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026-221-013
i 0 `tUenry 26-221-13 .l len 750 Irwr Avenue, Palermo 1585-82P,E( util/install new water lin install new 100'p. underground pedista existing) contr: Lincoln Village�Bi, Oroville Electric (o -/(v- $Z wo>� ..1 Gas 6 -14 - 6 y A --o,,I " � v I N I� Support. structure 1&4J411 "r compaction test rie � 26-221-13 Permit . 586-82MHI'. issued 26-221-13 3091-90MHI CUNNINGHAM, Doug 7750 Irwin Ave, Palermo (installation/MH) 026-22-1-013 93-878MHI HINES, Tom-c�-✓�`���/�/� 7750 Irwin Avenue, Palermo (MHI/exist sites Executive Homes •. 026-22-1-013 W 93-1154 E HINES, TOM 7750 IRWIN AVE, PALERMO✓`�J CONTR: EXECUTIVE HOMES ELEC SERV/MH I 1-3 3,��--r_ � , 026-221-01�'? Summary Sheet for Land Divisions, 4/22 026,221-01; CERTIFICATE OF MERGER 5/24/93 LONNA & THOMAS MASON r- _..-.� __ � � �I ���+ �s C�� rte• Com, C ��. �, .` FIRE DAMAGE REPORT OWNER:1 V 0 MC/_(:�, 4-k ane DATE: LOCATION: 1 Ale- CONTRACTOR: ZONING: DATE TO INSPECTOR: ` I V PERMIT HISTORY ( ) NONE ( ) AS FOLLOWS: Building Description: Commercial/Usage: _ Residential # of Units: Currently Occupied AbandonedNacant: BUILDING INSPECTOR'S REPORT ( ) Yes ( ) No Electric: Electric Currently () On () Off Condition of Electric Gas: Currently Condition Sanitation: ( )On ( )Off Plumbing Working ( ) Yes ( ) No Obvious Sewage Problems ( ) Yes ( ) No Mobile Home Condition of Utilities: ( ) Damaged - Requires Permit () Undamaged — No Permit Required Description of Damaged Area: Estimate Cost of Repairs: Condition of Foundation: ( ) Good ( ) Poor Inspector: Explain if repairs needed: Sketch building on reverse and 'indicate area of damage. Date: J1, ,71 b2b-ZZ1--0 13 CDF/BUTTE COUNTY FIRE INCIDENT LOG DATE 12/29/2003 INCIDENT NUMBER r 15241 LOGGED BY REPORT TIME 10:44 LOCAL FIRE NUMBER 11280 RO KASKA STATE FIRE NUMBER BI J CASE NUMBER MEDICS LOCATION 7750 IRWIN AVE X SOUTH VILLA AVE PRA JR61 ECC ❑ + RP E72' PHONE NUMBER I REPORT METHO RADIO WILDLAND FIRES ❑ ESTIMATED ACRES0� FIRE INFORMATION STRUCTURE FIRE I FIRE INFO SENT HOW E-MAIL BY TB TO 72 OTHER FIRE OTHER VEHICLES I 7 -DAY LOGGED ©' INITIALS jjLKD MEDICAL AIDS INCIDENT NAME IRWIN PSAIOTHER START DATE F 17J29120031 START TIME 10:35 HAZ MAT DIAMOND # 5.0 COMMENTS CAUSE MISC j TRAVEL LAND USE IDOMESTIC TRAILER ACRES 00 TYPE OF ACRES DIAMOND 6 ONLY $ DAMAGE TYPE ALL OTHER DOLLAR DAMAGE 3000.00 SAVE F 100.00 INJURIESIFATALITIES ❑ # CIVILIAN INJURIES _ J # CIVILIAN FATALITIES 01 EMD ❑ DES ❑ # FF INJURIES _ 0 # FF FATALITIES 01 FC -40 INFORMATION ♦ blew Incident FC -40 ❑ DATE OF FC40 INC � AGENCY INC # INC P# FC -40 COMP DATE FC 40 COMP BY County Notifications © EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ 4', f t RES.IDIENTIAL 026-22-1-013 93-878MHI HINES, Tom 'a 7750 Irwin Avenue, Palermo J (MHI/exist site, Executive Homes t OFF'CE COP Address Y Gqs a Meter 183YEHEC t Meter BRI GateDa_ '4013,FIN�►tlEO' Stpnsturn V=OK - O = Not OK NotReadyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Solis; Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE -NOME INSTALLATION Plana OK except #'a oning Requirements -Setbacks Easements „2iPdotings; Size -Spacing -Marriage Line as - e—Connector lectricity; MH Test -Crossover - eaker learances 51'16raln; MH Test -Fall -Flex Connector 8!Wat ; MH Test -Regulator -Connector eter and Sewer Connected -C/O to Grade -HD Approval Cert. of MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except M's 1. Zoning Requirements-Setbacks-Easementa 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rig.-Bracing S. 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/Initials POOLS (Plans) OK except ti'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 V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except k's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Solls-Elec. Grnd.-/ /' Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Teat -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Materiel -Support -Ina. 14. Girders -Sills -Anchor Bolts-Joista-Vents-Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except N'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/initials ELECTRICAL (Permit) OK except N'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except k'a 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'a 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. • Elec. Trim & Subpanel: Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct In Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yea 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace :Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N0'/ Address or location of mobi lehome 7 7,jw n1p, -"' y 1: - Owner's name �!/ 2 s'-.5- , %C1�'t^ ' i - Owner's address Insignia or hud Manufacturer's i Serial number of, V.I.N.;A, e/4;,/ ,.,Tyy 6 Year of manufacture $�1 V (Official Approving Inst6.l.ration) (Date) 7 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 - DEP-AR, TMEN.T OF PUBLIC WORK. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7 1. APPLICATION AND PERMIT PERMIT N0. 7Y ASSESSOR PARCEL NUMBER ZONING 026-221-013 ARMH-1 BUILDING PERMIT OWNER Tom Hines TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS , 7750 Irwin Ave., Palermo 95968 CONTRACTOR'S NAME Executive Homes TELEP O 891—�9�� CONTRACTOR'S MAILING ADDRESS 3042 Esplanade, Chico 95927 Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $35.00 PLUMBING PERMIT Filing Fee 15.00 7750 Trwin Ave. Palermo Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome® Other Building sewer 1 15.00 Mobile Home S I G W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal Iat-on ER Other ❑ Permit Fee $ ►� Describe work: MHI �X��S Si 7e� Contractor ELECTRICAL PERMIT Filing Fee 15.06 Main service 200AORLESS 18.50 Main service 200A TO 1DDOAI 37.50 CONTRACTORS LICENSE LAW 'der NEW CONST. ( DWELLING OCCUPM 3.66 sq.ft. I dV,iu,rdpenalty of perjury p y p l y (Check One): OR ADDNS. l ACC. BLDGS. / am licensed under provisions of Chapt. 9, Div. 3 of the Business NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 Professions Code and m license is in full ce and effect. License No. Classification 4-7Ex. POWER APPARATUSa (SINGLE OUTLET CIR. ) Occup(OUTLETS OR FIXTURES 20 @ 76 �—Ex. ❑ I, as the owner, or my employees with wages as their sole compen- OCCUp. OUTLETS IR RESID EA.) 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 �j 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 of Consent to Self -Insure. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject Ventilation to the W. C. provisions of the Labor Code, you must forthwith comply with such Penult Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S 70.00 is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against 'udgments, TOTAL FEE $ 105.00 all liab'l "ties, costs, and expenses which may in any way accrue 'n HAz DFEES IMP FLOOD COF PARCEL PDr_J HD Issu against said unt consequence of ;he granting of this perm't. ;Z Date 0/— This permit is her y issued rider the applicable provi- Agent ❑ Signature o pplicant — Owner ❑ contract�4.p sions of the B e oun de and/or resolutions to do An OSHA permit is required for excavations over and demolition or construct- work in ed g which fees have been paid. ion of structures over 3 stories in height. D OFA OF F PUBLIC WORKS Receipt No. 140431 By • Da PERMIT EXPIRES Date WNIT!-D. P. W,. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 6 i ..rr ^ � ...�-.-1..,��,�...t"C»v' �••.-!-".'_a.:+v.-'�-�.nJ�+►'.'rv["�"�'r ""i: w:".i�ti^"*�./7 (��+i„r.r' tiYsh,.,v�yq.""Nti'.,� VLDI ,.COUNTYO BUTTE - DEPARTMENT OF DEV�O0MENTSERVICESNG DIVISION COUNTY CENTER DRIVE - OROVILLE, CALIF,ORNIA95965 -TELEPHONE(916) 538-7541 PERMIT APPLICAT ON DATA SHEET OWNER /t�it'> f1,[/�,J �5 A. P. No. QZG - Z L I -6t3 Proposed Building Use Building "Inspector & Date 751-(,13k3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . ................... • 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ............. ".> -� 11. Impact fees as shown on attached schedule. 1 l .................. 3 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. . . �-� 14. Sanitation and plot plan approval U 49&i11 -f Health Department . ............ 5�; 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. l2 714ar..� � 1 er- 3 19. Driveway permit (construction approval required prior to occupancy). . . �Preanspedion requ� r 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 ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. 'Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone and hold for pickup at OLS office. Deliver with inspector. Other Parcel Creation Acreage Ap (can tate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. re Dept. Other Date By The following data must be submitted prior permit i u ce: (Circl new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contr, or, designer, owner, was advised of above required data by _L -"phone _ mail Counter b ~ Date Contractor, designer, owner, was advised of above required data by _ phone_ ma' Counter by _Date Plans checked by Date Plans approved by JWCy s Date lJ- Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works E.H. 1151: ONLY Floor Hun AIL'Iciml l% 5.au to Il.U. � lj TO: Building Department o FROM: Environmental Health SUBJECT: Sanitation Clearance 1-4Z I dmhul -- Owner Location AP# Plan Approved for: Sewage Disposal eater Supply: I'ublic Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE Environmental Health Specialist 8/92 Date This set of pi ans and specifications MUST bd' -kept on the job at all times and it is unlawful to make anv nhnr,,_, IS 011 Same wlthpL wriffen permission from the Department of Public Works, County of Butte. 26 'i NO 'IE:—f\!l Material,'-, & ti6kmanshlp Shall Be in ance wi h Rec_ognzed Good Practices and -qualijt! pi-escribed 'br the -'a,pacified use in the Suiidimy, Pli-iiiitl!i!g-&-rvTecnaritca1-0&es and ine National Electrical Code. A P Environrreental Haxt,,, APR 0 6 1993 OrOville, California APPROVED Butte County Environmental Health CJ J, Date L ALL STRUCTUROES AN��E_�411AOIENT INCLUDING -Ail OVERHANGS SHALL 2. Or- ALL EASEf-&NTS. Signature A SET SAC�' OF �7. TF1130*'. HE SIDE AND L FFROtfto THE P,�Z R PF,"OPIEKi- llltnS AN' 5'0 - FT. FRO THE ROAD CEN TER:LINE 14p CLE -AR 0F'ST11UCTU,,:?SES AE411D s"EQUIPMENT FOR A 2 FT. EAVE OVERHANICI y_y\0Yea t L -%0 500 so. FT.- MINIMUM FOR MOBILES C7- BUTTE E COUNTY BUILDING DEPARTMENT APP R 0 V E D y-12— �3 W o i' LA 7� 26 'i NO 'IE:—f\!l Material,'-, & ti6kmanshlp Shall Be in ance wi h Rec_ognzed Good Practices and -qualijt! pi-escribed 'br the -'a,pacified use in the Suiidimy, Pli-iiiitl!i!g-&-rvTecnaritca1-0&es and ine National Electrical Code. A P Environrreental Haxt,,, APR 0 6 1993 OrOville, California APPROVED Butte County Environmental Health CJ J, Date L ALL STRUCTUROES AN��E_�411AOIENT INCLUDING -Ail OVERHANGS SHALL 2. Or- ALL EASEf-&NTS. Signature A SET SAC�' OF �7. TF1130*'. HE SIDE AND L FFROtfto THE P,�Z R PF,"OPIEKi- llltnS AN' 5'0 - FT. FRO THE ROAD CEN TER:LINE 14p CLE -AR 0F'ST11UCTU,,:?SES AE411D s"EQUIPMENT FOR A 2 FT. EAVE OVERHANICI y_y\0Yea t L -%0 500 so. FT.- MINIMUM FOR MOBILES C7- BUTTE E COUNTY BUILDING DEPARTMENT APP R 0 V E D y-12— �3 W o i' ,r.-kul: k' t'f . r ..r}{ yr � r t M-..'.1. •: _....... _. -'' { 1 �°{V'i `'w1,+y,4'�� M,.eaL1:.cAfiY. laaw•-`.. k. t.r �_".. �,."_-..'iC"'�.'..�-. w :•f �.k , s..�i. .ccn:: y,., .r .. ;�_ r, t .. , It /. .../ •,-i• "�, �'.�.. }(;ate-• 1 •sr.is. (Amps) ._. 1/'..tY ..9.e 1r ..7,T , :L — riA oil What is the COUNTY 'DEPARTMENT OF 'PUBLIC WORKS,-—_- (in.) BUTTE _ 7 County Center Drive, Oroville ..C......;...:.... __ •'- �� -. LPG :PHONE• 538-7541'_ the type of gas service? ------------------- 11. What is the . MOBILEHOME INSTALLATION SHEET' 1. Owner's ..Name:. YNR- --------------------------------- -2. (ft.). --- Installer's Name': 3. Is the site currently under permit? Yes No. What is the (If yes, furnish permit number ) OR - (T) _- ® No 0 *(This .information not required if 'pipe length Is the site an existing site? Yes (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes F%X] No * F] (If no, clarify .o 5. What is the mobilehome electrical rating? --------------- 6. What is the mobilehome site service rating? ------------- 7. 8. What i.s the mobilehome site circuit breaker rating? ----- Is there an other electric ,,Iload to be served by the Z� Amps �.� Amps Z•�� Amps mobilehome site service? ---------------------------""-"- Yes l� No (If yes, identify the load and size: (Load) (Amps) riA 9. What is the mobilehome site gas pipe size? -------------- (in.) Natural $ LPG .10. What. -is the type of gas service? ------------------- 11. What is the gas pipe length from meter or tank to the mobilehome? --------------------------------- �:.'. (ft.). --- *'12. What is the mobilehome gas.demand?---------------------- - (T) _- *(This .information not required if 'pipe length less -than 6••ff'* on .. °natural gas. or... less .'than. 50 f t.!' on , LPG.) ' ° - 4 SUPPORT.BATA V other thaii*-9ingle,wraet—.,-'.---�z,:,�,�.,-.--4.,..,... j.' Kobflehofne Mfr. . :,Year Box Width B x,Length (f a.galong';Oir ftpando-,Aiie— On all mobilehomes manufactured after; AOctober; 79 1973,,'furnich t6anufacturet's�*-in*-stallation--.4..--.- manual and structural setup sheets , *jif not :on -.f lie with' Butj*j FOCUINGS'(check one) 1. wood-piessureAreated or,foundation*grade. 2.76ther (specif SUPPORTS' (check one) 1. Concrete block. 2. Other (specify) V Pier'Footing Sizes and 1,ocat. one ILULTI-VIDE Line I. � Main Beams - Lin, ................................ > Line lAne I LNIN i Halo Beams do line .,-kine I Ll 14 Llne Tag or Triple I Ing 4 F77 tine uu_ _1?least ........... . r. Frain Lads -max,---- 9A 71,s 1-4 1 n ............. .From Ends -Max ........ %--I A C51-f6lifin) ............ kLn o_ j_ ?_teas :1 Spec ilia -max. ....... From Ends-hazi ....... leads I I�uatlon (iron (tont) line I OpeninAs: Site•Hin. ......... ...... Each tide of opening: With Width 0veV1**1... Line 3 Piers- (Under Bearing Wil I oil . ly.) Site -Min ----7............ ........ A . r. From Ends+wxi ..•--•••••• 'L -6A p IMAPY1 b WS _A�t ktne 5 Piers: (under Beating 7W&11* only) Site -Nin. ....... elk 4, w;-.. From Ends -Max .............. . J Environmental HcstLfi APR. 0 6 1993-_! Oroville, California m_�- . • i i 7 7,-5-7Z; i \ APPROVED L'�6� 1�3/ —G'13 Butte County \` r' Environmental Health . rc� , Date (Q cJ hLij - Signature `� OT STR6HT VBLIG COMP PIRG R HC HIPT TOTAL CHECK & PN6R TENTATIVH BRIG INSPECT SIGNS DOCUMENTS LIANCH NYD RA NT GATE NO. RECEIVED MAPS OFFICIAL RECEIPT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS LAND DEVELOPMENT SECTION APPLICANT I RECEIVED FROM RECEIPT 13479 1 ISSUED By :^�;�3�—v`'�...'wry;���r*�....'��rrr�+yjy,•••�w�^+�e++�.'Y^'�..:-n..rx�� 'i �i r�...;;rr►+A'err+�s�'e�'�r,„v...,,�r.y�,,,..�:,�„�,��,.,, 7 i” 17 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM v� (One Form Per Building) School District A.P. Number . Jurisdiction Property Owner- pM Property Location/Address % 7 5-6.�L%wi/�i i t %� le( -AAO Subdivison Lot No. Residential Development � �. � Sq. Footage IA6406 / - No. of Living MHI Addition (Group R) �'�” Units _ �,cp/�gccs Commercial/Industrial Sq. Footag iN 5't!✓ 0 e, Building Department No. City County k:- As ST J New Addition (Including Exterior SCe /}ttfjGl�/ Roofed Areas) y4 Building Department Representative Date R.:.. (Floor Plans reviewed,by School District Personnel) " ' g District Identification No. 9 065 OR 0 U I L ►- � U Al I o Vl 4 1 64"School District certifies that W kF S (Applicant) F(Street Address) (Phone Nun t;(Cty) (State) (Zip Code) has complied with the requirements of Resolution No. / 0by payment of $ ' representing io square feet. 'School District Representative Paid by Check Number Bank Number Paid by Cash x�mr / 1 g q3 Date Remarks: elft Moor y 12 �= R S o m v� L x/ S 71 ti c- If, subsequent to the School District Representative signing.this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),,this, project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92) AFTER RECORDING RETURN T0: County of Butte Department of Public Works No. 7 County Center Drive Orovi 1 1 e, CA .95965 . LANDS BEING MERGED: 93-0208311 Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I 9:16am 24 -May -93 I CERTIFICATE OF MERGER y j - 2 U 8 3 1 Rec Fee 11.00 Check 11.00 3l D67 PUBL XX 3 C BUUM OF BUTPL G DEPT AP NUMBER(S) _�2 6 -_2 2-� - �3 JUN 1 4 1993 SUBDIVISION/PARCEL-MAP: BOOK PAGE —BLOCK. 35- LOT(s) 2 Sj 26 s_r As of the _z� day of -lv7Ry 19those lands noted above are merged to' create one single parcel of land as described on Exhibit "A" attached hereto. Adw4o� — 0- lgwrs William FaArel Date Director of Development Services OWNERS' CONSENT TO MERGER THOMAS D. HTI0-S AND IORNA L. owners of all that real .property to -be agree to the merger of such lands into on Exh'bit "A" attached hereto: VV J SIGNATURE SIGNATURE as .merged, do hereby consent and one single parcel as described — �- /W. I DATE DATE Cc��r��ss�DSI NAT �DATE ALL SIGNATURES MUST BE NOTARIZED. LD 1530 (7/92) .O(v. 04k C_\3 -z> 3, D. RENE' BROWN '.aac COMM. # 974120 %4 Notary Public — Calitwnio Z, BUTTE COUNTY p�1 My Comm. EXpires SEP 24. 1996 ���v� z CAT. NO. NN01500 93-20831 e 112.90► (General TICOR TITLE INSURANCE �Q � (General Acknowledgment) �f (!''� STATE OF CALIFORNLI I COUNTY OF 11 On Al,d/2i "L /4-1, 5;;�7 7 before me, the undersigned, a Notary P I in and for said S ate, personally appeared ..GO saw . personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by OFFICIAL $fEAL his/her/their signature(s) on the instrument the person(s),NOA1111p YNEn 0 or the entity upon behalf of which the persons) acted, executed the instrument. i i1 WITNESS my han n ficial seal.Q1�Or1� Signature (This area for official notarial seal) CAT. NO. NNO1501 ' TO 29317290j J TICOR TITLE INSURANCE (Witness Acknowledgment) STATE OF CALIFORNIA EOUNTY OF BLTM On } SS. ppr a I�/ pD ( ' before me the undersi ned, a Notar Public in and for sai tale p ""*7E1k 17K1t 1Clk�*7kd1k 1t 1t*1ti 1t 1t �C 1t 1t 1t 1t 1t 1t 1t 1t 1t 7k 1t 1t 1t 1t 1t 1t*1t1t 1t 1t 1t 1tlC<1t*1t�lE***1t 1t*1t 11 lE*1t*1k 1�1E 1t 1t 1k 1t 1t 1F Personally known tome to be the person whose name is subscribed to the within instrument, or proved to be such by the oath of a credible witness who is personally known to me, as being the subscribing Witness thereto, said subscribing Witne;s being by me duly sworn, deposes and says: That this wits es I� IN and that said witness was present and saw- THriOrniaz personally known to said witness to be the same person(s) described in and whose name(s) is/are subscribed to the within and annexed instrument as a party thereto, and acknowledged to said affiant that he/she/they executed the same in his/her/their authorized pLO capacity(ies), and that by his/her/their signature(s) on the instrument �� •EUaEk • a OFFICIAL SE the person(s), or the entity upon behalf of which the person(s) acted, ° LAURIE HRION executed the Instrument, and that affiant subscribed his/her name to ® NOTARY PUBLIC - CALIFORNIA the within Instrument as a Witness. " BUTTE COUNTY N WITNESS my hand and official seal. IF°My COMM. Expires M-23,1995 Signature%1VWV1. IA (This area for official notarial seal) } L U0 I A PORTION OF BLOCK 35 OF THE TOWN OF PALERMO, according to the Official Map thereof filed in the Office of the Recorder of the County of Butte, State of California on February .17, 1891 in Book 5 of Maps at Page 4, more particularly described as follows: COMMENCING at the Northeast corner of said Block 35, being the intersection of the South line of Ludlum Avenue and the West line of Irwin Avenue; thence South along said West line of Irwin Avenue and the East line of Block -35, 100.00 feet to the Northeast corner of Lot 28 to the True Point of Beginning; thence continuing along said West line and said East line of Block 35, 100.00 feet to the Southeast corner of Lot 25; thence leaving said East line and along the South line of Lot 25, 150.00 feet to the Southwest corner of said Lot 25; thence North and parallel to - the East line of said Block 35, 100.00 feet to the Northwest corner of Lot 28; thence East along the North line of Lot 28, 150.00 feet to the Point of Beginning and the end of this, description. Containing .344 acres more or less. @?,'0FESS;p��� SAO Exn. 1AJ6 3•93n 6� a rri o. 630 1�I/L1.� C 1 V 1 F OF CA01 END. OF DOCUMEtVT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ��c ASSESSOR PARCEL NUMBER 026-221-013 ZONING ARMH-1 BUILDING PERMIT OWNER Tom Hines TELEPHONE 534=5585 S0. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 7750 Irwin Ave. Palermo 95968 CONTRACTOR'S NAME Executive Homes TELEPHONE 891-6992 CONTRACTOR'S MAILING ADDRESS 3042 Esplanade, Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee S' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty f $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 7750 Trwin Ave, Palermo Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer ' 15.00 Mobile Home JSJ G W @ 15.00 TYPE OF WORK New L7 Addition U Remodel ❑ Utilities 11 Installation❑ Other ❑ Describe work: Change 100 Service to 200 AMP Service _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 1 18.50 18.50 Main service 200A TO IOOOAI 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 .Jo.-�`�®IS��Z Classification �` ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.Q OR AODNS. ( ACC. BLDGS. _37.50 3.64 sq.ft. NEWCONSTR ULTI.OUT LET NON .RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &1 I SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES 20 761 Ex. Occup. OUTLETS FIXED PRESID IREA.1 j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 33.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g LHood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 kee harmless the County of Butte against all liabiliti udgment osts, an ex s which may in any way accrue againstZ.'!un '"ience ranting of this permitv.� Date ' ff — �� tOwner❑ Contractor Agent[--] Ignature of A lic?re�.,, An OSHA p mit ised for excavations over 5' "deep and demolition or construct- ion of struc, res ov ries in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 33.50 HAz DFEES IMP FLOOD CDF PARCEL PTO ISS This permit is hereby issued under the sions of the Butte County Code and/or work ' di ated abov r which a DI OF PU C By PER I EXPIRES Date applicable provi- resolutions to do have been paid. ORKS Date 141027 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT kQ ZZ COUNTY OF BUTTE.- DEPARTMENT OF PUBLdC WORKS 7 County Center Drive - Oroville, Callfornla.9,5965 - Telephone: 916 '538-7541 APPLICATION AND PERMIT ZONING PERMIT NO. " -' Q A I -m ( BUILDING PERMIT OWNER �! V 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. I -PHO N E SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADORE License No. bL-V4'—S I Classification �-'`i1 Ex. OCCUp(OUTLETS OR FIXTURES 20 76i ❑ I, as the owner, or my employees with wages as their sole compen- CONTR AC�u�S `Nj=El.v `� 1 3.00 TELEPHONE sation. will do the work,'and the structure is not intended or offered Temporary service CONTRACTOR'S MAILING ADDRESS 1.617\_,,A_0 It 00 1L Ic for sale. (Sec. 7044) Fireplace .❑ CONSTRUCTION LENDER Mobile Home Facilities UNKNOWN Total Valuation $ ors. (Sec. 7044) LENOER'S MAILING ADDRESS 15.00 Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER for this reason LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Contractor Entergy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 7`66X.-1 'C_ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 " - USE OF STRUCTURE SF ❑ Ouplex❑r;,Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home ISI GJWJ@ 15.00 TYPE OF WORK New Addition" RemodelQ Utilities Installation[ OtherEJ Describe work: C *1� �G \ S:; 0--4 i� —C'o ZOa t��--� STc g-`/ , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 8. CONTRACTORS LICENSE LAW penalty I declare under lt of efur ch : p y p jy(eck one): Main service 200ATOI000A1 37.50 NEW CONST. DWELLING OCCUP.&) OR ADDNS. ACC. SLOGS. / 3.6a sq.ft. NEW CONSTR. C.OUUL TLE' TNON.RESID, B @ 5.001 1 declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 1 15.00 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 of Consent to Self -Insure. Cooling Q I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 1 certify that I have read this application and state that the above information Mobile Home Installation Fee . ti is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE TOTAL FEE $ 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue HAz 1 0FEES I IMP r7CUUFM PARCEL PO HD 'SSU against said County in consequence of the granting of this permit. XDate This permit is hereby issued under the applicable provi- Signature of Applicant — Owner ❑ Contractor E] ' Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct- Work indicated above for which fees have been paid. ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS Receipt No. ZIII aa2 PERMIT By Date WNITC-O.P.W., T[IIOW-ASeC370x, PINx•INePCCTOR, GOLDENROD -APPLICANT 'EXPIRES Date 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. POWER APPARATUS O SINGLE OUTLET CIR. License No. bL-V4'—S I Classification �-'`i1 Ex. OCCUp(OUTLETS OR FIXTURES 20 76i ❑ I, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR Ex. Occup. OUTLETS IRESIO.1 EA.T 1 3.00 sation. will do the work,'and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) .❑ I, as the owner, am exclusively contracting with licensed contract - Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. Business and Professions Code for this reason Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE Contractor 1 declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 1 15.00 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 of Consent to Self -Insure. Cooling Q I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 1 certify that I have read this application and state that the above information Mobile Home Installation Fee . ti is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE TOTAL FEE $ 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue HAz 1 0FEES I IMP r7CUUFM PARCEL PO HD 'SSU against said County in consequence of the granting of this permit. XDate This permit is hereby issued under the applicable provi- Signature of Applicant — Owner ❑ Contractor E] ' Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct- Work indicated above for which fees have been paid. ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS Receipt No. ZIII aa2 PERMIT By Date WNITC-O.P.W., T[IIOW-ASeC370x, PINx•INePCCTOR, GOLDENROD -APPLICANT 'EXPIRES Date SUMMARY SHEET FOR LAND DIVISIONS APPLICANT EXECUTIVE HOMES (T. Hines & L. Mason) cOqyryoFntlm G DEPT ADDRESS 3042 -The Esplanade. Chico. CA 95926A 2s OWNER. Thomas D. Hines & Lorna L. Mason PROJECT.DESCRIPTION APPLICATION FOR CERTIFICATE OF MERGER LOCATION" 1 -parcel located on the west side of Irwin Avenue. -approx. 170 -ft. north from its intersection with South Villa Avenue. Palermo area. ASSESSOR'S. -PARCEL NUMBER(S), 26-221-13 (Lots 25. 26. 27 & 28) ZONING GENERAL PLAN PROJECT CONSISTENT?: GENERAL PLAN CONFORMANCE REPORT N/A LAND CONSERVATION ACT' CONTRACTS-? DATE' APPL.I.CAT�ION RECEIVED April 22. 1993 AGENT/SURVEYOR/CIVIL ENGINEER Bachman & Associates ADDRESS 3012 The Esplanade. Chico. CA 95926 DATE, PLANNING' D I REC.TOR.' S • REPORT. PREPARED ENVIRONMENTAL CATEGORICAL EXEMPTION DATE FILED DETERMINATION AND DATE NEGATIVE DECLARATION - DATE ADOPTED MIT.NEG.DECLARATION - DATE ADOPTED ENV.IMPACT REPORT - DATE CERTIFIED STATE CLEARINGHOUSE NO. DEVELOPMENT'REVIEW COMMITTEE HEARING DATE APPEALED APPEAL HEARING DATE BOARD ACTION COMMENTS FOR PLANNING DIRECTOR'S REPORT ASSIGNED TO DISK RECEIPT NUMBER LD 1005 (11/92) I I -RESIDENTIAL 26-221-134 3091-90MHI f CUNNINGHAM, Doug 7750 Irwin Ave, Palermo ,. (installation/MH) y OFFICE COPY A. ^ Address �� / ei 14v GAS Meter By — Dat/A-7, ELECTRIC Meter By Date JOB FINALED (Date) / — Signature V OK O = Not OK NNotot Applic Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s •` 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date M BILE HOME INSTALLATION Plans OK except #'s 1. Zoning Requirements -Setbacks Easements . Foytings; Size -Spacing -Marriage Line s; MH Test -Demand -Valve -Connector . Electricity; MH Test -Crossovers -Breakers -Clearances 5. Dra'n; MH Test -Fall -Flex Connector Wa r; MH Test -Regulator -Connector ter nd Sewer Connected -C/O to Grade -HD Approval 8. and Electricity Tagged 1 J ; Insp.-Sketch 0. Cert. of Occupancy DateZ/9-3-4)Cand B-1 Date Card B-1 Date / and B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soil s-Si;e-Depth-Spacing-Connectors-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.;:Posts-,Beams-Rftrs.-Coonectors Sh thg.-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-PaneIboa rds-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 J=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL ,(E Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Sae -Anchors 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. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'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 #'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. Grouid made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes O No 30. Service -Riser Conductors & Ground -Main Disconnect 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 #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'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 & Bearinq (NOTE: An entry must be mac Jng)e & 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-Underfir. 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 #'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. 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 77. Insulation -Foam -Looked in Attic O Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks 0 Yes ❑ No; Planters C3 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: e each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE T 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 Date / — _ �Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road; Paradise— Phone: 872-6307 CORRECTION NOTICE ERMI T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 1,1,14 0 Date J r �/ _- Inspector MOBILEHOME INSTALLATION ACCEPTANCE r COUNTY OF'BUTTE DEPARTMENT OF PUBLIC WORKS _ 7 COUNTY CENTER DRIVE r OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538f7541 1 .PERMIT N0. Address or location of mobi lehome Owner's name Owner's address L/c c Insignia or hud number `"�/ ny FL,��7cyyy� Manufacturer's name K Serial num dr of :I..N. �� ` f O.� Year of manufacture t Al Official Approving Installation) (Date) A 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. 1 COUNTY QF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive = Oroville, California 95965 - Telephone: 916/538-7541 yIL APPLICATNN AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 26-221-13 ZONING 11 1 BUILDING PERMIT 026-221-13 WkW199DORM. TELEPHONE - 534-6811 SQ.'FT. OCC. BUILDING VALUATION O S SS 2465 Alice Ave, Oroville 95966 CONTRACTOR'S NAME TELEPHONE C CTOR'S MAILING ADDRESS Fireplace ' CONSTRUCTION LENDER None UNKNOWN ,Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 1 5.00 1J Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - 7750 Irwin Ave, Palermo Permit fel $25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeo Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: MHl/existinp, site 2 bedroom _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SS 100 VAMP OOR R 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 1, as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING oCCUP.&) OR ADDNS. ACG. BLDGS 1 . I yzQsgft NEW CONST R. ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES zD 0 s0e eALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 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 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 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 to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga' s said Count In c n uence of tie ng of this permit. X ..�•�—pate —` Signature of 9plicant — 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 $ 45.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ , 0 PARK SCHL I FLO PA P HO ISJOE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees D E OR OF PUBLIC BY PERMIT EXPIRES Kate the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 73366 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT �. .. •1...;S�gt%/Mr COUNTY OF BUTTE`- DE�PARTME T=O PUBLIC WORKS -BUILDING DIVISION r> trn 7 COUNTY CENTER DRIVE - ORQV�E,ALIFORNIA 95985 -TELEPHONE: 918/538-7541 PERMIT APPLICATION DATA SHEET 3K.. ,. Permit No. OWNER Lt U h 4 ` ylis � 0 ✓� A. P. No. Proposed Building Use P 1 'is i nil ,B ilding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... t 2. Plot plans in duplicate%triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form ............................ 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) . Mobilehome installation data including manufacturer's installation instructions....................................................... �[ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 2. Parkf es paid �P .............. 13. C) ,00 T1 `� hoot Dist i t fees paid ............. . ' 4 14. Sanitation approval from I^p ✓ t c¢ Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. f 27. Wyou issue the permit, process as follows: Mail o owner. Mail to contractor. ^XT Telephone and hold for pickup at office. Deliver w./inspector. Other . Applicant L.Date T� v Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent ____Health Dept. Fire Dept. Other Date By The following data must be submitte.pr' t p mi 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 _mall_coun er by date Plans checked by Date Plaqs approved by Date _ Sets of plans on hold in File cabinet �P folder Copy—DPW y TO Building Department r FROM: Environmental Health - SUBJECT: Sanitation Clearance -' owner-- Location AP# Plan Approved for:---- Sewaqe Disposal x Water Supply Hold final f,or: Final clearance O.R. for: Clearance for bedroom mobile home. NOTE * * * I/ c4 -S Other '-� Water Supply Water Supply 7-70 Dat® Sanitarian �4a _ ©,pa 00 IN '� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive- Oroville, California 95965 - Telephone: 916;'538-7541 APPLICATION AND PERMIT ASSES O PARC M EI!,ZONI -- G BUILDING PERMIT OWN TELEPHONE SO. FT. DCC. BUILDING VALUATION OWNER'S M LING A RESS f m v; t? 1?&'9 i CONT ACTOR'S NA TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace � CONST UCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCH T CT OR ENGINEER LICENSE NO. Plan Checking Fee $ I ARCM T CT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS r 'n � Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 a La y1 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF [—I Duplex[] MobilehomeA Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities❑ I tallation Other ❑ Describe work: a vl Permit Fee $ J Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1OOOVOR AMPP ORSLESS 10.00 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 ElI, 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 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. SLOGS. , �i¢Sgft NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES P e00 0C SAL@30 FIXED Ex. Occup. OUTLETS PIIO .)R EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 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 Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ l7f Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ?Q �Q HAZ I CUA I PARK I SCI FLD I PAR PD I Ho I ISSUE permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC Byw PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date /3 Receipt No. J WNIYE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE -'De ktment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for i.n 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 2. I (have/have not) 1Y AUE 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 wor(c but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner a Social Security Number Date 9 = �� 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. -17 66) t 9, \,j This set of -plans and specifloatlons MUST bar kept on the' job at all times and it is unlawful to . make any changes or aherations on sante without written permission from the Department of Pubffc Works, County of Butte. NOTE: --,Alf Materiels & Wo*manship.Shvill Be in Accordance with Recognized Good Practices and ' of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanioal Codes &W the National Electrical Code. A ietback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shah be clear of structures or equipment excep for e Z ft. eave overhang. ¢ Gl£4/l OFa // J JIUM sutUWa`j*PAWM"- N-28 .—:YR -M, .ry��Yl��t;i:'i M41; ni V:u b3�ta� '.'fit' �� ''i � ^tZ++�i'.." .1't `� �. il}I��i •ISS, .9 E W ?tZUM ',!ufl'[otti? p "gul, -j-Vq it: We +cW 7t tl i 1t� fii`.��ti'l.i7c f� '.r't liv.1f1 C if ::t7 :i�l't ' i?�• .'' 4 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541• 5. What is the mobilehome electrical rating? --------------- /00 Amps 6. What is the mobilehome site service rating? ------------- �1 00 Amps P 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, 4-identi€y 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 N/ I LPG 11. What is the gas pipe length from meter or tank to'the mobilehome?--------------------------------------------- * 12. What is the mobilehome gas demand?----------------------G- iv (BTU) *(This information not required if pipe len g,,r�a� on natural gas or less than 50 ft. on LPG.) {{�7VV VV BUILDJNQ DEPAR*ENT A1'PROV d i7 F .gip :; .s` •� t 6 �t �a ! ;A 1 ..:� >. .....w �":. ._at�. ,.�r, Yl -.... MOBILEHOME INSTALLATION SHEET 1. Owner's Name: Q 1,( (,� N n a 2. Installer's Name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the.site an existing site? Yes ® No ❑ (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft.'away from septic tank and leach fields and clear of all setbacks and easements? Yes No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- /00 Amps 6. What is the mobilehome site service rating? ------------- �1 00 Amps P 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, 4-identi€y 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 N/ I LPG 11. What is the gas pipe length from meter or tank to'the mobilehome?--------------------------------------------- * 12. What is the mobilehome gas demand?----------------------G- iv (BTU) *(This information not required if pipe len g,,r�a� on natural gas or less than 50 ft. on LPG.) {{�7VV VV BUILDJNQ DEPAR*ENT A1'PROV d i7 F .gip :; .s` •� t 6 �t �a ! ;A 1 ..:� >. .....w �":. ._at�. ,.�r, Yl -.... MOBILEHOME SUPPORT DATA If other than single widd, Mobilehome Mfr. eeltWOeq furnish Setup Model No. Year�d� Width (ft.) Box LengthjZL(ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation grade.? 2. Other (specify) SUPPORTS (check one) E 1. Concrete block.❑ 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Li fie 2 a — — — -- — — — — — _\_ — — _ _ Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max. ---- -- Line 2 Piers: Size -Min .------------ „x n Spacing -Max.--------- From Ends -Max .------- line 3 Roof Loads: Main Beams Tag or Triple Line 1 Line 1 Openings: Size -Min. - -- -=------------- „x „ Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- k „ Spacing -Max._-------------- .Prom Enda-Max.------------- Size-Mio- ------------ „� ,.z "A "A „ ,x „ ,x ., ox Location (From Front) Line 'i Roof Loads: Size -Min ------------- � „x x k ,k „ nx x ,. „x k n Location (From Front) _ _ _ - '_ " '_ Size -Min ------------- SLza-Mia------------------- Is Spacing -Max.--------- , .. &pacing -Max. --------------- From ands -Mas.------- yy „(( Pros Ends -Max.------------- , 04, ... -w». �r�..t. �r ,. .rw�.r.n 7'S}'M. .,,r,+t ;T. -. -1'.;r• r .+rr : -.- ,. —.-s. , . ,��'^ry..{ '.,.. ri,,�`s=77�v�yT�o`�i �-b: '�.��+7��^�4+1`rT�`.: d'�W�.a`. • 'BUTTE COUNTY SCHOOLS D&V9IOPMENT FEE CERTIFICATION FORM (One Form'i'..,rlBuilding) A.P. Number 26 Building Building Department No. Y School DistrrictoPo an1om 6city D County Jurisdiction Property Owner flo V a_U h rt Yl a a W -N Project Location/Address �% .�F�✓�((J 1 y� 41/6, G( E NGy1� If Subdivision Lot Number Residential Development: Cqo Sq. Footage_ # of Living HI Addit'on (Group R) Units txl6i n �� r Commercial,/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) i Building Department Representative Date (Floor Planser v ewe d7byjSchool District.Personnel) Di- �ct Id No. / l School District certifies that ( ppli an Name) A (Phone Number) 411Street Address) (City) (Sta e�)LV�f',r,, (Zip, Zgde) has complied with the requirements of 1 V on..No. by he payment o $esenting quare feet. Me School Dis rict Representative Date IN PAID BY CHECK NO. REMARKS: BANK NO V PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) I 01, I PERMIT NO. PERMIT EXPIRES - OWNER Henry Allen CONTR. Lincoln Village, Orovile 26-221-13 ASSESSORPARCEL 7750 Irwin Avenue, Palermo LOCATION Temp. Pc . Calf Temp. El Calf Temp. Ge Calf JOB FIN. IV Signature J = OK 0 = Not OK - = Not ApelicVle,, = Not, Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Wain; Soils=Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage-3Fd story, 2'exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date, Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p'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. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 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 Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. 70. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Plb., Elec. &Mech. Equip. Listed for Location 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or A[ -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive C1Yes E]No; Walks E)Yes El No: Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing - 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval - 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ _33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI 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 Comments at Final: 36. Sills; Proper Material & Anchors 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. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin -Roof Brac.-Truss-Shthng.-Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm._Windo_ws or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing 7_J (NOTE: Anentrymust be made each time youvisit jobsite) OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOI-C t s t Dale MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) Oi. axrept N' — 'Lj,eTning Requirements—Set s—E ents 1. Zoning Requirements—Setbacks—Easements 2. ; Special MH port— 2. Footings; Size—Depth—Spacing—Connectors ewer; Lode C—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ate ; Loc ti —T —Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.—Connec.—Shthg.-Rfg.—Bracing_ 5 lectricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures as; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors Utility Clearance 7. Elec. �� --- -- Card-BI Date ' "and -BI Date Card -BI Date Card -BI Date Card -BI Date . ^— - and -BI Date Card -BI Date Card -BI Date Date BI OME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except N's Z ng Requirements—Setbacks—Easements 1. Setbacks—Easements Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability as' Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining _ ctricity; M — rose — re — le ces 4, Elec.; Receptacles and Lighting; Distances—GFI "e in; MH est—F (—F iwel5onnector 5. Elec.; Pool Lighting; 15 volts—GFI "ate,4 MH Y%gvfatar Con r 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed rater and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Boncing; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 14 xits; Insp.—Sketch %0 ---Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date 4 � ZCard-BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 1 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 for the following location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. -' Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS .• 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 BUILDING 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. Inspector � Date - �� 1-4_ .j Inspector � Date - �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilld,.Californ'ia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR Pp� NUMBER �3 ZONING IPERMIT OWNER OWNER jt�—J /^ TELEPHONE SQ.FT. OC BUILDING VALUATION OWNER'S MAILING ADDRESS DR ' I .yi7 ln' _ C)DNTRME //`S / A) A`we 1�/MNAY/ /l � �iT/ J-2? 0727 �ELEPHONE pT /G A9 ,d�/%�/J YNTL. �L 'L�%VAILIN�`/ DL�SS KJ4-U{/(/ii V �� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ DO Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ab,� BUILDING ADDRESS L` PLUMBING PERMIT" Filing Fee 10.00 `n /CSR Each Trap 1 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STgUCTURE SF [:1Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation er ❑ De cr'be work* Ali 1fi4.6.,dt l` Z Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST -DWELLING OCCUP.y` OR ADDS. \ ACC. BLDGS. / 2¢ sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi s Cpde and y license is in full rc a d 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWNON.RESID R. BRANCH CIRCT Ts 2.50 ea NEW CONSTR. / POWER APPARATUS b) NON.RESID. (SINGLE OUTLET CIR. e0 @ 25C Ex. Occup OUTLETS OR FIXTURES BALP1 IXED APPLNS. OR EX. Occup. OUT LETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit 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. ve 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 shal I 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 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 iabilit'es, judgments, costs, and expenses which may in any way accrue t sa d County in cons nce o the granting of this permit. X �.c..1� �Aq.�76 ature of A plicant — Owner ❑ Contractor An OSHA permit is' required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.. Mobile Home Installation Fee $ Q TOTAL PERMIT FEE $ Xhl OCCUP. GROUP I TYPE OF CONST. PARCEL PD I NO Iss This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC Byl PER EXPIRES Date' the applicable provi- resolutions to do fees have been paid.. WORKS Date 6 %—� Z -1 Receipt No. WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. �3 ASSESSOFq PARC, �MBF,R,� �— p( ZONING BUILDING PERMIT OWNER ,� /fir N �2- � � =�J TELEPHONE SQ. FT. OCC. BUILDING VALUATION • OWNER'S MAsJING ADDRESS �,�,� � l .Tb die WW / m A Uc 9f0NTRAC R•S N E TELEPHONE CONTRACTOR/'S MAIC` INS] ADDR S/ l /-I taoZ�LIN t•�1.�LV{� i (J(LlL ��N Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee, $ /6,00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Jana BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 /� ��' Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping _ /0100 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1. - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome/N Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Fl Addition❑ Remodel[--] utintiesk, Installation❑ 0th r❑ Describe work:_ � � � %V� L ,eA_/�_�//1�� __�) 1 tfb,,4AWlain Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 service 800V OR LESS 100 AMP OR LESS 5•00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.pI\ OR AODNS. ACC. BLOGS. / 20 sq ft CONTRACTORS LICENYE LAW I declare under penalty of perjury (check one): y�NON I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi s Code and y license is in full e and effect., License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason MU NEW NON.RESID CONSTR BRA CH CIRCT.,Ts) s 2.50 ea NEW CONSTR. POWER APPARATUS e -RESID. (SINGLE OUTLET CIR, / 50@250 Ex. Occup(OUTLETS OR FIXTURES ggL�1 IXED APP E I EX. OCCUp.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 �, r Y:! -7-0 S Permit 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. e 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag ' st s id County in con equence of the granting of this permit. ` X Date r ature of Ap licant - Owner ❑ Contract o Agent ❑ An OSHA permit is required for excavations ov 5'0' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCOP. GROUP I TYPE OF CONST. I PARC PD ND - I Is9 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI ECT�i PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS % Date rGT� Receipt NO. WHITE-O.P.W.., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT a Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 82-1'7614 FOR RESIDENTIAL DEVELOPMENT E'UTTE COUNTY Section 26-8.1 of the Butte County Code -requires this acknowledgement P25' _ 0 �U be recorded prior to issuance of a building permit. O' The property described herein is adjacent to land or included 15 within an area zoned for agricultural purposes, and residents of LEANOR M.BECK6 this property may be subject to inconveniences or discomfort arisir4LERK.,.RECOR00 : . 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 accgpt such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, i described as follows: Lots --yo, -,;k �c I S - ell _VZ ON* IA4 Date: June 14, 1982 PROPERTY OWNERS: Mir I State o ) On this the L day of :yJ�)L- , 191„, SS. before me, the undersigned Notary Public, personally County of� ) appeared HENRY ALLEN AND VIOLET S. ALLEN known to me to be the person(s) whose•name(s) are subscribed to the within instrument and acknowledged FICIA1. SEAL""""' that they executed the same for the purposes � OI�1� 1(;IA1. 51iA1. 3 � RHONDA N. DILLENBECK : therein contained. NOTACOUNTY RY IOF BUTTERNIA IN WITNESS WHEREOF, J hereunto set my hand and official i My Commission Expires August 20, 1982 r seal. " � OUIW/Basrr •- « .•srrr •••s :ra r•-:7Gr.r:. .r .yy'•,-+ Notary Public Present A.P. NO. 'a This sPt of plans and specifications MUST be NOTE --All Materials & Workmanship- Shall Be in kept -on the lob at all times and it is unlawful tc Accordance with Recognized Good Practices and make any changes or alterations on -same with- of a duality prescribed for.the Specified use in the out written permission from the Department of_ Uniform National ,, Plumbing Code. Codes an public Works, County of Butt ,. ► . � 1 � A ntba'ck tf ft. from the gYmperty line and a setback �bf 50ft. from he road eeriterline sha I be clear of Structures or Equipment except for a 2 ft. eav overhang. Utility cor nections shall be within 4 ft. of th mobilehome, either directly b hind or within the rear ` half of thm, roadside (left) of the 6e. j �tl mobileho A, i lif Wilt be required for thin installarlon of the mobil home. UT- - COUN 1, BUILDING DOARTMEN.. 9 OPP0VE �7 FAR WEST HIM 3C. Customer's 800 Norlhgate Drive Name P. O. Box 1238 Approx. Yuba City, California 95991 Del. Date ORDER PLAN APPROVAL NO.:' P. 0. NO. DEALER DECAL DATE ADDRESS SERIAL NO. - EXTERIOR METAL INTERIOR PANEL MODEL KITCHEN LIVING ROOM DINING ROOM FAMILY ROOM . _ ELECTRIC CARPET HUTCH CARPET OVEN COOKTOP INK REFRIGERATOR DRAPES CARPET DRAPES GARBAGE DISPOSAL COUNTER TOPS DRAPES WET BAR FEATURE WALL. DISHWASHER TILE IN ENTRY FLOOR COVERING MASTER BEDROOM 2nd BEDROOM 3rd BEDROOM A SIDE OR FRONT BATH CARPET CARPET CARPET FIXTURE COLOR ONE PC. TUB/SHOWER DRAPES DRAPES DRAPES ONE PC. SHOWER ENCLOSURE ,.,. MIRRORED DOORS MIRRORED DOORS. MIRRORED DOORS POWER VENT, TILE FEATURE WALL MISC. EQUIP. MISC. EQUIP. MISC. EQUIP'.. B SIDE OR REAR BATH DOOR KNOCKER FRONT DOOR; ADDED INS.. FIXTURE COLORi POWER DOOR CHIMES REAR DOOR FIRTEX SIDEWALLS OPTIONAL BATFt SHUTTERS i FURNACE DUAL GLAZEWINDOWS ENCLOSURE, PATIO -OUTLET.. COOLER SET UP DUAL GLAZE G.S.D. POWER VENT WIRE 220V DRYER AC READY & J- BOX COMPOSITION ROOF. TILE DETACHABLE HITCHES WATER HEATER ALL ELECTRIC FEATURE WALL SPECIAL INSTRUCTIONS BUTTE COUNTY 'DEPARTMENT OF PUBLIC WORKS o. 7 County Center Drive, Oroville.,-CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. •Installer's name: �� �l,l�l V' r L�L fitto� /�T�✓-� e • 3. Is the site currently under permit? Yet No (If yes, furnish permit number ) OR Is the site an existing site? Yes /- No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at•least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify �) 5. What is the mobilehome electrical rating? -------------------- Amps .6. -W hat is the mobilehome site service rating? --------------------- f Q� Amps 7.. What is the mobilehome site circuit breaker rating? ------------- l d'v Amps 8. Is there any other electric load.to.be served by the mobilehome siteservice? --------------------------------------------------- Yes 1� No (I£ yes, identify the load and size: (Load) `-7 (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / LPG / 11. What is the gas pipe length from meter or tank to the mobilehome? _��^ (ft.) 12. :What is the mobilehome gas demand? -------------------------------- GVD (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) t (ft.)(in.) lJ (ft.)(in.) (ft.)l(in.) - (in.) I(in.) (inj) (in.) I x (in.)l (in.) <---Tagalong or Expando',' show support details. /-2_x -- Typical Support in. (in.} Footing Size lam✓ �2J -- Max. Pier Spacing -- Max. Overhang (ft.)(in.) BUTTE COUNTY \BUILDING DEPARTMENT - *If center piers are other than drawn above, APPROVED .__ draw. im -locations,. spacing, and dimensions. v�Ll MOBILEHOME SUPPORT DATA If other than single wide, o )q near Mobilehome Mfr. furnish Setup Model No. Width ft.) Box Length0 (ft.) Tagalong or Expando'S'ize ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturers installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured fromfront of ,. mobilehome s otherwise specifie . �cIQ Footings (check one) 4 rood either. pressure treated or foundation grade. (in.) (in.) � ❑ .2. Other ( specify) Center support Cente support Supports (check one) locations* foot g sizes ( n.) [D,4 -.-Concrete block.' ❑ 2: Other (specify) (ft.)(in.) (ft.)(in.) lJ (ft.)(in.) (ft.)l(in.) - (in.) I(in.) (inj) (in.) I x (in.)l (in.) <---Tagalong or Expando',' show support details. /-2_x -- Typical Support in. (in.} Footing Size lam✓ �2J -- Max. Pier Spacing -- Max. Overhang (ft.)(in.) BUTTE COUNTY \BUILDING DEPARTMENT - *If center piers are other than drawn above, APPROVED .__ draw. im -locations,. spacing, and dimensions. v�Ll s V�» ' . . ` . ^ Department of Public Works � 7 County Center Drive � Orov1IIa----- 5'4-4541 '4454l ELECTRICAL MMTION FOR DE -RATING MOBILEHOMES . . . ` /��� Owner �� - //~y / ^� ^' Location ' ^ Mob1Iebmme Installation Permit No. FILL IN INFORMATION FOR ITEMS I THRU,10 cJ - ' 7 'S~= - "— L Width x 8mz Length z 3 = . . ' 2. 2 Kitchen Appliance C1roolta .'.'..'.'.,^...^. 3,000 3. 1 Laundry O1roolt ....'.'..'..,'.''.^....,.'.. ' - =-. 4. Ovens .....,.....,'^,^,^�,,,,,_,,,,,,,,,,,,,,, = ^ 5. Cook Stove Top ,.,.'..'.^.^..'.^^.'.'.^',~,..,, = � - ' CBot Water Heater .,.......^,,.,,�_,^,,,~,,^,, =r �"'�� `c~:- 7.- Dishwasher & D1apmnaI .,.,'.,,..,`..,.^,',^.,, . . ~ G. Clothes Dryer ...'.'.,^...~',',^,,,,^,^_,_,^,,,, = IDOO .9. Other ��e���, i.e., motors, ��� ��o ` , , , �/�1 � � m� � = Sub -total - Watts ..... / 71& & .� ` First 10,000 watts @ I00% .......'.,.....,.....,,.'...,... � . Remaining watts @ 40% .,.,...,,.'.,.,,,.,.,. 10. Air Conditioner watts @lUO%.. = LargA-At e8uand= ' Central Beat System watts «f65%.. ' TOTAL DEMANDMyTTS REQUIRED '..^..,...,,^ ` ^ "Demand Watts Bagnlred." + 230. .'...,.'..... .,'^^..,.... AMPS ` De -rate Mo61lahmme to ,,,.,.......',,........' '.'.. . ... � ' � ����F .^ "~'/^`^-/xv .. ' , VUTTE OV ED k. P16 0 3n Iv'.1�� Z (-25 Z Z W A R N I N G Each of the following conditions, if applicable to your job site, will require special setbacks and/or design requirements. 1. Excavation and Fills: (1985 UBC, Section 2903(a)) Slopes for fills shall be not steeper than 2 horizontal to 1 vertical. Cut slopes shall be not steeper than 2 horizontal to 1 vertical unless soils investigation report by registered engineer justifies steeper cut slope. Fills to support the foundations of any building or structure shall be placed in accordance with accepted engineering practice. A report of satisfactory placement of fill, (compaction report), will be required to be submitted to the building official prior to construction. 2. Footings on or Adjacent to Natural or Manmade Slopes: (1985 UBC, Section 2907(d)) The placement of buildings and structures on or adjacent to slopes steeper than 3:1 .shall be setback according to the sketch below, unless an investigation report from a registered engineer demonstrates code intent is satisfied. FOR SLOPES STEEPER THAN 3 TO 1 Top of slope H/3 nn'auu" but need not Face of ���� exceed 40' Face of structure Toe of footing H H/2 slope but need not exceed 15' The above items are provided to call attention to special construction requirements for sloped building sites. Required setbacks due to sloped site conditions may differ from zoning requirements as stamped (or) noted on plans. If setback problems arise from these requirements, a registered engineer may be able to provide an alternate solution by designing for specific site conditions. Plans and details for alternate solutions (stamped and signed by the engineer) shall be submitted for approval prior to construction. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. �+ ASSESSOR PARCEL NUMBER 026-221-013 ZONING ARM -1 BUILDING PERMIT OWNER TELEPHONE m Hines O 'S MAILING ADDRESS 0 Irwin Ave., Palermo,, 95968 SQ. FT. OCC.. BUILDING VALUATION CONTRACTOR'S NAME . Executive Homes TELEP 891-�� CONTRACTOR'S MAILING ADDRESS 3042 Es lanade,. Chico 95927 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $35.00 PLUMBING PERMIT Filing Fee 115.00 Ave -.7790 T�-win Palermo Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.. SUBOI VISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE: OF STRUCTURE. SF ❑ Duplex❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mob le Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑Utilities ❑ Installation [2 Other ❑ Describe -work: MHI (( e' )C/_5 7- Si Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I dclay under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business . Professions Code and my license is in full ce and effect. License No. '� Classification �S .0 ��: � ❑ 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 Main service 200A TO t000A) 37.50 NEW CONST. DWELLING OCCUP.m OR ADONS. ACC. BLDGS. 3.64sq.ft. NEW CONSTR TI -OUTLET NON.RESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS e. SINGLE OUTLET CIR. I EX. OCcup(OUTLETS OR FIXTURES 20 764 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure.- ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California.. Notice -to -Applicant:- If after making this statement, should you become subject to the W. C. provisions of the Labor Code; you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling 9 Hood 6.50 Ventilation Permit Fee ; Contractor I certify that I have -read this application and state that the above information is correct. I agree to comply to all 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 againstlsaid �unt 'n consequence of Jhe granting of this permi.t./ Date /v— y3 Si noture.o ❑ Controcto Agent ❑ g pplicent — Owner An OSHAwork permit is required for excavations over eep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ OCC cONSTTVPE TOTAL FEE $ 105.00 HAz OFEES IMV FLOOD cOF PARCEL Po Ho ssUE This permit is hereby issued under the sions of the Butte Count Code and/or y indicated above for which fees DIRECTOR OF PUBLIC By PPRRAIT LVDIRCC r%— applicable provi- resolutions to do have been paid. WORKS Date I -Receipt No. 140431 :a a 311 N- W L 0 0 r Cl