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026-070-019
:;26-07-19 SANDRA COSNER 6920 Irwin Avenue, Palermo Permit#3253-86MHI(exist'ng si.1 HZ t Issued f/_,_ _ r 026-070 019" PERMIT#95 2228'r -3 , MITCHELL,: Shirley ' ,- 6920-- Irwin` Ave. Orovi.11e fFf�- ` j .; a cont: �D_ &'D`;Mobile� �'r r 4 MHIiK'Ex,; Site .° , ; / p _ x: % I I. I 1 1 ���� - --- � z I� I �� . `Ilr/ .ti - �� r^' - - -- --� � -- , 1 s r ` RESIDENTIAL V026-070-019 PERMIT#95-2228 MITCHELL, Shirley 6920 Irwin Ave., Oroville > Cont: D & D Mobile MHI Ex Site 4 OFFICE COPY Address GAS Meter By Dalel1 ELECTR Meter By Dat JOB FINALEDfate) — Slgnature GG J=OK O = Not OK, Not eeaadyable MOBILE HOMES Date MOBILE HOME LITILITIES,(Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete f 1 4. Water; Location -Test -Easement Needed (Sketch) 1j 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete _ 6. Gas; Location -Test -Wrap: / /" L" ft. j / /"Nat. or/ /"L"ft./ /"LPG f 7. Well Clearance & Disconnect f 8. Utility Clearance r Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1"Zonlpg,'Aequirements-Setbacks Easements f a ootin ; Size -Spacing -Marriage Line 11 as; Test-Demand-Valve—Connector I&0myV,,-MH Test -Crossovers -Breakers -Clearances 4 a�—Drain H Test -Fall -Flex Connector t ate MH Test -Regulator -Connector ater Soo—sewer Connected -C/O to Grade -HD Approval spd Electricity Tagged 96�xits; In '=Sketch 10. C—P<of Occupancy drTIC �l Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 j L6-- JO 3(KY1- So �4s-6 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- 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 I V OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single ' = Date UNDERFLOOR (Plans) OK except ff'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 -Bloc kouts-Wrapped 1 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Soecial 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 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ------------- ---- ------------------------------------------------- - --- - - - ,23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- ------------------------------ -- ----------- 24. Size Boxes & No. of Conductors -Stapled -------------------------------------------- -- -------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Wa:er --------- ---------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------- -------------------------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ! ga. Cu or At --------------------- ----------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑Yes ❑ No - ---- ------------------------- --- -------- - - --- - -- 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------------------------------ --------------- -------------- 31. -------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light -------------- --- - - - -- - --- -- ------- - 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 - ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support --------------------------------------------------------------- .................. 35. Vent Fan: Exhaust above insulation ----------------- ------------------------------------ 36. --------------- - --- - --------- - --- 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 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors ------- ------ ------------------------------------------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------- --------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -- - -------------------------------------------------------------- - -- 42. Draft Stop in Walls -(rat- proof) - - ----------------------------- ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing & 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 M's 61. Ext. Steps -Door & Sidelight Protection -Landings' --- ---------- ------ 62. Smoke Detector --------------_---- ____ - 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection --------- ---------------------- ------------- 64. Bedroom Exiting _______ 65.-G.F.I. &_Bath Fixtures & Tub Access -Spa ------------- ----------------- 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. 