HomeMy WebLinkAbout026-020-0064
26-02-6
BERNICE MELVIN / bp 7
6 54 5, Lincoln B levdq.. Oro'vpil&le'
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ntr: Bi -County L,ghting-,& Elelormit #3031-77E(ele ser ch) SF
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26-02-6
02 -020-006 94-6366MfiI
Permit V -5.33-81P g�util.
ELEC.
MELVIN,-BERNICE
CONT: SKYCREST i ENTERPRISES
jo
GAS -574- 9'/ A14 -r
ppp SUPPORT STRUCTURE REQ. . 6545 LINCOLN BLVDOROVILLE
INSTALL MOBILEHOME EXIST SITE
L COMPACTION TEST REQ. AkZ0,�F(Wr
P e r mi t## 16 0-4-218-1 MH I
I s s u
93.3879 B
026-02_0-006-
MELVIN, BERNICE D, OROVILLE � ��'�t�
. INCOLN BLV
6545"L 'NORTH BUTTE CONST
CONTR-
DEMO SF
-
026-020 006 94-0405P,E(WH)
MEL - VIN,, BERNICE''
.CONT: NORTH BUTTE CONSTRUCTION----..
6545i -LINCOLN BLVD., OROVILLE-g
UTILITIES FOR MOIBLEHOME
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7105CT/48'14 2BEDROOM CATHEDRAL THRU-OUT (655 SQ.FT.)
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Honour NONCUT
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nost beautiful m�^�°• �= G^p ',ar• L�
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yo Chico, and e ' woo doosL ckehe Rd / 1 i
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park for the 9UTT EhR COUN�Y q / t rY ndl« 4
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PRODUCTION # 247$
DRAPERYs-:
7
�Merr- y¢ • {1t
SERIAL # 039941'0ki' I.
MISCELLAIVEOUS:�s
` Living RopmM7 CE—MAINLIM DRESDEN
l.: ADD
WDO TO LR �
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95
Dining Room: ,. CZE- INLINE• DRE3D I
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Master Bedroom: CONT VALANCE—MAINLINE HSIi$X'
Bedroom #2c.- WKWN NLINEDRESDEN
Bedroom #3:
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Baths:
Mini Blinds:. . LR.f DR/M$R
40
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2nd Bedroom
3nd.Bedroom'
4nd Bedroom
33
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SPECIAL INSTRUCTIONS: '
Carpet Pal. 318 jrVAMFPWD
Rolls:
Fireplace:
Engineering Feer
Cetaml4:T:
Grout;w.
"f' '
TOTAL OPTIONS
.
Hutch uflet Counter:
Cabinets Bookca'
se
R Counter:
a
BASE PRICE:
r
TOTAL COST:
13995
20
H: W: PSF: R:, LB:
FLOOR: R WALL: R CEILING: R
FREIGHT:
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District (. /!Z 131 &r Gs ./7//5/- Building Department No.
Or
A.P. Number 24- D 20 Jurisdiction City 0 County
Property Owner�-/C
Property Location/Address
Subdivison Lot No.
Residential Development 0
No. Units
ALiving MHI Addition
/ l T -e( O'k �06 ,; � t 1'_'
Commercial/Industrial �(Ous-6
Sq. Footage
(Group R)
Sq. Footage
New Addition (Including Exterior
District Identification No. 9401 0 9
Ut\ ] �� School District certifies that 2twice, WV )t�
A (Applicant) '
ba� 4 ` 1� ! %7r .
(Street Address) J I I (Phone Number)
(CRY)
has complied with the requirements rdt Resolution No
representingsquare feet.
1 1
School Distridt RepreidAtativ
Paid by Check Number
Bank Number
Paid by Cash
(State) (Zip Code)
by payment of $
V \ 1
Date
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 (CEGQA), 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) feeformmkl (4/92)
,.. -.r r._.:•..'�.-4:rr1.•iY:I :i �s74^i ,, •�S!,'r'V",�T:`t. ,'H�y�•••��v�.,.c- .+cssv/rr ,:+e?ev.�.� afq^Sr;,4: ;-•.• ,.yy r .twY
026-02-0-006 :,93-3879 B
MELVIN, BERNICE �•
BLVD,. OROVILLE
6545 LINCOLN
CONTR: NORTH BUTTEONST
;DEMO SF
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
Ass;7��'2t`�"—D"�Eio
Z°NlrP 11
BUILDING PERMIT
OWNER
BERNTCF '1'TI.VI''
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
POIT
500
OWNER'S MAILING ADDRESS
P 0 I3 X 294, PAI M"O CA 95968
CONTRACTOR'S NAME
"jOR114 f3U7I% CONSTRUCTTON
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
1784 PAIEM10 RTI. , PAIEPUtfO CA 959619
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
15.00
ARCHITECT OR ENGINEER
No"IT
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
6545 LINCOI N BLVD. OROVIILE
PERMIT FEE $
nn20.00
PLUMBING PERMIT Filing Fee
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SOLI Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel 1:1Utilities ❑ Installation ElOther a
Describe Work: D17,0I,ITION
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
r; APPROx SMSO. FT.
OR LESS
Main Service ( �gORLESS I
23.00
Main Service ( 200A TO ,000A I
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. OLDS. I
SO.
3.50 FT,
CONTRACTORS LICENSE LAW
I dg�e under penalty of perjury (check one)
'- I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and m license is in full force and effect.
y
License No. 3G S/G S Classification
❑ I, as the owner, or my employees with waged their sole compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
•NON-RESID. ( BRANCH CIRCUITS I
7.50
( POWER APPARATUS I
a SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FIXTURES
P• ( I
ZO 0 H.50
RAL. 50
Ex. Occu FIXED APPLNS. OR
p' ( OUTLETS (RESID.) EA. I
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
ertificate of Consent to Self -insure.
I shah not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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 ra Ing of this permit.
X_ r .` Date /�
Signature of Ap )can Owner ' ❑ Contractor Ll Agent
An OSHA rmit is required for excavations over 5"0" deep and demolition or
-✓onstructicn of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ -35 - OO
HAZ•
I D. FEES
IMP
I FIOOD
I CDF
PARCEL I PD
HD
ISS
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees havey�be
DIRp T6 OF PUBLIC WORKS
By ✓� /
PERMIT EXPIRES ON
(Date)
provisions
to do work
,
paid.
Date 12/6/93
12/6/94
ReceiptNo. 153787
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r
COUNTY OF BUTTE - DEPARTMENT OF DEVE4 0PMENT SERVICES - BUILDING DIVISION
-.1/7 County Center -Drive - Oroville, California 95965 - Telephone (916) 538-7541-LERMIT NO.
APPLICATIOWAND PERMIT ��
AS62r Pfff,L�NUdot
�f [,�J �J
zO MH1
BUILDING PERMIT
OW�NJEER,�
BERNICE MELVIN
TELEPHONE
0-1
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P 0 BOX 294 PALERMO CA 95968
CONTRACTOR'S NAME
NORTH BUTTE CONSTRUCTION
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
1784 PALERMO RD., PALERMO CA 95968
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
15.00
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
6545 LINCOLN BLVD., OROVILLE
PERMIT FEE $
119- n
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFX7 Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities D Installation ❑ Other
Describe Work: DEM(DLITION
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
(APPROX 800 SQ. FT.)
Main Service ( 1111 OR 200AORLESSS )
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( 8 ACC. BLDS. )
SO
3.50 FT,.
CONTRACTORS LICENSE LAW
I d re under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Coded Ii ense is in full force an fact.
License No. a Gm Classification .�
D I, as the owner, or my employees with wages At eir sole c mpensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI.OUTLET
NON RESID. ( BRANCH CIRCUITS )
@7.50
( POWERAPPARATUS )
8 SINGLE OUTLETCIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20
BAL. @ 1.00600
Ex. Occu FIXED APPLNS. OR
p' ( OUTLETS IRESID.I EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Bu ing Division a Certificate of Workmen's Compensation Insurance or a
a tiof Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabiliti judgments, cost expenses which may in any way accrue against said
Cou y consequence the a n of this permit.
Date �a�
ig ture of Ap 141 A5r ❑ A
Owner ❑ Contractogent
OSHA mit is required for excavations over 5"0" deep and demolition or
onstruction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
CONST. TYPE
TOTAL FEE $ 35.00
HA2.
D. FEES
IMP
FLOOD
CDF
PARCEL Po
HD
ISS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resol ions to do work
indicat a ova for which ees hav a paid.
DIRE F PUB ORKS
114 Date 12/6/93
12/6/94
PERMIT EXPIRES ON
(Date)
9eceiptNo. 153787
1`HITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
`
I■
-, ..
Demolition Permits
Asbestos Notification Statement
Date /.I A I
AP# DAG -b �D -��0
Pursuant to section 19827.5 of the California Health and Safety Code, all
demolition permit applicants are required to fill out this form.
"19827.5. A demolition permit shall not be issued by any city, county,
city and county, or state and local agency which is authorized to issue
demolition permits'as to any building or structure except upon the receipt
from the permit applicant of a copy of each written asbestos notification
regarding the building that has been required to be submitted to the United
States Environmental Protection Agency or to a designated state agency, or
both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations,
or the successor to that part. The permit may be issued without the applicant
submitting a copy of the written notification if the applicant declares that
the notification is not applicable to the scheduled demolition project. The
permitting agency may require the applicant to make the declaration in writing,
or it may incorporate the applicant'•s response on the demolition permit appli—
cation."
Attached is a copy of my written asbestos notification to the United States
Environmental Protection Agency for the demolition project located at
Signature of Applicant
sR
I hereby declare that a written asbestos notification to the United States
Environmental Protection Agency is not applicable o this demoli project.
Si to e Ap icant
2/19/91
61
-.�--.. -� . ... .. __ .'�' �.. -ry _.
� ..
. 3n3/-T�
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COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone! 534-4531
APPLICATION AND PERMIT
duuwnce representduves or the t,ounty of tuite to enter upon ine
above-mentioned property for inspection purposes.
X - -`i Date
Signature of Permitee or Agen'0
Receipt No. ' �^
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By - Date
• Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor �; 1 ♦r,rfr'j�r/ ��r`.l fir i�` if f_�r.'
Total Valuation
/ r /
Mailing Address ! /!�l�
Permit Fee
Plan Checking Fee &/orPenalty
-
Telephone No.
Permit Fee $
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
/
-,
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
//
A. P. No. - U �— l'
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans -Recd. I
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 ; pG
t s rj�i �` �i�JG
Main service ioOOo AMP OR1 OR SLESS 5.00
i
Main service EA. ADD -L 100 AMP 2.50
Main service OVER soov 25.00
100 AMP OR LESS
Single Family 0 Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( DWELLING OCCUP. &) 22sgft
OR ADDNS. ACC. BLDGS.
NEW CONSTR. MULTI -OUTLET
-NON.RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTF;L (POWER APPARATUS .&)
NON RES SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
stylef
o:
r.- r . r.. •' / �, i C .
Ex. Occup(OUTLETS OR FIXTURES) BAL210
FIXED APP LNS. OR
Ex. Occu 2.00
p•(OUTLETS (RESID.) EA)
Temporary service 10.00
Mobile Home Facilities 15.00
License No. ' - +' Classification , �/
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certily that in the performance of the work for which this
El permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$ I
duuwnce representduves or the t,ounty of tuite to enter upon ine
above-mentioned property for inspection purposes.
X - -`i Date
Signature of Permitee or Agen'0
Receipt No. ' �^
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By - Date
• Building permit expires Date
- - COUNTY OF -BUTTE- — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Tel-phone:'534-4541
APPLICATION AND PERMIT
_ BUILDING
SQ. FT. OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee _
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
Owner AV
PERMIT FILING FEE
Mailing Address
sooV OR LESS
100 AMP OR LESS
Main service
Telephone No.
Contractor`��
OVER 600V
100 AMP OR LESS
Mailing Address
EA. ADD'L 100 AMP
elep one No. /
B ilding Address,
NEW CONSTR.
Nnr.l-RFSIr).
/
Ile -
A. P. o. W 6),
Zoning & Planning
esI
I U-),�on
Fire Dept.
Fire Zone
Use Permit
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Improvements_
Bldg. P! m -Real- I
Parcel Approval
Plans Approval
NEW ❑ ADDITION ❑` UTILITIES ❑
OTHER
Single Family Duplex ❑ Mobil Home ❑
Others ❑
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
License No. e Classification
_ BUILDING
SQ. FT. OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee _
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service
sooV OR LESS
100 AMP OR LESS
Main service
EA. ADD'L 100 AMP
Main service
OVER 600V
100 AMP OR LESS
Main service
EA. ADD'L 100 AMP
NEW CONST./
OR ADDNS. `
DWELLING OCCUP. &
ACC. BLDGS.
NEW CONSTR.
Nnr.l-RFSIr).
(MULTI -OUTLET
1 BRANCH CIRCUITS
Ex. OCCup(OUTLETS OR FIXTURE
EX. OCCU FIXED APPLNS. OR
P• OUTLETS (RESID.) EA
Temporary service
Mobile Home Facilities
Misc. Wiring
LJ I am exempt from the Contractors License Laws of the State of California. Permit Fee
WORKMEN'S COMPENSATION INSURANCE MECHANICAL
PERMIT FILING FEE
I am aware of the provisions of Section3700 of the California Labor Heating
Code which requires every employer to be insured against liability
for orkmen's Compensation.
JoKhave placed on file with the County of Butte a certificate of Cooling
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this Ventilation
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of Hood
California.
Permit Fee
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for ' ction purposes.
X X fA Date 4,.W11?
Signature of Permi ee or Ag t
Receipt No. I V�///
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
@
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
$3.00
5.00
2.50
25.00
1.00
1-7,-1
t-11
FEE
FEE
TOTAL PERMIT FEE $
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR UBLIC WORKS
By Date 6- —21- 77
wilding permit expi— 7
res Date 6 Z7;T
' tie. ®��
�-
LAND OF N A T U RAL W E A L T.H AND B'E A U T Y
UPARTPAENT OF PUBLIC HEAUH
DIVISION OF ENVIRONMENTAL HEALTH
Address ❑ 695 Oleander Avenue, P.O. Box 1100 '7 County Center Driva ❑ 747 Elliott Road
Reply to Chico, California 9597.7 Oroville, Caiifor.ila 95965 Paradise,- Cal i-ornia CSV52
Telephone: 916/891-2727 Telephone: 916/034.4281 Tale-phcne: 916/ 3:2-2951, Ext. a• -
April 2?, 1982
Bernice P. Melvin
6545 Lincoln Boulevard
Oroville, CA 95965
Dear Mrs. Melvin:
This is to advise you that pursuant to Section 19-19 of the Butte
County Code, the Board of Supervisors has approved a variance r`ea�ewal
to Sections 19-10 and 19.-12 of the Butte County Code for the continued
use of a mobile home on your property located at 6545 Lincoln Blvd.,
Oroville, CA and identified as Assessor's Par^el Number 26-02-006.
This variance renewal was granted. on March 30, 1982 and includes the
foil -owing conditions:
1. The variance renewal is granted only for a term of one year. At
the end of one year you must apply for a ne,,, variance if the use .is to
continue.
v_
2< if the applicant residing in the mobile home or conventional -
residence moves to another location or is deceased, the variance
automatically expires and the mobile home shall be moved within 120
days. If the mobile home is not removed within 120 days, the County
may remove said mobile home and store it.at the owner's expense.
Very truly yours,
Lynn. Vanhart, Director
Division of Environmental. Health
LEV/lld.
cc: Clerk of the Board
Pl ing Department
ilding Department
'1')b Memorial Way
Address ❑ - -
Chico, California 95927
Reply to' Telephone: 916/8914727
Bernice P. Melvin
654.5 Lincoln Blvd.
Oroville,. CA 95965
Dear Mrs. Melvin:
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
7 County Center Drive ❑ 747 Elliott Road
Oroville, California 95965 Paradise,. California 95969 -
Telephone; .916/534-4281 Telephone: 916/ 872.2961, Ext. 58
February 20,. 1981
This is to advise you that pursuant to Section 19-19 of the Butte
County Code, the Board of Supervisors has approved a variance to `
Sections 19-10 and -19-12 of the Butte County Code for the placement of
a mobile home on your property located at 6545 Lincoln Boulevard,
Oroville, CA and identified as Assessor's Parcel Number 26-02-006.
This variance was granted on February 17, 1981 and includes the
following conditions:
1. The variance is granted only for a term of one year. At the end
of one year you must apply for a new variance if the use is to continue..
2. If.the applicant residing in the mobile home or conventional
residence moves to another location or is deceased, the variance
automatically expires and the mobile home shall be moved within 120 days.
If the mobile home is not removed within 120 days, the County.may remove
said mobile home and store it at the owner's expense.
3. The mobile home shall be placed on the property without violating
any of the setback requirements of the zone in which the property is
located.
4. The applicant shall secure all necessary sewage disposal, electrical,
plumbing and building permits necessary to install the mobile home.
Very truly yours,
Lynn E. Vanhart, Director
Division of Environmental Health
LEV/lld
cc: Clerk of the Board
Planning.Department
Building Department
f
1
RESIDENTIAL
026-020-006 94-0366MHI
MELVIN, BERNICE
CONT: SKYCREST ENTERPRISES
INSTALL MOBILEHOME EXIST SITE
6545 LINCOLN BLVD., OROVILLE S. 3
t
JOB FINALE
Signature
- � _ --_ -= -1
OFFICE COPY
Address
GAS
D.
Meter By
ELECTRIC
Meter By
Dam +
V=OK
O = Not OK
Not
= Not Ready Applicable MOBILE HOMES
Date/Initials MOBILE NOME UTILITIES'(Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch a
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
S. Electricity; Locatlon-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L"It. 1
/ /"Nat. or/ /'L"ft./ /"LPG r
7. Well Clearance & Disconnect
& Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a
1 oning Requirements -Setbacks Easements
ootings;,Size-Spacing-Marrlage Line
as; MH Test-Demand-Valve—Connector
4. El2�,, MH Test -Crossovers -Breakers -Clearances
5. Dest-Fall-Flex Connector I
-41L , WIFI Test -Regulator -Connector
LZ.JAIetern Sewer Connected -C/O to Grade -HD Approval
nd Electricity Tagged
ts; Ins - tch
of pcupycy i
{
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg -Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mash
10. Roof; Shthg-Roofing
11. Ext.; Steps-Dobrs-Landings
Date/Initials POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures -Pane lboards-Ins. to Mein in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
b=OK
D = Not OK
= Not Applicable RESIDENTIAL
' = Not Ready
Date/Initials _U_NDERFLOOR (Plans) OK except #'a
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Mein; Soils-Elec. Grnd -/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6s. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ina.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except ft's
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nati Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except M's
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 17 Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except of s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except M's
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Choses -Tub
44. Headers & Beam -Size & Bearing
Single & Duplex)
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52.. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54, plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except M's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic i7 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor O Yes
80. Following instld.; Drive ❑ Yes O No; Walks E3 Yes O No;
Planters O Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; PIbg-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
` PERMIT NO.
Address or location of mobilehome `-'" v / •�~ ���" `�
Owner's name &ERN1C5 4 y f
Owner's address /n c�
Insignia or hud number V .37d — G ^
Manufacturer's name / v S -.r
Serial number of .I.N. "' G Year of anufacture
(Official Appro g-lnstallotion) (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.
513B White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California '95965 - Telephone (916) 538-7541 PE2T No.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
026-020-006
ZONING
ARMH-1
BUILDING PERMIT '
OWNER BERNICE MELVIN
534- TELEPHNE 6967
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 6545 LINCOLN OROVILLE 95965
CONTRACTOR'S NAME
SKYCREST ENTERPRIGES
I TELEPHONE
342-2894
CONTRACTORS MAILING ADDRESS
13468 HWY 99 CHICO CA 9592
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
S23-00
ARCHITECT OR ENGINEER
uCENSE NO.
Plan Checking Fee
$ -
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMIT FEE
$ 41 -nn I
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAMEPAflCEL
MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome go Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ElAddition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe Work: XX MHIlimaELECTRICAL
PERMIT FEE
$
Contractor
PERMIT
Filing Fee 20.00
Main Service ( 800V OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
SO.
3.50 FT.
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
CONTRACTORS LICENSE LAW
I decII under penalty of perjury (check one)
C�I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions CoAe and my license is in full force and effect.
License No.d _A11,2 Classification
El I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
( POWER APPARATUS )
& SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FIXTURES
P• ( )
20 @ 1.00
BAL. 50
Ex. Occup.FIXED .)OR
( RESIEA. )
OUTLETS (RESTD.E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
O Timis permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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.
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
of the granting of this permit.
County ' conseftL,
X Date
Signature ofpplicant - ❑ Owner ElContractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $ 100.00
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL F
HAZ.
