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Home My WebLink About026-040-002AP 26- 4-2 Jack Con ay 6740 1 n Pale o AP 26- ack Con a 1 0 Pale 740 1 n it (util� Pe -77P,E t 26-04-2 Jac Conway 67I0w4n.Aye.-. Palermo Permit #45-26-81P, 1)4-040 VA/ ELEC. U LpC7 GAS lz--("I '3/4 �a�/�1 , SUPPORT STRUCTURE RLQ COMPACTION TH REQ. 25-04-02 Contr: Mo e Home Center Inc, Oroville y. PErmi 542-81MHI I ed—A;2-7�1 —9/ .. o A -A U PERMIT NO. , PERMIT EXPIRES (�f OWNER Jack Conway CONTR. Owner ASSESSOR PARCEL 26-04-2 LOCATION 6740 Irwin Ave., Palermo Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E TemfGa�rt v ce `� 2 Cal led PG&E JOB FINALED (Date) Si ure J = OK O = Not OK — = Not Applicable * = Not Ready MOBILEHOMES 0 MISCELLANEOUS 15°- >. z. Date MOBILE"E UTILITIES (P s) OK except H's Date DECKS, COVERS, CARPORTS, ETC. (Plans) u, except k on' g Requirements—Setbacks—Easements 1. Zoning Requirements-Setbacks—Easements of pecial MH Support—Sketch 2. Footings; Size=Depth-Spacing—Connectors Aefew r!Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4 ater.-Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rfg. --Bracing ectricity; Location—Clearances—Grnd.— Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enc:os.:res 6. Gas; LocatiorrTest—Wrap:/ /"L"ft./ P'Nat.orb?,3/"L"ft "LPG 6. Carports; Windows—Doors 7 ti ity Clearance 7. Elec. ft'rd-Bl Date/,? l 8 Card -BI Date Card -BI Date, Card -BI Date Card -BI Date Card -BI Date Date MOBILE ME INSTALLATION (PlAt'sT OK except p's Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's lerfoning Requirements—Setbacks—Easements 1. Setbacks—Easements 2 ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability A as; 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 6P'Water; MH Test-Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed er and Sewer Connected—C/O to Grade—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater te'Gas and Electricity Tagged 8, Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg, Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xits; Insp.—Sketch 1 Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test C d B -I Dat Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date �5w i 3 51, t,2 V- 3 = OK = Not'OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans• OK exce tq's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 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. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11.- Electric; Underground 12. Plerums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q'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. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. 67. Elec. Outlets & Receptacles at Kit. Counter 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. 24. Romex Installed Close to Edge of Studs & C.J. Egt.ip. 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 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. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ED No Service -Riser Conductors & Ground -Main Disconnect 75, 76. Following instld.: Drive ❑ Yes []No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clcthes 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 it's 83. _ Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 31. A.C. Ducts; Insulation &Support - 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Card -BI ---- -_ -- -- --- -- Date_ - _Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors Comments at Final: 37. 38. 39. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing__ _ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties- in- Brac.-Truss-Shthnp.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size &_ Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing _ (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 51 under permit number 101i44- IPt for the following location: Owner Owner's Address Mobilehome Mfg. odel Year Insignia No. Serial No. /47 =►' a `'�`"` AIt is hereby certified for occupancy at the above described location and !nay be occupied. Director of -Public Works ''Nate A. 21 — .2- 9'-- C'% By j -0 X V THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE . ILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. h I Inspector Aa4 55-; Date _j.2 X'/ - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS � /PERMIT NO. 7 County Center Drive-.Oroville, California 95965 - Telephone 916/534-4J% i7 APPLICATION AND PERMIT ASSESSOR' PARCEL UMBEF.4 ZONING BUILDING PERMIT OWNER T E HON r'-7 SO. FT. OCC. BUILDING VALUATION OWNE MAILING ADDRESS CONTR CTOR'S N ME TELEPHONE �3 CONTRACTOR' MAILI G 1ADD S V d Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADD.R ESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing 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 USEOF ST UCTURE SF ❑ Duplex❑ Mobiiehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition [I Remodel ED I• ies 1:1 JPstallation Other El Describe work: /-a -7/2-7/274'%�4`Y/ fF Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 (� Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.y) OR ADDNS. \ ACG. BLDGS. 