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 ClYes ---------------------------------------- - - - -- -------- -- -- 78. -Guard Rails & Deck -Const Caps -------------------- ---- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes . - .. - --------------------- ------------------- - 80. Followinginstld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; ---------------------------- Planters ❑ Yes ❑ No - --------- 81. Stucco: Brown -Finish ---------------------- - - - -- - ----------------------- -- - 82. A.C. Unit: Disconnect. Electrical, Plumbing -------- - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings -------------- 84. Water Well: Disconnect, Electrical. Plumbing ---------------------- --- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground -------- 86. Ventilation Throughout House -- ------------------------------------ ------ - 87. Glass Protection --------------------------- ------ ------- 88. Corrections from Previous Inspections -------------------------------------------- ------------------------------------ 89. Gas Test -Meters Tagged: Gas -Electric ---------------------------------- ------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ---- ------ 91. Energy Compliance Certificate -Other Certificates --------------------------------------------- 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: .f_�'?"SY,: U:.�e^„'+��; �^�°..y.}-�"-,f .�R: _ "i_'. :.�+'..�a`-�—v*-7:r �?x w�---sT•�r ��,as""'-r^-r: -�,--�Y�;-•.-�-;—n: ,;---; �:v:,_;s,.�r"+��'yc _mss. ��-�c*s^.. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 ,4PN: � �" -,,,•, / � PERMIT NO.: � r Owner's: j rc Inc , & Name: Owners: D12e)Address: d - .L - j��iCl" 4'-� Mobilehome / Year.of Manufacturers -� Manufacture: Serial number or V.I.N. 0 Insignia or l HUD number/ J v Official ap r{l/oving installation: Date: %/ '� If the mobilehome is moved or relocat , the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor r K. t , COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION .—..... . 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754y)�^ T NO APPLICATION AND PERMIT 7 ASSESSOR PARCEL NUMBER 026-070-019 ZONING ARr11I1 BUILDING PERMIT OWNER SHIRLEY MITCHELL TELEPHONE 533-1078 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6920 IRWIN AVE 95966 CONTRACTOR'S NAME D & D M/H TELEPHONE 532-3302 CONTRACTORS MAILING ADDRESS 2243 FEATHER RIVER BLVD 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 6920 IRWIN AVE PERMITFEE $ 43.00 OROVILLE 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISDN'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 12X Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IX Other ❑ Describe Work: -3 BEDROOM M1 I H EXIST. SITE - Mobile Home I S I GI W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service 80 OV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IoOOA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, and my licens) is in full force andeffect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCURSO. OR ADDNS. ( & ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (s SINGLE OUTLET SIR.) Ex. Occup. (OUTLET OR POSTURES) 20 50 0 + BAL 50 Ex. Occup. OUTLETSFIXED (RES D.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 2000. Misc. Wiring 23.00 PERMITFEE $ Contractor c 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 MECHANICAL PERMIT Filing Feb 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith compl with those rovisions. X / _ Date Signa re of Applicant - Owner ❑ Contrac Agent An O HA permit is required for excavations over 60" deep and demolition or construction of s u tures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee Is OCC CONST. TYPE I TOTAL FEE $ 143.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD SU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMITEXPIRESON p�e� provisions to do work paid. a( 9S ReceiptNo. 185370 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NN �.a r MCHOR UNTIL 'JSH y, r URE FRAL Ns. t ,`'''+"'._,,`"`'`•�fi"`^':.r+s^'TR'`�+'�•�+'.,�„ty„`�",.''-7�'±"M C0UKIT.. F�,3UTTE - DEPARTMENTOFSDEVELOPMENTSERVICES -BUILDING DIVISION .7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER L. A.,P. No. O 6 _6%� �CJ Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED 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 . ...................... q�Engineered truss details and layout in duplicate (required prior to plan check). obilehome data and manufacturer's installation instructions, 2 sets. In,-Fees of $ . ....................... . mpact fees as shown on attached schedule. Q W� y .......... �L�-"--�s --�s12. California Department of Forestry plan approval/fees. ................... . lood elevation letter (100 year flood b C lifornia Engineer. ........... 