HomeMy WebLinkAbout026-223-005ENVELOPE
WfIITE, .Marvin 1143-67B
1751-67P -
'.r 912-67E--
26-223-5
773.5 Fulton Ave . , Paler o
CONTR: Harmony Builde P.O. Box 578,&
(new ,single f amily)
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26-223-5
Layne Kyker ,
7765 Fulton, Palermo KYKER, Layne 1233-67B-� 471-66B .
s t` Microfilm -Repair Shop 4.21-_66P �
26-.223-05 6E
RU KYKER 6-223-
7765 Fulton alermo
7765 F ton Avenue, Palermo Ave.,' !'
(new aut repair garage) (*RENEWAL
Permit��85 -85P,E(util, MH) ) ,•
ELEC
GAS 11 `� �i y •�j'-��
SUPPORT STRUCTURE RE �y
COMPACTION TEST REQ
26-223-5 -- — - `Y7-1
Permit#748-85MHI � �
PL
t Issued
i
fJ kE� i
I
rN� mill c
l�M
PERMIT N0.
PERMIT EXPIRES
OWNER RUTH KYKER /—
CONTR.owner
ASSESSOR PARCEL 26-223-5
LOCATION _ 7765 Fulton, Palermo
3
{
S�
i
N
Temp. Power Pole —
Called PG 8 OFFICE COPY
Temp. Elec. Serif Address
1
Called PG&E pate
GAS
Meter BY �Joe
Temp. Gas Servi i ELECTRIC pat2a—'
} 1 Meter BY
Called PG&E _
JOB FINALED (Date) III-ro y--
Zs
Signature
J* = OK -
0 = Not OK
= Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
. . o
Date
MOB EHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
ng Requirements—Setbacks—Easements
1, Zoning Requirements—Setbacks—.Easements
Soils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
-WE3.
S er; Location7Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
. W r; Lo on—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
Gas; LocatiorrTest—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date
Date Card -BI Date
M0BI_4Efl0ME INSTALLATION (Plans) OK except p's
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
Zo g Requirements—Setbacks—Easements
1, Setbacks—Easements
F tings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
Ga • MH T%sKI5an —VaWe--C_onlRector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
Electricity; MH T —Cr — rances
4. Elec.; Receptacles and Lighting; Distances—GFI
Dr ; MH Test— lex eoffnector
5. Elec.; Pool Lighting; 15 volts—GFI
Water; MH t—Regu or—Conn ctor
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
ater and Sewer Connected—C/ rade—H Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged 1
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
its; Insp.—Sketch
ert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
e.44Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
OVA
V = OK
0 No, OK
= Not Applicable
�E = 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., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. U.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
55.
Shear Wal•s; Nailing -Bolts
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
60.
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access
17. Shower Pan; Test, First Floor -Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
65.
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q'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 -C learance-Ccmb. 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 ll No. of Conductors -Stapled
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E3 Yes
Guard Rails & Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen & Conductor Size
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. i / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
76,
Following instld.: Drive ❑ Yes ❑ No; Walks ❑Yes ❑ No;
Planters ❑Yes ❑No
Stucco; Brown -Finish
28. Service -Riser Conductors & Ground -Main Disconnect
29.
30.
Equip. Clearances; Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
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.
82.
Ventilation throughout House
Glass Protection
Card B-1 Date Card -BI Date
Date
MECHANICAL (Permit) OK except q's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86,
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -61
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING Plans OK except q's
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
Cing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-Shthng_.-Rfn_g_._ _
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time you visit jobsite)
COUP?TY OF BUTTE - DEPARITIENT OF PUBLIC 'WORKS
Peres Issued 3/9/84 to 3/20/84 inc. Pa 1
PERMIT# 014NER CONTRACTOR '' ' A.P.# LOCATION CONST TYPE VALUATION
�9A"'8 LAR Richard Vogt :J Owner
-&93-104 Paula Smith Owner
44-21-68p
44-21-68p
44-21-68.
44-21-68
.25-22-22
63-19-6
43-21-7'
43-21-7
43-21-6
43-21-6
55-38-7
46-103-26
44-10-36
66-28-16
43-26-03
43-27-8,
43-27-8
43-27-8
43-27-8
43x27-8
43-27-8
43-27-8
43' 27-8
43-27-8;
65-171-23
65-36-45
40-31.64
43-26-3
42-20-67
42-45-18
40-38-13
72-14-38
42-X40-13
66-28-39
42-03-59;
64-25-7 ,•
64-25-6
42-34-60
43-41-27
35-105-1
269 To Polk Circle, Chico
Eastwood Oaks
Corp
Owner t
238 Tom Polk Circle, Chico
Eastwood Oaks
Corp:..
Owner ,
b�-►63
Eastwood Oaks
Corp
Owner
_
Eastwood Oaks
Corp''
Owner
9f�
Claude Mathis
990 -Columbus Ave, Chico
Owner
.ZB
Ken Bocast
1264 Humboldt, Chico
Par Modular Con
4a49 f91.r
James Aguilar
13689 West Park Dr, Magalia
Rick Souza
SW/S Sacto.Ave, W Oak Lawn
James Aguilar
863 Victorian Park, Chico
Rick Souza -;
4-246re9 F
James Aguilar
851 Victorian Park, Chico'
Rick Souza
856 Victorian Park, Chico
James Aguilar:,
848 Morninghome Cts Chico
Rick Souza
.a3•8
Kevin O'Laughlin
838 Morninghome Cts Chico
Owner
141-84
Chico -San
::�
Sunseri Const
175-84 L-
John Drake
14863 Creston,,Magalia
Drake Homes
2 F
Robert Dasch
S/S Sacto Ave „ Chico
Dasch Const
r
SAastan
659 Royce Lane, Chico
..
Owner .
r"B4 F
Tanglewood
4949 -.,Foothill Blvd, Oroville
Owner
/G.
Tanglewood
6265 Arthur Ct, Magalia
Owner
665 Crimson Ct, Chico
Tanglewood
6256 Ponderosa, Magalia
Owner'
.244 -w@* --/C
Tanglewood
NE/S Cussick, W Churchill.Chi.
!Owner
246 04.
Tanglewood
19152 D. St, Oroville
Owner
-I;L ►
Tanglewood
Owner
F
Tanglewood
Owner
Z8�-84
Tanglewood '
Owner'
282-84 L
Tanglewood
Owner
995-8.0=
Dirk Koops
Gary Mullanix
365m84,F
Galen Canfield
Par Mod Concepts
30+0'"'/C
Pacific Stihl
Inc
Detco Steel
4+@ $4 L4F
Shastan
Owner
449 84
Charles Harvey
'
Owner
471-84 L.,
Jim Serrao
Owner
-492
Stan McIntyre
Bonita Pools
X95-�94-�C
Gerald Prince
Pyramid Conat
�9$ F
Webb Homes
Owner
449"8 .
David Beasley
.. =:
Owner
568-84 L..
Stan Webb
'.Webb
Homes
Mildred Flynn
Par Mod Con
SO* 84
Mildred Flynn
Par Mod Con
-.98T-8* L -*+A
Jeff Damron
Owner
�9A"'8 LAR Richard Vogt :J Owner
-&93-104 Paula Smith Owner
44-21-68p
44-21-68p
44-21-68.
44-21-68
.25-22-22
63-19-6
43-21-7'
43-21-7
43-21-6
43-21-6
55-38-7
46-103-26
44-10-36
66-28-16
43-26-03
43-27-8,
43-27-8
43-27-8
43-27-8
43x27-8
43-27-8
43-27-8
43' 27-8
43-27-8;
65-171-23
65-36-45
40-31.64
43-26-3
42-20-67
42-45-18
40-38-13
72-14-38
42-X40-13
66-28-39
42-03-59;
64-25-7 ,•
64-25-6
42-34-60
43-41-27
35-105-1
269 To Polk Circle, Chico
New 7 -unit apt .
269 Tom Polk Circle, Chico
77!plex garage
238 Tom Polk Circle, Chico
New 4-plex
238 Tpm Polk Circle, Chico
4 plex garage.,
206 Stimpson Rd, Oroville
MH Installation-
4860.Schott Rd, For. Ranch
MH Utilities
980 Columbus Ave, Chico
New 4-plex
1050 Columbus Ave, Chico
New 5-plex
1076 -Columbus Ave, Chico
New 5-plex
990 -Columbus Ave, Chico
New 5-plex
S/$ Tomin Rd -S Eskin Maidu
Rd,MH Installation
1264 Humboldt, Chico
Addit/office
2540 Esplanade; Chico
New Retail Sales
13689 West Park Dr, Magalia
New Residence
SW/S Sacto.Ave, W Oak Lawn
New Residence
863 Victorian Park, Chico
New Residence
857 Victorian Park, Chico
New Residence
851 Victorian Park, Chico'
New Residence
856 Victorian Park, Chico
New Residence
848 Morninghome Cts Chico
New Residence
844 morninghome Ct, Chico
New Residence
838 Morninghome Cts Chico
New Residence
834 Morninghome Ct, Chico
New Residence
821 Morninghome Cts Chico
New Residence
6486 Grandview, Magalia
Opendeck
14863 Creston,,Magalia
MH Installation
11096.Midway3,'Chico
Addit/whse
S/S Sacto Ave „ Chico
Garage
1876 Oak Park Avej Chico
New Residence
659 Royce Lane, Chico
New Residence
203 Estates Drive,'Chico
Swimming pool
4949 -.,Foothill Blvd, Oroville
New Residence
1016•.Mayette Dr, Chico
New Residence
6265 Arthur Ct, Magalia
Open deck/MH
665 Crimson Ct, Chico
New Residence
6256 Ponderosa, Magalia
MHaInstallation
6260 Ponderosa, Magalia
Ni Installation
NE/S Cussick, W Churchill.Chi.
Addit & remodel
2080. Cecelia, Chico
New Residence
19152 D. St, Oroville
Repair/SF
285,080.
33,600.
160,340.
19;200.
wwwww-www
201,600.
252,000.
252,000.
252,000.
3,500.
375,768.
58,846.
.34,642.
71,286.
69,442.
71,487.
66,313.
71,286.
69,442.
71,286.
69,442.
83,772.
660.
113,000.
4,800.
65,388.
106,044.
10,200.
59,556.
81;987.
3,168. '
152,272.
wwwwww..w_
69,352.
84,684.
2,500.
f
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
-CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
or
Inspector_ Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number -- g - --- - for the following location:
Owner
Owner's Address-
Mobilehome Mfg. Model Years
Insignia No. •/ I Citi o� Serial No. �f
It is hereby certified for occupancy at the above described location and
may be occupied.
Director ofPublic Works
Date c'7 �� _� I3y i7, �/,ter
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
„
White - Owner, Yellow - Installer, Pink - D.P.W.
C
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT Tc`::* i
ASSESSOR &R. EL,�NJMBER
l/Yfi/
ZONING•
BUILDING PERMIT
OWNER
V
TELEPHONE
-
SQ. -FT. OCC.1 BUILDING VALUATION
OWNER' A ING DRESS /
< rkill n
CONT A 'S A
KeW h
TELEPH0 E
CONTR T R'S MA LING ADD SS
VA
Fireplace
CON CTION ENDER
UNK OWN
Total Valuation $
Filing Fee
$ 10.00
LEf
NDER'S MAILING ADDRESS
Permit Fee
$
ARCH T CT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 15,00
Penalty
$
ARC I ECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
. "
PLUMBING PERMIT
Filing Fee 10.00'
Each Trap
2.00
Solar Water Heater
.20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent .
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
1 5.00
Mobile Home S G W
10-00e
YPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ I foliation Other ❑
Describe work:
rl D �� S
Permit Fee
$
Contractor.
ELECTRICAL' PERMIT
Filing Fee 10.00
Main service e00v OR LESS
100 AMP OR LESS
10.00
•
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
t
220sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
'
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I,. as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR MULTI -OUTLET 2,50 ea '
NO N.RESID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS IN
NON.RESID. SINGLE OUTLET CIR.
Ex. OccuP(OUTLTs OR FIXTURES20@50C
BAL®300
FIXED PR
Ex. DCCUp. OUTLETS (RESID )EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 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.
MECHANICAL PERMIT
Filing Fee 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 relatingy,
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against,*id. Countyinconse u nce of the granting of this permit.
Date
Signature of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHA. permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mo 'le Home Installation Fee $
— l.S f�C7
TOTAL PERMI FEE $ �r D
OCCUP. GROUP
TYPE OF CONST.
IPARCEL PD D
SUE
This ,permit is hereby'issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF BLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITED. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .•
I
I
1. Owner's name:
2. Installer's ne
BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
3. Is the site currently under permit? 'Ye5 / / 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 f eeptic,tank and leaah•f ields and
clear
of all setbacks and easements? Yes
/ No
( If no, clarify
)
(
)
5.
What
is the mobilehome electrical rating? -----------------------
/gyp — Amps
6.
What
is the mobilehome site service rating?
--------------------- Amps.
7..
What
is the mobilehome site circuit breaker
rating? ------------- Amps
8.
Is there any other electric load to:be'served by the mobilehome
siteservice?
---------------------------------------------------
Yes % No.
(If yes, identify the load and size:
(Load) /DD (Amps).
9.
What
is the mobilehome site gas pipe size?
-------=--------------
10.
What
is the type of gas service? -----------------------------
Natural LPG
11.
What
is the gas pipe length from meter or tank to the mobilehome4 L
12.
What
,
is the mobilehome gas demand? ------------------------------
(BTU)
(This information not required if pipe
length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. A4furnish Setup Model No. - Year
;lidth / (ft.) Box Length G&q) (ft.) Tagalong or Expando Size ft. x 10' ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973,• furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless
otherwise specified.
Foo.Gings (check one)
Single
1. Wood either
A A
pressure treated or
foundation grade.
(ft.)(in.)
(in.) (in.)
2. Other: ( specify) ,
Center suppor
locations*
Center support
footing -sizes
Supporta.(check one)
(in.)
. Concrete block.
E] .2. Other. (specify)
x
(ft.)(in.)
(in.) n.)
E --tagalong or Expando,'
show support details.
(ft.)(in.)
(in.) (in.)
/x�C) --
Typical Support
(in. (in.)
Footing Size
x
(ft.)(in.
(in.) (i .)
�' --
Max. Pier Spacing
(ft.)(in.)
Max. Overhang
(ft.) (in.)
(in.) (in.)
(ft.)(in..)
BUTTE COUNTY
BUILDING DEPARTMENT
*If centerP iers are other than drawn above,
draw in locations, spacing, and dimensions.
PERmrr
MH UTIL.CLEARANCE DATE
INSPECTOR Ze
ELECTRIC
GAS
Support
Struc.
Compaction
Test Req.
ervice
ize
Other
Load
Type,
Pipe
Size
Length
YES NO
YES NO
This set of plans and specifications MUST be
kept on the job of all times and it is unlawful to
make any changes or alterations on same without D-Srj�`U
written permission from the Department of Public '
Works, County of Butte. L o
I cflreri• Js & Workmanship Shull be it(
AEcc;,-- ._;e 'Recognized food Practices and
of a qu !,:ty prescrilbo.:l for the Specified use in the.
Uniform Ui'ding, Plumbing & Mechanical Codes.an
the National Electrical Code.
SN oQ
------------------------
� g,
Utility connections shall be within
4 ft. of the mobiiehome, either
directly behind or within the rear
half of the roadside (left) of the
mobiiehome.
ee
pee
S¢p�4'
�y
F— -"6 ".
` A setback of 5 ft. from the
property lines and a setback
of 50ft. fro the road
centerlines all be clear of
structures c r equipment except
� for e 2 ft, e ave overhang.
�j�t U�J Cp�rJT.�.dG�Tv2
x401 ✓E.V
g
1501
853 S
BUTTE COUNTY
�( DlPG-DrER RT/V ENT
APPROVED �.
�o
>> COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
i
PERMIT NO. CC
r'
ASSESSOR PARCEL NUMBER
a (10_ _ 0 5
ZONING
. Z
BUILDING PERMIT
OWNER
V �
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADD SS
F" i+ ,%.- vc P l eta
CONTRA TOR'S NAME TELEPHONE
CONT T R'S MAILING ADDRESS
Fireplace
CONST UCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ �n
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHIT CT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ r
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS / —
(D
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex[:] MobilehomeN Other
SPECIFY
Building sewer
5.00
Mobile Home
10.00 e
TYPE OF WORK
New 1-1 Add ition❑ Remodel 0 Utilities9 Installation[] Other ❑
Describe work: •�C(/7�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 Q
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&\
OR ADDNS. ( ACC. BLDGS.
I 21/20sgft
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
rL, w lam`
am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
Icense No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR (MULTI -CUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR /POWER APPARATUS &
NON-RESID, %SINGLE OUTLET CIR. I
Ex . Occu P�OUTLETS OR FIXTURES
20050S
BAL030
FIXED PR
Ex. Occup. OUTLETS (RESID )EA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
1
34V
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
��hall 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.
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and ep harmless the County of Butte against
agjudgments, costs, d expenses which may in any way ac rue
agCou in of the granting of this per .
-�
G Dat
Sigplicant — Owner❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -D
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occu P. GROUP
TYPE of CONST.
PARCE
PD HD ISSUE
This permit is hereby issued under
sions the ButCounty Code and/or
wor in icated above for hich
C OF PUBLIC
BY
PERMI EXPIRES Date-
the applicable provi-
resolutions to do
fees have been paid.
WORKS
te'.j AP4 gs
9AR-If&
Receipt No.
WHITE-D.P.W., rE.LOW-ASSES
OR, PINK -INSPECTOR, GOLDENROD -APPLICANT
9-1
SO
Kelley Blue Book ••, _ Ii.
MANUFACTURED HOUSING & MOBILE HOME GUIDE
WORK SHEET
CODE PARK CLASSIFICATION (See Page 9) DATE
DOLLAR VALUE
Make
Model Year'
Length Width BLUE BOOK VALUE
EXPANDO OR TAG -A -LONG ROOM
(See Pages I5-16-17) Length Width
PORCH (See Pages 10-11) Length Width
AWNINGS OR CAR PORTS (See Page 11) Length Width
STORAGE SHED (See Page 11) Length Width
GARAGE (See Page 11)
SUB -TOTAL
OPTIONAL EQUIPMENT VALUES (See Page 14)
_
AIR CONDITIONING (Factory)
EXTRA BATH (In Addition to Std.)
REFRIGERATOR
CLOTHES Washer/Dryer
DISHWASHER
SKIRTING
WATER AIR COOLER
WET BAR
OTHER
BLUE BOOK VALUE FOR HOME & OPTIONAL EQUIPMENT TOTAL
VALUE FOR LOCATION & FACILITIES (See Pages 10-11)
VIEW
PARK DENSITY
HEALTH & RECREATION FACILITIES
PARK RENT
SUB -TOTAL
DEDUCT FOR VACANCIES & SINGLE WIDES (See Page 12)
( )
VACANCY FACTOR DEDUCT
SINGLE WIDE HOMES DEDUCT
( )
FAIR MARKET VALUE TOTAL
Contact Our Office for Additional Work Sheets
E
Q
E
0
ss.
}
COUNTY OF Bu1
On March 20, 1985 before me, the undersigned, a Notary Public in and for
said State, personally appeared R DENNIS GI 1 1 FT'-- personally known to me
to be the person whose name is subscribed to the within instrument, as a witness thereto, who being by me duly
sworn, deposed and said: That he resides in Butte County
that he was present and saw LAYNE K= and RUTH K=
personally known to him to be the same person_— described
in and who executed the said within instrument, as
part les thereto, sign, seal and deliver the same and
that the said T TTG
duly acknowledged in the presence of said affiant, that
executed the same, and that he, the said affiant, thereupon
Sig
_request, subscribed his name as a wit
hand and official seat, ,1
OFFICIAL SEAL
ANGELA D. HENDERSHOT
NOTARY PUBLIC - CALIFORNIA
r
ern
PRINCIPAL OFFICE IN
BUTTE COUNTY
MY COMMISSION EXPIRES SEPT. 7, 1986
• �' yrs
Return to DPW'. AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 0 ? fiat_ Eco ' ` -
FOR RESIDENTIAL. DEVELOPMENT U�.TE; COUNTY-C40-
1-
OUNI0 -C40-
S1;E p«�
Section 26-8.1 of the Butte County Code requires this acknowledgeme "�Gv��0.��0
be recorded prior to issuance of a building permit. TAR L5 3 42 PH 85
The property described herein is adjacent to land or included GLERA RFCC(31kUERJ
within an area zoned for agricultural purposes, and residents of this FEE
property may be subject to inconveniences ortdiscomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers, -and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning', and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established;' agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
Lots 7 to 12 inclusive, in block 49 of the Town of Palermo, according to'the
official.Map'thereof filed in the Office of the,County Recorder of the
County of Butte, State of California, February 17, 1891, in Volume 5 of Maps, at page 4.
Date: March 22, •1989
t J
y
AbV i
OWNERS:
State of ) On this the ' day o 19 , before
SS. me, the undersigned Notary Pu lic, p ovally appeared
County of ) -
r-
/ Personally known to me. L/ Proved to me on the basis
of satii"sfactory evidence.
to be the�person(s) whose names) subscribed to
the within instrument and acknowledged that _
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.^ ---
Notary Public
§WOO D=MV.N r
��R•
e
ERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND -PERMIT
ASSESSOa FrA RCEL,eNJMBER
lQ�,/V` CiJ 3
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
1
SQ. FT. OCC. BUILDING VALUATION
_
OWNER' A ING DRESS /
A. r
CONTRA •S A NOW I�
TELEP#O E
S
CONTR T R'S MA LING ADD 'SS /
f
Fireplace
CON CTION ENDERCLIA-1211
UNK OWN
f
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS I
Permit Fee 1
$ i
ARCH •T CT OR ENGINEER
LICENSE NO.
r
Plan Checking Fee
$
Penalty.
$
ARCWTECT OR ENGINEER'S MAILING ADDRESS
Permit fee, %
$ v
BUILDING ADDRESS
:
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5,00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ 'Duplex[] Mobilehome Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK .,
New ❑ Addition ❑ Remodel ❑ Utilities ❑ I tallation�< Other ❑
Describe work: ' —
i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
-I
t
Main service,EA'. ADD'L 100 AMP
2.50
NEW CONST.(( DWELLING OCCUP.&
OR AODNS. \ ACC. BLDGS.
2/20sgft
•
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in. full force and effect.
License No. Classification �
I as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044) ,
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U TI.OUTLET
NON.RES BRANCH CIRC ITS 2.50 ea
NEW CONSTR. (POWER APPARATUS &)
NON -RES ID• (SINGLE OUTLET CIR.
Ex. OCCU 20@SOF
P�o OR FIXTURES BAL@30C
FIXED A
•.EX. OccU FIXED APPLES, OR
P• OUTLETS IRESID,I EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
' WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
f ❑ 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.
j 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.
MECHANICAL PERMIT
FilirlgFee 10.00
Heating
Cooling
Hood
3;00
Ventilation
t
Permit Fee r
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree fo 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
again/st/.*lid County lin conse u nce of the granting of this permit.
X (�,6C.��' C�y�� DateThis
Signature of Applicant — Owner E]Contractor ElAgent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mohe Home Installation Fee ' $
,P _ G/S O
TOTAL PERM( FEE $.�
OCCUP. GROuP
TYPE OF CONST.
PARCELJ
PD I ND
ISSUE
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
I__
1� 19-
�, Sv�'��1
I�
/r
,b:y ate,
1 �
I