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026-020-044
FA AP 26-02-29tft� J}-�p' til WILLIAM BLANKENSHIP 6650 Lincoln Blvd., oravflil e ermit ##.243-74P,.E.'• -- (util. MH) T26_02-44 & 45 ! CAROL HOOVER - �- rr 6628 Linc&ln Blvd., Oroville.- Dermit-- 85 -86P -;E (MH,) ELEC. t CAS.;. SUPPORT STRUCTURE REQ.__ COMPACTION TEST REQ.__ 026-020-044 PERMIT#94-3007' TYLER, W.L. & AUDREY 6650 LINCOLN BLVD., OROVILLEJ :00 REPLACE UTIL EX SITE/MH 'ELECTRIC 3// GAS LINE �ii COMPACTION TEST REQ ' SUPPORT STRUCT REQ O 026-020-044 PERMIT#94-3008 TYLER, W.L. & AUDREY � 6650 LINCOLN•BLVD., OROVILLE'� �- MHI EX SITE- �=00 9PLA �T)$Zo--�O,�-I0313690AST COMM, ,11 ATTACHED, OROVILLE." WESTCOAST COMME CATV POWER SUPPLY ,4, ti 4 BUTTE COUNTY INTER -DEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED DATE NAME DEPT. DATE NAME DEPT. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/9SI;; " APPLICATION AND PERMIT 4213 !2 ASSESSOR PARCEL NUMBER SEE A ZONING BUILDING PERMIT OWNER TELEPHONE SO. Fr, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 4190 PRJ. DR ,;ACjRAm= CA 95838 CONTRACTOR'S NAME TELEPHONE 1341-9473 CONTRACTORS MAILING ADDRESS 140 DYERS STREET CHICO CA 95928 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADD9 RPAEnergy LERMO LOCATIONS SEE ATTACHED Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PLACE CATV POWER SUPPLIES Gas piping sy2tern 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 9 23.00 207.00 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 ' in II �fqorce and effect. r/ �-7 License Class � —1 V Lic. No. / L S 1 1 �..D 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. ❑ 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. ( a Acc. BLDs. SO 3.5QFr: N"ONEW RESD MULTI-OUTLETRANCH ITS 97,50 POWER APPARATUS a SINGLE OUTLET cIR. EX. Occup. OUTLET OR FDrrURES B20 0 I00 .sa Ex. Occup. O-LEtDrsA RAID° 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $227.00 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 of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation ovisions of section 3700 of the Labor Code, I shall forthw' o ply w' th rovisions. X Date I �" I z - �� _ Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in 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 $227.00 HAZ. I D. FEES IMP I FLOOD CDF I PARCEL I PD HD SSUE 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. D to PERMIT EXPIRES ON e rR,ceiptNo. WHITE-D.D.S.•B.D. ARY- SSESS PINK -INSPECTOR GOLDENROD -APPLICANT / COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 14 7 County Center Drive 0 Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLOCA ION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT EE ATTACHED OWNER TELEPHONE SQ. FT, OCC. BUILDING VALUATION TIO S . OWNERS MAIUNG ADDRESS - 41. 0 CA 95838 TELEPHONE CONTRACTOR'S NAMEWESTCnAST CATIONS NCI 343-2473 CONTRACTORS MAIuNG ADDRESS 95928 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. inn Fee F $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS -- - — - Plan Checking Fee $ BUILDINGADDRESsW-,0 Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDN610N5 NAME -a PARCEL MAP PLUMBING PERMIT USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 'Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: _� - Gas pipinstem 1 - 5 outlets pi Bas g sewer Mobile Home]SiG W PERMIT FEE S PERMIT, FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED $ DATE RECEIVED 3939 � Main Service ( zooi, on LFss Main Service ( --TO 1000/ ouTUET OR WURES If Ex. Oceu . Tem or S Mobile Home 20.00 irmg Fee 20.00 T.00 23.00 15.00 15.00 15.00 15.00 @20.00 ng Fee 20.00 23.00 -7- 46.00 3.5Q" - 5.00 23.00 20.00 23.00 L_ PERMIT FEE S O MECHANICAL PERMIT FCmg Fee 1 20.00 Cooling Hood 6.50 PERMIT FEi: S Mobile Home Installs5on Fee $ Energy Inspection Fee $ COILST' TYPE TOTAL FEE = MAZ ICLFMI IMP I FLAOD I COF jPARCeLlPD MD 65UE 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 CLEAR CONNECTION CORP MMW J 11-12-03 Sean Farrell 25 County Center Drive Oroville, CA 95965 Dear Sean, CLEAR CONNECTION CORPORATION 814-B Striker Ave. Sacramento, CA 95834 OFF. (916) 567-0144 FAX. (916) 567-0147 Enclosed are the aerial power supply permit applications for Butte County in the Oroville area. These applications consist of 7 building permits with multiple locations. I have enclosed 8 sets of drawings for you to distribute to the appropriate departments. Please feel free to contact me should you have any questions or suggestions. Thank you, Ron Chamberlain OSP Engineer (916) 698-0838 ®AIV®®® AWAIF® \\\® ®®® VCI Telcom, Inc. A. Subsidiary of Quanta Services, Inc. July 29, 2003 Butte County Department of Public Works 7 Court Center Drive Oroville, CA 95965 Re: ?authorized Signer To Whom It May .Concern: Please accept this letter as a request to designate project manager, Bill Green of VCI TELCOM, INC. d/b/a Delaware VCI Telcom, Inc. as an authorized signer for all permits and forms pertaining to VCI's business in all areas of Butte County. Should you need further information or clarification, please feel free to contact my office at (90.9) 949-1350 extension 1.17. Thank you, 1921 W. 11th Street, Upland, CA 91786 (909) 946-0905 - Fax (909) 946-0924 California State License 765716 ACORD; - DATE awDuoDmn 07,29, PaaoutER JOHN L. WORTHAM &SON, L.I.P. RHI$ CERTWMTE IS ISSUED AS A MATTER OF MFOANIATION OIILLY AND CODS NO RN* TS UPON THE CERTIFICATE HOLDER. TRIS CER RICATE DOES NOT AIM 1D. EXTEND OR P.O. BOX 1388 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. HOUSTON, TEXAS 77251-1388 COMPANIES Ami COVERAGE COMPANY 071455-00090-2000-000492 &/1/Em 1/1 A OLD MVMIC IMSI Z"CE COIPAYY assu m VCI TELCON, INC. CoWww" B ASSOC. ELECTRIC i GAS INS. SERVICES LIMITED 1921 WAST 11TH. STREET ODINY un". CA 91706 Compw O THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE LWW BELOW HAVE BEEN BMW TO THE MORED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THB CERTIFICATE MAY BE I= OR MAY PERTAIN, THE NNS MANCE AFFORDED BY THE POLICES DEMBED HWtElN B SUBJECT TO ALL TRE TERMS. EXCUJSIONS AND CONDITIONS OF SUCH POLICES LIMITS SHOWN CLAY HAVE BEEN RIMCED BY PAD CLANKS. Up TYFEOFWIANLX II POUCYNIOINEH POLIN DM 60000M DATE INEWOOM ISHRTE A alum9muAe" NRV557M 03/01/x003 00/01/20tI5 GENER LAGGREGAM • 1750 000• FFAXX CTTU-COMP OP AGO • 1750 000• X C0MMERpAlG96U�L-U-�ABRTTT CLAIMS MADE t_�J�own SELF-INSURED RETENTION Wi250,000 PERSONAL AADV NLAAW • 750 000' EACH OCCU NSICE s 750,000* owNHErs a s rmr FIRE DAMAGE Vjw •ir" • 750 000' �QN>zSS OF SELF-INSURED MED EW JA" one pwmd t EXCWJAE RETENTION A AUTOYOeaELIIwftT ANY AUTO lMRet8597 03/01/2003 08/01/2905 COARBIHED SlNGIE LIHUT 4 1 000 000 BO LemiRy • X ALL OWNED AUr0S SCHmta.® AUrDS 80CL• • X HM AUTOS X HOWr*NED AUTOS PROI4M DAMAGE • GARAGE IJAORM AUTO OILY - EA ACCIDEff • ANY AUTO OTHER THAN AUTO ON0' EACH ACCMU • AGGREGATE • H7LCEP9 UASKM CLAIKS MADE RETRO DATE 08/01/2002 EACH OCOU U NCE • S 000 000 AGSREGATE • S.000.0001 B WAASRELLA FORM X20691NAO3 oe/01/mai 08/01/2904 • x on•:n THAN tHY�IA TotLY A Womma COYPBI¢AUNIAND MMOSS54 00 03/Ot/Z003 08/01/Z005 X SrATUFM LIHMTTS EACH ACCIDEur • 1000 000 EMl%oVEW UAMEM DISEASE -POLICY LOW • 1000 000 THEPROPREETow X N0. DISEASE - EACH EMPLOYEE • 1000 000 GnWM ARE' OCCL aF ER DescrAFFM OF nun SEE ATTACM SM" ANY OF TIE AROW 06LCYSED POUCW RE CAMMER BCD THE E10 vvft am TIESEEOP. TIE ummG COE/WI1/ vml ommvoA TO YAR BUTTE COUNTY 30 VATS MlflI 11MCIE TO THE CEffloWi <g MOLDER NAS® TO THE LEFT. DEPT. OF PUBLIC WORKS IMF FALURE TO WAIL CLICK NOTICE L+TMLL R M NO ONiGAMM OR UAARHTY 7 COURT CENTER DR. OP ANY Km IN�om COMPAw. RE NWOME rATNES. OROVILLE, Ch 95%5 %Tme �OR d. VVOp K/t m & sO ot.CAP- A7TACNmr TO CERTIFICATE OF INSURANCE NO. 071555 -MM -2004A-000492 S1MN/E98 1/1 CERTIFICATE HOLDER: INSURED: BUTTE COUNTY VCI TELCON, INC. GENERAL LIABILITY POLICY INCLUDES CERTIFICATE HOLDER AS AN ADDITIONAL INSURED WHEN REQUIRED BY WRITTEN CONTRACT BUT ONLY AS RESPECTS LIABILITY ARISING OUT OF NAMED INSUREVS WORK FOR ADDITIONAL INSURED. AUTO LIABILITY POLICY INCUDES CERTIFICATE HOLDER AS AN ADDITIONAL INSURED YNEN REQUIRED BY WRITTEN CONTRACT. RESIDENTIAL 026-020-044 PERMIT#94-3008 TYLER, W.L. & AUDREY 6650 LINCOLN BLVD., OROVILLE MHI EX SITE w 115196 OFFICE COPY Address GAS i Meter By D ELECTR Meter B Date JOB FINALED (Date) Signature J=OK O=Not OK = Not Readyable MOBILE HOMES Date MOBIL ME UTILITIES Plans OK except #'s -10'fcn_Lrj& Requirements -Setbacks -Easements oils Special MH Support Sketch ew ocation-Test-Fall-C/O Concrete at " -cation-Test-Easement Needed (Sketch) -5-fSricity; Location-Clearen ys-Grnd-/ /Amp -Concrete Gas; Location-Test-Wra /" 1-1t. / Nat. or/ /"L " it LPG WO-61earance & Disconnect .Utility CleaOR rance � L Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBIL"OME INSTALLATION (Plans) OK except #'s q!Zgvrrng Requirements -Setbacks Easements .-2' F m s; Size -Spacing -Marriage Line MH Test-Demand-Valve—Connector 4. ElepKfcity; MH Test -Crossovers -Breakers -Clearances YD�rrl MH Test -Fall -Flex Connector 6._W3t ; MH Test -Regulator -Connector 1' Wald Sewer Connected -C/O to Grade -HD Approval 80'Ga2d Electricity Tagged nsp.-Sketch Cert. of Occupancy Da Card B- Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DW2, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = i�- Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr., Vent -Access -Combustion Air -Baffle 17. Water Pipe, Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------------- ---- -- ----------------- 19. Shower Pan; Test. First Floor -Tub Access 20. Test -Tub & Shower. -- Second- Floor -Tub Access - ----------------------- ----------------- 21. Gas Pipe: Size & Anchors Date Card B-1 DateCard B-1 ----------------------- ------------------------------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except k'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. -------------- Equip. Ground made 'up w/Meth. Fastners-Bond & Water ----------- ---------------------------------------------Gas----------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ---------------------------------------------------------------- 28. Subfeed Wire Size i r ga. Cu or AI-A.C. Wire Size i / ga. Cu or AI ----------------------------------------------------- 29. --------------------------------29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0- No ----------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect -------------- Equip_Clearances Panels-Motors-Mech. Equip. ---------- -------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -------- ----------------------------------------------- 33. Smoke Detector ------------------------------ -------------------------------------------------- -Date ------------------------------------------------ Date Card -B-1 Date Card -B --l--.. Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34.-- A. -C. -Ducts- Insulation & Support ------------- -------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------------------------------------------------------------- ---------- 36. Condensate Drain & Overflow; Size & Grade -------------------------------------------------------------- ------- ----- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- - - ------------------------ - - - --- - - 38. Attic Access & Platform if Furnance in Attic -------------- ------------------------------------------ ---------------------------------- Date Card B-1 Date Card B-1 __2------------------- ----------------------------- ._-..-___-_ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except k'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) --------------------------------- Fire Stops. Furred Ceilings -Stairs -Chases -Tub --------------------------------------- --------------------------------------- 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 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 Card B-1 Date Card B-1 -- --------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. 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-Mech. Protection ------------- 75. Plb. Elec. & Mech. Equip. Listed for Location ------------------------- -------- -- 76. Elec. Receptacles in Garage: (G.F.I.) -Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps ------------------------------------ ------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters--O-Yes ❑ No -------------------------------------- -- 81. Stucco: Brown -Finish - -- 82. A.C. Unit: Disconnect. Electrical, Plumbing - - - -- - ---- -- ---- ------------------ - --- -- 83. Vents Above Roof; Plb9 APP liance-Fire P lace. -Clearance to Openings -------------------------------------- --- 84. Water Well; Disconnect, Electrical, Plumbing ------ ----------____ -------- P g - 85. Exterior Elec. Trim; G.F.I. Rece tacle-Under round 86. Ventilation Throughout House ------------------ 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 ------ --------------------------------- Date -------------------------------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: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 S�UtMIT NO. Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.1 . N. Year of manufacture — ving Installation) (Irate 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. e�-o-aC;z,;,-6C;?,0--oq 5136 White - Owner, Yellow - Installer, Pink - D.P.W. 1 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Groville; California 95965 - Telephone (916) 538-7541 � PERMIT, NO. APPLICATION AND, PERMIT' ASSESU2 PARGNi11VU44 � VLV lJ ZONING A�1 BUILDING PERMIT= / OWNER W.L. & AUDREY TYLER TELEPHO E 45 07 — SQ- F', OCC. BUILDING VAL ION O WI EMS MAILING ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS LINCOLN6650 BLVD PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome CX Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: EX SITE ( 500 SQ FT MIN) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLOS. ) 3.5C FST.O, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underp provisions of Chapter 9, Division 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 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 ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .60 FIXED APPLNS. OR Ex. Occu p' OUTLETS (RESID.► EA. ) ( 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): ❑ This 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. Al 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. I also agree to save, indemn armless the County of Butte against all liabilities, judgments, co and expenses w ch may in any way accrue against said ounty in consequen of the grant' of t is ermit. X 1 Date L g a re of Appli O Owner Co actor O Agent V An OSHA permi req ' d fo 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 FEE 143.00 HAZ. D- FEES IMP �-- F100 CDF I owl PARCEL I PD HD I UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicWaber which fees have been paid. By Date �✓� 1Pr. �& WHITE-D.D.S.-B.D. PERMIT EXPIRES ON 7 IDetel Receipt No. 170489 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT TIEDOWN CERTIFICATION Installation Permit Number: Q4_,InR - Property Owner's Name: TVTFRrW y, & nr-MBRY ZdANErTE - -- Address or Location of unit: 66so LINCOLN EL GROVITT-� Assessor's Parcel Number:_ nP42� n4 - Manufacturer's Name: 40METTE Size: 24x53 Year of M/H: 1971 Tiedown System Number: GL 100 I certify that those portions of the tiedown system installed below grade (1) were not damaged prior to or as a result of the installation, (2) were not modified prior to or during the installation, and (3) were installed in accordance with the terms of their listing or with the terms of the engineered plans and _TYLER W.L. & AUDREY_ JANETTE Print Name H 1995 iii �. (�) �� � � �1 � � ��� -� _�' - - �� � � .. � - Ilf 4 � - �' � _ � I� II �.� ' - I I � � , l �l _ 1�) �II 1I ' �. ' I�p .. �`� III (1) � � ��� �I! �,� I2 i � �� n _ •I � +! 1{1 `_� IY �i ,� - k v � .. �I r� Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the mob•e A setba&of 5 ft. from the I y� ' ` ro lines and a setback �+ �r ► ve t,�3a y_ PertY � -. — of . from the road centerline shall be clear of structures or equipment except 5 Sp. -Fl. MINIMUM for a 2 ft. eave overhang. EOR MO IES < - OTE:—AII Materials & 'Wor'kmans=yip S11 all Be in ccorda nce with Recognized Good ract�ces'a�I ` �� a quality prescribed use in the d for the Spec aiform Building, Plumbing &Mechanical Codes and This set ol,pllaZs and spec*,f*-: •:t+,)ns MUST be he National Electrical Code- ` kept on the job -of # . ' and it_is_unT I make any changes or a9terations-onw�oul-o-a-I _- written permission from the Department of Public Works, County of Butte. NAT' A P4A-r o COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Orovill,,p, Calif9rnia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND. PERMIT ASSESSOR PARCEL NUMBER 026-020-044 ZONING ARMH1 Buk6ING PERMIT OWNER W.L. & AUDREY TYLER' TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6650 LINCOLN BLVD OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6650 LINCOLN BLVD PERMIT FEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome IL Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00ro or) TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities XhTt Installation ElOther ❑ Describework: RELOCATE UTIL EXISTING SITE PERMIT FEE J$ 80.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( OOOV OR LESS 200A OR LESS ) 23.00 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLINGOCCUP. OR ADDNS. ( & ACC. BLOS- ) SO, 3.50 FT. NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason ( POWERAPPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @ 100 B20AL. . Ex. Occu FIXED APPWS. OR p' (OUTLETS (REBID.) 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): ❑ This 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. AI 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 $ 43.06---1 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. 1 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 ich may in any way accrue against said County in consequence of th 0K permit. Date Si nature of App t ❑ Ow er Contractor ❑ Agent An OSHA permr. is required f 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 FEE $ HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL PD HD Iss This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been ` BYA41 PERMIT EXPIRES ON -IIA-19N ate) provisions to do work paid. ate a /�] Receipt No. / WHITE-D.D.S.-B.D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Development Services . Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd.; Chico CA 95928 Ph: 916-891-2751 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) I (have have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address 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.. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed r 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 permitted to issue the permit. q To ❑ AM Date Time ❑ PM WHILE YOU WERE OUT M of Phone U Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message Operator 0EASTM AN 4=0 s COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-21751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE. eT yz 6-1 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date I &�/ &"AlI Y' Inspector REV 10192 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (91 6) 5384541_ 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE M OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact t1jjs-office immediately. Date 11 (f (`j'f Inspector REV 10/92 "'at'4"k,�':f►"""'•wr••^..�.-•AYHvo."p�,•"'R.....{�,�y.E.Kpti+�,.�i+-.•s;tti..?.�i-y^,irv"�+t..:c�'a�"S�'::�.;tM7�'.tr"�`^`�'r"'"sr�^'°' • .. Y COUNTYOF BUTTE - DEPARTMEN1T.O I)EVELOPMENTSERVICES -BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVILLE, CAL-0FORNIA95965 -TELEPHONE (916)538-7,541 PERMIT APPLICATION DATA SHEET OWNER ,JA_,P._No.0- 0 ted 04AC Proposed BVAKZXjW,,7qW _ ..Building InspectorVis.'%%1DateLyr�iiL�� At time of permit application, I was advised the following data must be submitted prior to permit'7processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ........................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. . 10: Fees of $ .......... .. .... ............. 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. ........................!/ 13. Flood elevation letter (100 year flood) byV ornia Engineer ................ : : . 14. Sanitation and plot plan approval I?3v(Health Department. . 