1. / Sanitation and plot plan approval ey Health Department. ........ ... r 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). . . Preanspection request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). ............. . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner, , Mail to owner ) ............ Recorded copy of Agricultural Acknowledgement Statement . ................. t - �-- . Letter of signature authorization .......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed V and (B) Parcel meets zoning area and frontage requirements . ............... 31." Existing violations/expired permits . ...................................... 32. Plan,�checklist...................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephon`ek, and hold for pickup at office. Deliver with inspector. Other Parcel Creation --1711 Acreage Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Ot Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Plans checked by Date Plans approved by (!s 14 13 0,4-s Date 5-2/-qj' Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ;' t- - TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Amwbad Floor Plan Amnchad v Sant to Bu -4!q MMO to cowzt-c-yC � - Owner Location Plan Approved. for:' Sewage Disposal Water Supply: Public _ Clearance for � bedroorK4�mobile home_ Other �c2,C-070-cyi9 Private Well NOTE: Environmental Health Qro7 Date ZE444 4__ —APPROVED /3,qc K Butte County- -Envl to�=enta Health — DooR 73 OOA -----Tbi-s Set -of plansand`speciffcationB kept on the job at all tjgnes and it is u make any 014anges br alterations on f, written Permission from the Departm Works, County of Butte. IjGTE: All Materials & Workmanship ShAU Bee ...Accordance with Recognized Good PraCtifts X ..:.:*Of. a. Quality prescribed for the Specif.led use Plumbing & Meoh= Jiform Building, .,n the Ur Codes and the National Electrioal Code. �UVI'; be �Svrfui to Ze without lit of Public A)//V /1qjWTTE COUNTY BUILDING DEPARTMENT E A P ftr R 0 FILE COPYN SUIT, DEP EM 1L ARTM DIN". b t M.H.I.- 2 Mobilehome Manufacturer: IF1_ F �pnn &QZR QLYLIk)Manufacture Year: If other than single wide, furnish Setup Model Number: Width:�_(ft.) Length: 1,2n _(ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. '-OOTINOS: Wood p4 -;-W. ret 'r:at,ti:o: fo;' ation.grade[ X] Other:. __. SUPPORTS: Concroe blockN i Other: Provide Tie Down Specifications for all Mobilehomes: - 5 C o Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 III ine 1 Line 2 Line 2 Main Beams Line2...................................................................................ine 2 Line 1 Line 3 Line 2 ...................................................................................Main Beams ...................................................................................ine 2 ine 1 ................................................. ine 5 Tag or Triple ine 4 ine 1 Line 1 Piers: Size minimum: r 1 x Spacing maximum: I C` From ends -maximum: ` Line 2 Piers: Size minimum: [ IZ ] x [ 30 ]. Spacing maximum: S S ` From ends -maximum: 1 O ` Line 3 Roof Loads. Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` 2 yx 30 f) T- A LL /N1 9jZ10 2 BFAP-IKG WALLS OVER 1. Owner's Name: cS�RL.(?Y ,ti'1 j7CN t__L� 2. Assessor's Parcel Number: Q id - Q j -19 3: Installer's Name: T "Nr,;, s :r 4. Is the -site curieritly*under peniuf? 'Yes[ ] No[ 1, Permit.No 5. Is the site an existing site? Yes[y] No[ J (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? /tZAmperes. 7. What is the mobilehome site circuit breaker rating? /0 0 Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[X] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- I oej I Amperes- [) b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[X] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 3 ' inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?_J_Q_(ft.). 14. What is the mobilehome gas demand? • B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 �i,��"'°►�.""'art'�y'��•�+srr+�'+Jay„w�,'+"�"r�i�y*+(7f'a'::N'c�r�5�.':rm��+�y.�{�i�f''��+*` y�'"'"tY+:��,;,. ;;;al j..�,rr•� % "£���� /�""�j!'� ,I BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATION FORM (One Fomn Per Building) School District 0 clov 1, Building �-�' Building Department No. t A.P. Number=,--Q"e9n / Jurisdiction: 0 City County Property Owner IG� �N /4 410 Property Location/Address , ISR/2- L -E �z Subdivison . ' Lot No. Residential Development 0 No. of Living Units [] Sq. Footage TT MHI Addition (Group R) Commercial/Industrial Sq. Footage in (Including Exterior Roof Areas) r' Dat (Floor Plans reviewed by School District Personnel) ict Identification No. 9 6 O ce-&WtDl)School District certifies that (Street Address) T (Phone Number) (City) (State) _ (Zip Code) has complied with the requirements of Resolution+No. by payment of $ representing square feet. ) AB 2926 $ f . FULL MITIGATION $ tic ✓� � J+�D� � r School District RepresentativeDate Paid by Check # Remarks: r Bank Number Paid by Cash 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 fullv mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (11/94)dmm Vol 6, z , :j COUNTY OF BUTTE DEPARTMENT ^�a, PUBLIC WORKS N 0% I C E Post jobcard In a safe, conspicuous place. Do not removo until all required inspections are made and building '• approved for occupancy. Plans must be available on job. A. P. No. 26-07-19 Owner SANDRA COSNER Contractor owner Permit No. 3253-86MHI Expires PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings Piers )—Underground Conduit Do Not Pour Concrete Until Above Signed Underfloor Plumbing _ Underfloor Electrical Underfloor Mechanical Underfloor Framing Do Not Install Floor or Slab Until Above Signe,, Rough Plumbing Rough Electrical ' Rough Mechanical 'Framing Insulation Do Not Cover Until Above Signed Fireplace Footing I Fireplace Throat I Do Not Continue Fireplace Until Above Signe. I Stucco Lath Scratch and Brown i Do Not Cover Until Above Signed Sewer Service Water Service Plumbing Final Electrical Final Mechanical Final Building or MH Final _ DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING_. OR MOBILEHOME IS APPROVED FOR OCCUPANCY CHICO - 196 Memorial Way - 891-2751 OROVILLE - 7 County Center Dr. - 534-4541 PARADISE - 747 Elliott Road - 872-2961, Ext. NN 1. COUNTY OF BUTTE DEPARTMENT OFtPUBLIC WO53t4KS� r`.' R4 T N0; 'r.County Center Drive QrovftlAs Calttomfa 9!;965 Tafep(tone 9�1'-4541,. �. ± 4 f. at w na r +� t APPLIC 41' rAH '. , t x qT D PERMIT ? .ASSESSO R..tPARC L NUMB �' s i t -, IA 1: 'S+"' BVI G PERMIT ^I- EPHO OWNER , -+- �4 t'k SQ FT, ..�: B LDINO VAL OWNER'S MAIL -;I Gr ADQR 3? f4 •3 NAM. - TELE. NEA" t4 1* •1- V. CONTR T - . Vii. hYM - .,4 ,tiL.. _ ,.�•�r: :,#,a"- CONTRACTOR'S MAILING. ADDRESS C+ Fireplace CONSTRUCTION LENDER' - - * UNKNOWN "Total_ Valuatlorl. - S1t1Ai� S"t.. Fill ng'Fee'e LENDER`S MAILING ADDRESS '�"• T• .Permlt'"o *•�+ ->� `''�•�a•+' 1 LICENSE NO. !yy,,r, l.. ARCHITECT.ORy ENGINEER ;.,« I"• ,P.lan"C "eking Fee •3; c.�' . $ :`;4^-'8 1..'�"a *- •� ' - - . .. . - ;Energy Plan Checking Feed' ARCHITECT OR.ENGtNEER S MAILING. ADRSS i enalty . .A .P - A n '1113 g DE ; . $ ~� ' -, • .+ R. o ®U-ILDING ADDRESS - '- Permit fee PLUMBING PERMIT Fjfjng•Fet3; = „I0a)fZ , . Each Trap. M • y 1R�a -2 00 Solar or heat pump watet'heater 20:00 LOT NO. SUBDIVISION NAME• p.ARCet- MAP Water piping Each seas water heater or vent 5.00 v Gas piping system 1 - 5 outlets 5.0 USE QF STRUCTURE 0• !� •':, SF ❑ Duplex❑ MobilehoRr ] Other Building sew 5•� r 8r r ' ��SPECIFY Mobile Home S G W O.00ea .t ,�r TYPE OF, WORK New ❑ F Addition ❑ Remodel ❑ Ut.IIIties []' - installatio FIN Vn Other ❑ Permit Fee $ Contractor Describe`work: r�'•�`�CJ�ilr' . ELECTRICAL PERMIT "^ FiiingFee Main service 11000VAmp L` ESS 10.x_; 00• AMP OR LESS - Main service EA;'Aoo`L too AMP ;.2.50 CONTRACTORS LICENSE LAW NEW CONST. /DWELLING OCCUP.EI\ 'hdsgft - - OR ADDNS. \ ACC: 6LOGS. / I declare under penalty of perjury (check one): NEW CONSTFt. M U CT1• L T CIRC 2.50 ea NON•RESIO BRAMCW ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business /POWER APPARATUS e) 1 and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. 20e5os Classification Ex. OCCUp(OUTLETS OR FIXTURES NLe 30 •License No. FIXED APP LNS. OR I. as the owner, or my employees with wages as their sole compen- Ex. TempOccorary y. OUTLETS (RESIDJ EA.I 2•� sation, will do the work,and the structure is not intended or offered Temporary service X0.00. ., for sale. (Sec. 7044) Mobile Home Facilities 15.00` ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring �r .15.00•. ors. (Sec. 7044) ❑ I am exempt under Sec.___--.:-, Business and Professions Code + Permit Fee $ e.'• for this reason �- Contractor - WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 10.00 6-. I declare under penalty of perjury (check one): r ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Cooling a of Consent to Self -Insure. i. 3.00 a' I shall not employ any person in any manner so as to become subject Hood to the W. C. laws of California. Ventilation ' + 4 Notice to Applicant: If after making this statement,"should you become subject Permit Fee to the W. C. provisions of the Labor Code, you must forthwith comply with such `+ provisions or this permit shall be deemed revoked. Contractor +*� Mobile Home Installation Fee I certify that Ihave read this application and state that the above information is correct. I agree to comp) to all Count Ordinances and State Laws relatinggy_ p Enel ectioh-!ree_.,6�C`'Z• $ ' •h s to building construction, and hereby authorize representatives of the Countyot c Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE, $*,. I also agree to save, indemnify and keep harmless the County of Butte against OccuP. CON3T.TTPEJ RLo00 PA�CLL PD ND t LL all liabilities, judgments, costs, and expenses which may in any way accrue 1i' ,�'+ against said County In consequence of the granting of this permit. This permit is hereby .issued urider the applicable pry . X V. Date/42 %J `y f %' ', sions of the Butte County Code and/or resolutions to work Indicated above for which fees .have 'been pa d• Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ aDIRECTOR OFPUBLIC WORKS - A An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. ` r' r By 7� Date Receipt No. / « PERMIT EXPIRES Date WNITL-D.P.W.. •LLLOW-ASe E33011. PINK -INSPECTOR. GOLD ENNOD-APPL I CANT 3253-86NHI ex site PERMIT NO. PERMIT EXPIRES OWNER SANDRA COSNER CONTR. owner ASSESSOR PARCEL 26-07'19 LOCATION 6920 Irwin Avenue, Palermo _ .•^ np :1 : l in., IP OFFICE COPY Address — Call Meter BY ELECT I emp. EI Meter BY Calle emp. Gas Service CalledPG&E OB FINALED (Date) I—' —�� Signature ___._ J = OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except 4's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 4. Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing_ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7, Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBI OME INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date POOLS (Plans) OK except Lt's . Zoni g Requirements—Setbacks—Ease s 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability as MH Test—Demand—Valve—Conn or 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining Iectricity; MH Test—Crossov —Breaker learances 4, Elec.; Receptacles and Lighting; Distances—GFI 5, rain; MHT —Fall lex Connec or 5. Elec.; Pool Lighting; 15 volts—GFI _ er M Test egulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ter er Connected—_O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8• Gas and Electricity 7.Qgd B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit ` 9. Exits; Insp.—Sketch s-1 0. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date _ Card -BI Date Card -BI Date Card -BI Date Card B -I Date —I. _ Card -BI Date Card -BI Date Card -BI Date 4 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce tit's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall '& Openings 2. Ftg., Main; Soils-Steel-Elec. Gind.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits - 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks: Soils -Steel- / /'' Ftg. Depth 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access - 7. B. Piers_ -Fireplace Ftg.-Steel D.W.V. Fall -Fittings -Test -2 way C/0 -Sewer Test 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Gas Pipe: Size -Anchors _ 10. Water Pipe; Test-Anchors-Regulator=Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI DateCard-BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -B I. Date Card -BI Card -BI Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.: Vent- Access=Combustion Air 15. Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First' Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Date__ _ Card -BI Date Date Card -BI Date 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub,Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67. Garage Fire Door; Swing-Landing=Closer 68. A.C. Duct in Garage -Damper Card B -I Card B -I Date Card -BI Card -BI 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes __L- _ _ _. 28. Service -Riser Conductors & Ground -Main Disconnect_ - 29. Equip. Clearances: Pane ls-Motors=Mech. Equip. 30. Clothes Closet Light -Shower Light - Date Card -BI Date - _ _ - - Date Card -BI Date MECHANICAL (Perrr•it) OK except a's 31. A.C. Ducts. Insulation & Support _ _ 32. Vent Fan: Exhaust above Insulation _ 33. Condensate Drain & Overflow: Size _& Grade 34. Furnace -Vent: Access -Comb. Air -Return Air_ Vent -115V outlet __ 35. Attic Access & Platform if Furnace in Attic _ Date Card -Bl Date - _- Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑Yes ❑ No; Walks El Yes E] No; Planters ❑Yes 0 N 76. 77, Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection 83. 84. _ Corrections from Previous Inspections _ Gas -est-Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates - --- -- - - -- -- Card -BI Date Card -BI Date Card -BI _ Oate Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's Com:tents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub_ - --_ Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -_Draft Stop -Ins. -Baffle-s--- affles46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing _ (NOTE Anentrymust be made each lime youvisil jobsite) 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 CO RECTION NOTICE 3.2 W R PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Inspector (2 Date_J1 f/ 7, —""9�Z COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter,,,or need additional explanation, please contact this office immediately. We r Inspector_\../ t V Date -1-1--J-1. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE ~ ! OROVILLE, CALIFORNIA — 534-4541 .. PERMIT NO. 1�3�c4 !y Address or location of mobilehome Owner's name �?l Q r Owner's address (0i as () :j�rw I YN Insignia or hud number B Manufacturer's name Serial numbe�.� V). -N, �Y Year of manufacture -L7Z cial ApproLjng Installati ate) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION .F ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. I° eat +c L 'r51313 White - Owner, Yellow - Instoller, Pink - D.P.W. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE 411 DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE w~ OROVILLE, CALIFORNIA — 534-4541 / PERMIT N0.5,2 -1E2 c'i (o Address or location of mob_i/lehome 4� 9�2 0 -:rY Owner's name �� 11 Owner's address -2,P "0 ! Insignia or hud number 6- b ` Manufacturer's name � J Serial numbed( V)...N._ � �� Year of manufacture ' ficial ApprovjIng Installation) ate) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville; California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ,PERMIT NO. ASSESSOR PARCEL NUMBER t 7 ZONING hx. BUILDING PERMI OWNER SRN��9 �OS?✓�� T L PHONE l iy S0. FT. OCC. BUILDING ATION OWNER'S MAILING ADj��S�l.�,G c CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] Mobileho�] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ LRemodel ❑ Utilities ❑ InstallatiopM Other ❑ Describe work: �.�P� - (5V0�l Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ` Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 'I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license Is In full force and effect. License No. Classification t,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.81 , New DCONSTR( A h¢s ULTBI.OUTLET a NON.RESID BRANCH CIRC ITS 2.50 ea ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050C 9AL03o FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct.. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� Date�� `cx'r/ lL Signature of Applicant — Owner ❑ Controctor ❑ 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 $ D� �1/i-f $ TOTAL PERMIT FEE $ Occup. CONST.TYPEJ _NOOJ%ELJ PD ND esu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Zl- Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .}-ia;�:+,'r -.. tpt f.. :, .• S` -H :•�• . •�f •r y, + ,.�.�A :�.�:u�'•-.s... j:: �'�.;.I'f :i".. �..-`aE=',-•111:i.in�w-si'.+.w.+r«1:±r+a.I :F-s:r-v,%r..y�;... COUNTY OF BUTTE - DEPARTMq T, -QF sPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER S/�.v0/�.,4- lZ A. P. No. Proposed Building Use %Vifs Building Inspectorxl� Dat,ZO a57 45P' At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . ... . . . . 2. Plot plansgduplicate./ iplicate, signed by preparer of plans. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. .5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . , . . . 9. Letter of signature authoriz tion. . . . . . . . -10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑•), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (k17., 010 � Pre -Inspection for %�� Required. Building Inspector ,. -Recorded copy of Agricultural Acknowledgment Statement. /p Driveway Permit. L 20. PlotIan approval from city of 21. 22. When you issue the permit, pr oc ss as follows: Mail t,o wner, Mail to contractor. ✓Telephone3—/Z�%7 and hold for pickup at/"_)t0 w/inspector. ��► Other, �- -- � t a� - 33 , Applicant .4 //� Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone all co nt r by date Contractor, designer, owner, was advised of above required data by—phone mall n er'6y date Plans checked btr ate Z2 Plans approved by Date 0/ OC%sG Sets of plans on hold in File cabinet AP folder Copy—DPW Flours: 10:00 a.m. - 3:00 p.m. TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance ow er location Driveway permit signature 0 26 -a7 --/y AP # has been issued for the above property. date To: :juiiding Departma,�t; From.: Environmental E{enIth Subject: Sanitation Cie ranee Owner Location AP# Plan Approved for: Sewage disposal eater upply Hold final for: eater supply Final clearance O.K. for: water supply Clearance for 4�9— bedro 7 mobi home. Other &00 ve) NO77 anitarian l a Data. 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) U t signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. _.BARN.. Sh ed 500 SQ. FT..MINIMUM__ ., Ji3AcK FOR MOBILES booR twcfrom KOO lines and a setback of Soft, from the -road Centerline shall be clear of V) ~ ---R - - -_ - - - - structures or equipment except._. LE/% _ _ . _. _.._ _ . - _ fc,.r a 2 .ft, eave overhang. i' 0 c,�.. so AooR ez - - v �- - - - - - -- - ---- _ 5h ed This set of prans and specifi atio--ns MUST-WV- kept UST be- _ kept on the job at all times an 1 it is unlawful to -_ make any charcjc-s- or aiterdtio� •on same without- - - -r-- written permission from the Der artmen+ of Public Works, County of Butte. - - - - voT . Ail tvlaterials &Workman. ; Shall Be m Accarda ^re with E}—_"-sized--G6.c r'ractices_--.and_ \--OU-ni duality prescribed for tlta 5pe i led use in the rri 13uildirg, I'iur,zbir�g -& !v3aclZ ��r I Qodes. t�md -ational Electrical Cod% 1Jf1itili Tn 4 ft. of 1he r-nobiiehorne, ehher dircc!'ly b�}iind or v iihin the rear hair' of the roadside (left) of the mobilehome. �� v q,• BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 5 i9 /7 ��i9 j%% j &ell 2. Installer's Name: 19I)CI ll �&5 3. Is the site currently under permit? Yes F] No (If yes, furdish`permit number ) OR ' Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic. tank and leach F fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------ j''Z Amps 7. What is the mobilehome site circuit breaker rating? ----- / Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes © No (If yes, identify the load and size: IAI&L L (Load) 9. What is the mobilehome site gas pipe size? ------------- 3 (in.) type g ?-------------------• 10. What is the t e of as service. Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------- Z * 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.) MOBILEROME SUPPORT DATA If other than single wide, Mob ilehome. Mfr. /i'1� &A7"ee- furnish Setup Model No. Width (ft.) Box Length_��(ft.) Tagalong or Expando Size Year ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation grade.F-1 2. Other (specify) SUPPORTS (check one) N 1. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Lin_ e� Line 1 _ _ � Main Beams - • ,e 2 Line 1 Piers: Size-Min.------------ Spacing-Max - ----------- Spacing-Max. --------- From Ends -Max .------- Line 2 Piers: Size -Min .------------ Spacing -Max. From Ends -Max .------- Line 3 Roof Loads: Size -Min. -----------,- Location (From Front) Main Beams Tag or Triple Line 1 Openings: Size -Min - ------------------ ux u Each Side of Openings With Width Over--------- Line 3 Piers: (Under Bearing Wall Only) Size -Min------------------- k „ Spacing -Mex. --------------- From Ends -Max.---------- -- �- e v riers: Size -Min .------------ „x „ Spacing -Max---------- ,- n From Ends -Max .------- , e 5 Piers: (Under Bearing Walls only) Size -Min .------------------ Spacing -Max.--------------- u From Ends -Max -------------- Line 5 Roof Loads: Size -Min .------------ nx Location (From Front) E o ADD PSS I 61711171 ®3ID Y.�S,�►� t�s�� �'�+�+ W ;���� too v��-s�s � o�a�,e�� �"�-r -�ti��► �I as T Iet�,�� �� �rov�� v�•d.�nr �rvv toLIs aVF, � t t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING /f BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING A DESS CONTRACTOR'S NAME f/ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEMDER UNKNOWN CC Total Valuation s Filing Fee $ 10.00 LENDER'S MAILING ADDRESS . Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO.SU BDI VISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehortril Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallatioA Other ❑ Describe work: _ �'��l��i/JJ - —1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR LESS LESS 10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification F'71'FIXED I7Ci t, as the owner, or my employees with wages as their sole compen- 7—' 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., �z¢sgft OR ADDNS. ( ACC. BLDGS. a tlEW CONSTFL ULT"OUT LET NON-RESID BRANCH CIRC 1 S 2.50 ea (POWER APPARATUS al SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20050t SALO so APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject Y� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation perinit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �^ e� `f X Lt! .1'at -1 Dat �_I � Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Y577 Dcl $ TOTAL PERMIT FEE $ "' . oCCL P. CONST.TYPC I I FLDDD PARCEL I PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. Z,- WN,TE-O.F.W.. 1fLLOW-Ase(SlOA, PINK- ECTOR, GOLDENROD -APPLICANT t RECORDED IN OFFICIAL RECORDS OF BUTTE COUNTY, CALIFORNIA Return to DPW AGRICULTURAL STATEMENT Ory ACKNOWLEDGEMENT AT THF REQUEST OF FOR RESIDENTIAL DEVELOPMENT pARTy WOWN Section 2618.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance^of a building permit. 1906 OCT 29 PM 3� 37 The property described herein is adjacent to land or included CLERK-9EOR ORDER R CLERK -RECORDER FEE within an area zoned for agricultural purposes, and residents of this• property may be subject to inconveniences or discomfort arising from 867!38662 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 occasionally generate dust, [N smoke, noise, and odor. Butte County has established agricultural zones which have as a Pages priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described A portion of Lot 9 in. --Block: 81 of Subdivision ho. 1 of the Palermo Citrus Tract, according to the Official Map thereof, filed in the Offi.ce.of the Recorder of 'the County of Butte, State of California, September 17, 1838 more particularly described as follw..s: 'BE.GINNINIG 'at the intersection of the Easterly -prolongation of the North line of said Lot 9 �,2ith the centerline or Irc•:in lvenue; thence. along said ir:ai_n Ave. -nue centerline, South 175..97 feet: thence lea-ving .said Avenue South 5501" West 139.77 feet-: thence West 452.81 feet to a .point in the IJest line of said Lot 9; thence along said Lot 9 North 235.00 feet to -the .Northwest corner of said -Lot -97 thence along the ; North line of said Lot 9 -and its Easterly prolongation, East 579.50 2 feet to the point of beginning. Date: T TJX e PROPERTY OWNERS: State of ) On this the � day of CT &� , 19& before `) SS. me, the ndAgned Notary Public, personally appeared County o D 4�0 e . oFF � 0*F+oi B c4(4®0 �eSselF00 p9�I Personally known to me. Proved to me on the basis of s tisfactory evidence. to be the person(s) whose riame(s) o su scr bed to the within instrument and acknowledged that S1 executed the same for the purposes therein contained. SIN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No . !x < —1 7--`�7 o 12-1cot. J &A�, Notary Public 1. END OF DOOUK:il