. 0 There may be financial riski for "you if you do not carry out these obligations, "and these risks are especially serious with respect to worker's compensation insurance. 0 For more -specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. o. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541,;, `�PgD4iT NO. (Rev. 12/96) APPLICATION AND PERMIT (,� �� ASSESSOR PARCEL NUMBER _ 2 BUILDING PERMIT 1 OWNER r-^ TELFFHONE so. FT. OCC. BUILDING VALUATION �- - - 3a-p5�a NAME CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS LOT NO.,2— SUBONSIONS NAME S,L't0 A P EL P e�- USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome k Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: M 4 Z7 7—A46 S Fireplace PERMIT FEE S Total Valuation Is PERMIT Fling Fee 20.00 Flirt Fee $ 20.00 Permit Fee $ 46,00 Plan Checking Fee $_ s0 3.5orr Energy Plan Checking Fee $ $ PERMIT FEE S PLUMBING PERMIT Fling Fee 1 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 EX. OCCUp. OUTLET OR FIXTURES PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 000V OR LESS 2OOA OR LESS 23.00 Main Service 200A TO 1000A 46,00 NEW CONST. OR ADONS. DWELLING OCCUP. a ACC. RLDS- I s0 3.5orr EX. OCCUp. OUTLET OR FIXTURES 2O QV I.00 BAL O .50 EX. OCCU FDCED APPLNs. OR oLnLETs Eslo. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 1 MECHANICAL PERMIT Fling Fee 1 20.00 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ (�Q, Energy Inspection Fee $ occ coNST. TYPE TOTAL FEE $' HAZ. I D. FEES I IMP I FLOOD I COF I PAAdEL - HD ISSUE 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. .By Date PERMIT EXPIRES ON I '000, bed ptke a See co ac age% 10 co Pl? Jam W )G) ()r6vl, 112 06 03(o-5�0-052- Mobilehome Manufacturer: ,54AMA / woo el _Manufacture Year:.. If other than single wide, furnishSetup Model Number: Width: 2.E -_(ft.) Length: .-(ft-) N..i (ft.) Size,- - On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. - FOOTINGS: Wood pressure tr ated or foundation grade[ Other: SUPPORTS: Concrete block[ .-Other:' Provide Tie Down Specifications for all Mobilehomes: Pier-Fdbtings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 2 line 2 .......... ...................................................................................... Main Beam Line 2— ....................... ............................................ C 2 Line Line I Line 3 Line 2 . ............................... ................................................................ Main Beams ................................................................................................ Line 2 Line I .......................... Tag or Triple .......................... ine 5 ine 4 ............ Ein I Line -1 Piers: Line I Openings Size minimum: r 1 x r i. Size minimum: x Spacing maximum: Each side'of openings From ends -maximum] with width over:- -Line 2 Piers: Line 4 Piers: x Size minimum: Size minimum: Spacing maximum: E Spacing maximum: From ends -maximum: From ends -maximum. .2 'Al �A "A,— - - . - % A A HU Roof Loads: Size minimum Location tion (ftom1firont): Line 5 Roof Loads: Size minimum: Location (from front): OVER 1. Owner's Name: JAY. E w li ( 2. Assessor's Parcel Number: - 3. Installer's Name: J_A _-Foe" 4. Is the site currently under permit? Yes[#1 No[ ] Permit No. 0 34 S_,10 -Q 5. Is the site an existing site? Yes[ ] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?Amperes. 7. What is the mobilehome site circuit breaker ratirg? DO 'Amperes: = 1. = 8. What is the electrical rating of the mobilehoine site?20 0 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ VI No[ ] If it is, what is therating?..Q06 Amperes. _ 10. Is there any other. electric load to be erved by the mobilehome site _electric service (i.e. well, garage etc.)? Yes[ ] No[No[Vj If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes- 1 B. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None[ d-'..- 12. Size of gas pipe at the mobilehome site from the meter. -.,or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8•5 - CONTRACTORS VERIFICATION - I CERTIFY THAT 1 HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS T0- THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. COMPANY NAME:- _________ CONTRACTORS LIC./j--------------------- DATEal_1 _ SIGNATURE:--------------------------------- CHASSIS CONNECTION 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. r,o ABESCO ENGINEERED COMBINATION TIE -DOWNS MANUFACTURED HOME TIE—DOWN CALCULATIONS AT SCHEDULES FOR SINGLE/DOUBLE/TRIPLE WIDES DESIGN & GENERAL NOTES 9E WIND --------- 15 PSF �F SOIL BEARING---- 1000 PSF dE TIE .DOWN STRAPS— 3150# WORKING LOAD TIE -DOWN STRAPS MEETS FEDERAL SPECIFICATION 00—S-781 H FOR TYPE 1, CLASS B, GRADE 1 STRAPPING AND BE AT t LEAST 1 1/4!' x .035 ZINC PLATED. L * EARTH AUGERS ------== 29620 TESTED TO 4750# MIN. db CROSS DRIVES -------- 2962# TESTED TO 4750# MIN. *CONCRETE SLAB ANCHORS — 1390# CALCULATED) GENERAL NOTES: �► _ _ . .-t t =.... - �. " 1. THE CHARTS SHOWN HEREON: ARE THE; REQUIRED NUMBER OF TIE—DOWNS ON THE SIDES OF THE MANUFACTURED HOME. 2. TIE—DOWNS ARE REQUIRED AT EACH CHASSIS BEAM, EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME AND CAN BE ANY OF THE TYPES SHOWN HEREON. 3. COMBINATIONS OF THE DIFFERENT TYPES OF TIE—DOWNS CAN BE USED. 4. IN THE.EVENT AN EARTH AUGER CANNOT BE INSTALLED DUE TO AN OBSTRUCTION, USE OF CROSS DRIVE'ANCHORS IS PERMITTED, PROVIDED THAT (2) CROSS DRIVES ARE INSTALLED FOR EACH EARTH AUGER THAT CANNOT BE INSTALLED. SEE PAGE #3. 5. FOR ALL TIE—DOWN INSTALLATIONS, THE' MFG'D. HOME CHASSIS MEMBERS ARE SHOWN AS "I" BEAMS. (FOR ILLUSTRATION PURPOSES ONLY) CHASSIS BEAMS CAN ALSO BE "C" SHAPED , OF RFC SHAPED. r,. END TIE—DOWNS CAN BE LOCATED WITHIN 24" OF EITHER SIDE OF CHASSIS BEAM AXIS AS SHOWN CHASSIS BEAM i N (ONE END 1 AT EACH N 18"MIN 7. THE SIZES, TYPES, LENGTHS, ETC. OF MATERIALS SHOWN HEREON ARE HEAVIER MATERIALS SUPPLIED BY *ABESCO MAY BE USED AT THE SAME ENGINEER APPROVAL p Q J W ''E OF CAN"'b���0�. 0 �) 0 C V W THIS TIEDOWN SYSTEM MEETS THE REQUIR ENTS i OF SECTION 1336.3. SUBSECTION (a), PACIFIC CONSULTING ENGINEERS 2150 BELL AVE. SUITE 145 SAC. CA. 95838 PH: 916-564-6028 W E—DOWN MANDATORY ND OF "I" BEAM) MINIMUM. LARGER, LONGER, SPACING & LOCATIONS SHOWN. STATE APPROVAL APPROVED SUBJECT TO CORRECTIONS NOTED Approval does nct authorize or approve any omission er devatica from requirements of applicable State laws and State of California D artment of Housing and CamimunitY DevelD?merl 0' DES AND STANDARDS I G%! Date 4:; Signature) r SPA NO Z �o This Plan Approval Expires 2 — �O— 'r Se � ABESCO I 5851 FLORIN-PERKINS ROAD SAC. CA. -'15828 PH: 916-383-8831 ABESCO TIE -DOWNS DRIVE ANCHOR CABESCO NAME STAMPED IN) HEADS OF TIE -DOWNS // #606 STEEL #406 PIER STRAP W/BUC BOLT -ON TOP #601 30" #614 STEEL T.D.A. STRAP W/HOLE #604 CONCRETE #602 48" SLAB ANCHOR W/ #615 CONCRETE #616 STABILIZER T.D.A. #SH 5822 SLEEVE SLAB ANCHOR PLATE ANCHORS (DRY) (WET) -------------•-----------------�-- --�--- SIDE TIE—DOWNS (SEE NOTE BELOW) SIDE TIE—DOWNS (SEE NOTE BELOW) I=mo Om � SINGLE WIDE o W ► 0 Z o W Z W W N [2'1 EVENLY( SPACED j� LENGTH VARIES T SIDE TIE—DOWNS (SEE NOTE BELOW) ow W� z Z DOUBLE WIDE W W W 2' EVENLY SPACED EVENLY SPACED EVENLY SPACED 2' LENGTH VARI NOTE: SIDE TIE -DOWNS: MUST BE WITHIN 24" OF THE',' END OF CHASSIS BEAM. N END TIE -DOWNS: CAN BE LOCATED 'WITHIN 24" c OF EITHER SIDE OF CHASSIS BEAM. ONE TIE -DOWN (SEEAO#1. GENERAL NOTE # I. BEAM. 6) PAGE 0 0 W IF SIDE WALL TIE -DOWN GROUND ANCHOR.LOCATION IS SUCH THAT THE ANGLE BETWEEN THE GROUND AND 0 STRAP EXCEEDS 60, CONNECT THE TIE STRAP TO THE W INSIDE CHASSIS BEAM ON DOUBLE AND TRIPLE WIDES CD AND THE OPPOSITE CHASSIS BEAM ON SINGLE WIDES. TRIPLE WIDE �1 1 1 , 1 I 2'1 EVENLYISPACED ( EVENLY(SPACED 12'l �1 1 LENGTH VARIES I I I EARTH AUGERS MAX. LENGTH OF 36' 54' 72' 59' 68' MFG'D. HOME MINIMUM NO. OF 2 3 1 4 7 8 SIDE TIE -DOWNS CROSS DRIVE ANCHORS MAX. LENGTH OF 36' 54' 72' 59' 68' MFG'D. HOME MINIMUM NO. OF 2 3 4 7 8 SIDE TIE -DOWNS CONCRETE SLAB ANCHORS MAX. LENGTH OF 34' 42' S0' 59' 68' MFG'D. HOME MINIMUM NO. OF 4 1 5 1 6 7 8 SIDE TIE -DOWNS CROSS DRIVE TIE -DOWN END TIE -DOWN .. ........... CHASSIS #406 PIER BOLT -ON TOP SIDE TIE -DOWN �Amel� zrl INSTALLATION INSTRUCTIONS .. .... . . . DETAIL "A" 1. INSTALL CROSS DRIVE ANCHORS INTO SOIL AS SHOWN. TYPICAL CROSS DRIVE (WITH STABILIZER PLATE 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES. IF THE GROUND SURFACE IS OTHER THAN 'ROCK OR MINIMUM 2" ASPHALT, INSTALL #616 STABILIZER PLATE. (STABILIZER PLATES MAY BE PREWELDED TO #607 CROSS DRIVE ANCHOR) OR INSTALL 12"02"x12" CONCRETE BLOCK. NOTE: IF A CROSS DRIVE IS USED WHERE AN AUGER COULD BE USED (IN LOAMY TYPE SOIL), THEN TWO CROSS DRIVES MUST BE INSTALLED PROPERLY IN PLACE OF THE ONE TIE -DOWN. BOTH CROSS DRIVES MUST BE STABILIZED AS SHOWN IN DETAIL"A". SEE PAGE #1, GENERAL NOTE #4. ...... ...... ...... ...... ...... ...... ...... CONCRETE TIE—DOWN INSTALLATION SIDE TIE -DOWN END TIE -DOWN CHASSIS #604 DRY #406 PIER 1. CONCRETE MUST BE A MINIMUM OF 3 11Z BOLT -ON TOP THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 #606 STEEL SQUARE FEET. STRAP 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12 FROM ANY EDGE. \I`:�`� �..r-�'#615 WET 1 PLACE CONCRETE ANCHOR INTO WET CONCRETE. 