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements - (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . Fre-Inspection request 20. Pre -inspection for required. . to Building Inspector. (Date) 21. Contractor's license information. (No., NamefStyle, Classification) . .............. 22. Certificate of Workmans Compensation Insurance ...................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... . Mobilehome utility clearance . ...... ..... ............................... 11 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 . ............... A31. Existing violations/expired permits . ..................................... . Plan check'st. .......... 33 it When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone $5a-O'7LX nd hold for pickup at /7r-eyr��o. office.e�iverwith inspector. Other Parcel Creation Q Acreage Applica Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date v Copy of plans sent Health Dept. Fire Dept. Other .1 -_ _ Crate By The following data must be submitted prior to permit issuan ( it ite ecked 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 Cou t r by _ Date Plans checked by Date Plans approved by ��_ Date�� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ..,E.H. UtYPlat Plan AM chad Floor Plan ABnchad Scat to a D / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Aujf 42--, e ri' 5Q C� c o� 6 —402 — y Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well �-- Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Specialist COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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 ave ave not) a 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: Address Phone City 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 following persons to provide the work indicated: Name Address Phone Type of Work Signed: NOTE:, Property Social Seg Date 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 permitted to issue the permit. P Al co .......... ym: An Mawb" & Workiftw1s2iip Shah Be Ta Ad!3ordencewith recognized Good Practices and prescrA-r,-,j for the Bp6ciffed use .. "onmentaf H,,aftJ7 0 No v tr� 1894 N�u vi P'L- A CrOville, California APPROVED Butte County Enviro mental Health __ g _V _ -Y---- ' Date --re -------- Sig Lure This get of plans and SPSOMOSUMS MOST bO kept on the. job a: all tiTms and 9.t, fa unlawful to make any changes or -.;.,.lt-qrat16ns on same without written permission rL.o= tho Department Of PubUQ Works, CMUIV Of fttW' A 0 rJ %91Ve vd � v�ti o��P� FT• MINIMUM MOBIOS 'A CrOville, California APPROVED Butte County Enviro mental Health __ g _V _ -Y---- ' Date --re -------- Sig Lure This get of plans and SPSOMOSUMS MOST bO kept on the. job a: all tiTms and 9.t, fa unlawful to make any changes or -.;.,.lt-qrat16ns on same without written permission rL.o= tho Department Of PubUQ Works, CMUIV Of fttW' A 0 rJ %91Ve vd � v�ti o��P� i I BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILF.HOME INSTALLATION SHEET 1. Owner's Name: wt, OL to LZrt gw.�W E-_ 2. Installer's Name: �.J S tj e '_56A! 3. Is the site currently under rmit? Yes �''y. No (If yes, furnish permit number OR Is the site an existing site? Yes No F e (If yes, furnish two plot plans.) 4. Will -the mobilehome be located at -least 5 ft.•.away from septic tank and leach fields and clear of all setbacks and easements? Yes) No !N (If no, clarify 5. What is the mobilehome electrical rating? ------- Amps S `riff 6. What is the mobilehome site" service rating? ---- ----- 7. What is the mobilehome site circuit breaker rating? - 8. Is there any other electric load to be served by the Amps 1f Amps mobilehome site service? --------------------------------j s No 1 /' (If yes, identify the load and size: (Load) o[D (Amps,),:`. 9. What is the mobilehome site gas pipe size? ---------- -----�''"'"" "`"� (in. ) , ' FL 10. What is the type of as service. -- Natural YP g ----------------- �. LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than ��o�n� natural gas or less than 50 ft. on LPG.) Ci Q Q� NEXT PAGE MUST BE COMPLETED TO PROCESS P ATION.` t. v�p U. MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. -Pew e,� s furnish•Setup Model No. Year Width—(ft.) Box LengthyO�,j (ft.) Tagalong or Expando Size ft, x ft. On all mcbilehomes 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.a 2. Other (specify) of SUPPORTS (check one) 1. Concrete block.0 2. Other (specify) �-KtxIb Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Tine1 _ Line 1 Line 2 _ Main Beams Line 2 ` — _ _ — _ —• — — — �� — — — — _ Tine 2 r — — — — — Main Beams — — — — i Tag or Triple Line 1 Piers: Line 1 Openings: Size -Min, ------------ Size -Min - ------------------ Spacing-Max - -----------------Spacing-Max. -------- „ Each Side of Openings From Ends -Max, --•----- '_ " With Width Over---"'---- Line 2 Piers: Size -Min. ------------ 2 Spacing -Max. ------ -- ,_� ,, From Ends -Max .------- Line 3 Roof Loads: .r Size -Min. ------------�/6o„X)O.. 0 „x 9 Location (From Front) _�yV� (� 'IA ,Line 4 Piers: Size -Min -------------- Spacing-Max ---------- From ------------ Spacing-Max.--------- From Ends -Max .------- _ Line 5 Roof Loads: Size-Min.------------ x1111x"x 11 "x 5c 11x .1 11x "x Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- „x Spacing -Max---------------- From Ends -Max .------------- r ,kms„ 2„x_�O„ „x „x „ „x „ ,k Line 5 Piers: (Under Bearing Walls Only Size -Min ------------------- ' 'k Spacing -Max.--------------- From Ends -Max..------------- '- " Location (From Front) r 9. Other (specify, i.e., motors, exhaust fans; etc.) too 4? Sub -total - Watts ..... First 10,000 watts @ 100% ................................ = 10,000 Remaining INO watts @ 40% ....................... _ 10. Air Conditioner watts @100%., _ ) Largest -Demand = Central Heat System watts @ 65%.. _ ) TOTAL DM4AND WATTS REQUIRED 10 OyAml "Demand Watts Required" ; 230 ............. ............ De -rate Mobilehome to ..................... ... CO�N1 x ��AG ° fp�Q. QUO 31 'I AMPS AMPS COUNTY OF BUTTE ..,w Department of Public Works 7 County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner Location .Mobilehome Installation Permit No. FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts .1. 'r Width Z`7 x Box Length �� x 3 2: 2 Kitchen Appliance Circuits .................. = 3,000 3. 1 Laundry Circuit ............................ = 1,500 4. Ovens ........................................ _ 5. Cook Stove Top ............................... _. 6. Hot Water Heater ............................. _ 7. Dishwasher &isposa ........................ = i�0 8. *Clothes Dryer ................................ _ 9. Other (specify, i.e., motors, exhaust fans; etc.) too 4? Sub -total - Watts ..... First 10,000 watts @ 100% ................................ = 10,000 Remaining INO watts @ 40% ....................... _ 10. Air Conditioner watts @100%., _ ) Largest -Demand = Central Heat System watts @ 65%.. _ ) TOTAL DM4AND WATTS REQUIRED 10 OyAml "Demand Watts Required" ; 230 ............. ............ De -rate Mobilehome to ..................... ... CO�N1 x ��AG ° fp�Q. QUO 31 'I AMPS AMPS AP # y0 4 Sir, c OWNER, PERMIT C-/ 3 ©d MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction TesC Re . ervice ize Other Load Tvve, Pipe Size Len th YESI NO YES NO BUTTE COUNTY.SCHOOLS IMPACT FEE CERTIFICATION FORM �. '(One Form Per Building) School District QIQ Building Department No. A.P. Number (D;)- 6 — Oa O —C�Jurisdiction 0 City IX County Property Over Property Locatic Subdivison Residential Development 0 No. of Living MHI Units Commercial/Industrial..,, New ;74— 1154 " Building. Department Rep (Floor Plans reviewed by School Identification No. (,C1[.tJ DN i J�*� ! til/ Ichool District certifies that (Street, dd; S"s) , Lot No. ` Sq. Foatage 00m�G-C.Q— Addition' . � (Gro'up R) mw Sq. Footage Addition (Including Exterior Roofe Areas) Date Personnel) ( pplicant) (Phone Number) r (City) (State) (Zip Code) Z�� �Q , has complied with the requirements of Resolution No. by payment of $ representing square feet. School District Re Paid by Check Number Bank Number Paid by Cash 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 (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. Y� . White (applicant), Yellow (building department), Pink (school district) V feeformmkl (4/92) D Roo TN Environmental Health NOV - 2 1994 Oroville, California I; T" f M 0- \I V-,60 M U�►L,-rj good Drzess we, Room RsT- ak;--- bp. -7 Racft\ L)vi46. OQW\ ,� -n c. &0, v- oc, PROVED Bu a County Envv%iiro mental Health -,F-'-�- "*" --- ---------i--n;9 ------ ----------- Sign - re Utility connections. shall be within 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the ` i V e tt3a A setback of 5 ft. from the roperty lines and a setback— *J o , from the road , centerline shall be clear of �t, MINIMUM structures or equipment except 16 SQ. MD IIFS for a 2 ft. eave overhang. �jh ! i:i S irll Be inlryosed mobil, All Materials & lvy orkmlc p OTE:— nixed Good ra:.tices'a�� ` ccordance with Recog prescribed for the Spec .use in the `• a quality p Plumbing &Mechanical Codes and This set of.\ Ions and spec;f*-: -+nns MUST be niform Budding, kept on the job at 811 times and it is unl I a . ` y he National Electrical Code• make any thonges or alterations -on same wit ou . written permission from the Department of Public works, County of Butte. �T TO: Neil McCabe, Assistant County Counsel FROM: Bill Farrel, Director of Development Services SUBJECT: WRITTEN INTERPRETATION - OPINION OF REQUIREMENTS FOR MOBILEHOME TIE -DOWNS DATE: December 12, 1994 During a conference on December 8th with the Tylers, applicants for a mobilehome permit, Supervisor Meyer requested that you provide a written opinion of the meaning of two provisions of the recent tie -down regulations. These are the issues you previously advised Mike Vieira and me on; as to whether the exemption provision in Health and Safety Code, 18613.4(i) apply only to dealer escrows, or also to any private escrows. Secondly, does the same provision require the escrow to be open as of the operative date (September 20th) or could it have been opened and closed prior to the operative date and still enjoy the exemption? This is of concern to the Tylers so your earliest attention to this item would be appreciated. We informed the Tylers that the exemption was only for dealer sales, and had to be open as of September 20th. They felt uncomfortable with the "interpretive" aspect of our conclusions, and therefore requested your more formal review. Thank you. ME cc: Mike Vieira, Manager, Building Division j:\docs\memos\tiedownsJb ■ Butte County ■ Department of Development Services ■ Director's Office ■ T 73 0111 4 -0 a--:7 Lf4 i - 7. 'JO '-'0. DATE YEAi, c 7�— L FIRE NU,l,,,'-;ER FIRE NAME: kri ISIV j 2 SEC.TOVWSHIPg?r, D:FECTION z 7 RANGE El FALSE ALk'ZM--GO TO 10102 S?I'E . S MILES I D:FECTION FROM ❑ IN. NATIONAL FOR, FIRE DIST., CITY & STREET NO, IEST F 3 IPFI�REJ El FALSE ALk'ZM--GO TO 10102 ETC C - OA,\ r �Olk ONLY)) -,N'CAUSE (STARTS w 05 <gw UGHTNINGr)EPR!S p- Z PLAY W/FIR E 0 CAMPFIVE ❑ APSON Q OTHER/fMISC. smonN.3 F3JIPM;:NT r6LAND.UMESTIC SE (STARTS IN <3> �2 OR 4�> ONLY) 'DO FOREST INDUSTRY" 0 RANC)-FARM RECREA TiON t DUMP DUMP OTHER INDUSTRY-COM,IRCt" '1 ,ROAD 1:3 WILDLAND UTiUTY, RAILROAD NON-WILDLAND unury, aacmc OTHER DAMAGE V& 'O O OR 08 ONLY) IN DENT TYPE F 3 IPFI�REJ El FALSE ALk'ZM--GO TO 10102 &/.ro8 -- 05 BLOCK 10 TIMBER &/OP. .7, RESPONSIBILITY WILDLAND VEGETATION STATE ZONE STATUTORY WIL DLArD BURNED OR ThPEATENED CDF LOCAL GOVT. CONTRACT, R'Fra-PONSIBILITY 0Cl 1--I UNPROTECTED AT ORIGIN) 4 F� STATE A.SS!ST 0TI4`R AG;-19CY ,Not City F] U.S.F.S. D;X.M KNE 9?CD-F—i—OCAL G-c-,\rr. CONTRACT❑ B. L.M. B.I.A. ASSIST OTHER ftGENCY Nat'City) OTHER FEDERAL .FEDERAL ZONE E] ASSIST F -'-D. AGENCY Mil.) E] OTHER OE] CDF LOCAL GOVT CONTRACT MISC. AND OTHER ASSIST CITY, CONTRACT CO., MIL, OTHER t.. OA,\ r �Olk ONLY)) -,N'CAUSE (STARTS w 05 <gw UGHTNINGr)EPR!S p- Z PLAY W/FIR E 0 CAMPFIVE ❑ APSON Q OTHER/fMISC. smonN.3 F3JIPM;:NT r6LAND.UMESTIC SE (STARTS IN <3> �2 OR 4�> ONLY) 'DO FOREST INDUSTRY" 0 RANC)-FARM RECREA TiON t DUMP DUMP OTHER INDUSTRY-COM,IRCt" '1 ,ROAD 1:3 WILDLAND UTiUTY, RAILROAD NON-WILDLAND unury, aacmc OTHER DAMAGE V& 'O O OR 08 ONLY) I ACRES OF VEGETATION BURNED DON ARRIVAL (o VEGETATION FIRES ONLY) SIZE E DISTANCE (06gin to heod) ACRES WEATHER (ESTIMATE AT SZEN-q WIND SPEED (M.P.H.) DIRECTION (FROM) 7EMPEPATURE 10 OVER PLEASE I DAMAGE Number (k-A off ft N—roo stool 10102 &/.ro8 -- 05 TIMBER &/OP. YOUNG GROWTH WILDLAND VEGETATION (Other than T & Y G) AGRICULTURAL PROD r than T ,cnhe & Y G) DWELLINGS vOR-COt4rtNTS OTHER STRUCTURES ,.- 6/OR CONTENTS VEHICLES & CONTENTS OTHER TOTAL I ACRES OF VEGETATION BURNED DON ARRIVAL (o VEGETATION FIRES ONLY) SIZE E DISTANCE (06gin to heod) ACRES WEATHER (ESTIMATE AT SZEN-q WIND SPEED (M.P.H.) DIRECTION (FROM) 7EMPEPATURE 10 OVER PLEASE J.Y. JLR r rG. P. U. { INCIDENT NO. r�IRE FIRE RECORD Mo. OUTSIDE n OOR 8 STARTEDEnt"r 1ST. CDFFFFFFVVDis atchINSIDE 1 02 oOR $ DISCOVERED alLj r„ MEQ —�� GO' TO 1� I/l 11l ..1.1MCT ...':.nail ._-4 —A.F...I—L-0 FIRST REPORT � R ^ SITE N' ME: SECOND REPORT ORGAN- IZATION PERSON HOURS SITE NAME: FIRST ATTACK BY CDF FIRE CONTAINED 10 /1 eDC►A/ /^\/CDLJCAn DCrY1DR t2 CDF STATE 8 LOCAL GOVT CONTRACT CREW NAME ORGAN- IZATION PERSON HOURS AIRCRAFT FLT. HRS. CDF STATE 8 LOCAL GOVT. CONTRACT CREW NAME ORGAN- IZATION PERSON HOURS AIRCRAFT FLT "RS. 1 ST. ATK CDF CREW MEN C3F OVERHEAD TOTAL ON ] 2 6 •fIRES, ENTER TOTALS BELOW 0.\\ ...:a.. .. '.: `...:.,.. .; U.S_F.S. find: Overhead) TOTAL a ;� OTHER 'FEDERAL (Ind. -Overhead) TOTAL m- - ;'µ FIRE DIST_ 8 OT!tEP, .LOCAL TOTAL s ,4:•T PAID HOURLY (E Ff.) TOTAL i-. VOLUNTEERS (Unpaid) TOTAL `:.g`'v>":? ❑ FC -18B (Addfional crew activity) ATTACHED i13�OP D yTI M Ln r A 1YARAAACAlTG0001 136 - - MAP IS: ONE SECTION ❑ FOUR SECTIONS ❑ MAP ATTACHED 41 6A OREGiNAL REPORT BY: APPROVED BY: SA7TURE iTITLE / DAT_ INTL, I DA —,E I I I, v j57 MEN D yTI M Ln r A 1YARAAACAlTG0001 136 - - MAP IS: ONE SECTION ❑ FOUR SECTIONS ❑ MAP ATTACHED 41 6A OREGiNAL REPORT BY: APPROVED BY: SA7TURE iTITLE / DAT_ INTL, I DA —,E I I I, v j57 y �nrCV�LTlol dAi ,)RUNCOUNTY OF SUTiC TY PUSUC WMKS MAY 9 - 1985 eoutd* OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Carol Hoover ADDRESS: 6628 Lincoln Blvd. CITY & STATE: Oroville, CA 95965 IMPORTANT: DATE OF CLAIM: April 4, 1986 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. (Bldg Permit Appin. #85-86P,E, -Receipt 51979 dated 1/13/86, A.P. #26-02-44&45). Total fees paid-------------------------------- $92.50 Retain plumbing filing fee -------- $10.00 Retain electrical filing fee -----=$1.0.00 Retain plan checking fee---------- 115.00 Amount retained----------------------------- 35.00 TOTAL REFUND DUE ------------------------------ $57.50 $57.50 TONAL $57.50 1, the undersigned, declare under penalty of perjury that the services or articles claimed have een performed or deliv/,eend that this claim is true and correct as stated. . Dated this/ /�1............. day of 1 ;�i.i4rC 19Fet.. ... (.�l �i�r: ':..�;. Calif........`.1.�../IIJ...`... .....d.: ..�.y..Y....Z� .................. ............ S � ...... Signature o(/ aimantL-6n 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above haverformed or de- livered and that there is a Budget Appropriation ❑ or Specific BoardApproval Q (Check one) for the same. Dated this.............4th.............. day of ....:..April....... ,9..8C�at .__.,Oroville.. , Calif. / .... / .....L .. ....................................^�..................... artment Head or Authorized D-epu(y Dept. Exp, Code ............................................ Code .....................................:..........PAYABLE FROM..............................................................................,............ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. u,-w V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NP.. Cy ASSESS O PARCEL 11 `� S i9mV ZON /j� BUILDING PERMIT OWNER ' ` TEL E #SS0. y FT. OCC. BUILDING VALUATION OWN R' AI ING ARESS q C V l CO T TOR'S NAME 11TELEPHONE CO. A R' AILING ADDRESS Fireplace CONS }ZUCTION LENDER .'// UNKNOWN Total Valuation $ Filing Fee $ LEND 'S MAILING ADDRESS Permit Fee $ ARCHIT�T OR ENGINEER LICENSE NO. Plan Checking Fee $ Q 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 v' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME IPARCEL MAP Water piping 5.00. Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[—] MobilehomelIV Other ' I & SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Iry fG & y 10.00 ea 130.Q t TYPE OF WORK New ❑ Addition[] Remode ❑ Utilitiesly UtilitiesI stallation❑ Other ❑ Describe work: T In I Permit Fee $ q0. d Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS: 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW penalty I declare under perjury p y of 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 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.hd OR ADDNS. ACC. BLDGS. 2/,20sgft NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. 20930t EX. OCCU��OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.1 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. T�71 I shall not employ any person in any manner so as to become subject J� 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 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 agains aid County i n e ce of the granting of this per it. X Date Signature of Applicant Owne� 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 $ OCCUP. CONST.TYPEJ I I FL ARC PO ND' IS 0 This permit is hereby issued under sions of the Butte County Code and/or wor ndicated above for which DI EC-kOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ob ��"� + Receipt No. WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE -'DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI LLECA.11913.N,IA 95965 - TELEPHONE: 916/534-4541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET I ©p 1/ � Permit No. �- l a� Y7' Permit Fee Based Upon: Complete Contract Price Other DPW Valuation Building Inspector (4i/"1/O.�Gt,���/1/.f" Date_ At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1..,All items have been submitted. —0-2-•, Plot plans in duplicate./tr'•p•hicate. 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 71 Statement of Intent for Non -Heated and AC Buildings, Fees of $ �,� . . . . . .. .. .. ,9. Letter of signature authorization. 1 . . . . . . . �tN 10!.Sanitation approval from r /R- Health Dept. oq Planning approval for (A) Us (B) Parking: Certificate of Workmen's Compensation Insurance. i,,,3� Contractor's License Information (no., name style, classif.) X1,1.4.; Owner -Builder Verification (Given to owner❑, Mail to owner ❑.) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •Pre-Inspec. request to 17% Pre -Inspection for Required. Building Inspector t°'_ ecorded opy of Agricultural Acknowle g ent Statement. 19. Other 1 � P v- V w1 r° 1110/ When you issue th permit, process as follows: Mail to owner. Mail to contractor. X Telephonand hold for pickup at ��fi office. Deliver w./inspector. 1( 1Other rlVewa.v pol'ml to C-op'y 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, t 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 Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW Copy—DPW: To: Building Department—.- _, From: 'Environmental Health 'Subject:. Sanitation Clearance COpti Ct/CL�— Plan Approved for: Hold final for: .AINN 21 Location / AP# Sewage disposal // mater supply ,•later supply Final clearance O.K. for: eater supply Clearance for bedroo .obile home. ther NOTIE *** �anitari Date TO: Building Department FROM:. Encroachment Permit Section RE: Driveway Clearance fir• Ar # owner location Driveway permit / CJ�� — has been issued for the above property. sign ure date COUNTY OF BUTTE - Department of Public.Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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) 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. 1 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. Utility Connections shall be within,, 4 ft. of the mobiiehome, either _ directly behind or within the rear half of the roadside left of the 5 mobilehome. .. p� 5 3q' IV . from the - � - A setback of 5 ft. A permit wdl be required for the roperty lines and a setback pp SQ. MINIMinstallation of the mobilehome. �5 0 . from the road I/ centerline shall be clear of _ o2�oi structures or equipment except Ya( Sed mobs *e for a 2 ft. eave overhang. his set of plans and spec ,�s M ST be 4,y kept on the iob at, all times and it is unlawful to make any changes or alternf;,.ns on' � f� NOTE:—Ap Materials & Workmanship Shalt 9e s and written permission from the DenarFment of Publ�iC Accordance with Recognized Soed.fPed use is as Works. County of Butte. f a quail prescribed for the p �- o , q Plumbing & Mechanical Codes Md t Uniform Building, the National Electrical code - 07 4' P* AL r or a N BUTTE COUNTY BUILDING DEPARTMENT APPROVE? _ I I 1 I _ J co .4 tti p O n {' C1-' rl < mss• • _ C F_ 1 1 i li Y 2 ^' 2 vo a !mac► cr cz �•�- !! is t� ` acy l: % c % o 4) ,C ;i, r r• l a.. • r C O •'t: E � y -•G C.N, C r '< F .,. r. i • i • � T iFt � fV a� �) R r•� - w y C I I 1 I _ J co n {' C1-' rl < F_ 1 1 i li Y . . . . . . ".Ba tie, County LAND OF NATURAL W EAlTH A l: PLANNING COMMISSION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 PHONE: 534.4601 Carol Hoover January 29, 1986 6628 Lincoln Blvd. Oroville, CA 95965 CERTIFIED MAIL RE: Use Permit AP#26-02-45 Dear Ms..Hoover: Enclosed is your validated Use Permit No. 86-18 to allow a mobile home as a temporary second dwelling on property zoned AR -MH -1 located on the west side of Lincoln Blvd., approximately 1000 feet north of Wyman Ravine, Oroville area. Should you.have any questions regarding this matter, please contact this office.. Sincerely, .A. Kireer Director of Planning BAK:jmc cc: Department of Public Works (2W, --J. (5 Environmental Health Department of Forestry USE'PERMIT BUTTE COUNTY PLANNING COMMISSION January 29,_ 1986 DATE: (Registered Mail Rec.) PERMIT ^NO. ___AP___2_b_-02- ;=4�__ AS__SESSOR'S+PARCEL-NO. _ ~--- Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Carol Hoover is hereby granted a Use Permit in accordance with application filed.- 9/1.2/85 to allow a mobile home as a temporary second dwelling on property zoned AR -MH -1 located on the west side of Lincoln Blvd., approx. 1000 feet north of Wyman Ravine, Oroville area. 1. Failure to comply with the conditions specified herein as the basis far. approval of application and issuance of Permit, constitutes cause fQr the revocation of said permit in accordance with the procedures. set. forth in the Butte County Zoning Enabling Ordinance. 2. Unless otherwise provided for in a condition to a use permit, all conditions must be -.completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. If any use for which a use permit has been ganted is not r established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall become null and void and reapplication shall be required to establish the use. SPECIAL CONDITIONS: 1. .Occupancy 'of the mobile home is limited to a close friend or relative.: by blood or marriage. 2.• No rent is to be charged to the occupant of the mobile home. 3. Septic and wells to be installed under permit and inspection by Butte County Environmental Health. 4. The mobile home is to be a temporary use on the property pursuant to the requirements of Section 24--304 of the Butte County code. 5. The Use Permit shall expire two years from the date of issuance of the Use.Permit. Upon application, the Planning Commission may grant an extension of the Use Permit not exceedingone year. 6. In the event that the applicant who is residing within the mobile home or the conventional residence, for any reason, moves to another .location or is deceased., then In that event, the Use Permit granted hereln shall.automal cally expire and the mobile home shall be removed within one hundred twenty (120) days. In the event the mobile home is not removed within one hundred twenty (120) days pursuant to the terms of the Use Permit, the County shall remove the mobile home and.store it at the owner's expense. 7. The applicant to pay a deposit or post a bond to cover the cost of removal In the amount of $1,500. 8. Meet the requirements of the Building Division.of the Butte County Department of Public Works. 9. Applicant must also comply with all other applicable State and local statutes, ordinances, and regulations. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does It waive any other requirements. Chairman of Planning Commission CC: Department of Public Works (2) Health Department Fire Department �' :- .;� �� 't.: ahReturn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 86-01135 r• FOR RESIDENTIAL DEVELOPMENT ,,Cr ~,rE EUTtE COUHIXCAIIFOiiNIA AT THE REQUEST OF Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 86— 7135 &Ok a'o� The property described herein is adjacent to land or included 1986 -MAR -6 AN 10: '47 within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from EVANO M.BECKER the use of',agricultural chemicals, including, but not limited to herbicigt K– qWgges, EE and fertilizers; and from the pursuit of agricultural 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 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. gages All that real property situate in the County of Butte, State of California, described as follows: PA1tCEL ONE: The South 2.0 acres of I.ot 3 as shown on that certain map entitled, "Official Map of the Adventist Tract, near Palermo, Futte County, California", which map was filed in the office of the Recorder.of the County of 'Butte, State of California, April 24, 1924 in Hook 9 of Maps, at page 34, said 2.0 acres to be of a uniform width measured from the South line of said Lot 3. bate: '5 — b "—U 5O State of ) SS. County of .'R>�. ) IgIll 3� OFFICIAL SEAL ,1= .yLiFu�i. vi- �^ � KATHRYN L. RABE PUB11C 01ANr — 6AlJFON MT?E COMY PROPERTY OWNERS: On this the L day of A, 19 , me, the undersigned Notary Pu lic, personally appeared. before j_/ Personally known to me. % Proved to me.9n the basis of satisfactory evidence. to be the person(s) whose iiame(s) -!'- subscribed to the within instrument and acknowledged that r� executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. (9 v l - E W • T2f; -, T) :0 VA 8- N ik' PARCEL TWO: Lot 4, as shown on that certain map enti- tled, 'Official Map of the Adventist Tract, near Palermo, Butte County, California", which map was filled in the office of the Recorder of t..e County of Butte, State of ' California, April 24, 1924 in Hook 9 of Maps, at page 34. EXCEPTING TEEREFROM that certain portion thereof particu- larly described as follows: COMPIF:NCING at the Southeast m corner of said Lot 4, as shown on acid map, located on the westerly line of the Palermo and Oroville Highway, 4� and running thence Iortheasterly along said highway line 120.0 2eet to tae tlortheast corner of that certain par- C=) cel of land described in deed from John A. McBabb et ux to Walter L. Bray, et ux, recorded September 18, 1951 under Butte County Recorder's Serial Number 3686; thence along the Northerly line of said bray parcel, North- westerly 90.0 feet to the 11orthwest corner thereof; thence along the westerly line of said Bray parcel and a - c -n Southerly extension thereof Southerly on a curve to the left, and parallel with the Westerly line of said Palermo and Oroville Highway, 132.0 feet to the South line of saida Lot 4; thence along the South line of said Lot 4, North T 89° 10' Cast 90.0 feet to the point of commencement. ALSO EXCEPTING THEREFROM that certain parcel of land p described as follows: Beginning at a point on the �I Wester:y line of the Palermo and Oroville Highway as �. shown on said map distant 120 feet Northerly as measured - alo;.g.said line from the Southeast corner of said Lot 4, :� I^ said point being also the most Easterly corner of the par- cel of land described in parcel two of deed from -William E. Caldwell and wife to Emory Shamblin and Carmen•Stsmblin, -- " husband and wife, as joint tenants, dated -December 11, 1952 and recorded December 16, 1952 as Butte County Recorder's Serial Number 9380; thence North along the West line of said Palercw) and Oroville Highway, a distance of 27, feet; thence Northwesterly and parallel with the North lire of said parcel of land described in parcel two of said dee3 to Shamblin, a distance of 212 feet; thence South 58 feet, more or less, to a point on the westerly pro- longation of the South line of said parcel of land described in parcel two of said deed to Shamblin; thence South 890 10' Fest along said Westerly prolongation of said South lire 466 feet, more. or less, to a point on the Pest line of said Lot 4; thence Solith along said gest line of said Lot 4, a distance of 120 feet; more or less, to the Southwest corner of said Lot 4; thence I .:orth 89. 10' East along the South lire of said Lot 4, a distance of 558 feet t.- the Southwest corner of that parcel of land described in deed to LeRoy B. Moore, and wife, recorded September 18, 1951 in Look 590 of Offi:ial Records of Butte County, California at page 416; thence Northerly parallel with the westerly lines of said Faltr::,o and Oroville Highway, and distant 90 feet from said Vesterly line, 132 feet to the most Northerly corner of th%! parcel of land described in parcel two of said deed --o Shamblin; thence Easterly along the 'forth line of said Shamblin parcel, 90 feet, more or less, to the point of beginning.EN.�t DOCUMENT :..:...,.,,.... .. n•t� natayc�r�51e°�a'tie:tnuh�ic.....::::.:.::.:...:::.:.::.:.:...:....:...:.:.:.: �...::..... . ��- �::;:° ne ebo�re informa#ro Inspector must draw a plot plan with all building locations: --------------- Additional Comments from Inspector: „-. .;i rte. - •i < d'�.1 s vr ' t �i , "�'-.j .• r � -1 - , d. r. § ` J Lf t �a •`7Yc(;"' � . .,,�,iN - �..+ s r �E� . .' �- ' t �i , "�'-.j .• r � -1 - , d. r. § ` J Lf t �a •`7Yc(;"' � . .,,�,iN - �..+ s r �E� . .' �- r I t !• t f ; j t r .� e y" ,j 114, 6 RUTTF COT NTV T)FVF.I.OPMF.NT WRVIC IFS Inspector must draw a plot plan with all building locations: Additional Comments from Inspector 2 �js� -- %�@ �u v�c�e-C� /�/�1� OVI,t' c1 � ✓' G[ C C r Cl Ctcl � O i of nd cl Ccs N l (i Cj lave. �O 1C E 7�}` `�' I Soy . ©w�-,tC� ✓'� 2 fi�, n1C Y y J/�oOWS "v �rn1 � ��� ����r,� 9 Jse ��m�J �js� -- %�@ �u v�c�e-C� /�/�1� OVI,t' c1 � ✓' G[ C C r Cl Ctcl � O i of nd cl Ccs N l (i Cj lave. �O 1C E 7�}` `�' I Soy . ©w�-,tC� ✓'� 2 fi�, n1C Y y uCount LAND OF NATURAL W E A L T H AND BEAUTY � DEPARTMENT OF PUBLIC WORKS WILLIAM (kill) c;FIEF F, Ulrecictt ` 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 RONALD D. McELROY Deputy Director RB: Private Road Same Dear Property Owner: We are in the process of naming all unnamed private roads in the County with three or more residences thereon to insure proper mail delivery and to help emergency agencies (fire, ambulances, sheriff) locate your residence. We have received a proposed road name for the private road which serves as access to your property from one of the property owners along your road (see attached petition). Please advise if this road now is satisfactory to you. If we do not hear from you within 19 days from the date of this letter, we will assume the name is satisfactory and will assign the name to the road. If you have any questions, please contact this office at your convenience, Phone No. 916/538-7339, or 7 County Center Drive, Oroville, CA 95965. Very truly yours, William Chaff Director of Public Works Doug Anold Street Address Coordinator DA: ss Att. MH UTIL:. PERMIT NO. 2&HRR 22 2743-74ppp. PERMIT EXPIRES / "// /.d 'OWNER William Blankenship i. }`CON TR. }LOCATION (A.P. 26-02-17 ) 6650 Lincoln Blvd,, Orovilk ry t f i it Y Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E s JOB FINALED (Date) (Signature) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Sidina To out Slab Roof Sheathing Water Pi in 2mi Piers Roofing Sewer -� ..► Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footinas Footino ELECTRICAL Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final IFinal DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE -- DEr-.ARTMENT OF PUBLII 7 County Center Drive — Oroville, California 95965 Telephonb: 534-4541 APPLICATION AND PERMIT Owner/W�� z Zh,NN Mailing Address s Contractor Al (5/2-1 Mai I i ng Address Building Address (� (a 5-0 AAtK45 5 Telephone. Telephone No. V A. P. No.��-� D loni ; n FS Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improvements j� Plans Declaration P i6 . Plans Recd Parcel A roval P I o",ArrMV.-r NEW ❑ ADDITION ❑ UTILITIES K 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, CKI 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 Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this Y� 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. Classification _ BUIFLDING SQ. FT. T 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 incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wiring 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. c XF Date S Signature of Permitee or Age Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling Ventilation Hood Permit Fee @ I FEE 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 @ FEE $3.00 5, OZ 3100 1.00 MI m WE 5.00 5.00 @ FEE $3.00 2.00 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 0 UBLIC WORKS By 9::ate2- 7 i B ilding permit expires Date ................ 71- "K '1 ...... I . V '. tai e t. i All .utility connections shall bi- Septic system ate..;��L�3� ' located ,within.4 ft. outside the r�r 'third section of the mobile -horme �4-�sst�s►t to be as per Butte County Health Dept. Re- on the left`(road) side of. the. mobi'I•e quirements. home. — 6UTTE COUN I Y Ghis set of plans and specifications MUST be ' 'at ; UIIILDING, DEPARTMEN :kept on the' job all times and it is unlawful to vake any changes or alterations on sa me withoui Mitten I �` n (� n `/ E A r'�' permisson from the Department of Publi. ` ` � Works, County of . Butte. �• -3 j _�_