22 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 m license is in full orce and effect. yFIXED License No. o /90 5" Classification — ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR -OU LET 2.5Oee NON.RESID BRA CH CIRC I S NEW CONSTR. I POWER APPARATUS &) NON-RESID. %SINGLE OUTLET CIR. 50 0 ase Ex. OCCUp OUTLETS OR FIXTURES gqL ei Ex. Occup.(APP P(RESID.)RE A. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Penult Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one):,, ❑ The permit is for $100.00 (valuation) or less. I� I have placed on file with the County of Butte Building Department 4� 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 beccme 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 S 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all jud n , costs, and expenses which may in any way accrue ainst sai C un in c sequence of the granting of this permit. Date /� —�`�- F/ Signature of Appli ant — Owner ElContractAgent ❑ An OSHA permit is required for excavations over op-or5'0" deep and demolition or construct- ion of structures over 3 stories in height.Receipt Mobile Home Installation Fee $ �� TOTAL PERMIT FEE $64 OCCUP. GROUP I TYPE OF CONST, PARCEL PO I D 1 17 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT=FPUBLIC B y PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date / L —/6 =��. No. 5pS37 WHITE-D.P.W., YELLOW -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT M i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 1 PERMIT NO.e5 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 1001-� ASSESSOR PARCELN�U]I^IER ^" </T O --Z_/ ZONING/��-% 1 !/ BUILDING PERMIT oINN51_^ A/ `' +V �3 FJHON, ,, `j^ SQ. FT. OCC. BUILDING VALUATION OVjINER'S MAILING- ADDR SS �/J J M ME -01 I9F� p..�l 0 CA - CONTRACTOR'S NAME T LEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation $ Filing Feb $ 10.00 LENDER'S MAILING AIDDRESS Permit Fee $ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee FN $ I id ,6-6 Penalty $ ARCHITECT OR ENGI EER'S MAILING ADDRESS Permit fee $ BUILDING D R S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 ll �A1 Water piping (0.0o LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 10-00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[Z,-1105'ther SPECIFY Building sewer p(7 Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Instal lation ❑ Other ❑ Describe work: Permit Fee $ aQ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 60*1 OR LESS 100 AMP OR LESS 5.00 ro0 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.5j) OR ADDNS. ACC• BLDGS. _ 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No: Classification ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. TI -OUTLET 2.50 ea NO N.RESID BRANCH CIRC TS NEW CONST(POWER APPARATUS e NON- R RESID, SINGLE OUTLET CIR. Jr SO @ 250 Ex. Occup o OR FIXTURES BALM XED A Ex. Occup.X PPLES, OR �OUITL AETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S7,00 Misc. Wiring 7.50 Permit Fee $ 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree save, i demnify and keep harmless the County of Butte against all liabili a ,�fjudgm ts, costs, and expenses which may in any way accrue against i t n on ence of the granting of this permit. %�—�4 Si not re Applicant — Owner ent ❑ n SHA permit is required f excavations�.,..�,-5de.pgond demolition or construct- io of structures over 33 stori�e7�ia-6a�gFrf•:�'� Mobile Home Installation Fee $ Q �, s TOTAL PERMIT FEE $ O OCCUP. GROUP TYPE OF CONST. PAR L PD ND 155 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �y—<</! �Z Receipt No. ✓$ `� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 0( ; _'QA�!ry.. C�I,iiT'�. Ct�UP=;T't-.,c,t.r. j. FOR RESIDENTIAL DEVELOPMENT R�t;Ofi SRF clJw i` g, Section 26-8.1 of the Butte County Code requires this acknowledgemenC 45 be recorded prior to issuance of a building permit. CLARK A, NELSON The property described herein is adjacent to land or included CLE RK-R400RDER within an area zoned for agricultural purposes, and residents of :,9-1 8 FBF this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides,' pesticides, and fertilizers; and from the pursuit of agricultural operations.including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural 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: , Date: ts• jyL State of( i� , r_• ) On this the ��Tti- day of 1 �8(�, 19,61 SS. before me', the undersigned Notary Public, personally County •of<:5yTTre� ) rt;;;,:.;sappeare�d Irr,- OFFICIAL SEAL DANIEL F. HUNT m� NOTARY PUBLIC — CALIFORNIA .�; PRINCIPAL OFFICE IN THE COUNTY OF BUTTE COMM. Exp. OE►.1, 1982 9eeoleeeneeeaeneeemneeoeeoeeeoeeeeeseletaieeemriti known to me tobe btle'person(s) whose name(s) �� o subscribd to the within instrument and acknowledged that �C- executed the'same for the purposes therein contained, o IN WITNESS WHEREOF, I h eunto et ha d and official seal. m ' Notary P blit • Present A.P. NO. Z(o -O HOZ Recorded of Ove request. of HM50 tCi OP ... ....... ...................... .................. ....................... RECORDED AT THE REQUIST tour" to NMMWUI'MLTl"m C4W#AW t. 0 KVAh ... Q)nway es?..0 m{n. past O'clock (�ICOROID' at trockreiiRl 'UAW M V. 1.74,41! M Val. '4410%rPoov ........ ................... OFFI( -OF R aU OFFICIAL, PFCOROS TT6 C UTTI COUNTY, CALIFORNIA ................... ......................... ........ ou 9!w L"k U wun v No . ..... 1601ril ......... Feet ............ Grant, D"d usmil Terwisco Fair. value received George T Pelham and Rose E. Volham, his wife GRANT to • James N Conway "and HuthConway, his wife as. JOINT TENANTS all that reol'piro.Oerty situate In the County of bum State of California, dissalbed as folloviiist The South half and the South 74 fe:i of the North half of Lot 3, In Black 97, A$ -shown on that certain map entitled "Map of Sub - division No. l' of tho.Polemo-Citrus Tract, Butte County. Cale ", which nap.welerecorded in the office of the Rveorder of th*_County of Butte, State of California, February 26, 1068 an Wall Map He 3 DOW 19 01 ,Z - orge Pelham Koso 6. 0*1ham STATE Of CAtlfO*NIA Q;jMtv of _211TTE On 9F 19 loof kahA P_ 42411,C) r tj a Notary Public, in and foe told County and State, personally olipeared /' 19 e known to rWe to be the Poison.) . whose name J bvisscolbed to the';l1thip in rivent. and *nowledgisd to rns that i he V smulsrdl the. wrne. ENCi OF DOG M '. MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No.. �C?v Year d Width2�1_(ft.) Box Length�Q_(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. -� ��N. Single A iv A (ft.)(in;) Center support locations* (ft.)(in.) a, S-`� (ft.)(in.) a-4,X3�,, (in.), (in.) Center support footing sizes (in.) (in.) (in.) (in.) (in.) *If center piers are other than drawn above, draw in -locations, snacina. and dimensions. Footings (check one) 1. Wood either pressure treated or foundation grade. 2. Other: ( specify) Supporta (check one) (� 1: Concrete block. E] •2: Other. (specify) Tagalong or Expando,' show support details. /02 x30 I -- Typical Support in.) (in.). Footing Size 5 /, I -- Max. -Pier. Spacing (ft.)(in.) -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT t-,PPRnVFD �z� (in.) (in.) (ft.)E (in.) (in.) (in.) *If center piers are other than drawn above, draw in -locations, snacina. and dimensions. Footings (check one) 1. Wood either pressure treated or foundation grade. 2. Other: ( specify) Supporta (check one) (� 1: Concrete block. E] •2: Other. (specify) Tagalong or Expando,' show support details. /02 x30 I -- Typical Support in.) (in.). Footing Size 5 /, I -- Max. -Pier. Spacing (ft.)(in.) -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT t-,PPRnVFD �z� 1. Owner's name: 2. Installer's ne BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS' - 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yet / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No T71 - (If /(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? ----------------------- j0 U Amps 6. What is the mobilehome site service rating? --------------------- 0 0 Amps 7.. What is the mobilehome site circuit breaker rating? ------------- /00 Amps 8. Is there any other electric load to be served by the mobilehome site service?----------�----------------------------------------- Yes 177 No %/ (I£ 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 7-7 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 2 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.) This set of plans and specifications MUST be kept on the job at all times and iiton semefwli c Utility connections shID be within make any changes or alterations 4 ft. of the mobil ho e, either j out written permission from the p artment of, directly behind ' wii , in the rea Public Works, County of Butte. ` half of the roadside ( ft) of the y 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, NOTE:—All Materials & Workmhnship Shall Be in - Accordance with Recognized (Mood Practices and of a quality prescribed for thApecified use in t c- { Uniform Building, Plumbing &I,Mechanical Codes and the National Electrical Code A permit will be required for the inatallatiori of the mobilehome. 5ZI, ®UTTE COUNTI G DEPARTME1 o RPIR Q V D %l r at 43,a& OROVILLE'CALIFORNIA GENERAL CLAIM CLAIMANT: Jack Conway ADDRESS: 6740 Irwin Ave. CITY & STATE: Oroville, CA. 95965 IMPORTANT: October 19, 1977 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Decided not to install facilities for mobilehome. (kpplication #5400 77P,E r Receipt #170356 - *P 26 04-2) Plumbing permit fee ----- $33.00 a g tee ------- Amount of refund due ------------$30.00 Electrical permit fee --- $26.50 Amount of refund due ------------ IL3L.50 Amount of permit fees refund ----$53.50 Land Development fee refund ----- 2S.00 TOTAL REFUND DUE ----------------$78.50 $78 50 TOTAL $78 50 I, theundersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, 'and that this claim is true and correct as stated. .I Datedthis .................................. day of ............................. 