I D. FEE
IMP -
COF
PARCEL PO
-
HD
I.0
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By %� lit/ "Y
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
.J
/Date!
Receipt No. 156137 143.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .
O" (o 0 0O
COUNTY OF BUTTE — DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 — TELEPHONE (916) 538-7541
OWNER u�rj2i✓I
LLS /�C �V/vt/
. # O 80c
A.P.-Zto - • Z0 --Doc,
PROPOSED
BUILDING USE
DATE Z//(P,�'y
REC. # DATE REC
1.
SCHOOL DISTRICT FEES
(paid at District Office) .........................
O ��
2.
SHERIFF FEES
(paid at Building Department)
Residential...... x =$
unit amt.
Commercial (sqft) x =$
sq.ft. amt.
3.
URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x =$
# units amt.
Commercial *(per sq.ft) x =$
sq.ft. amt.
.4.
RECREATION DISTRICT FEES
(paid at District Office) .........................
5.
DRAINAGE DISTRICT FEES
(Contact Land Development Division).,............
6.
SRA FIRE INSPECTION AND PLAN CHECK = $89.00......
(paid at Building Department)
7.
OTHER
8.
OTHER
At time of
permit application, I was advised the above fees are required to be.paid
prior to issuance
of the permit.
APPLICANT
DATE
COUNTYOF BUTTE - DEPARTMENTOF
7COUNTY CENTER DRIVE - OROVILLE,
95965 - TELEPHONE (916) 538-7541
r
PERMIT APPLICATION DATASHEET
OWNER G &-7L PV/ L s r// �- P. No. O
Proposed Building Use cS1l Building Inspector — Date Z ! 7�41
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY r
1.
All items have been submitted . ........................ :...............
2.
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3_
Complete plans, 3/4 sets, signed by preparer of plans ...... .
.4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form . .......................................... .
6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent four Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check). ... .
�8
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $.........................................
11.
Impact fees as shown on attached schedule. ............................. .
2.
California Department of Forestry plan approval/fees. ....................... .
V4Flood
elevation letter (100 year flood) by California Engineer . ................. .
4.
Sanitation and plot plan approval Health Department . ............
15.
City of Chico plumbing permit . ........................................ .
16.
Plot plan and business license approval from City of Biggs/Gridley. .............
17.
Planning approval for (A) Use: (B) Parking:
18.
Contact Land Development.about (A) Improvements (B) Drainage. ...........
19.
20.
21.
Driveway,permit (construction approval required prior to occupancy). .. .. ...
Pre -inspection for to P'�'"�P"I �""reqedo° t
required. .. sued "9 epr (Date)
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ..........................
23.
24.
Owner -Builder Verification (Given to owner , Mail to owner .......
Recorded copy of Agricultural Acknowledgement Statement . ................. .
25.
Letter of signature authorization . .........................................
26.
27.
28.
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 . ..........................................
29. Documentation of legal access . ..................... :..................
30�- Documentation of 50% subdivision developed or (A) Road improvements completed
f' and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits .......................................
32. Plan checklist . ...................................................
33.
'14
When 66 issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone S3V40%.e) and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No. '
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counte _ Date
Plans checked by Date Plans approved by A4,P 7 Date 4
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Woiks
i
OWNER i �% (_/i�=„ L4
PERMIT -# q q
MH UTIL.CLEARANCE DATE
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compactioi
Test Re .
Service
Size
Other
Load
Type
Pipe
Size
Length
YESI NO
YES NO
BUTTE COUNTY DEPARTMENT OF PUBLIC -WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541
s
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: ��i,�l r Melt//h
2. Installer's Name:
3. Is the site currently under permit? Yes No
(If yes, furnish permit number 70 ) OR
Is the site an existing site? Yes No
, F-1
(If yes, furnish two plot plans.)
4. Will the mobilehome be located at least 5 -ft. away from septic tank and leach
fields and clear'of all setbacks and easements? Yes a No U
(If no, clarify
5.
What is
the
mobilehome
electrical rating? ---------------
Amps
6.
What is
the
mobilehome
site service rating? -------------
� Amps
7.
What is
the
mobilehome
site circuit breaker rating? -----
/cG Amps
8. Is there any other electric load to be served by the
mobilehome site service? -----
--------------------------- Yes No
(If yes, identify the load and size: (Load)
(Amps)
9. What.is the mobilehome site gas pipe size? -------------- I-Zl (in.)
10. What is the type of gas service? ------------------- Natural LPG
11. What is the gas pips length from meter or tank to the
mobilehome?- ------ -------------------
*_12. What is the mobilehome gas demand? -------
--------------- �� a, (BTU)���
r *(This information not required if pipe length less than.6 ft. on
natural gas or less than 50 ft. on LPG.) 6U FTL COUNTY
3UILDING DEPARTMENT
= .�� APPPOvpr
AX DATA
If other than single wide,
Mobilehome Mfr. furnish Setup Model No.
Year 1523
Width &(ft.) Box Length Tagalong or Expando Size. ft. x ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's ,installation
manual and structural ---setup sheets (if not on file with the County of Butte).
FOOTINGS (check one) //(1. Wood -pressure treated or foundation grade.❑ 2. Other (specify)
SUPPORTS (check one) F1. Concrete block. 1:1
2. Other (specify) IP -Q/ ei�r
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI:
Line 1 Piers:
Size-Min.------------
Spacing-Max - ---------
From
-----------Spacing-Max----------
From Ends -Max .-------
Line 2 Piers:
Size-Min.------------
Spacing-Max ----------
From
-----------Spacing-Max----------
From Ends -Max. -------
Line 3 Roof loads:
Size -Min. ------------
Location (From FronL)
Main Beams
1.7 --
-Ma Beams
------•-- — — —
Tag or Triple
Line 4
Line 1
Line 1 Openings:
Size -Min- ------------------ r; „
Each Side of Openings
With Width Over ---------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min ----------
Spacing -Max.---------------
From Ends -Max .-------------
Line 4 Piers:
Size-Min-------------
Spacing-Max ----------
From
------------Spacing-Max.---------
From Ends -Max.------- _
Line S Roof Loads:
Size -Min. ------------
x "x "x
Location (From Front)
e S Piers: (Under Bearing Walls Only)
Size -Min .------------------
,k
Spacing -Max.---------------
From Ends -Max --------------
tints ti%��oi..
Page No. 2
02/05/96
•
DONE PERMIT TYPE DATE DATE ROAD NAME OF
? NUMBER ISSUED EXPIRED DIST. APPLICANT
960046 M 01/24/96 01/31/96 R6 LEE, V.E. INC.
960056 M 01/24/96 01/24/97 R4
960066 U 01/29/96 05/29/96 R3
960027 M 01/11/96 01/25/96 R5
950037 E 10/18/96 09/18/96 R6
960047 M 01/24/96 01/31/96 R6
960057 M 01/24/95 01/24/97 B
960067
S 01/29/96
05/29/96
R3
960028
E 01/11/96
01/11/97
R6
960038
M 01/18/96
01/19/96
R5
960048
E 01/23/96
02/23/96
R1
960058
M 01/24/96
01/24/97
LB
960068
E 01/29/96
01/19/97
R6
960029
E 01/11/96
/ /
R6
960039
U 01/18/96
03/18/96
R2
960059
M 01/24/96
01/24/97
LB
960069
E 01/30/96
04/30/96
B
960001
F. 07/02/96
07/02/97
R1
BURNS, R&T
CAL WATER
MOBILE HOME SERVICE
DEEMYAD, H.R.
LEE, V.E. INC.
BURNS, R&T
WEST VALLEY CONST.
BROWER, RALPH L.
DAVIDSON, JAY & SONS C
SCHERICK, EDGAR J.
BURNS, R&T
MARK, VIRGINIA
CAL. DEPT. OF TRANSP.
PAC BELL
BURNS, R&T
DUDLELYS' UNDERGROUND
HALSTROM. LEE.
REMENTIAL
V=OK
O=Not OK -
Not = Not Ready MOBILE
MOBILE HOMES
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Solis; Special MH Support Sketch
3. Sewer; Location -Test -Fell -C/O Concrete
Water; Location -Teat -Easement Needed (Sketch) I
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
t, 6;.Ges; Locatiop-Teat-Wrap /"L"ft.
L/ Net. or/ /'L'Yt./ /"LP
Well earance & Disconnect
tllity Clea nc I
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a '
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line I
3.. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test-Crosaovers-Breakers-Clearances
5. Drain; MH Test -Fell -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged )
9. Exits; Insp.-Sketch
10. Cert. of Occupancy I
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joista-Decking-Bracing-Stairs-Rails
4. Wood Awn.; Posts-Beams-Rftrs: Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Truases
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5.Elec.; Pool Lighting; 15 volts-GFI
-6 . Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9.Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
O = Not OK
- = Not Applicable RESIDENTIAL
= Not Ready
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
& Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Materiel -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Neil Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Mein Disconnect
31. Equip. Clearances Panels -Motors -Meth. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'a
39. Sils, Proper Material & Anchors
40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Wells (ret proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
(Single & Duplex)
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ina. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Lending -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor O Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF,DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center brive - Oroville, California 95965 - Telephone (916) 538-7541 C4.PE_ RMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 026-020-006
ZONING
ARMH 1
BUILDING PERMIT
OWNER BERNICE MELVIN
534 -6967
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 6545 LINCOLN OROVILLE 95965
CONTRACTOR'S NAME NORTH BUTTE CONSTRUCTION
533.2840
CONTRACTOR'S MAILING ADDREn84 PALERMO RD 95968
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
23.00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 6545 LINCOLN
PERMIT FEE $
23.00
OROVILLE CA 95965
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome CXXOther
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S 16 m
@20.00 60.00
TYPE OF WORK
New ElAddition ❑ Remodel ❑ UtilitiesA Installation O Other ❑
Describe Work: r`
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( III OR III
00AORLESS )
23.00 23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLDS. )
So.
3.5C FT.
CONTRACTORS LICENSE LAW
I declpe'under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effeet�
License No. _5L �[� 6 S- 3 Classification
',`�[��%S
❑ I, as the owner, or my employees with wages as t err so a compensation, 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 contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
6 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
0
BAD 01.5550
ExFIXED APPWS. OR
. Occup. (OUTLETS IRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
P,'[ have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
63.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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 onsequence of th rant'ng of this permit.L
X Date19
Sig a re of A Icant O Owner O Contractor Agent
An OSHA p rmit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FE 166.00
Lz.
D. FEES
IMP
r-
corPApCfj
PD
HD
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�zo D to 2 28
PERMITEXPIRESON 2
(Det
Receipt No. 156239
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
j'�+'"/`"�vrti1.^"_vii V'�+-r�^�.;,�aia-a.t'.t*yc s�:.�"�„it„�q��„+�i�n'.�• w����,.�r 5;;.�.y',.;J•f�'sr-�;;�,r-`'�•r-r...r-��--rti'..`fi"";�,�"'�ti�•`�u-� ' _� ... _,
- ';, `COUNTYOF BUTTE - DEPARTMENT OFOEVELOPMENT SERVICES -BUILDING DIVISION
r
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
1
PERMIT APPUCATION DATA SHEET
OWNER ���/U/G /1'1 L l// N A.P. No. 0v26
Proposed Building Use X1/1 (, Building Inspector Date L
At time of permit application, I was advised ttre following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
--�-�1 All items have been submitted . ........................................
2. Plot plans; 3/4 sets, signed by preparer of plans . ............l7[��/
3. Complete plans, 3/4 sets, signed by preparer of plans. ..................... .
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . .......................................... .
6. Energy Design Compliance and supporting documentation.-
7.
ocumentation. 7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). .....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ .........................................
11. Impact fees as shown on attached schedule . .........:.........:.:....... .
California Department of Forestry plan approval/fees. ......:................ .
3 Flood elevation letter (100 year flood) by California Engineer . ............... .
I 4. Sanitation and plot plan approval 6 n Health Department . ............ 1
15. City of Chico plumbing permit. ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use. (B) Parking: . ....... .
18. Contact Land Development,a bout (A) Improvements (B) Drainage. .......... .
19. Driveway permit (constructign approval required prior to occupancy). . .
r64Aap8C''°" `6Q°�
20. Pre -inspection for
required. .. to BuiIding 1*nepector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23 Owner -Builder Verification (Given to owner ,Mail to owner . ....... .:: a�
4. Recorded copy of Agricultural Acknowledgement Statement. ................ .
25. Letter of signature authorization . ........................................ .
26. Copy,of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ..........................................
28. Mobilehome utility clearance . .......................................... t
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ................
31. Existing violations/expired permits . ......................................
32. Plan check list......................................................
33.
•34.
When you issue the permit process as follows: Mail to owner. Mail to contractor.
Telephone Z7 aq and hold for pickup at office. Deliver with inspector.
Other -
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to perm'an : (Circle new item not checked above).
1. Index permit•for above items No. �
2. Additional items required:
Contract r, designer, owner, was advised of above required data by phone _ mail Counter b _ Date
Contractor, designer, owner, was vised of above d data by _ phone _ mail Count _ Date
Plans�hecked by� �, Date doff Plans approved by Date 2-09P�(t+
bets of�ans on hold in File cabinet AP folder
Copy -/Department of Public Works
TO: Building Department
PROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewa�,c Disposal Water Supply: Public Private Well
Clearance for p�_bedroom mobile home. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Ph 'I
/ - l--
Environmental Health Specialist u Date
8/92
......•:_... ... ,_.. _
1
:. ;:......._.........'..._..._ .:.i:,..' ..::. ..... ... Th18 sot of pl&ns ead Bneotfl
st9ri.->. s: V, TorlarAnstdP7. tCh>�1 o °n the !ob at � T
kept kept t �
�sif. t�o� rr�cUces and anal it 18 unlawful to
� aYt a or i.1"orat;o__ns
r . oac3
4 y =81i uO •. 0.!.. a wi
_ty T:re'; :bta'1r,.: G'A°`i.• wrlttezl pe'm3.ion thOtlt ,
13BI
"r
t'
1
' A of
$�•l� ZlIitt�)i1n Sla3.�!�t3.1. I'lc. x��l.a �'A � '•'.: or4 (irrint$ of,
PAGE
, ""��+•ti�yJ PREPARED BY.
No.
w AII
DATE
1
Ua
2
i(�,��...._
3
, t __.r__ � •
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b, APp
- RO i -
E. utte county nvirOnmentai y
1
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WA
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Finish el a{, HV��
Abod Kvation of
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11
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22
23
. 24
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25`h*�'S°ycrYr
- 26:
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27�
r
executive' 28
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•
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IP
BUTTE COUNTY DEPARTMENT OF PUBLIC .WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541
MOBILEHOME INSTALLATION SHEET
i
1. Owner's Name:
2. Installer's Name:
-- / - [-7]
3. Is the site currently under permit? Yes tD No
(If yes, furnish permit number `�O ) OR
FV
Is the site an existing site? - Yes EO-- No 1=�
(If yes, furnish two plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach
fields and clear of all setbacks and easements? Yes No
(If no, clarify
5. What is the-mobilehome electrical rating? --------------- /Gii Amps
6. What is the mobilehome site service rating? ------------- /GG Amps
7. What is the mobilehome site circuit breaker rating? ----- /cG Amps
8. Is there any other electric load to be served by the
mobilehome site service? --------------------------------
Yes F-1 No
(If yes, identify the load and size: (Load). (Amps)
9. What is the mobilehome site gas pipe size? -------------- (in.)
10. What is the type of gas service? ---------------
---- Natural LPG
11. What is the gas pipt length from meter or tank to the
mobilehome?--------------------------------------------- .Z (ft,)
* 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.)y.
:01
J
If other than single wide, .
furnish Setup Model No.. �•« ,.._ _ Year ,
Mobilehome Mfr. �i�//7 P �•�' i• � • � � %�3
Width (ft.) Box Length �(ft. ) Tagalong or, Expando Size . ft. x ft.
On all mobilehomes manufactured after October 7, 1973, furni=sh-.manpfacturer initd1>lation
manual and structural setup sheets (if not on file with the County-A,'MR&MA `
FOOTINGS (check one). Wood -pressure treated or foundation grade. 2. Other (specify)
SUPPORTS (check on 1. Concrete block.
a 2. Other (specify) S7P e�/ei
Pier Footing Sizes and Locations
SINGLE -WIDE
MULTI -WIDE
Main Beams
Linc 2
— — — � Main Seams — — — — — — —
Line 1 Piers:
Size-Min.------------
Spacing-Max -
-----------Spacing-Max. ---------
From Ends -Max. -------
Line 2 Piers:
Size -Min - ------------
Spacing -Max.---------
�- Q
From Ends -Max .-------
Line 3 Roof Loads:
Size -Min .------------
1..3cation (From FrunL)
Tag or Triple
— — — — — — — I f np 4
Line 1
Line 1 Openings: j
Size -Min. ------------------ i-�-�--i
Each Side of Openings
With Width Over--------- , 5
Line 3 Piers: (Under Bearing Wall Only)
Size -Min ------------ '------ .x
, n
Spacing -Max.---------------
From Ends -Max .-------------
e 4 Piers
Size -Min .------------ ,k „
Spacing -Max.---------
From Ends -Max.-------
Line 5 Roof Loads:
Size -Min ------------- .x I. „x
Location (From Front)
(Under Bear
Size -Min .------------------
Spacing -Max---------------- '_ n
From Ends -Max .------------- '-
If other than single wide,
Hiobil&home Mfr. 5 e- furnish Setup Model No. Year / 5 53
Width,_ & (ft. ) Box Length l (ft. ) Tagalong or Expando Size . ft. x ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one) I—ql-
. Wood -pressure treated or foundation grade. 2. Other (specify)
SUPPORTS (check one)R1. Concrete block. a2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
Main Beams
Line 2
Line i
Main Beams
— — — — — — — _ --
Line 1 Piers:
Size -Min. ------------
Spacing -Max. ---------
From Ends -Max. -------
Line 2 Piers:
Size-Min.------------
Spacing-Max ----------
From Ends -Max .-------
Line 3 Roof loads:
Size -Min -------------
Location (From Front)
4 Line 4
Tag or Triple
Line 1
Line 1 Openings:
Size -Min- ------------------
Each Side of Openings
With Width Over ---------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min.------
Spacing-Hax.--------------- ,-
From Ends -Max .-------------
Line 4 Piers:
Size -Min -------------
Spacing-Max ----------
From
------------
Spacing-Max.---------
From Ends -Max.------- ,
Line 5 Roof Loads:
Size -Min -------------
x „x ,.x n ,y, ux .,x „x n „x u
Location (From Front)
e 5 Piers: (Under Bearing Walls Only)
Size -Min .------------------
,k n
Spacing -Max----------------
From Ends -Max.------------- '- "
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA d x;;•`�;;,'
PHONE: 538-7541
MOBILEHOME INSTALLATION SHEET
1.
Owner's Name: 13,—,,,/Ck,- Zell//h
is the'mobilehome
electrical rating? ---------------
/GG
Amps
6.
What
is the
mobilehome site
2.
Installer's Name:
Amps
7.
What
is the
mobilehome site
circuit breaker rating?
----- _'GG
Amps
8.
No
a
3.
Is the site currently under permit?
Yes
F-1
(If yes, furnish permit number
)
OR
Yes No
Yes
No
(If yes,
identify the
load and size:
Is the site an existing site?
(Amps)
(If yes, furnish two plot plans.)
(in.)
9.
What
4.
Will the mobilehome be located at least
'5 ft. away
from
septic tank
and leach
LPG
fields and clear of all setbacks and easements?
Yes
No
What
is the
(If no, clarify
-------------------
Natural
It
5.
What
is the'mobilehome
electrical rating? ---------------
/GG
Amps
6.
What
is the
mobilehome site
service rating? -------------
icy
Amps
7.
What
is the
mobilehome site
circuit breaker rating?
----- _'GG
Amps
8.
Is there any other electric
load to be served by the
F-1
ED --
mobilehome
site service? --------------------------------
Yes No
(If yes,
identify the
load and size:
(Load)
(Amps)
(in.)
9.
What
is the
mobilehome site
gas pipe size? --------------
LPG
F1
10.
What
is the
type of gas service?
-------------------
Natural
11. What is the gas pipt length from meter or tank to the
i
mobilehome?--------------------------------------------- (ft.)
* 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.)
MICHAEL MOONEY
CIVIL ENGINEER
RCE 20647
Butte County
Building Inspection
7 County Center Drive
Oroville, CA 95965
Re: Building Permit for Bernice Melvin
A.P. #026-020-006
6545 Licoln Blvd.
Oroville, CA 95.966
February 24, 1994
This transmits the results of a flood plain study I made for the
subject property.
I plotted the propgrty on Flood Insurance Rate Map Community -Panel
Number 060017 0480B, and concluded that buildings sited within 290
feet of Lincoln Blvd would be in Zone X - area determined to be
outside the 100 year Flood Plain.
The proposed Mobile -Home with a setback of 75 - 80 feet from
Lincoln Boulevard would not be in the 100 year flood plain.
map.
I have enclosed Appendix"A" showing property plotted on the FIRM
Thank you for your consideration.
... 1.
My license expires 9/30/97
9f. yos�Aw
BUTTE COUNTY
Yours, iUILDING DEPARTMENT
APPROVED
Michael Mooney
5A Madrone Ave
Oroville, CA 95966
916-533-2131
"o- mpy
�x t -t l C3 lT ••�w
,r
r
ZONE X""'
LIMIT OF FLOODWAY
7 '
FZ
ZONE
O
NE A
(EL 162)
I
LIMIT OF
F4QODWAY
ZONE\
NE X"
ZONE X j
5
o
LIMIT OF
m
DETAILED
a
- STUDY
D
Q
m
2
C
m
LIMIT OF
�y
DETAILED
ZONE X
n
JE:
BAGGETT
PALERMO
ROAD
FZ
ZONE
O
NE A
(EL 162)
I
LIMIT OF
F4QODWAY
ZONE\
NE X"
ZONE X j
5
LIMIT OF
m
DETAILED
a
- STUDY
D
m
2
C
m
LIMIT OF
�y
DETAILED
ZONE X
STUDY
ZONE X
$ ZONE.
V
162
C
ZONE X
Is 156 :;
..._:_.�. 533-81P,E
PERMIT NO.
PERMIT EXPIRES IOR
OWNER Bernice P. Melvin
CONTR. owner
ASSESSOR PARCEL 26-02-6
LOCATION 6545 Lincoln Blvd., Oroville
Temp. Power Pole
Called PG&E /
Temp. Elec. Service
Called PG&E
Temp. Gas Se,vvice 2 ��
CalldPG&E
V
JOB FINALED (Date) 112-k15'1
Signature
-qb�R�
J
J = OK
0 = Not OK
= Not Applicable) MOBILEHOMES
* = Not Fleady
MISCELLANEOUS
Date
MOBILEH ME UTILITIES (Plans) OK except N's
oning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
S -<-Up. Special MH Support -Sketch
2. Footings; Siie-Depth-Spacing-Connectors
ew ; Location -T -Fal -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
a er; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
Electricity; Location-Clearances-Grnd.-/ mp-Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
Gas• Location-Test-Wrap:/ii7"L"ft./9' P'Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
tility Clearance
7. Elec.
Card -BI
WDate O Card -BI Date
Card -BI
Date Card -BI Date
Card-B
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except H's
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
o Requirements -Setbacks -Easements
1. Setbacks -Easements
A-fovogs; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
Ze-las; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
ectricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
rain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
g-Wa&r; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
a er and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
Gas nd Electricity Tagged A�
8. Elec.; Grounding; Equip, w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
xis Insp.-Sketch ®� ,�
1 ert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Dates Card -BI Date
Card -BI
Date Card -BI Date
Card B-
D Card -BI Date
Card -BI
Date Card -BI Date
&_# 16�0,,F2-1
I
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL,lSing,le and Duplex)
Date
UNDERFLOOR Plans OK except N's
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ffg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel -Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access '
7.
Piers -Fireplace Ftg.-Steel
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
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
11.
12.
Electric; Underground
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
57.
Smoke Detector
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
65.
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except q's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E] Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
_
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/0 to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
_
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
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING(Plans) OK except q's
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 -Stairs -Chases -Tub
__41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE t
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California .Administrative Code, Title 25, Chapter 5, under permit
number V for the following location
Owner
Owner's Address_
Mobilehome Mfg ✓�= Model AdYear
Insignia No. Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public W,,orks
Date By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Ceriter Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
A SS ESSO PARCEL NU ER �
ZONI G'
21
,TELEPHONE
BUILDING PERM%
OW
I
SQ. FT. OCC. BUILDING VALUATION
N 'SEWNLING 1,1015RESS a
2!3 L1v
6
CONTRACTOR'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
,$' f0-0
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDR SS -
Permit fee
$ cnD'o-D
BUILDING DD SS -
•L h
PLUMBING PERMIT9
Filin Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE O�RUCTURE -
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ode)Utilities ❑ Installation 2 Other ❑
Describe work: r /
'
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
• O ��
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.y)
OR ADDNS, \ ACC. BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ 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
[�f sale. (Sec. 7044)
I Las the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR(MULTI-OUTLET 2.50 ea
NO N.RESID BRA CH CIRCUITS)
NEW CONSTR /.POWER APPARATUS 6\
NON-RESID. %SINGLE OUTLET CIR, /
Ex. Occup OUTLETS OR FIXTURES a �@1
FIXED APPLNS, OR
EX. OCCup.(OUTLE TS (RESID,) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
.l 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.
E3,-rshall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
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
agat said County in consequence f the granting of this permit.
%�in
Q/fl Date ��
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OcCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
I.g�E
li
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
2By-
T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date rc—el
J7- 6—DfZ
��
Receipt No.LWHITE-D.P.W.,
YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
MOBILEHOME SUPPORT DATA
If other than single wide,
MobilehomeMfr. Ala y (J. furnish Setup Model No. Year
WidthZO (ft.) Box Lengthh(ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7,,1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
•Footin•s (check one)
Single 1 Wood either
pressure treated or
foundation grade.
i :)
x �
(in.) (in.)
2. Other: (specify)
Center suppo t
locations*
Center su ort
footing s zes
Support$ (check one)
(in.)
1; Concrete block.
X/
2: Other. (specify)
(ft.)(in.)
(in.) in.)
-'
Mfr—Tagalong or Expando,'
show support -details.
(i .) (in.)
7,�_ x3 O
-- Typical Support
(in.) (in.)
Footing Size
..
x
(ft.)(in.)
(in.)
Max. Pier Spacing
k ,
Max. Overhang
(ft.) in.-)
(in.) (in.)
.(ft.)(in.)
BUTTE COUNTY
BUILDING DEP.ARTtigW
APPROVED
*If center piers are
other than drawn above,
rPRO YLD 2 ,�
draw in locations,
spacing,. and dimensions.
_ _ i
1
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:
5. What is the mobilehome electrical rating? ----------------------- U/ Amps
6. What is the mobilehome site service rating? --------------------- Amps
7.. What is the mobilehome site circuit breaker rating? ------------- 1 Q Amps
8. Is there any other electric load to be served by the mobilehome
siteservice? ---------------------------------------------------
(If yes, identify the load and size:
(Load)
Yes No
(Amps)
9. What is the mobilehome site gas pipe size? ---------------------- % (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?
12. What is the mobilehome gas demand? ------------------------------
(This information not- ired if pipe ength less than 6 ft. on natural gas
or less than 50 f . on ,rL�PPG. ) �j
3. Is the site currently under permit?
Yes No
/ / •
( If
yes, furnish permit number
3
OR
-Is the site an existing site?
Yes / / No
/�
(If
yes, furnish two (2) plot plans.)
4. Will the
mobilehome be located at least
5 ft. away from
septic tank and leach fields and
clear of.
all setbacks,and easements?
Yes No
('If
no, clarify
)
5. What is the mobilehome electrical rating? ----------------------- U/ Amps
6. What is the mobilehome site service rating? --------------------- Amps
7.. What is the mobilehome site circuit breaker rating? ------------- 1 Q Amps
8. Is there any other electric load to be served by the mobilehome
siteservice? ---------------------------------------------------
(If yes, identify the load and size:
(Load)
Yes No
(Amps)
9. What is the mobilehome site gas pipe size? ---------------------- % (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?
12. What is the mobilehome gas demand? ------------------------------
(This information not- ired if pipe ength less than 6 ft. on natural gas
or less than 50 f . on ,rL�PPG. ) �j
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
-. APPLICATION AND PERMIT
PERMIT
533-
ASSg& PARCEL NUMBER(0
G✓J•l/o_ 2 —0(0
ZOyIN
'/i`
BUILDING PERMI=---)
OWNER
tt7e-�'J��C P. A,/�^'/ J// Al
"�6 GC.V
TELEP O
f0
3WIR/�
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P O • 30,K 2QS9�
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
4
Total Valuation $
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR EN NE R
LICENSE NO.
Plan Checking Fee rtl $ 0.47.0
Penalty $
ARCHITECT OR ENGINEER'S MAILING ADDRESS _
Permittee $
BUILpIy`,,D�Es�L BLVD
l�-�
PLUMBING PERMIT Filing Fee 10.00
l�vc�
Each Trap 2.00
Repair drainage or vent piping 5.00
Water piping 0.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent 5.00
Gas piping system 1 - 5 outlets Ir.DO
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeQ�Dther
SPECIFY
Building sewer 10 .OD
Lawn sprinkler system 5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑
Describe work:
Permit Fee $ , 00
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100V OR L
00 AMP ORSLESS 5.00 -UQ
Main service EA. ADD'L 100 AMP 2.50 2.0
NEW CONST. DWELLING OCCUP.ai 2�sgft
OR ADDNS, ACC. SLOGS.
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 die the work,and the structurd is not intended or offered
for sale. (Sec. 7044)
�1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CO IDR BRA c° CTRCT Ts 2.50 ea
NEWCONSTR. ( POWER APPARATUS eI
NON-RESID. (SINGLE OUTLET CIR,
50 @ 25¢
Ex. Occup OUTLETS OR FIXTURES BAL@1
Ex. OCCup.(pUT ETS FIXED P(RESID )LISIS RE A. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 I , QO
Misc. Wiring 7.50
Permit Fee $ Q
Contractor
MECHANICAL PERMIT FiIingFee 10.00
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.
❑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 oi� this permit shall be deemed revoked.
Heating
Cooling
Hood 3.00
Ventilation
permit Fee S
Contractor
1 certify that 1 -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 ranting of this permit.
X Date / f-_��
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 $
TOTAL PERMIT FEE $ 2• O
OCCUP. GROUP
TYPE OF CONST.
IPARCE JtJJ
ND ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTO PUBLIC WORKS
BY Date
PERM PIRES Date Z -'z-o
Receipt No.
WHITE-D.P. .. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
usl be
tans and specifics {i?s Un awful to ,
This set e 1 P Same without
lob a} all tines and ent of Public
kept on a ob or alterations on .
make any from the Departm
written Pe of Butte.
Works, County
Sl,ij t
e y�,n ,
Workmanship : .
Materials Good . Practices }iie
All with Recogn�'e he Specified ";usee dad
OT�:�r
Accordonce rescribed {Or Machanica' Co c
o{ a suavity, p Plumbing &,,.,, .
Uniform Bui1d'iElectrical code.
A
• al �
the l`Iatl°n
Ulred` for the .:::
A permit will be reg b [eho�®- � A,
installation qf.f the mo
utility connections shall be within _
4 ft. of the mobilehome, either
directly behind or within the rear
half of'the roadside (left) of the
mobilehome.
A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or,equipment except
for a 2 ft. eave overhang.
41
r
S 3 3
BUTTE COUNTY
.BUILDING DEPARTMENT
APPROVED
i
messIportan
v')
Time: Date:
For:
From:
ONO
Telephone:
❑ Telephoned ❑ Please call
❑ Wants to see you ❑ Will call again
❑ Returned your call ❑ URGENT
❑ Was here to see you
Message:
U
Taken by:
Post -it -,7679-4 @3M1993
u
\4L
Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 94-08 1 3 6
Building Division FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this
acknowledgement be recorded prior to issuance of a building
«permit.
94-0081361' Rec Fee 6.00
The property described herein is adjacent to land or included
I Cash 6.00
within an area zoned for agricultural purposes, and residents
Recorded I
of this property may be subject to inconveniences or
Official Records I
discomfort arising from the use of agricultural chemicals,
County of I
including, but not limited to herbicides, pesticides, and
Butte I
fertilizers; and from the pursuit of agricultural operations
Candace J. Grubbs I
including, but not limited to cultivation, plowing, spraying,
Recorder I
pruning, and harvesting which occasionally generate
2: 03 p m 22 -Feb -94 I P U B L XX 1
dust,smoke, noise, and odor. Butte County has established
agricultural zones which have as a priority use for productive
agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or
discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
CA
sDL4+weS+erll � 100 f' ee o -P 10+ os 5kown on -f- Cer�'a. In
+ Lec! � "0-4 -9LIC-A
o� "tie Ad ve n-�- � s+' Traci- /V e ap°o
r ,. l e r4 c-)�
u nCA�r torr, o� vna wQS `Ptc-Y ;n -Ne- O off'
Ae-(orJer o -r 4-ke_ Comi4 o-(. du'%4eI S74'L e 0-9 Ca ��`�orn,`a.! 6.4
a, f r'/ gq g 9y "n 6 a o k 9 0-P L+ P&-) f— 3 Y S cQ o. rC�2
0-`r la. ✓I d OLV 1 n a ,Fron 4'a%, e- 6-F l o -o -pee+ I I
9 � q_ on Qrov� 1 e
�a er-m0 �,g w0.y An -d �e,►�q Q� a lA hi �o✓'1W cJi o��"%
✓/ J on
V ►'"-� 'oro ryi ! i h 2 Ot ! V i �i' q L o �'S l S Ct
C
A ®� �a� d A -d V�n4l s j'+ --r(-A,,
Date: - 9Z PROPERTY OWNERS: ,
FYI
13P_rn i �.0 e M�fIV il
State of California )
County of )
Onbefore me, 6f},-Jb0-4 645-f- = s -A -M A
personally appeared Aerl) CCe P. /Wej "n
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
WITNESS my hand and official seal. a a� SANDRA LEE SEAMAN C
COMM. #953383 G
NOTARY PUBLIC " CALIFORNIA
BUTTE COUNTY
Signat a Seal: /FOp My Comm. Exphs Jan. 18, 199E
s o v v v
A.P..# 0 -G Z a ^OOG cemu Ur UUCUMENT