2. ALLOW CONCRETE TO PROPERLY DRY. CHASSIS CONNECTION . ....... ... 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. � STEEL 4y #614 STL. #606 #608 SPLIT STRAP S7RAP STEEL BOLT & NUT #607 CROSS "uNt ac STRAP DRIVE ANCHOR #616 STABLIZER PLATE GROUND I INE INSTALLATION INSTRUCTIONS .. .... . . . DETAIL "A" 1. INSTALL CROSS DRIVE ANCHORS INTO SOIL AS SHOWN. TYPICAL CROSS DRIVE (WITH STABILIZER PLATE 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES. IF THE GROUND SURFACE IS OTHER THAN 'ROCK OR MINIMUM 2" ASPHALT, INSTALL #616 STABILIZER PLATE. (STABILIZER PLATES MAY BE PREWELDED TO #607 CROSS DRIVE ANCHOR) OR INSTALL 12"02"x12" CONCRETE BLOCK. NOTE: IF A CROSS DRIVE IS USED WHERE AN AUGER COULD BE USED (IN LOAMY TYPE SOIL), THEN TWO CROSS DRIVES MUST BE INSTALLED PROPERLY IN PLACE OF THE ONE TIE -DOWN. BOTH CROSS DRIVES MUST BE STABILIZED AS SHOWN IN DETAIL"A". SEE PAGE #1, GENERAL NOTE #4. ...... ...... ...... ...... ...... ...... ...... CONCRETE TIE—DOWN INSTALLATION SIDE TIE -DOWN END TIE -DOWN CHASSIS #604 DRY #406 PIER 1. CONCRETE MUST BE A MINIMUM OF 3 11Z BOLT -ON TOP THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 #606 STEEL SQUARE FEET. STRAP 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12 FROM ANY EDGE. \I`:�`� �..r-�'#615 WET 1 PLACE CONCRETE ANCHOR INTO WET CONCRETE. 2. ALLOW CONCRETE TO PROPERLY DRY. CHASSIS CONNECTION . ....... ... 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. SIDE TIE—DOWN TIE -DOWN END TIE—DOWN "I" BEAM CHASSIS #406 PIER BOLT—ON TOP. Lo ,'.i , — SEE "I" BEAM CHASSIS '`..` NOTE #5, SHT. 1 FOR - TIE—DOWN INFORMATION #606 STEEL STRAP #614 STL.`"o STRAP �. 6d DRILL 9/16' HOLE AT MID HEIGHT OF BEAM, ' LL 1/27 A307 BOLT ,.. • -1i 3 "C" BEAM CHASSIS "RFC" BEAM CHASSIS SEE "I" BEAM CHASSIS SEE "I" BEAM CHASSIS NOTE #5, SHT. 1 FOR NOTE #5, SHT. 1 FOR TIE—DOWN INFORMATION TIE—DOWN INFORMATION SPLIT BOLT do NUT —, GROUND LINE #616 T.D.A. STABILIZER PLATE NOTE: VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL DETAIL "A" (TYPICAL) INSTALLATION INSTRUCTIONS 1. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTILL HEAD IS FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED BELOW FROST, LINE. 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. m CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. c - CONTRACTORS VERIFICATION - Z a 1 CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. 0 W COMPANY NAME:--------------------------- CONTRACTORS LIC.#--------------------- m DATE:------------ SIGNATURE:--------------------------------- INSTALL GROUND ANCHOR PLACE STABILIZER PLATE �'` ' FINISH TURNING ANCHOR :INTO GROUND LEAVING : EXT TO S : ; N HAFT BETWEEN r °' INTO THE G ROUND UNTIL 8"-12" OF SHAFT EXPOSED. ;'ANCHOR AND CHASSIS ANCHOR HEAD IS FLUSH BEAM, AND DRIVE INTO %'` WITH STABILIZER PLATE. GROUND. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. c - CONTRACTORS VERIFICATION - Z a 1 CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. 0 W COMPANY NAME:--------------------------- CONTRACTORS LIC.#--------------------- m DATE:------------ SIGNATURE:--------------------------------- BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School DistrictY VV ( Building Department No. . o A.P. Number Qs%— —53O—Q39�Jurisdiction: City County Property Owner Property Location/Address Subdivision Residential Development Fr No of Living Mobile ome Units Installation Commercial/Industrial New wilding Department Representative 0 Addition 092- DO% 1\ Qpi_. om%ll-e- Lot No. .................................................................................................................: Sq. Footage la4c) Addition/ 'Supplemental to (Group R) Conversion Permit # ' '(No foundation inspection); ................................................................................................................... Sq. Footage (Including Exterior Roofed Areas) oo Date (Floor Plans reviewed by School District Personnel) D'strict Identification No. 000163 ( 1 School District certifies that 'I —R) K.rCJ ",,j—ten ' �+•rt '. (S t Addressl) �e� has complied with the requirements of Resolution No. represe ti g (f square feet. School District Representative Paid by Check'# Pr Remarks: (State) 1 os�-90 AB 2926 (Applicant) 15-3 2 - (Phone Number) (Zip Code) by payment of $ a �I `7 Date 1\ /'r A n VLI.!' Ad ki . - ioljv\- . , Notice: You may protest the imposition of the fees identified above by submitting 'a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. 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 (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As (10i9eldmm 2, �' '--5 a � usc ()r6vl, Ile (26 () -3(a -5�0 --0 52- - BUILDING DIVISION ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. 7_nr) / Al�:� n /1� ASSESSOR PARCEL NO. %_& A I OWNER � - � � ,� 1 � PHONE NO. - OWNER'S AD S6 44f) f )V lI /� LOCATIO F DI G ` P� , V MV USE OF -BUILDING r SIZE OF STRUCTURE/ X - SO. FT. TYPE OF CONSTRUCTION: WOOD FRAMEy STEEL CONCRETE OTHER (Specify) TYPE OF SIDIPG biwif- ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $_:5� 1 tc AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT ZL— SIDES h b EAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, 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 - Signature of Owner Permit Fee - $60.00 The above describei Receipt No. - I Manage Building Divisior &By Pte—, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Buildin§4 'exempt from a b ilding permit. FLOOD Ix PA L P.D. i F Date l i I 1 1 71 ���� � u.�, �.� � - ��� /, COUNTY OF BUTTE - DEPAktMENT OF DEVELOPNMNT SERVIC", DULL#""\V 7 County Center Drive, oroville CA 95965 q, Phone: 916-538-7511 JAY EWING 4997 POWER HOUSE HILL RD OROVILLE, CA. 95965 DATE: l v r ao ? /� o �— C) 2 A. P. # D-Jb . With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm Mobilehome Utilities Installation Sheet Mobilehome Installation Information Shee -Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returne Plot plans, 3/4 sets, signed by preparer.of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, -with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a lief land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of S0% subdivision developed or (a) Road improvements completed (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. -Copy of recorded 60' . right of way to p road other: Should you have any questions concerning the above, please contact of this office. ­"I­ micrraei c.1 vieira, c.s.u. MCV:ahb Man ger, guilding Inspection A.P. # .3 t< OWNER 64i-/ ifTw i r''f PERMIT # a j ft MH UTIL. CLEARANCE DATE / 2. INSPECTOR ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE YES NO YES NO SIZE LOAD TYPE ISIZE LENGTH BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES ` 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm \implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. '-'2% _ � �"�O � ZONING OWNER PHONE NO. OWNER'S ADDR SS q 6 LOCATION OF BUILDING q USE OF BUILDING SIZE OF STRUCTURE V SSC x - sQ. TYPE OF CONSTRUCTION: WOOD FRAME STEEL -X_ CONCRETE OTHER (Specify) TYPE OF SIDING STE`- ROOF COVERING FLOOR TYP 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 `� �"�`'� SIDES y REAR a O r 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 7-3— OCA Signature of Owner 1 Permit Fee - $60.00 The above describe wilding is exefrf"pt fro Iding pe it. Q� FLOOD (PAPAELA 1.R NG ISS Receipt No. Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant O b ' c"4.'�} .r '� y�er .rT�, .�1:"�,�,,,n,. .��?r'Y., .,,.- r;.,.r 1,ew.•t.�.. ' to COUNTY OF. BUTTE. DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION (� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 . i � r •fr • PERMIT APPLICATION DATA SHEET OWNER:, ASSESSOR PARC ER: v�`v �8 0 Proposed Building Use:, Building Inspector: Date: Atm e_ofpermit applicati , I as a' e d d the following data must be submitted prior to permit roc ssing and/or issuance: Date Received By ❑ 1. All iiems have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed b -y.. the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- t] 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. -------------------?-------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 0 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .-----------,------- ❑ 10. Fees of $----------------=---------=---------------------------------------------------------- - ❑ 11. Impact fees as shown on the attached schedule. --- =------------------------------------------------------------ ❑ 12. California Department of Forestry plan approval/fees.'- ------ ==--------------------==------------------------- ❑ 13. Flood elevation certificate.-----------------------------------------------------------------------------------------.. ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- --------------------------------------------- 1117. ❑17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Prefor required Request to Building Inspector on "' (Date) ,inspection ❑21. Contractor's license information. (Number, Name Style, Classification).------------------------------------ --------------------------;'-----❑22. 022.Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----- .7----------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ----------------------=---------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- -------------- 1130. ❑30. other: ------- j . When you issue the permit, process a;iollows Mail to owner,,❑Mail to contractor. .P ' ❑Telephone and hold for pickup at office. ❑ Deliver with inspector. t Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: O Plan Check List 2. Additional items required Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by 'Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. .❑ 5PROVED bbNDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO AppROVAL PERMIT CLEARANCE Permit #: DO — 091 A6- Date: Genera/Information AP#: C 3 6- S3 ) - ©� 2 Owners Name: J 1�.1�!� j (j_ - Parcel Acreage: Owners Address: ¢ Building Site Address: L, �9 pQ-w� I -' H t �L Proverfvtnformation Permit Type: Agriculture Building ❑ Commercial ❑ Industrial ® Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel ❑ Septic ❑ Well ❑ Other Zone District: A r 7 Date of Zoning Ordinance: _ � —) t—) — 9 General Plan: AQ Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan ® No ❑; Yes Violation Area No ❑ Yes Specific Plan No ❑ Yes ❑ Chico ❑ D2N ❑ Cohasset Enterprise Zone No ❑ Yes, check use . � ❑ Floodplain No Yes I Zone: Panel Number: Watershed Protection Zone ja No ❑ Yes Proposed Use Complies With: ® General Plan 44 Zoning Proposed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Admin istrative Permit ❑ Accessory Building Use Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other Road and Drairage Improvements Required: ❑ No ❑ Yes Applicable Setbacks: Zcning Code Street & Hi hwa s Fre Prevention �" G J� L Front CD Side O 20 Side street Rear 2� Height Permit C/earance Septic Permit Review: Agriculture Affidavit Required ❑ No ❑ Yes Well Permit Review: Designated Well Site ❑ No ❑ yes Land Development Review: Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes 3arcel Created by: ❑ Deeds Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed Reference: Legal Access Required: ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Compiles with County Standards for Deed Creation: ❑ No ❑ Yes Comments: Map Date of Recording: Lot: 2-- Block: Book: Page: -onditions That Must be Met Prior to Issuance of Permit ❑ Verfy Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Corstrvction across property lines is not permitted (See Land Development for a Merger Applkatlon/Lot Line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Meet parcel size required by zone ❑ Meet current (cH0 requirements. ❑ Other :eneral Comments, Ii S�l�y Ig G-6 Butte County DeparLment ofDevelopment Services YVONNE CHRISTOPHER, DIRECTOR www.buttecount .netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING May 4, 2004 Name Jay D. Ewing 4997 Power House Hill Road Oroville, CA 95965 RE: Forma[ Warning Notice Butte County Code Violation 4997 Power House Hill Road, Oroville AP #036-530-032 Dear Mr. Ewing: Through our courtesy notice on March 11, 2004, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the following specific violations: 1. The accumulation of junk in public view. 2. The keeping of inoperable vehicles in public view. Your failure to eliminate the stated violations is cause for the issuance of this formal warning notice. This is notice that as of this date, our records indicate that the following violations to the Butte. County Code still exist: • Butte County Code, Chapter 24, Section 24-65 — Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are prohibited. • Butte County Code, Chapter 24, Section 24-95 - The AR — 2 1/2 (Agricultural - Residential, 2%2 acre parcel) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the AR zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. The determination that this violation exists on the property is based on the following definition in the Butte County Code: Jay D. Ewing AP#: 036-530-032 May 4, 2004 Page 2 Butte County Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. • Butte County Code, Chapter 24, Section 24-305.451 - Violator. An adult owner, tenant, occupant, resident or other person having possession, control or any other ownership interest in or the right of access to the premises, who is suspected or alleged to have violated or to be in violation of any Butte County Code provisions of the Chapters specified in Butte County Code Section 24-305.451. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: 1. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24- 305.240. 2. C4 Remove all inoperable/junk vehicles from the property. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises, the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Nicholas Hoekstra Code Enforcement Officer NH:cs cc: Department of Development Services, Code Enforcement 2 036-53-0-032 �' 00-1521 EWING, JAY . 4997 POWER HOUSE HILL jjJJjj'DD'"., ORO COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (53V 8-� 1 . /PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-330-032 ZOMNG BUILDING PERMIT OWNER JAY D 1 Ifl:s TELEPHONE 532-0:3!x2 SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4C,'D7 1-,. Y 71 7 T"AWS2 T117 -7.1D 02OVILT 7 I'89,0 5 CONTRACTORS NAME TELEPHONE CONTRACTORS MAIUNG. ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEEF LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS SA; L Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex C Mobilehome Ch. Other SPECIFY Each Trap 7.0023.00 Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe Work: V=- lane I.LEC Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service ioo. oA LEss 23.00 23. C0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm urder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,INjDN and my license is in full force and effect.POWEPPARATUS License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm urder penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SG 3.5aFT. p�Ip. MULTI- OUTLET @7,50 8 SINGLER AOUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 2041.00 BAL. @ .50 FIXED APPLNS. OR Ex. Occup. ourLETs RESID. EA. 5,00 Temporary Service 23.00 ' Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 41 CD WORKERS' COMPENSATION DECLARATION 1 hereby affirm urder penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensa-ion, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ f certify tha! 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �► X ��� /� .'� Date �� er© Sign-atur /of Applicant - ❑ O ne"r ❑ Contractor ❑ Agent An,OSHA permit is required for excavations over 60" deep and demolition or construction of strf tures overin height. MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. �� 1 By '' I �/ Date ?� o O Y PERMIT EXPIRES ON Dafe Receipt No. oc� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI G DIVISION a7 County Center Drive - Oroville, California 95965 • Telephone (530) 38-7,44 15- P7RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ((/�'' �� ASSESSOR PARCEL NUMBER 036-530-032 ZONING BUILDING PERMIT OWNER JAY D EWING TELEPHONE 532-0542 SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 4997 POWER HOUSE HILL RD OROVILLE 98965 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILOINGADDRESS SAME Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome CK Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities EX Installation ❑ Other ❑ Describe Work: UPGRADE FT EC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service ".A' OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. velI, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation 0f one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall Jwith comply with those provisions. ��Date / — f Applicant - O er ❑ Contractor ❑ Agentrmit is r it r excavations over 5'0" deep and demolition or constructionks ova or in height. Main Service TO 46.00So WEE200A NEW CONST. DWELLING OCC P. SO CC OR AD DNS. ( a ACC. BLDS. 3.50Fr. NOON-REOSIDT' MULTI.OUTLET 97.50 APPARATUS a swoLE ourLFr aR. - Ex. Occu OUTLET OR FIXTURES BA0 O I'� Ex. Occup. OUTLETS RES p OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPEB-I TOTAL FEE $ HAZ. p, FEES IMP FLOOD CDF PARCEL PD HD I aSu go This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. By '4 Date PERMIT EXPIRES O Dale Receipt No, 30i;:700 -Ll WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 CO&ty Center Drive - Oroville, California 95965 - Telephone (530) 538-754 P R IT NO. (Rev. 12/96) APPLICATION AND PERMIT ttr psi ASSESSOR PARCEL NUMBER _ 5, , 3 a ZONING BUILDING PERMIT OWNER c 1 r I._. (iC - SO. Fr, OCC. BUILDING VALUATION OWNER'S NO AD O 4TELEPHONE ^ CONTRACTOR'S NAME NE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS III Permit Fee $ Plan CheckingFee $ BUILDING ADDRESS L0�`. � ®�� I Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARC L MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome k Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesInstallation ❑ Describe Work: Other ❑ Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service -Gov OR LESS zo.A OR LESS 23.00 ' oL i Main Service 200A TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. SO OR ADDNS. ( a ACC. BIDS. 3.52FT; NEW CONS I. MULTI -OUTLET @7.50NON•RESID. BRANCH CIRQUffS POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES I'00 BALI � .SO EX. OCCU FIXED APPLNS. OR OUTLETS ESI,. E, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ _.T FEES IMP I FLOOD I CDF PARCEL p0 HD ISSUE 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. BY Date PERMIT EXPIRES ON re 67 PERMIT NO. 1 3 _ PERMIT EXPIRES- OWNER XPIRES OWNER I. -B. ' NUNT ,EY CONTR. nENFR ASSESSOR PARCEL 454-37 LOCATION 4997 Pntaar Hca Hill Rd Qrn Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALE[ Signature e X+ V = OK 0 Not OK = Not Applicable - Not Ready .f MOBILEHOMES 1 MISCELLANEOUS Date MOBIL O E UTILITIES (Plans) OK except It's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1&`0Z_qW<g 5equirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements o' ; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails _ W ; Location—T —Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing Electrici y; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6., ocation—Test—wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors Utility Clearance 11 7. Elec. Card -BI 071 Date)/7 Ca d-13 Date Card -BI Date Card -BI Date Card -BI OM Dote — and -Bl Date Card -BI Date Card -BI Date Date B HOME INSTALL TION (Plans) OK except It's Date POOLS (Plans) OK except q's n' "Requirements—Setbacks—Easements 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability G MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining Ele tricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI er; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed . Water and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 0< 8. Gas and Electricity Tagged ass 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit ' :�t_-fz, ; Insp.—Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B- Date Card -B Date ma�yy^ Card B -I Datpc 0Card- Date — ?e Card -BI Date Card -BI Date Qr Pe ff L V = OK 0 = Not OK ' - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec.`Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Root Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. _ 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except H's . 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p's 57. Smoke Detector 14. Water Ht.: Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection _ 17. Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _Shower Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails - 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64, Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except N's 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 20. Fixture & Transformer Clearance -Ins. Protection -- 21. 22_ Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic ❑Yes 24. 25_ 26. 27. _ 28. 29. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral _,Yes ]No Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances: Pane ls=Motors-Mech. Equip. 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Card B-1 Card B-1 30. Clothes Closet Light -Shower Light _ Date Card -BI Date _ -_. Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric Card -BI Card -BI 31. 32. 33. 34. 35. A.C. Ducts: Insulation & Support _ _ _ Vent Fan: Exhaust above Insulation - _ Condensate Drain & Overflow; Size & Grade Furnace -Vent Access -Comb. Air -Return Air Vent --1-15V outlet Attic Access & Platform if Furnace in Attic Date Card -BI _ _Date_ -_ Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates - - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's 3-6. Sills; Proper Material & Anchors 37. Walls_Studs-Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Slop in Walls (rat proof) 40. Fire Stops: Furred Ceilings -Stairs -Chases -Tub Comments at Final: _ 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shfhnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Afoc Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing _ _- (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 8911-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER A routine inspection indicates that the following violations of County Ordinance L'exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date /� o . �C E'�'yfY-.ai�1l�!'Y7t hTY`'^[`1- �i'.r.ypF+.y��s-+✓`Z�y �t�.,.�a 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 CQitRECTION NOTIC PERMIT NO. A routine inspeVon indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r Inspector '� Date �/ COUNTY OF BUTTE i DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine ipection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector//�/ Date MOBILEHOME INSTALLATION ACCEPTANCE ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 !PERMIT NO. 670 -9"? Address or location of mobi lehome gws e Rif Owner's name, R l`1U h :a I Owner's address c -' y, C' 'Insignia or hud number Manufacturer's name_ Serial number of V.J.N. (Official Approving Ins'Jollation Year of manufacture / .�7 ) — I (Dote) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. t 1`i 4 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. 6i'D -R/ 7 Address or location of mobilehome t� t Pl 1 J< �� s 'A i l Owner's name .T, 'R Ali Owner's address_ >*,„ Insignia or hud number—A/ 14 _ Manufacturer's name f' a Serial number of �U..I.N. � { �� Year of manufacture icial Approving Installation) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. Wit. s 5136 White -Owner, Yellow -Installer, Pink -D.P.W. A _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT P RMIT NO. , ASSES O PARCEL N MBER ^ ^�.7 O 1 G BUILDING PERMIT OWNE 1 TEL PHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING A RESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation js Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ten/, �}���., / L/ Permit fee $ r PLUMBING PERMIT Filing Fee 10.00 ,07 v /�`r Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MA �J Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome�M Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 'So 5.00 Mobile Home rVI _ 10.00 ea 34 TYPE OF ❑ ❑ WORK NewX AdditionRemodelUtilities Installation[] Other ❑ Describe work: _ S- 1� Permit Fee $ 40 Contractor ELECTRICAL PERMIT FilingFee 10.00 r / (p Main service 600V OR LESS 100 AMP OR LESS _ 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr S. , /20sgft New DDNS.( AUC TB OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occu 201110, p OUTLETS OR FIXTURES SAL@30 FIXED R I Ex. Occup. OUTLETS (RESID IREAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S — Misc. �yirin 15.00 g Permit Fee $ 5 -- Contractor WORKMEN'S COMPENSATION INSURANCE I decliare under penalty of perjury (check one): V 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 12/ 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. I 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 shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� 91 - �/1L�d�C� Date "f - l�� Signature of Applicant — Owner E]Contractor E]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 $ TOTAL PERMIT FEE $ 0 occuP. CONST.TYPc I Fri PARCE PD N Is u This permit is hereby issued under sions of the Butte County Code and/or sions work indicated above for which DIRECT OF PUBLIC BY PE EXPIRES Date— the applicable provi- resolutions to do fees have been paid. WORKS Date-q� Receipt NO. .21 WHITE-O.r.W.. YELLOW -ASSESSOR". PINK -INSPECTOR. GOLDENROD -APPLICANT -ry..,,.e,.u:�..+,yyr wasi '-`a`•a! i*.W+f r iii � .1. ly..fF � .,r..� �rfn . f, r .. .. r 9r1..•f ,i;.r � r. .�.;'W ♦ r' .,... COUNTY OF'BUTTE -DEPARTMENT Fkc LIC WORKS -BUILDING DIVISION LL ,v ' 7 COUNTY CENTER DRIVE - OROVILLE,,yQ, ,LIFQRNIA 95965 - TELEPHONE: 916/534-4541 y PERMIT APPLICATION DATA SHEET Permit No. 'OWNER /LG% A. P. No. Proposed Building Use �r Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor SSUanCe: DATE RECEIVED APPROVED 1. All items have been submitted. �/ K �2. Plot plans in duplicateltriplicate, signed by preparer of plans. 7 3. -Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ q%4 . . . . . •. 9. Letter of signature authorization. a'10. Sanitation approval from �r°�� ��`� Health Dept.. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . ��3. Contractor's License Information (no., name style, classif.) v/\ 14. Owner -Builder Verification (Given to owner, Mail to owner ❑•), 15. Improvements may be required. . • , • • • ..• �16. Mobi lehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to (Dote) Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the ermit, process as follows: Mail to owner, Mail to contractor. X Telephone �3�-G� fir\ and hold for pickup at�_office, Deliver w/inspector.. Other Applicant Q Date 4(4 ' `Z Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). /1. Index permit for above items No. ✓ 2. Additional items required: 1J I• r Contractor, designer, owner, was advised of above required data'by_phone_mail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW e -- TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location Plan Approved for: Hold final for: Sewage Disposal Final clearance yO.R. for: YClearance for _ I bedroom mobile home. Other NOTE * * * AP# Water Supply Water Supply Water Supply Sanitarian Date a' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, 'California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT �Z/ ASSESSOR PAR_C�FL NU BER Z NTNG ^ Y BUILDING PERMIT O N _ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWMAI A4n A1- - LI r.4I CONTRA TO ' NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN a Total Valuation $ Filing Fee ,$ 10.00 LENDER'S MAILING ADDRESS N Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /t/�+ (ill �/] _ LJ I Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeu6— Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiespQ Installation ❑ Other ❑ Describe wor D9 /.0 Permit Fee $ Contractor ELECTRICAL PERMIT FiIingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10 tyo Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS 1_110ENSE 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 f� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING O'C".a ,/2�SQft OR ADDNS. 1, ACC. BLDGS. NEW CONSTR. TI.OUTLET 2.50 ea NO N.RESID .BRA C CIRCUITS) POWER APPARATUS e\ (SINGLE OUTLET CIR. / Ex. OCCU OUTLETS OR FIXTURES 200601 p DALO 30 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )REA.� 2.00 Temporary service 10.00 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. ® 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 = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit./ d X���� Date_i� _ �`��- �v Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stori s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE I SCNooL I FLooD PARCEL PD I NO ISSUE 41-11 This permit is hereby issued under sions of the Butte County Code and/or work indic ted above for wh' h - DIREOF CT PERMIT EXPIRES the applicable provi- resolutions to do fees have been paid. IC WORKS Date ld-/V Receipt No. WHITE-D.P.W., YELLOW-ASDCSDOR. PINK -INSPECTOR. GOLDENROD -APPLICANT AP # 7101 OWNER PERmrr ,- 'TQ /�4 MH UTIL.CLEARANCE DATE—d O INSPECTOR/G�%''� ELECTRIC GAS Support Struc. Compactio: Test eq. Service Size Other Load Type Pipe Size Lerith YES NO YESI NO w•' COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 4= 2. 2.. I (have/have not) ✓N signed an application for a building permit for the ,proposed wort . 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 _„ 4 '�.�/ Address UCity Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PIT RMIT N0. ASSESSOR PARCEL NUMBER 3 G - 3� ONING fo2 ri BUILDING PERMIT OWNER.-/^ J r TELEPHONE ,SQ. FT. OCC. BUILDING VALUATION OWNER'S VA LING ADD SS CONTRACTO 'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$—� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX 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 ❑ Installations Other Describe work: _ Yo i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov oR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under Snail of perjury penalty p l y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N , OR AODNS. ACC. BLDGS. 2/zQsgft NEW CONSTR ULTI.OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp\/ OUTLETS OR FIXTURES 20®50¢ eALO 30 FIXED APPLNS. R 11 Ex. Occup. OUTLETS (RESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the'W. C. laws of California. 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �./ %� rl�ns��LL� 1J� Date 4-6 �7 Signature of Applicant — Owner ❑ Contractor ❑ Agenr ❑ 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 $ TOTAL PERMIT FEE $ occuP. CONST.TTPC oD PARCEL P ND suE This permit is hereby issued under $ion$ of the Butte County Code and/or work indicated above for which IREG 0 F PUBLIC BY PERMIT EXWIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat Receipt No. S.122 WHITE-D.P.W., YELLOW -ASSESSOR, PICK -INSPECTOR. GOLDENROD -APPLICANT .q -.v..... i _ a+ ..� ,. . 5'►''fir wt a ars L ` ,SS ` .�; r. , f ,." _ .p r I s , r "-P COUNTY OF BUTTE - DEPARTMENT .OF;PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,,,CALI.IFQRNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET F Permit No. OWNER A. P. No.3 & Sj — .32 Proposed Building Use' IT Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and1or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . �f 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid",Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. Fees of $ �Q . . , , , ., 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 3. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.), 7 91� AImprovements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . .Pre-Inspec. request to (Dote) Pre -Inspection for Required, Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permi t rocess as follows: Mail to owner, Mail to contractor. X Telephone �" /3 and hold for pickup atel^ office, Deliver w/inspector. Other npp Applicant .�ze,4-Z= Date y-4 -y7 Copy of plans sent Health Dept., Fire Dept„ Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, wa's advised of above required data by_phone_—mail 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 Date Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) %a.(l(0, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4.' I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address.. Phone Type of Work Signed: Property Owner' Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 3 IL-4. q 4, /0 F r- PUE Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half of the mobilehome. F-rom ' yS It I l E g W - UO L M NJ This set of plans and specifications MUST he kept on the job at all times and it is unlawful +o make any changes or alferAons on same without written permission from the Department of Public Works, County of Butte. le/` eei s /YI I NOTE.—:411 M terials s& Workmanship Shall Be Accordance witn Recognized Good Practices ann of a �ality pLical ribed for the Specified use in the Uniform Buildinlumbing & Machanical Codas add H� NationalEI Cod®. �lovs e n 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: 3. Is the site currently under permit? Yes --g No (If yes, furnish permit number/4j015"1,x;5 ='32 ) OR Is the site an existing site? . Yes No Z (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes ,© No (If no, clarify 5. What is the mobilehome electrical rating? --------------- -'".:" 6. What is the mobilehome site service rating? ---------- 7i Amps Amps 7. What is the mobilehome site circuit breaker rating? --- 2:srAmps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No 191 (If yes, identify the load and size: / v (Load) (Amps) 9. What is the mobilehome site gas pipe size? --`I 1-�� S i (in.) 10. What is the type of gas service? ------------------- Natural F-1 LPG [a 11. What is the gas pipe length from meter or tank to the mobilehome?------------------------------------------ * 12. What is the mobilehome gas demand? ---------------------= (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) am TF &UILDIN DOA:RTMEMI MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr-. furnish Setup Model No. Year Width (ft.) Box Length (ft.) Tagalong or Expando Size /v ft. x �ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's inst llation 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. Other (specify) SUPPORTS (check one) Eri. Concrete block. 1Z2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE i Main Beams Line 2 Main Beams — _ —S._ — — — — — — — — — — — 7tilnn: Tag or Triple !in Line L. Piers: Line 1 Openings: . Size -Min- ----------- Size -Min. ------------------ "x Spacing -Max. --------- „ Each Side of Openings From Ends -Max. ------- '_ With Width Over --------- Line 2 Piers: Size -Min. ------------ Spacing -Mas. --------- From Ends -Max. ------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ 'k Spacing -Max._______________ From Ends -Max.------------- _ Line 4 Piers - Size -Min .------------ k Spacing -Max.--------- Frcm Ends -Max -------- e 5 Piers: (Under Bearing Halls Only) Size -Min.------------------ Spacing -Max.--------------- From Enda-Max.------------- _ Line 5 Roof Loads: Size -Min. ------------ "x "x "x 'k 'k "x 'Sc "x Location (From Front) _ _ S491 _,. PERMIT NO. 241 PERMIT EXPIRES- OWNER XPIRES OWNER 0K CO CONTR. Paul Daugherty ASSESSOR PARCEL 36-53-32 LOCATION 4997 Power House Hill Rd, Oroville 'P t Signab a l I OFFICE COPY j Address II GAS Meter By Date f ELECTRI f Meter By x Temp. Pow(,__________ Called PG&E I, Temp. Elec. Service i C!ed PG&E Temp. Gas Service C �� Called PG&E140, A' t JOB FINALED (Date) Signab 0. _/=OK, O = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEj1 OME UTILITIES (Plans) OK except q's oning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS,'ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements L2!Soils tial MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors ewer ation—Test—Fall-C/0—Concrete ater; Location—Test—Easement Needed (Sketch) 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing Ele Ity; Location—Clearances—Grnd.—/ L**<b Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures be-das: Location—Test—Wrap:/ /"L"ft./ /"Nat. or j77'L"ft./ PG 6. Carports; Windows—Doors j,j• Utility Clearance 7, Elec.' Cty B '•: Date ;➢i Jn Card -BI Date Card -BI Date Card -BI Date Card -BI Date C)/ and -BI Date Card -BI Date Card -BI Date Date h&ILEHOME INSTALLATION (Plans) OK except k's ZoPing Requirements—Setba"cks—Easemerits Date POOLS (Plans) OK except N's 1. Setbacks—Easements r Footings; ize pacin Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas a nd Valy Con for 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricit MH Test— rossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI J Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI Water; MH Test—Regulat —Con 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ter and Sewer onnecte to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 4 jr Ga and Elecl icily T ged L 3 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit ts; Insp.—Sketch ` 1 Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B -I C,0 Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date l V = OK . < 0 = Not OK - = Not Applicable *: = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except#'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth - 4.7 Ftg.l Porches & Decks: Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel - 8. D.W.V. Fall -Fittings -Test -2 way C/O -Sewer Test _ 9. Gas Pipe; Size -Anchors 10. Water Pipe Test -Anchors -Regulator -Service Test Card -BI 11. Electric; Underground Card -BI 12. Plenums &_Ducts; Clearance -Material -Support -Ins. Card -BI Date 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Smoke Detector Date Card -BI Date Card -BI Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection _ Date Card -BI Date Date PLUMBING (Permit) OK except N's 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First -Tub Access 18. -Floor Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Card -BI Date _ Card -BI Date Card -BI _ Date Card -BI Date Date ELECTRICAL (Permit) OK except q's 20.' Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights_& Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners_ -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes __;No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances: Panels-Motors-Mech. Equip. 30. _ Clothes Closet Light -Shower Light Card B -I Date Card -BI Date Card B-1 _ Date Card -BI Date Date FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width-Headroom-Rise-Run-Landing-Fire„Protection 51. 52. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers - Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr-Access_ 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts. Insulation & Support - 32. Vent Fan: Exhaust above Insulation _ 33. Condensate Drain & Overflow: Size _& Grade _ 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet --- 35. Attic Access & Platform if Furnace in Attic -- - - -- - - - - - -_ Card -BI 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing-Landing=Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb: Air-Connector-P.R.V'.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E) Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 11 No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim: G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections _ 84. Gas -est -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Caid-BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Com Tents at Final: 36. Sills. Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops. Furred Ceilings-Stair_s_-Chases-Tub _ - 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthng.-Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access. Size & Romex Protection -Draft Stop -Ins. Battles 46. Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions _ 47. Garage Fire Protection Framing . (NOTE An entry must be made each time you visit job site) 513B White _ Owner,_Y flow - Installer, Pink ?r MOBILEHOME INSTALLATION ACCEPTANCE'. -`. 4 COUNTY OF BUTTE ;'; := DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER -DRIVE OROVILLE, CALIFORNIA — 534-4541 rt' j `,. . 'PERMIT �I o; .tNO.-� ) Address or location of mobilehome 4"7 S'7 � 79A " VS 'Owner's name X47 ° Owner's address (0 - t. Insignia " 17- or hud number t�_Ft�c� t t.h' _ Manufacturer's name Serial number of—V.I.N.. �^i�••�-7'C� Year of, manuff acture/ 17it (Official.Approving'Installotion) (Dote) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION,:,. ,� ACCEPTANCE SHALL- BECOME INVALID. THIS FORM SHALL NOT. BE USED'WHEN THE 's "i- MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM., .. `• 513B White _ Owner,_Y flow - Installer, Pink COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 t CORRECTION NOTICE n� 3,9, 3 6 VNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist "at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 1X73 WNER PERMIT A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation ' lease contact this office immediately. > x V Inspector_ C �'" "` Date—] COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway 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 matter, or need additional explanation, please contact this office immediately. Inspector_ Date _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORK§ 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 ' Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 i CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 5/r/ .f - Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0, 7 County Center Drive - Oroville, C0K6rnia 959'65 - Telephone 916/534-4541 (/ APPLICATION AND PERMIT a ASSES] CjR-PE^+NB R VIA z N BUILDING PERMIT O WN�EFJ(((/4q II^^ K rl T LEPHONE SO. FT. OCC. BUILDING VALUATION OWN M ING A RESS 38 r m CONT ACTOR'S NAME h TELEPHONE CO TO 'S M ILING ADDRESS Fireplace CONS CTION LENDER /211 UNKNOWN 1 Total Valuation $ Filing Fee $ LE DER'S MA LING ADDRESS Permit Fee $ ARCHITCT OR ENGINEER QJd LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ AT CT O ENGINEER'S MAILING ADDRESS R Penalty $ BUILDING A D Ess` r SeNit Permit fee $ /6� ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Ls- Solar or heat pump water heater 20.00 LOT NO. P, SUBDIVISION NAME I n PARCEL MAP 9 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [:1Duplex[]Mobilehome �] Other SPECIFYO Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 6—S49" /� 0.00 ea v TYPE OF WORK New ❑ Addition ❑ Remodel❑ Uti 'ties x Installation ❑ Other ❑ Describe work: o 6 _ Soo ,47 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I,. as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) [�] I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y , A " , /22sgft NEW ULTC. CONSTR.( OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS 6) SINGLE OUTLET CIR. EX, Occup( OUTLETS OR FIXTURES ez0a50C AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate / of Consent to Self -Insure. �7I I shall not employ any person in any manner so as to become subject to the W. C. laws of California. s Notice to Applicant: If after making this statement, should you become subject 1 to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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. S I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. d X 1 %�sr Date si -- o - F� , r � aZI 4 4 Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ' Occu P. CONST.1YPEJ I PLOOD PARC P. I D N ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By PE EXPIRES Date-ZI-�'% the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 6,3 /c' 67 WHITE-O.P.W-. YELLOW-ASeCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT f r •� y. . f .r � ,: . ,-, �, �� .ir y C, { �� - ,�' •, •� .r y� x COUNTY OF BUTTE - F� DEPARTMENTr.O.PUB,�IC WORKS - BUILDING DIVISION • f 7 COUNTY CENTER DRIVE - OROVIL fE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER OS Cc !�' �-� i1 V) A. P. No. `3 Proposed Building Use Permit Fee Based Upon Complete Contract Pri DPW Valuation Building Inspector C_17 -*7,/ nate � / 1 �i CZE At time of permit application, I was advised the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED /. All items have been submi . . . . . . . . . \Plot plans in duplicat triplicate. 3 Complete plans in duplicate/tri.plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 9. Fees of $ 9. Letter of signature authorization. 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 21! Certificate of Workmen's Compensation Insurance. . . . . . 616A 3. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to ownerE]) 15. Improvements may be required. . . . . . . . . . . . t? 16. Mobi1ehome Installation Data. . . . . . . . . . . Pre-Inspec. request to =' Pre -Inspection for Required. Building Inspector (bate) Y/(,(Date) Recorde 19 o9opypy of Agricultural knowlgd ment Statement . Other r i v e W0 (� to W you issue the per it, proces as follows: Mai owner. Mail to contr e a torA Telephone - and hold for pickup at 0 office. Deliver w/inspecoor. Other Applicant ��%��.,�r., ��Z.�c�^.y Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application., circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone.',e Mail Other By � Date Plans checked by. Plans approved by Other: Copy -DPW Date R 2i TO: 3uildin Frorr: :nvironnc,n c] Subject: Sanitation Plan approved fc.;::': Bold final for'. ;! . ; •>u�?l,l�. Final clearance: 0.'e;. ItC,1': eaa1,er supidy Clearance for i:'ee,''arl �tr I) trL TO: Building Department FROM:,Encroachment Permit Section NI RE: Driveway Clearance Ni 2�c_c= Z/ �ouJ owner _ location AP # Driveway permit? S has been .issued for the above property. i n�tur date QF EU f It GC1U4 1 T.G ,LH-MINIA Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT �1'T�c i ^t! 3T0 FF FOR RESIDENTIAL DEVELOPMENT F'kRT•{ 5E--30ViJly ►' Section 26-8.1 of the Butte County Code requires ' this acknowledgement 86 AUG 1'9 A14 IQ 27 be recorded prior to issuance of a building permit. N0 ELElah . E3ECf;CR The property described herein is adjacent to land or included.(�LEAK RECORDER, FEE within an area zoned for agricultural purposes, and residents. of. this property may be subject to inconveniences or' -discomfort arising from the use of agricultural chemicals, including, but not limited.to herbicides, pesticides, _ and fertilizers; and from the pursuit ofagricultural operations including', but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor.. Butte County has established,agricultural zones which have as a pec: priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from.normal, necessary farm operations. All that real property situate in the :County of Butte, State of California, described as follows Parcel 2, as shown on'that certain parcel Map entitled, "PMqCN OF M SE k OF SB=CN 36, T19N, ME, MD.M.", said Parcel Map was filed in :the Office of the Recorder of the County of Butte, State of California on July 6, 1984, in Book 97 of Parcel Maps, at Page . 36. Date: s o • State of �6 ) SS. .County, of PROPERTY OWNERS: 19 before On this the day of Q ' .�A me, the undersigned Notary Public, ' rsonally appeared �7 — ,Present A.P.,No. _1 — - c Personally known to me. ITI Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) ,�.> subscribed to �'" the within. instrument and acknowledged that ,�,,; ar �• Vic. executed the same for the. purposes therein contained. IN WITNESS WHEREOF, I hereunto.set my hand and official seal. Notary Public �7 — ,Present A.P.,No. _1 — - c i_ i { f .,-- � .....1 t h t..: - :.-. y F •�.• � ,-. '�{'`�.••�---lT^ i �' :. t 5 �• 1 I is i--i��--t t . 1 r_i (["�` .. _.1�.+_. �� , { � � 1 '� r j i' � -,.. {. F � � i � r i .'� i -..I -�... `, � ,',t`. t I , �- R f --{--� -� i. 1 1•-1 �L� f. � � 1 t . � I� _ ' � .., t 1 1 �f ✓! 1 t_r T,.� •c -J_.-,1 =- •{ 1 I ri , .• ., � L1 i.. _...i_ , .il .� �. Y -t I � .,� 1 ^�. }._�_ y _{_ � 1 1 i-, -/� .� �/.t..,---�.�i _ sY _ ���/ l --r .:. -i - 1•--I i. e.... I ; .i t {,.. t i..l..� _ t t� 'L.�JT—._.�. > _ !' � . � .- i ,� ' c x I _k.. i ti—'•—f- 1 � I. 1 ' � . � _ i f +I -1 � • -{ r`1 t 560•1- d t FT MINI:. i , i �,�{-.....}_i tR MOBIL t ,fir /' 77_ { ,120. -�--t t�%. on th Plaris m+ke ..}_, -' a job at land. : specific ' v ®f M. p�'gt4iie t : wry ��Y.cha,�9es a�f t�r�es ��d ��ons M.; q/ Nen,. or tt 100°_ qui .'/ �O6i. fog year ;�er,n� on alteratdo �s unlace v t ha s i ouh fi� 1he11 4.. on same +. { to 1 O f, �U1tgpa!`Imen ' f�thQul �1 F. `' i � 1 i • i T "�' (' - s - -;--1-j -t-1 --1- F .- � --F- , -+ J .. y=1_. �.�'_ ! r •- a _ t� � .1,� -: ;, ►- 1_.1. �r1 -i t:� ,city bl�a�. 4t_�tyP0 _I T TIZ X800�/eyfr�q�j +t}he `67`1oh_ie6; rte+ - -� t + ,-� �•-1-� � -� ; :: { � i-' 1 '-�.-i r; --i__� i--,�} �-� �ehp' %ap,, � W�j, i eit� (.t���1� � .�.;c�_ J.�,..i . f j'-4 -}�- h� pfd o f+ e r 1. 1._... G - �_i _.x { I_..a.._ •, 600 { 1 r t � -+ T � I y Y • _�..i 7'_I' T 'j t-�" r- S 'i ._1 ..4 }- � ' .T r•- { I -T- t'4 .i : (j .. I . 1 I I sir 7i-%% i40' _ - �,_ `.._l t ,� t i i _ _? 1 _i L 1,40 i i -` 2 > t. t y A + ' ' +—r TI o' 20' 40' 60' 80' 100' ..a.-;.,:120' 140' 160' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cafifornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMITN0. ASSES O PA CEL NUMB R 1,?XN BUILDING PERMIT owN r TELE'P'rro S( SQ. FT. OCC. BUILDING V LU I OW 'S MA.LINCy7DORESS / r Y►1 CO T CTO 'S N M TELEPHONE CONTRACTOR'S MAILING DDRESS L n Fireplace CONSTRUCTION LENDER UNKN N Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee /5 Energy Plan Checking Fee E$ $. ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS77 /'1� Y Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ro V Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [:1Duplex❑ Mobilehome[A Other SPECIFY_ Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE.OF WORK New❑ Addition❑ Rem d 1[:]Utiliti s In/st Ilation/� Other ❑ Describe work: F'CI r `F 1` 1 / — /� _ S = jJ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty p l y (Check one): of perjury ❑ 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.SINGLE 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.BI , OR ADONS. ACC. BLDGS. /20sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) OUTLET CIR. Ex. Occu 20050t Occup(OUTLETS OR FIXTURES BAL030 FIXED APLISIS Ex. OCCUp. OUTLETS (PRES(D )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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 said County in consequence of the granting of this permit. X c '�(u Date A9 Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Q Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYPFJ I IFLOODIPARCELI PD ND sSu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE!,WJ7EAPIRES Date the,applicable provi- resolutions to do fees have been paid. WORKS Date %/ �' Receipt No.Oza WHITE-D.P.W., YELLOW-ASSE SOR, PINI( -INSPECTOR, GOLDENROD -APPLICANT OWNER ,,,�.. .--•.T`t1.rs qr R "' i !, i r �:+K.l '•a aN vwf '`.,'i; -r1; .*. "rT'r s:f ":t 'a n?! COUNTY OF BUTTE- DEPARTMENTyOF PUBIIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,DGA-LfRORNIA 95965 -'TELEPHONE: 916/534-4541 'S PERMIT APPLICATION DATA SHEET .' J: ~? Permit No. lr A. P. No. Proposed Building U Building Inspector Date - th A At time of permit application, Iswas advised the following data must be submitted prior to permit processing and:/or issuance:, f DATE RECEIVED APPROVED 1. All items have='been submitted. _. . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer.of plans. . 3. Complete planslin duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans..and calcs, witti`wet signature on plans. 5. Plans with Energya,Qesign Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . ,1 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. 'Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14:.: Owner -Builder Verification (Given to owner, Mail to ownerEh Irnp -- ents may be required. . . . . . . . . . . . 6. Mobilehome Installation Data. . . . . . . . Pre-Inspec. request to . Date w 17.x`; Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. r3 i When you issue the permit, process as follows: Mail to owner, Mail to contractor. fir. Telephone .5 ��- ����% and hold for pickup atm it ffice, Deliver w/inspector,. Other :- Applicant .10 I — 96 441 Copy of plans sent Health Dept., Fire Dept., Other Date ' The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked Copy=DPw lans approved by Sets of plans on hold in File cabinet AP folder Date —Flours: 10:00 a.m. - 3:00 p.m. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name 2., Installer's Name: 3. Is the site currently under permit? Yes No. _ (if yes, furnish permit number ) OR Is the site an existing site? Yes No .� (If yes, furnish two 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? YesI A No ' (If •no, clarify C 5. What 'is the mobilehome electrical rating? --------------- f,� Amps '=-------.----- 6. What is the mobilehome site service .rating? `k7o 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 a No ---- (If yes, identify the load and size: (Load) (Amps) 9. What is the.mobilehome site gas pipe size? ----=-------=- 31(in.) 10. What is the•-type'of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter.or tank to the mobilehome?--------------------------------------------- (ft. 12. ' What is the 'mobilehome gas demand? ---------------------- �`0 (BTU) . _ *(This information not required if pipe.length less than 6 ft. on natural gas or less than. -50 ft. on LPG.) • BUTTE COUNTY BUILDING ®EPARTMEM ��RVE MOBILEHOME SUPPORT DATA / If other`than single wide, Mobilehome Mfr. furnish Setup Model No. Year Width 0 (ft.) Box Length�(ft.) Tagalong or Expando Size Z( ) ft. x__L(D 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).` 1. Wood -pressure treated or foundation grade. F1 2. Other (specify) SUPPORTS (check one) 1. ,Concrete block2. , Other (specify) , Pier Footing, Sizes 'and Locations,-.'-' SINGLE -WIDE Main Beams Lin e 2 —. — — Line 2 Main Beams Line .,j .— � t r� , — — — — — —• — — ins l — — — — — — — — — — — -I.- Tag or Triple 1.1na i Line 1 Line 1 Piers: Size-Min.------------ Spacing-Max - ----------- Spacing-Max. -•----y- From Ends -Max. Line 2 Piers: Size -Min .------------ Spacing -Max---------- From Ends -Max .------- Line 3 Roof loads: Size -Min.--``----- - Location (Piom Front) Line 1 Openings: Size -Min. ------------------ n u x Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ k „ Spacing -Max._______________ From Ends -Max .------------- 1_ Size -Min. ------------ 'k Spacing -Max.--------- ,- n From Ends -Max. ---___- Line 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ r� Spacing -Max.--------------- r_ n From Ends -Max .------------- '- Line 5 Roof Loads: Size -Min.----- ----- " nx rrx nx a ux a r,x n ux a nx n ux u Location (From Front) ..��..�._.....,.-ate r AFFIDAVIT OF COMPLIANCE WITH COUNTY ORDINANCE 2277 (ADDITIONAL DWELLING IN SINGLE FAMILY RESIDENTIAL ZONES) Applicant / Date 'Zone hV,5 AP # 3 3� Building Permit do declare, that the dwelling (Building Permit # ) at address (present) on, AP �� 5 3 3Z is intended for the sole occupancy of one" adult or two adult persons who are 60 years of age or over, and the area of floor space of the dwelling unit does not exceed 640 square feet. I also,.understand that violations of these provisions are subject to the penalties provided in Section 24-63A of the Butte County Code. Signed . A Dated - % I COUNTY OF. BUTTE Department of Public.Works r r`; 7 County Center Drive;., Oroville,.,CA 95965. Phone: 916-538-7541 _ r OWNER -BUILDER -'.VERIFICATION Attention Property Owner: f An ;owner -builder., building •.permit''haszbeen"applied, for in your 'name and"bearing- your •signature. Please 'complete tandtreturn•this`information at your earliest opportunity 'to avoid` unnecessary -delay in processing ind'issuing"your'-building permit: No building permit will be .'issued until -this verification is;received.; 1.• I personally.plan"to,provide the major labor -and materials for construction of the proposed property'improvement (yes or no),y� exp. 2. .•I. (have/have not") s-igned" an applications for a building permit forthe proposed work, .3. I have contracted with the following: person" (firm) oto provide the .proposed - construction: ,Name Address City Phone Contractors License No, 4., I plan to provide portions of this.worki but "I have hired the following person to. coordinate, supervise, and provide the ,major, work: ..Name Address City Phone Contractors "License No, 5. '•:I 'will .piovide "'some" of the work but+I have contracted (hired)- the following " persons' to provide the'work indicated: Name, Address Phone Type, of. Work d. Property Owner , Social Security 4luimber Date NOTE, • Thls Owner -Builder Verification is sent 'to you as required by Sections 19831 •and 19832 of the California Health and Safety Code. a' This' verification must be' completed and returned 'to our office before we are, per.. r. mitted to issue the permit, ALL FRONT SETBACKS ARE MEASURED FROM THE ULTIMATE EDGE OF THE RIGHT OF WAY iC rt 7 .y.-» .rt w++r a T• .w•e '+Ye^.a+,s+++.•.� �v�r �++• r •ev ra _- .•� .••;L 5...,-., �. ,..�, •"'�"' ,.bM^ �'�..-(+..«—1 ,A'� y..x .a --d ""'.` ;.w'r.'i "'�1'-�'•s.Ti" ..�-_.:+_.-.-.J — _ --- ---- ----f• THE 2007 CBC, -CMC, CPC, CEC, AND 2005 CALIFORNIA ENERGY STANDARDS AS ' I AMENOEO'BY THE JI_IRISOICTION APPLY TO THIS PROJECT. 1 N OTE: PROPERTY OWNER IS RESPONSIBLE FOR DETERMINING LOCATIONS OF PROPERTY LINES AND EASEMENTS AND MAINTAINING -REQUIRED SETBACKS FROM PROPERTY LINES AND {1 EASEMENTS. A SURVEY MAY 'BE REQUIRED IF i DETERMINED NECESSARY BY THE BUILDING IIID OFFICIAL. } ALL COVERED DECKS AND ' OPEN DECKS EXCEEDING 36 SQUARE FEET IN AREA WILL REQUIRE A BUILDING PERMIT j —y APPROVED PLANS-AND�_� PFRMIT RMAI I RF r1I� PITT — Fr.P Al I IRPPFr.TIr N1= CALIFORNIA CODE OF REGULATIONS TITLE 25 v I REQUIREMENTS AS AMENDED RY THE ._II_IRISDICTION APPI_V TO THIS PROJECT ,­_ l /,4 - BUILDING �l► r � - o• J PERMIT# (�c6,0% )3 ' ASSESSOR'S PLAN ING DIV ON BUILDIN PLAN APPROVAL PARCEL# 01 S -360 03 L 0b1 )cf0� ... Use. ate, BUTT � � APPROVED PLANS AND Pskih L dscaping: ��," ' f. yQ Ae g�� gy f. -" p PF i 11 RF rl 1 TF 1 's` J `�ILDIN G Df' l R M T H A N S I c Other „r _ Fr _Q .AI I IRPPFr'rTIr1NS c rY�' �14, , DOORS SIgnatuPo' . APPROVED , , -r F„- , y:� l .i tib' ;d i S 1 C 5 p t N G S WITH ! r . n F. / / LAN OMpLY i1.:t x LLC IONS v SHALL ECT ��. Op -7 CBC S 09.4 & r 1 01 0.6J 1 . i /AI fl , o / - oN,E -T,^ �y p55 /iNIPLY WITH CDF/ CAL FIRE REQUIREMENTS PRIOR TO BUILDING I. DIVISION FINAL. CONTACT CAL FIRE / _ �� . - -- �4. CALIFORNIA DIVISION OF FORESTRY r — FOR INFORMATION FOR REQUIREMENTS s+'rvo—�NS'PEOTIG'iv5. 41 NOTE .•� � --.. � V � 'PG�•� I'�NS�OI2N�� - .- .. SITE CONDITIONS . ENGINEERING MAY, BE REQUIRED•IF,ANY OF THE FOLLOWING SITE AAA CONDITIONS ARE OBSERVED AND NOT SHOWN ON THE APPROVED '{'! PLANS: ` r C U S E ONLY '' er�o.v_i_u a. EXCESSIVE SLOPES n ;,! Q F FOR or-r-icp,�ANT ['/i�CE.S Assessors Parcel -Number'. -,[0 ,. �' .,c. i : 1 � _ _� - EXPANSIVESOILS oo �e Zoning: ~; •`• - i . EXCESSIVE CUTS OR FILLS _ _ --- --- c, - — oWner Name � .-_.••,ALTERATIONS TO NATURAL: DRAINAGE ,G�S�2 _ � LE!"A - • PY �. o --� o General -flan Desig: --- ---.----- 1����� f +'F. QA POTHER UNUSUAL' SOIL OR; GEOGRAPHICAL . i — o Address /Phone No. Q .... N --- t3GN PLAN: Site. `!'-- CONDITIONS %4 C` Size, Acres __ - - -- - ----, .� USES:— Location �?'U. I a 's• i,�`�•?�+:�i>r o L � �s ` r 1�.4'�.�' t1 �t6�• �0,� ! ' ! �D /ITP797��'711-�- �.oa• Copy APN S P #0-6- Oe73 I