19....... at................................. Calif..........................ure ............. Signatof Cl..alm........ant.................................... I I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation or Specific Board Approval0 (Checkone) for the same. 18th Oct. 77 Oroville Dated this .................................... day of ............................. 19....... at .............................. . Calif..................................................................................... Department Head or Authorized Deputy Dept. 1 Exp. Code........................................... Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE I DEPT. & SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMa. SUB -DIST. I ,C I 1 INSTRUCTIONS, t0 --CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work_ performed, quantities, 'de-, scription and unit prices of -articles furnished or delivered. Claims must be certified by the claimant and submitted to the � De- partment head for approval. Upon approval the Department head will forward claim to County -Auditor for payment' procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. FA "'COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 07ovilie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,54-00-7 -7 2 autnorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 7i%GtiL Date Signature`ooff Pervamiiteeeoor Agent eceipt 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 Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 6 ,9— Q T lephone Fireplace Contractor w IkeTotal Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ i1 Building Address 7 1� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Ot o ng en Ic on pill v t t t Each gas water heater or vent 1.50 A. P. No. — — 4, � Zon Gas piping system 1 - 5 outlets 1.50 , Each additional outlet .30 F Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 0 EQA Parking P Parcel M Plans Dec ration P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. ons Recd Parc pprovol Plans Approval Permit Fee $ , $33 M NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OR L Main service 1000 AMP ORSLESS 5.00 Main service EA. AOD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER Main service 00 AMR OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. &� 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS & NON- R RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ` VMS 00 Ex. Occup(OUTLETS OR FIXTURES)@25a BAL�1 Ex. Occup.FIXED APP LNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ „� $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTALPERMIT FEE $ O autnorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 7i%GtiL Date Signature`ooff Pervamiiteeeoor Agent eceipt 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 Building permit expires Date Date OWNER Zonin Use Proposed Permit fee-based upon: 1. 2. 3. PERMIT APPLICATION WORK SHEET CompA ete contract price.. Partial contract price (explain). DPW Valuation (show): Permit No. A. P. No. Approved Not approved At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date Received 1. All items have been submitted. ------------------------- 2. Plot plans in duplicate/triplicate. ------------------------ 3. Complete plans in duplicate/triplicate. --------------------- 4. Complete engineered plans and calls. ------------------------ 5. Fees of $ ------------------------ Letter of signature authorization. -------------------------- 7. Sanitation approval. ---------------------------------------- 8. Planning approval for - 9. Workmen's Compensation Insurance Certificate. --------------- Contractors license information. ---------------------------- 11. Parcel declaration, recorded copy. -------------------------- 12. Access declaration. ----------------------------------------- 13. Aunt Minnie information. ------------------------------------ 14. Deed of access, recorded copy. ------------------------------ 15. Deed of parcel creation, recorded copy. --------------------- 16. Parcel map, recording data. --------------------------------- 17. Pre -inspection request for 18. Improvements - plans required & DPW approval. --------------- 19. Other, By Date 3 lig. spector During plan checking process, the or information must be submitted issuance: 1. Index permit for items above and in addition the following: following data prior to permit 2. Applicant advised by Telephone Mail Other 3; Plans checked by Date 4. Plans approved by Date When permit is issued, process as follows: 1. Mail,to owner. 2. Mail to contractor. Deliver with inspect' n. 4. Telephone! Cf�� / Z2, -,-and hold for pickup 5. Other Before permit issuance, all of the following items must be signed_ or marked NA: 1. Zoning use 2. Legal parcel 3. Envir. Health Plans Seht A. Sanitation B. Restaurant C. Other 4. Public Works Plans Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies Plans Sent A. Fire Dept. B. Other DECLARATION REGARDING LOTS OR PARCELS I certify that as owner of the property acquired by deed in Volume Page Official Records of Butte County, (AP# I am requesting permission to build or install an additional living unit on this property. I will not divide the aforementioned property for sale, lease, rent, or financing unless all applicable land division laws and map requirements are com- plied with. I am conversant with the present zoning regulations affecting the aforementioned property, and declare that I shall not violate same. I represent that the proposed use of . the additional living unit is ACYL-t� _ �Z . <V_ and that further. I shall not change this proposed use of the additional living unit unless and until I receive written approval therefor from the County of Butte. I fully understand that pursuant to Chapter 20 of the Butte County Code and §11535 et seq of the Business and Professions Code that if I, in the future, sell, lease or finance the area on or adjacent to said improvement without fully complying with the applicable laws and ordinances, that I shall be guilty.of a misdemeanor and therefore, subject to the aforesaid penalties and imprisonment pursuant to law. Further, this statement shall be properly acknowledged and recorded at the request of the County of Butte. ga � NOT COMPARED 1N11" ORIGINAL DOCUMENT �rrlh�p,�:.REEtC�0iI3�D�5 iBiW iITE CX'�U'N Py -'C At If. IRS ,K;CH :RE!Q, I i E T !� -7 T LOUISE x"L,()E,NI)fR COUKY RER:O;+Ri➢c�i FES Address Da e STATE OF CALIFORNIA COUNTY OF Butte ss On this 13th day of October , 197 7,. before me, the undersigned , a Notary Public in and for the County of Butte State of California, residing therein, duly commis- sioned and sworn, personally appeared Jack Conway known to me to be the person whose name_ . subscribe to the within instrument and acknowledged to me that he executed the same. IN WITNESS WHEREOF I have hereunto sets^my hand and affixed my official seal in the County of Butte the day and year in this certificate first above written.. S96-1275 r OFFICIAL SEAL . i..: a.....;.., 1J WALTER_ D. SUMMERS �� •— ,-,� ',; NOTARY ,PUBLIC CALIFORNIA ' Notary Public PRINCIPAL OFFICE IN - `'�s�"= BUTTE COUNTY - MY COMMISSION EXPIRES OCT. 1, 1979 9 z-fi o -cue �d,-b' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: A.P. ��6-' Address:`C �� D v U Date of Inspe n Tenant:�i al Inspector Building Location: . Type of Inspection requested: 1. Housing, 2. Financing 4. Other (specify) Present use.of buildin 3. Change of Occupancy to A Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and. ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection. to sewage disposal: 12. Connection to water'.supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: ' 3. Wall construction: 4. Ceiling and*roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service a 2d ground: 2. Recep,;, ,.. As: ' 3. Fus i.ir4 : - 4. Coum►ent s' D.- Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents, 4.. Comments fnnntimtPA on backV E . Other 1. Maintenance and repair: 2. Fire hazards:. 3. Safety hazards:' 4.. WeaO,er protection: , S. T.Juderfloor and attic ventilation: 6. Corm:aents: F. Commercial Buildings 1. Rcof covering: 2. Disrarce to property lines: 3. Physically handicapped: 4. Rest-oom floors anti :galls: 5. Exits: 6. Improvements: Zor_irg:_ 8. Commerit:=, G. ,Field Problems or VicIafl- iur,.s 1. Problem violation (give ccmplQta descriptio n) : 2. What action taken (give conipiate description) : 3. Whit acr.;a.on recommended: T7 A. `s:nfonaut ion only - f i 1.2. / / B. Hold for tcn (10) days, then wrie letter. ! / write letter. 77D. Other: Owner: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Address: A.P. Date of Inspection Tenant: A Inspector Building Location: �, t o ' Type of Inspection requested: 1. Housing. "'2. Financing IL 4. Other (specify) 1,1 3. Change of Occupancy to Present use of building• -- A Sanitation (Housing)_ 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection' to sewage disposal: 12. Connection to water -.supply: 13. Rubbish and garbage facilities: 14. . Coamments B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and'roof construction: 5. Fireplaces: 6. Comments.• C. Electrical. 1. Service ,::d ground: 2. Recepta c. ,s: 3. Fusi.ng:� 4. Conanent s D. Plumb 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4.. Comments: E Other I . Maintenance and repair: 2. Fire hazards: .--.- 3. Safety haz.-Ar.ds:' 4. Weatl!er protection: 5. Underfloor and attic ventilation: 6. Conments: F. CoTwercial Buildings 1. Roof covering:_ 2. Distance to property lines: 3. Physically handicaFped: 4. 10estroom floors and walls: 5. Exits: 6. Improvements: 7. zoning: . . 8. Comments: Field Problenis ions G. or V4c-,Ia* 1. Problem oz- -violation (give nomplete. desrription): 2. Wl--at z:ction taken (give complete. -Jescription): 3. What an -Lion recomm'ended: T7 A. -Tnfor..-iiiation only - B. Hold for tcn (10.) days, then wri'.,e letter. Write Jetter. /7D. other: