HomeMy WebLinkAbout026-230-042BUILDING CODE VIOLATION
LETTER 30 DAY
26-23-42
JAIME CARRILLO
S <Melisa Ave @ Fulton Ave, Palermo
Perm102781-84P,E(util, MH) I-
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COMPACTION TEST REQ.
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26-23-42
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----26-Z3-42-- fi;�L�
7890 Fulton Avenue, Palermo ��//d /d�
PErmit#3298-88B(new garage)
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026-230-042 '-"'-'03-1013'-'
ELY, RAMONA
7890 FULTON AVE, PALER AL
Cont: DECANN, PHIL,
EX MH ON PERM FND
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Butte County Department ofDevelopment Services
ADMINISTRATION * BUILDING * GIS * PLANNING
i
7 County"Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
July 16, 2003
Ramona Ann Carillo
7890 Fulton Ave. -
Palermo, CA. 95968
RE: Building Code Violation
Location: 7890 Fulton Ave., Palermo, CA.
AP # 026-230-042
i
Dear Ms. Carillo:
This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced
location, as follows: j
Failure to obtain the required permits, inspections and approvals from this office for the construction of a
deck and patio cover. ,
Since permits and inspections'are required for the above work, please submit three (3) complete sets of plans,
apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and
you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing
work is inspected and approved.
It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be
advised that Butte County has an active Code Enforcement Program which provides an effective means of
enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of
citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate
the violation.
You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for
abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please
contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above.
i
1
rScott utherford
U Chie Building Inspector
SR: kj
cc: Assessor
j r�A-
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RECORDING REQUESTED BY:
' f
I
i
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DMSION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
17 -Jun -2003 2003-0039370
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONT.v
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to.
its contents to all persons thereafter dealing with the real property.
RAMONA ANN CARRILLO
REAL PROPERTY OWNER/LESSOR
7890 FULTON AVENUE
MAILING ADDRESS
PALERMO, BUTTE, CA 95968
QTY COUNTY STATE
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
c:IrY COUNTY STATE ZIP
JAMIE L. CARRILLO & RAMONA CARRILLO
UNIT OWNER (if also Property owner, write -SAME'
7890 FULTON AVENUE
MAILING ADDRESS
PALERMO, BUTTE, CA 95968 '
QTY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
03-1015 30
538-7541
B IN EIOMIT N0. TELEPHONE NUMBER
06/17/03-
GNATURE OF LOCAL AG 0
DATE
NONE
DEALER NAME (if nota deXa sale, write 'NONE")
DEALER LICENSE NO.
FLEETWOOD 1985 SANDALWOOD / 3563 B
MANUFACTURERS NAME i DATE OF MANUFACTURE MODEL NAMH/NUMBER
CAFL2A/B F261705810 56'X 24' CAL30 544/5
SERIAL NUMBER(S) ' LENGTH X WIDTH INSIGNWLABEL NUMBER(S)
j
REAL PROPERTY LE •AL DESCRIPTION ASSESSORS PARCEL NUMBER AP # 026-230-042
SEE ATTACHED
i
HCD FORM 433(A) REV. 8/91
WRITC _f'......n. D.......t.. !`eitenv vrn nrm .__... ..... .......... .. _ .. .. _
BUILDING PERMIT NUMBER: 03-1015
Address or location of unit: 7890 FULTON AVE., PALERMO CA 95968
Legal Description of Real Property: AP # 026-230-042
SEE ATTACHED
(g) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: JAMIE L. & RAMONA A. CARRILLO
Owner's address: 7890 FULTON AVE., PALERMO, CA 95968
INSIGNIA OR HUD NUMBER: CAL 309544/5
SERIAL NUMBER OR V.I.N.: CAFL2A/BF261705810
MANUFACTURER'S NAME: FLEETWOOD YEAR: 1985
OFFICIAL APPROVING INSTALLATION. Q(4
DATE: 06/17/03
PHONE: (530) 538-7541
H.C.D. 513C
LEGAL DESCRIPTION
A.P. # 026-230-042
All that certain real property situate in the County of Butte, State of California, described as follows:
Lot 1 in Block 61 in Subdivision No. 1 of Palermo Citrus Tract, as said Lots and Blocks are
designated and delineated on that certain Map entitled, "MAP OF PALERMO AND
SUBDIVISON 1 AND 2 WITH ADDITION TO NO. 1 OF THE PALERMO CITRUS
TRACT", which Map was filed in the Office of the Recorder of the County of Butte, State of
California, September 17, 1888.
04/10/03 09:23 FAX 530 533 1589 BIDWELL TITLE OROVILLE X003
DF-PARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT SING
Dlvisio'Lof Codes and Standards A
Title Search p�vE'o
Date Printed: 04/07/2003
Decal #_ LAH5413
Use Code:
SFD
Manufacturer: 09534 FLEETWOOD
Original Price Code:
AHN
Tradename: SANDALWOOD
Rating Year:
Model- 35638
Tax Type:
LPT
Manufactured Date: 06/25/1985
Last ILT Amount:
Registration Exp:
Date ILT Fee Paid:
First Sold On: 07/05/1985
ILT Exemption:
NONE
Serial Number HUD Label / Insignia
Length
Width
CAFL2AF261705810 CAL309544
56,
12'
CAFL2BF261705810 CAL309545
56'
12'
Registered Owner:
JAIME L CARRILLO
RAMONA A CARRILLO (Tenants in Common Or)
7890 FULTON AVE
PALERMO, CA 95968-9643
Last Title Date: 08/06/1985
Last Reg Card: 08/06/1985
Sale/Transfer Info: Price $28,588.00 Transferred ori 07/05/1985
Situs Address:
7890 FULTON AVE
PALERMO, CA 95968-9643
Situs County: BUTTE
Legal Owner:
CONSECO FINANCE SERVICING CORP
350 UNIVERSITY AVE STE 107
PO BOX 255524
SACRAMENTO, CA 95865
Lien Perfected On: 07/17/1985 08:03:00
Title Searches:
BIDWELL TITLE
1835 ROBINSON ST
P O BOX 811
OROVILLE, CA 95965
Title File No: 208103 -EAP
*** END OF TITLE SEARCH ***
F
• Housing Helpers
15718 Almond Street
Paradise, CA.Y5969
1 (530)877-2630
June 1. 7, 7003 i
Butte County Building Department
Attn: Alice
i
This letter Is in regards to the installation of a permanent foundation. for the
home at 7890 Fulton Ave., Palermo, CA, APN# 026-230-042. We
understand -.that the current lien holder is.Conseco..Financing.but once -the
443A is racorded GrPenpoint Mortgage will be the new lien holder and as
such.is requiring_ this installation. of the foundation. If you have. any further
questions please feel free to contact me at the above number.
I
Thank you, I'
f
t
Rhonda Pinedo
Loan Officer ;
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04/01/03 11:40 FAX 530 533 1589 BIDWELL TITLE.OROVILLE Q002
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RESIDENTIAL
026-230-042
PERMIT N( ELY;.RAMONA Ogg ,/O/s—:_
7890 FULTON.AVE, PALERMO J!
Cont: DECANN, PHIL
EX MH'ON PERM FND
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY ON
NEW MH'S).
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
e
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
el -
JOB FINALED (Date) r
Signature J
J=OK •
0 = Not OK'
. = NotAeadyable
Card B-1 Date Card B-1
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
1. Zoning Requirements -Setbacks -Easements
2.
2. Soils; Special MH Support Sketch
3.
3.
Sewer; Location -Test -Fall -C/0 -Concrete
Elec.; Receptacles and Lighting, Distance-GFI
4.
Water; Location -Test -Easement Needed (Sketch)
6.
5..
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Elec.;.Bonding; Metal w/5' -Circulating Equip. -Heater
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
7.
Well Clearance & Disconnect.
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
2.,
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11. • Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams- Rftrs-Con nectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
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, Distance-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- Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
o = NotOK
- =Not Applicable
Applicable
. = Not Ready
-
�
RESIDENTIAL (.
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-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
Date
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
_
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All
Insulated Neutral O Yes O No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Comments at Final:
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
jingle & Duplex)
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -FIC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plyvood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels -
62. Insulation -Walls -Ceilings
63. 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
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes,
_
83. Following Instld./Drive O Yes O No/Walks O Yes 0 No/Planters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, E'ectrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
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:
COUNTY OF BUTTE
I BUILDING DIVISION
— - DEPARTMENT OF DEVELOPMENT SERVICES
_ 411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
_y
40
OWNE� PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and shouldFbe corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please con.ta t this office immediately.
e
Date 7 In Sp ,to
REV 10/92
:t
.Ft
I
I' COUNTY OF BUTTE
OWNE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA •.(530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
�:.
r1
0
►- iur
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address - and should be corrected. Please notice this office when correction of work is
completed. It you have any questions pertaining to this matter, or need additional explanation,
iiea,s,e contact this o-Mce immediately.
�7
1Sh.
Y
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �;y/
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 16 R15 No.
(Rev. 12/96) APPLICATION AND -PERMIT 0 n) 2_2 1 ,
ASSESSOR PARCEL NUMBER
026-230-042
ZONINii
BUILDING PERMIT /
OWNER
TELEPHONE
—7670
SO. Fr, OCC. BUILDING VALUATION
.OWNER'S MAILING ADDRESS
7890 FUJ-TON AVE., PALERM0, CA 95968
1344 R 72,576.
CONTRACTOR'S NAME
PHIL DE
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $299-00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
93-00
BUILDING ADDRESS
7890 FULTON AVE. ERMO
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome NX Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherXX
Describe Work: EX MR ON j?RMEND EX SITE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 i5. GO
Mobile Home I S I G I W I
@20.00
PERMIT FEE $
50.00
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 000V OR LESS
200' OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9i
commencn with Section of of Business and Code,
9(commencing ti7000 )f Di3f thBid Professions
and my license is ' �I s -end effect.
License Class Lic. No. 76 92-6
WNER-BUILDER DECLARATION
1 hereby affirm unienaHy of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' comp44p�sation ids g_.� /`� ce ca r and or number are:
�
Carrier c� -7Eal
Main Service 200A TO 1000A
46,00NEW
CONST. DWEWNG OCCUP.
OR ADDNS. a ACC. sLDs.
SO
3.5¢FT:
NEW CONSMULTS•OUTLET
NON-RESID.T. C
97.50
POWER APPAIiArus
BSINGLE OUTLET CSR,
EX. Occup. OUTLET OR FDmJRES
20 Q 1.00
BAL � •�
Ex. Occup.ouTRFrs A D.oFRn
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt S
Policy Number eD X41 C> -e-
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compens tion laws of California, and agree that f I should become subject to the
worker ompensation provisions -of section 3700 of the Labor Code, I shall
forth comply v
jjktho ovisions.
Date 4111 A 3
Signature ofA ican ❑ Owner ❑ Contractor ❑ Agen
An OSHA per ' ' required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 352.00
HAZ. D. FEES IMP FLOOD
CDF PARCEL
PD
HD
ISSUE
This permit is hereby Issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
B D
PERMIT EXPIRES ONO
provisions
to do work
paid.
P 46 eM
to �-/- (,LAS
ate
rReceiptNo. 375978/$352.00/
ITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
w►v .Y, Sw r� i 1 ,r raid,VJ +►,T . - , .. � �., j `�'ir'�r'•''�� i� �� � .+� '�
a ' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION f
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLI} p'..TIQN DATA SHEET
OWNER: ���ASSESSOK PARCEL ^�
Proposed Building Use: ( Q0( CounterZechnician. Date:
Items required in order to apply for a permit. All boxes MUST -,be checked OR marked NA in order to apply.
V 1.. PlotP lans 3 or 4 sets signedty the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plaris� "
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. N etall- buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All -of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings......................................................:..
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form.............:................................................................. _
❑ 13. Other, J ) rd
Remaining items needed to issue the permit. (May require additional elan review upon receipt of the following items.)
b/
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 15. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by'- ......................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ...::................
O 26. Letter of Signature authorization..'.................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance............................................................... J
c
❑ 29. Existing violations a�nd/or expired permits........................d...................�}��........Z,
❑ 30. rant Deed, IV4:H. Title/Statement of Facts, ❑ Letter from Legal Owner, aVKeck to H.C.D. $
❑ 31. Other:
When issued Telephone /f1- and hold for pickup.
I have been informed of the above
Applicant:
requirements for obtaining a building permit.
Date:
d�%a y/o3
3 Voata-+10a/ //
V,/ e/ / /P//Jr'�
1. Index permit application for t4Bove items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: 0 72 Plans approved by: 2./3 Date:
Structural reviewed by: ' Date: Structural approved by: Date:
Note transfer by: Date:
Y
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Orovilln, Ca.rdomia 95965 ► Telephone (530) 538-1541- P
v.t?IIlk9by APPLICATIONANDPERMITi
S;=%P,UteERMOM /� /�O �'QN0 BUILDING PERMIT
S L r -r. occ. 5ULDN(3 VALUATION
ms ' I X" `7 i I/ jl •f^A2 sol l ya 17 ��S c (, .
L •die- (kin'
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Da evo=% Wma non
USEOFS iRUCTIM
3F-0 Duplex D Niobiiahome D Mer
svE=W
TYPE OF WO;K
Nes D A*M= D Rmcdet 0 Wan D�� f 13 Ober D
*?BtMT FEE ?Alb $ A
SPA
a TOan. fVr zwo COMM
a�
Valuation =
Fee S 20.00
en Fes S
V Pian Chw--kbg Fes S
S
P pma Fm
PLU6QMM 'PERM T I Firing Feel 20.00
Eat► Trap
7.0
Solar or had hump
water heater
23.D
Wchr piping
I F=D
15.0
Em,A pas wabr hmEdw or vent
15.0
is_9 pwm ammu1
- 5 cxtUsts
15.0
MOM sawei
15.0
Nbbb H7ms
S G W
X20.0
P BRMM F- S
N1aT� gym► zo umx
oA� �
gym. w�crD�rn.Fr
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E&F� APPil�S aw
m�
• aunE,s �
Ten SW=a
NbbRe Home Pacwes
N6s-_ Vurnfn •
PERma FM S
XF-CHAMMAL PE WT
HeaSng
t�fa�a
PERMFT « t
Nbbne Home Instdsfion Fee =
energy Ins md2n Fee S
Fres I 20.D0
6.50
This pwmd is hereby issued under the appf=Lbie prov_,►'mns
of be Butte County Code and/or Resoiufnns b do work
ind'ceted above for which fees have been paid.
By Data
ReceiptNa. Rc?MIT E)2,m=_s Did
TOTAL FEE $ ov
NtZ d F3
MP
I F=D
M
This pwmd is hereby issued under the appf=Lbie prov_,►'mns
of be Butte County Code and/or Resoiufnns b do work
ind'ceted above for which fees have been paid.
By Data
ReceiptNa. Rc?MIT E)2,m=_s Did
PRE=INSPECTION .REPORT
OWNER: 1 f2
LOCATION: - CL)
CONTRACTOR: \- (I J-'\ ���
PRE-INSPETION FOR:
DATE: - In A -4�
A. P. #-M6 7- 2 -- -n-n
ZONING:
DATE TO INSPECTOR: ` �-PERMIT HISTORY:( ) NONE
(k)-OFOLLOWS:
Building Description:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
Abandoned/Vacant
Electric:
Yes No
Condition of Electric
Gas:
BUILDING INSPECTOR'S REPORT
Electric currently On �ff
Natural Propane / None Currently On_.,:�Off
Obvious Problems:
Sanitation:
Plumbing Working
Well Working_ Potable Water
Obvious SewageProblems
Comments:
ACTION RECOMMENDED: ISSUE:
HOLD FOR
Inspector:_ 4/—/7 ",o 3 Dateez
Sketch buildings on reverse and indicate location on property.
1
Fe c N S
26-23-42�.
AIME CA�ItILL0
Melisa Ave @ Fulton Ave, Palermo
Per #2781-84P,E(util, MH)
ELEC tAJ �R^
GAS Lft ..� Q►�¢
SUPPORT STRUC E REQ -WO
COMPACTION TEST V&
26-23-42 S►.JL I v
Contr: Cal ers MH.-
Permi 0-85MHI
Is ed
26-23-42
E90 Fulton Avenue, Palermo
mit#3298-88B(new garage)
026-230-042 03-1013
ELY, RAMONA
7890 FULTON AVE, PALERMO
Cont: DECANN, PHIL
EX MH ON PERM FND
Y
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- r
COUNTY OF BUTTE
BUILDING DIVISION
3 DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
EZ n ZL�- 20-1
OWNER AP ''PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
pease -c ntact this ofLce immediately.
-Gt%
j
REV 10/92
_ t 4 y ■
Is
i
COUH T Y OF BUTTE - DEPARTMENT OF DEVELOPMENT SERtiiCES - BUFLDINCI DIVISION
7 County Center Drive 1, Orovills, Car'tfornia 95965 • Telephone (530) 536-1541-�-�?EPJ� o .
MAWS) APPLICATION AND PERMIT
BUILDING PERMIT
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USEOES ieZuemm
;F-0 Duplex D Mobtiaboane 0 MW
TYPE OFWOmmc
Now D ME= D R=cdef D Urmmes 00 haW
13 Ober 0
ru npnca i
T DW Valuation =
Rho Fee
S
20.00
Pent Fea 2 =
A ``O
Plan Cbl Fes
mhezgy Pian Chmd;bg Fee
�.
PEPM1T PF_i:
s
9 �z P
PLtE6QMMG FERMT
Ming Feel 20.D0
East Trap
1
7.00
Solve or had omp water hemmer
28.DD
Wabr pig
15.DD u9
Exch gm vestal hexa or vent
5.Do
tis Pbhm cvsbm 1 -s a AEA
15.00
sewer
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@20.00
POBST Fw
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*?.SUW FEE PUD v
WAS Haase Fames
SRSOTM
AECHAil1CAL PERMIT
$ Hes5m9
• Heid
' Yee�istion
20.D0
0.00
mmm FE= s
"Be Home Insialafion Fee ;
�ergy h�spe:-bon Fee �
`»t TWE TOTAL. FEE
$ v0
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R7� This perms is heresy bmued ander the appR=bie prvvisnns
of Eye Bum county Code andlar Res h&." s b dD work
bold above for whrh fees have been paid.
5y . Daia
PERMIT E4PiR=S ON
PITA
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APPROV9..D
2`lx 2"x S/1 C
STEEL ANGLE
DETAIL "A"
CHASSIS FRAME
1/4" GRIPPER PLATE
(2) REQUIRED
1/4- GRIPPER BASE
1/2-13UNC-A307 x 4"
BOLT WITH NUTS
(4) REQUIRED
01 1/2" SCH 40 PIPE. RISER WITH
01/2" ADJUSTER HOLLS AND 3/8"
THICK TOP PLATE
02' SCH 40 PIPE STAND WITH TWO
01/2" ADJUSTER HOLES
ABESCO ABS PAD 1503 8
STEEL FRAME
SEE DETAIL "A" i
3/8" CAA FLA -3 GOL.• N"T uWASHER
COUNTER BORED FWSH WITH BOTTOM
AT 8" O.C. (8) REQUIRED
1/4" STAND BASE
, l- ASESCO ABS PAD #503
37"
18 1/z"
QI
36" 1LAX
TO BOTTOM
OF PAD
01/2'x 3" C.R.
LOCK PIN WITH
01/8- BRIDGE
PIN
COACH "f' FRAME
2" CHANNEL--\
1/4"x I -1 /4"-,,
TEK STS
(2) REQUIRED
1/4- GRIPPER
PLATE
1/4' GRIPPER 7C—BEAM
BASE
1/1" A307 BOLT
(2) REQUIRED
3/8"x 6'x 6
STEEL PLATE
1/2" A307 BOLT
(2) REQUIRED ATTACHMENT
10.00-1
0 0
10.00
h 0
09/16 HOLE (TYP)
STAND BASE
TOP VI EW
TUF-1 PERMANENT
FOUNDATION SYSTEM
ABFSCO-GUS GUARD COWANY
5851 FLORIN - PL RKlUS ROAD
SACRAMENTO, CA 95823
PH: (800) 382-8831
FAX: (916) 383-5201
.-COACH "J" FRAME
- 1/4"x1-1/4"
TEK.STS
(4) REQUIRED
A[ �- 1/4" GRIPP.
BASS£
1/2" Q,
(4) Rl
J -BEAM W4,
ATTACHMENT
NANO
8"
1/2' DIA. HOLE (8) PLACES
WAYNE T. POLVADO, PE—LISTING NO. F94249 SIIEE7 I of 3
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STATE APPROVAL
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DETAIL "A"
CHASSIS FRAME
1/4" GRIPPER PLATE
(2) REQUIRED
1/4" GRIPPER SASE
1/2-13UNC-A307 x 4"
DOLT WITH NUTS
(4) REQUIRED
01 1/2" SCH 40 PIPE RISER WITH -
01/2" ADJUSTER HOLES AND 3/8"
THICK TOP PLATE
02" SCH 40 PIPE STAND WITH TWO
011./2" ADJUSTER HOLES
�' ..
ABESCO ABS PAD /1501
STEEL FRAME
SEE DETAIL "A"
3/8" CAD PLATED BOLT, NUT & WASHER
COUNTER BORED FLUSH WITH BOTTOM
AT 8" O.C. (8) REQUIRED
1/4" STAND BASE
ABESCO ADS PAD 1503
36" MAX
TO BOTTOM
OF PAD
a
01/2"x 3" C.R.
LOCK PIN WITH
01/8- BRIDGE
PIN
6�*, �- -�
COACH "C" FRAME
2" CHANNEL
1/4"xI-1/4"
TEK STS
(2) REQUIRED
1/4" GRIPPER -
BASE
1/4- GRIPPER
PLATE
1BOLT
(2)2) REQUIRED
3/8"x 6"x 6"
STEEL PLATE
1/2" A307 BOLT SCI- BEA M
(2) REQUIRED ATTACHMENT
10.00 —44
o 0
10.00
t- 1 0
09/16 HOLE (TYP)
STAND BASE
TOP VIEW
1.191
�L OF C`��
TUF-1 PERMANENT
FOUNDATION. SYSTEM
COACH "J" FRAME
1/4x1-1/4"
TEK STS
(4) REQUIRED
1/4" GRIPPER
BASE
1/2" A307 BOLT
(4) REQUIRED
J -BEAM
ATTACHMENT
$ 4 +
8"
1/2- DIA. HOLE (8) PLACES
1 -E! Y 0�
�-- 30" -
STEEL FRAME
TOP VIEW
STATE APPROVAL
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WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 1 of 3
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GENERAL NOTES GUS GUARD TUF-1
1. DESIGN LOADS: LIVE LOAD - 30 LB,
FLOOR UVE LOAD - 40 PSF
WIND LOAD - 80 MPH EXPOSURE "C"
SEISMIC ZONE "4"
*SNOW LOAD 100 PSF (SEE NOTE 115)
2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON
A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS.
3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS
AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS".
4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (O.S.) CAN OCCUR,
MANUFACTURED HOME SHALL BE READJUSTED WHEN OS EXCEEDS 1/4",
OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT.
5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS
ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND
SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND
MAY BE USED TO FILL LOCAL VOIDS UNDER PADS.
6. STRUCTURAL STEEL- FABRICATED ACCORDING TO AISC SPECIFICATION.
WELD ACCORDING TO AWS SPECaFICATIONS. ELECTRODES -370 PLATES -ASTM
A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725.
7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND
LABELED BY BSK AND ASSOCIATES FOR 114E FOLLOWNIG LOADS:
ALLOWABLE LOADS: HORCiONTAL VERTICAL
GUS GUARD TUF-1 2200# 6000#
GUS GUARD MGP PAO 2200# 60001
GUS GUARD E -Z TIE PAO 2200# 6000#
B. DURING PRELIMINARY INSPEcnON, THE ESTIMATOR SHALL ENSURE THAT
MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION.
9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY
INSTALLING GUS GUARD TUF-I UNITS AS SHOWN ON THIS PAGE OF TYPICAL
FOUNDATION PLANS.
10. THE GUS GUARD TUF-1' SYSTiLIS ARE SAFE FOR INSTALLATION IN FLOOD j
PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT "
OF THREE FEET.
11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED s
THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS
THE SAME AS SHOWN REQUIRED PER EACH UNIT.
12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET 13) •
13. ALL METAL COMPONENTS AND ATTACHMENTS 111115 SHAD BE PROTECTIVE COATED.
14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT
16. FOWNDATION BLOCKS 16'x 16"x12" POURED IN PLACE AT GROUND LEVEL MAY
BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS.
SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES
E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX.
S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX.
VARIES 10'-70' (SEE TABLE ONSHEET 13)
E- S '
S IT'S��
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RIDGE BEAM SUPPORT AS
REQUIRED BY MANUFACTURER
(TYPICAL) ❑ ❑
❑
❑ EIT ❑ ❑
❑
❑
8' NOM.
ANOM.
PADS, IN ANY PAIR NAY BE STANDARD M.H. FOUNDATION
ES
ROTATED 90 DECREOR PIERS AS RECOMMENDED BY
OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE
PVC SERIES
SUPPORT
AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT
PAD (TYP)
! cxpp 4
f�
/C 0 C I+ '
REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF-1 PERMANENT
FOUR (4) 1/2"x 3 1/2" EXPANSION ANCHORS. FOUNDATION SYSTEM
15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES
ALLOWABLE SNOW LOAD TO i DO PSF WHEN INSTALLED ABF -SCO -GUS GUARD OOMPANY
WITH EXISTING STANDARDS REQUIRED BY COACH 5851 F(ARIid-PF�iICIN3 ROAD
MANUFACTURER OR REPLACE THEM ON A ONE TO
ONE BASIS. I SACRAMENTO, CA 95823
STATE APPROVAL
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WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 o1 3
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1/2"x 3 1/2" -
EXPANSION ANCHOR
(4) REQUIRED
3/4" DIA. x 18' LG.
1/2% 8" LONG (4) REQUIRED
ANCHOR BOLT
(4) REQUIRED 3/$" CAD PLATED BOLT, NUT ac WASHER
COUNTER BORED FLUSH WITH BOTTOM
!: AT 8" O.C. \ (8) REQUIRED
MEW—
E l
CONCRETE PAD INSTALLATION
CHASSIS FRAME
1/4" GRIPPER PLATE
(2) REQUIRED
1/4" GRIPPER BASE
1/2-13UNC-A307 x 4"
BOLT WITH NUTS
(4) REQUIRED
01 1/2" SCH 40 PIPE RISER WITH
01/2" ADJUSTER HOLES AND 3/8"
THICK TOP PLATE : 1
02" SCH 40 PIPE STAND WITH TWO
01/2" ADJUSTER HOLES
ABESCO ABS PAD J503 -�
STEEL FRAME
POURED IN PLACE 16xl6xl2 CONCRETE OR --1 IT =--I
FOUNDATION INSTALLATION
v .3 -
-\L— 0 Q -e
PLASTIC 1 INSTALLATI
To Borrow
1[UL11-1TBIB uNrm
�HOW�QF�
sTNCLs wm$ vNTrs
OF PAD
WIDTHOF HONE
26 28
LENGTH OF
WkDTH OF HOME
44
UP TO 44' 8 8 8 12
HOME
10 12 14 16
M 66' 12 12 12 18
UP TO 44'
6 6 6 6
6 6
44'-1' b 66'
8
01/2"x 3" CA
68'-1' !0 8A 20 20 20 24
66•-1" fo 80
8
10
LOCK PIN WITH
01/8" BRIDGE
NUMBER OF TUF-T REQUIRED
1 10 10 1 10
NUMBER OF TUF-1 REQUIRED
PIN
NOTE: SINGLE WIDE UNITS REQUIRE (4) E -Z
TIE P
Ir AL
D TUF-1 POM ARE
TO BE PLACED AT APPROXr1JATELY EQUAL INTERVALS ALONGEACH FRAME RAIL.
TUF-1 PERMANENT
FOUNDATION SYSTEM
STATE APPROVAL
'SLS
q 0 oTZ
.
F. b
z
0 �S
,^ LlH in
WAYNE T. POLVADO, PE—LISTING N0. F94249 sHEEr 3 of 3
O
1 I�
i
PERMIT NO. 3298-88B
PERMIT EXPIRES 1114 12
OWNER JAIME CARRILLO
• ; CONTR. OWNER
26-23-42
# ASSESSOR PARCEL
,t LOCATION 7890 Fulton Avenue, Palermo
1
,r r
i
w �
� I
. t
1
� ry
1
1
I I
/ I
.1
f
I
' I
1
r
s
Temp. Power Pole
Called PG&E_
Temp. Elec. Sei
Called PGA
Temp. Gas Sen
Called PGA
JOB FINALED
r
Signature
= OK
0 = Not OK
Not = Not Readyiable
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-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P1 ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Card -81 Date Card -81 Date
Card -81 Date Card -81 Date
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connecter
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card -131 Date Card -B1 Date
Card -131 Date Card -81 Date
MISCELLANEOUS
Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
ZoR.ng' Requi rements-Setbacks-Easements
L -footings; Soils -Size -Depth -Spacing -Connectors -Steel
13. ois s -Decking -Bracing -Stairs -Rails
os s- ea -s=Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5 o umns-Connections-Splice-Decal-Enclosures
6. r s; endows -Doors
F "g; Sills-Anchors-Studs-Rftrs-Trusses
L . S' 'rig; Nailing -Veneer -Stucco -Mesh
Roof• Shthg-Roofing
xt.; Steps -Doors -Landings
Card-B1(v h ,, Datetilfg, -61 Date
Card -81 Date and -81 Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI.
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1 Date Card -81 Date
Card -81 Date Card -61 Date i
= OK
= Not
- =Not Applicable
RESIDENTIAL (Single and Duplex) '
Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
date
FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Fig., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -B1
Date Card -131 Date
Card -B1
Date Card -131 Date
Card -B1
Date Card -131 Date
Card -131
Date Card -131 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -131
Date Card -131 Date
67. Stairs &Rails
Card -81
Date Card -131 Date
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
71. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
72. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
73. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I.
75. Plb., Elec. &Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
33. Smoke Detector
81. Stucco; Brown -Finish
Card -131
Date Card -131 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -131
Date Card -131 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings..
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35: Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -B1 Date
92• Roofing Certificate
Card -B1
Date Card -B1 Date
Card -131
Date Card -61 Date
Card -131
Date Card -131 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
Card -B1
Date Card -B1 Date
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND"PERMIT
ASSESSOR PARCEL NUMBER
^ 3 — 2
ZONIN
— Z
BUILDING PERMIT
OWNER �
3a.' r
TELEPHONE
3 - 063
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONT ACTOR'S NAME
pw,.0 e,/ --
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
1
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ i
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$ ,
BUILDING ADDRESS
Permit fee
$
LC
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
eJ--A4 0
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❑ Mobilehome❑ er I =2_
SP I FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
-757w
5.00
Mobile Home I
10-00es
TYPE OF WORK
New ' Addition ❑ Remodel[] Utilities ❑ Installation❑ Other ❑
Describe work: rte, -aS��ra ct .p
/� i
L7Lr% �t- �r/�f/7 DuT� vJ�nz1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V OR LESS
100 AMP OR LESS
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
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 EA. ADD'L 100 AMP
2.50
NEW CONST. ,EI DWELLING OCCUP,
OR AODNS. ACC. BLDGS. h¢sgft
NEW CONSTR U I.OUTLET 2,50 ea
NON -RE SID BRANCH CIRCUITS)
/POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OccU OUTLETS OR FIXTURES 200500
p eALO So
FIXED APPLNS, OR
EX. OCCUp. OUTLETS (RESID.) EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
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 shal l be deemed revoked.
Contractor
\
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses'which may in any way accrue
agains County in c se ince of granting of this permit.
X Date 198u
/
Signature of Applicant — OwneA Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ /a
oc UP,
CONS�TYPE
/NN//V
JSCIIOOLJ)��JPA,�N_J
N
`ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
2r
PERMff EXPIRES Date
the applicable toprovT
resolutions to do
do
fees have been paid.
WORKS
Date
d�in
Receipt No. 7— �Y Q
WHITE-D.P.W., TELLOW-ASDESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
I
r q,
4 t
COUNTY OF BUTTE - DEPARTMEN.T.-OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,,C LIFE RNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
�, �% Permit No.
OWNER JGc i yf e L��r'�-i if /) A. P. No. �6_ - zt 2_
Proposed Building Use .1916 ��ra ��- Building Inspector Date /0-- SIF -1-
i
At time of permit application, I was advised the following data must be submitted prior to permit processing
andJor issuance: DATE RECEIVED APPROVED
1. All items.have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate, signed by preparer of plans. .
-"' 3. Complete plans in duplicate./triplicate, signed by preparer of plans. ad-
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ , , ... , , , ,
Letter of signature authorization.
411
Sanitation approval from �%���r�/�_ Health Dept.
, Planning approval for (A) Use: (B) Parking:-
12.
arking: 12, Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ )
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
Pre-Insrequest to (Date)
17pec.. Pre -Inspection for Required, Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19, Driveway Permit.
20. Plot plan approval from city of �.
21. Engineered trusses in duplicate (required prior to plan check).
22.
When you issue the permit, process as follows: email to owner, Mail to contractor.
Telephone and hold for pickup at office, Deliver w/inspector.
Other
I ,
Applicant Lwo 6VADate
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted rior to,,permit issuance: (Circle new item not checked above).
1. Index permit for above items No..
2. Additional items required:
Contractor, designe ,�n,,.,
ownerwas advised of above required data by_phone_ -mail counter hV d,te
Contractor, designer,was advised of above required data by_phone_mall_counter'by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Buildinv.Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
CfY\
� l
rh
Owner Location �' AP#
N
Pian Approved for: Sewage Disposal _ ( Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for _ bedroom mobile home. 'Other
NOTS**
Sanitarian j Date
COUNTY OF BUTTE _ Department 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 in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) L)p o- 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 IXI City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide.the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Securi y Vumber - -
Date pA)
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.
❑ Complaint -Date _
❑ Ocher -Date _
1
Owner:
Address: 71
Tenant:
Building Location:
i
BUTTE COUNTY DEMRTMBi''U OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
ZONING � v
Type of Inspection requested:
1. Housing ".2. 2. Financing / / 3. Change of Occupancy to
f� 4. Work W/0 Permit / / 5. Or -tier (specify)
Present use of building:
A. Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or.door for second exit:
10. Infestation of insects, vermin, or rodents:
11., Connection to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Stairs:(Rise, Run, Headroom, 1HR, Toleranceg,Handrails)
15. .Comments:
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces: I
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing:
4. Comments:
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments:
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Energy:.
7. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3.- Physically handicapped: _
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem qft violation (gives_tomplete description):
2. Whatjaction taken give complete description):
3. What action recommended:
A. Information only - file.
B. Hold for ten days, then write letter.
C. Write letter.
/
/.D. Other:
(SPA0105) ASSESSORS SECURED MASTER PROPERTY DETAIL (PAGE 1 OF 2)
PARCEL 026-23-0-042-0 ST ACT TRA 0=92,-10 USE RVXIX
NAME CARRILLO JAIME L ETAL JT "
C/O
STRT 7890 FULTON AVE MISC CODE 00
CITY PALERMO CA ZIP 95968-0000
SITUS 7890 FULTON AVE
RECORDER # 2393-626-79 TAX DELINQ = _
09-27-88 08:23
ZONING CODE A2
GEN PLAN M_ ZONE CONF Y
AC ZONING YR _
PROP MISC
PENAL FLAG 0_%
VALUES 88-89 _-_
ASSESSORS ROLL AUDITORS ROLL ASSESSORS MPR
LAND 17,749_ 85 BSYR 17,401_ .. BSYR
IMP 11591_ 1,560_
T/V
PERS
------------------------------------
*GROSS 19,340_ 18,961_
MISC EX 00 CODE 00 CODE .. CODE
HO EX 00 YEAR .. YEAR
BUS INV
-----------
** NET 19,340_ 18,961_
F�)
R
�bo - —,,q #1
PERMIT NO.
PERMIT EXPIRES �S
OWNER JAIME CARRILLO
CONTR. owner
ASSESSOR PARCEL 26-23-42
LOCATION S/S Melisa Ave @ Fulton Ave, Palermo
f:
N O'! fou, s
o -C F o, l
5---�/�-1 lam. •.--; . ; , ,; .,� �.:,,r! � .
+�' 1
}OFFICE COPY•'.' %�
Ilyy Atldress
a +
T
Meter By r IN
l Q ELECTRICCi1
MeterBy x Dat
Temp. Power Polo,_.
' Called,PGI OFF �—
j Address ICE Copy
f Temp. Elea Sf
J f
t
Called P� EL er
I Temp. Gas S Meth B, - Date
Called ruDa tom_ _ _ —
1 I
JOB FINALED (Date)
Signature
f
- I
J =OK 1
0 = Not OK I'1
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOB!HOME UTILITIES (Plans) OK except N's
i
Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
Zo 'ng Requirements -Setbacks -Easements
t
1. Zoning Requirements -Setbacks -Easements
fk-Sg'4s; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
RI'Sewer-, Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. ; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beams- Rftrs.-Con nec.-Shthg.-Rfg.-Bracing
lectricity; Location-Clearances-GrndAPA Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
W. as; Locatio /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
-Test-Wrap:/
Clearance
7. Elec.
yU�tility
.' ,,&e, N
Card -BI
Date S- Z- Card - BI _ Date �;�--
t
Card -BI Date Card -BI Date
Card-BP�
Date Card -BI j>V> Date (0
1
Card -BI Date Card -BI Date
Date
MOB HOME INSTALLATION (Plans) OK except 's
i
Date POOLS (Plans) OK except p's
Zoning Requirements -Setbacks -Easements
1. Setbacks -Easements
Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
i�C�'fas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
ectricity; MH Test -Crossovers -Breakers -Clearances
t
4, Elec.; Receptacles and Lighting; Distances-GFI
Drain; MH Test -Fall -Flex Connector
Water; MH Test -Regulator -Connector
j
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
VNater and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
G s and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
s; Insp.-Sketch ;
Plo'cert. of Occupancy
i
g. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI Date Card -BI Date
Card B -I
Date/Card-BI Date;
i
Card -BI Date Card -BI Date
i
V = OK r t
0 = Not OK
Nt;tApplicltble RESIDENTIAL (Single and Duplex)
�E = Not Ready
Date
UNDERFLOOR Plans OK exce tt1'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
51.
Plywood or. 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-Underfir. 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
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
I
Date
FINAL (Plans) OK except k's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
I
56.
Ext. Steps -Door & Sidelight Protection -Landings
I
I
57.
58.
Smoke Detector
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
1
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
Card -BI
Date Card -BI Date
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
1
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
I
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
1
70.
Plb., Elec. & Mech. Equip. Listed for Location
22. Size Boxes & 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.
25.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size
`
72•
Insulation -Foam -Looked in Attic ❑ Yes
+ 73.
Guard Rails & Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes 0 N
75.
Followinginstld.: Drive
❑Yes ❑ No; Walks ❑Yes ❑ No;
Planters El Yes El No
28.
Service -Riser Conductors & Ground -Main Disconnect
}
76.
Stucco; Brawn -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
1
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
1
t
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
;
(
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except M's
I
83.
Corrections from Previous Inspections
1 84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation &Support
1
85.
Water & Sewer Connected -C/0 to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
1
86,
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
}
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
1
35.
Attic Access & Platform if Furnace in Attic
t
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -61
i
Date Card -61 Date
Comments at Firal:
Date FRAMING(Plans) OK except q's
36.
Sills; Proper Material & Anchors
I
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
}
38.
Bearing Walls over Girders & Floor Nailing
i
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-Rftr. Ties-Purlin- Roof _Brac.-Truss-_Shth_ng_.-Rfn_g_._
Fireplace Ties or Type A Flue -Fireplace Throat
1
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions
47.
Garage Fire Protection Framing
1
t
(NOTE: An entry must be madeeach time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
e7 ��]L C r. II SRC-, 6 - - —
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter,, or need additional explanation, please contact this office immediately.
� �, �, r i Jb e. , N � -�� //ted � �- '/.� < <.� 1•� �,� s
c!/
"I
�►l' n.. i n r•c^
i
Inspector Date
l j
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
' 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541.
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. 11 you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector _ Date 6?
' 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
C., 4z' /0
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have ariy question pertaining to this
matter, or need additional explanation, please contact this office immediately.
6rcuk-eC-S �� Lta re /12'4-< ICu�
iU A, DS .
-)x -C Drc>63;�—
Inspector ���(Y�' Date
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE '
OROVILLE, CALIFORNIA — 534-4541
w,
PERMIT NO.�tZP6
Address or location of mobilehome -79G rte- I lo--' Av-s-
4
.o Owner's name
Owner's address 5c'1r-5;L -- l
Insignia or hud number -IV "V A _
�y
Manufacturer's name
Serial number of V.I.N. iii SCJ Year of manufacture
/ l
cial Approving Installation
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.
5138
_1..
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovillet California 95965 - Telephone 916/534-4541 4
APPLICATION AND PERMIT
ASSESSOR P R EL N ER
-
ZONIN
BUILDING PERMIT
OWI �Qnet
TELEPHONE
SO. FT. OCC. BUILDING VAL ATION
OW ER'J�AILINC��o Ar ESS ���
Ic
I
r
CONTRACTOR'Sa [.1LN7� ', I'G�
•V . C4,G�
TELEP%( �
�l
"
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ / 011)
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ Q
BUILDING ADOREPte"
S
" U f_/U I/6
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[] MobilehomeK Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation [ Other ❑
Describe work: —
f;P ` t— —$
AlV
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
OR
Main service 100 AMP ORSLESS
10.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2l20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professi ns Code a d my license is in full „foyce'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 ULTI-OUTLET 2,50 ea
NO N.RESID BRANCH CIRCUITS)
NEW CONSTR. POWER APPARATUS &)
NON.RESI D. (SINGLE OUTLET CIR.
20e50e
Ex. Occup(O OR FIXTURES BAL®3o
FIXED A
FIXED APPLNS, OR
EX. Occup. 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.
❑ 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
Filing Fee 10.00
Heating
Cooling
Hood _
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application"jarld=state that; -the above information
is correct. I agree to comply to all County Ofd(nances'aind'State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned:_tzropertyrfor, irlspecti.on purposes.
I also agree to save, indemnify and keep -hA'Yhili?sb4-t1 t,; ounty of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against id C ty in con uen a of the granting of this permit.
%� Date `�� b�
Signature of Applicant — ner❑ 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 $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD I
HD SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR F PUBLIC
By
PERM EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date —� —
Receipt No._�II
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
F
SW L 9 NOr
AP # a4 =a3 - 4 a
OWNER air C ��-lam
PERMIT ';L:7'61
MH UT IL . CLEARANCE DATE
INSPECTOR��
ELECTRIC
GAS
Support
Struc.
Compaction
Test Re .
Service
Size
Other
Load
Tv -pe
Pipe
Size
Length
YESI NO
YES NO
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OroviIIe,, CaIiforriia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESS R P RCE�J ER
ZONI G
BUILDING PERMIT
O WNE
I
Yne� '
TELEPHONE
S0. FT. OCC. BUILDING VALUATIO lv/_
O ER'S MAI LI ADD SS
r f, aa,
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS -
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ _39.919
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ ��•
Penalty
$
ARCHITECT OR ENGINEER'S MAILING AD ESS
Permit fee
$
BUILDING AD KESS
SPLUMBING
J 0:13
PERMIT
Filing Fee 10.00
V
Each Trap
2.00
Solar Water Heater
20.00
1�
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 [:1Duplex❑ Mobilehome�Other
SPECIFY
Building sewer
5.00
Mobile Home
10.00e 30,00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other❑
Describe work: '
Permit Fee
$ 'O
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
2t/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 ULTI.OUTLET 2.50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR. ( POWER APPARATUS &1
NON.RESID. SINGLE OUTLET CIR. /
Ex. Occu 20®50a
p�o OR FIXTURES BAL®30
FIXED A
FIXED APPLNS. OR ``
Ex. Occup. OUTLETS (RESID.) EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 /S•00
Misc. Wiring 15.00
C7
Permit Fee $ S�
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
E] 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.
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
agai st said Co my in consequence of the granting of this permit.
X F3� �y
Si attire of Applicant — Owner M 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 $
TOTAL PERMIT FEE $
OCCuP. GROUP
I TYPE OF CONST.
PARCEL
PD HD
ISS
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO F PUBLIC
By
PE EXPIRES Date -17-1
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
O V
Receipt No. 45 d s
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
i
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT 134-31332
Section 26-8.1 of the Butte County Code requires this acknowledgement gI)T.Tf ��Otr, I(-CAt.I
be recorded prior to issuance of a building permit. CCPJJ��y
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from EL��NI.
the use of agricultural chemicals, including, but not limited to herbici&W,'-` 0�1> ihiUs,
and fertilizers; and from the pursuit of agricultural operations including, but not limi�
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:
Lot 1 in Block 61 in Subdivision No. 1 of Palermo Citrus Tract, as said
Lots and Blocks are deisgnated and delineated on that certain Map
entitled, "Map of Palermo and Subdivision 1 and 2 with Addition to No. 1
of the Palermo Citrus Tract", which Map was filed in the Office of
the Recorder of the County of Butte, State of California, September
17, 1888.
AP. No. 026-23-0-042-0
i
Date: Aug. 31, 1984
,2
PROPERTY OWNERS:
4460
i
State of California) On this the 31st day of Aug. , 19 84 , before
) SS. me, the undersigned Notary Public, personally appeared
County of . Butte )
JAIME L. CARRILLO
®mmolalmsoonoov>vom0000momoo� L/ personally known to me. fx/ Proved to me on the basis
e PATSY L. CARTER a. of satisfactory evidence.
-,; NOTARYPUBLIC-CALIFORNIA to be the person(s) whose names) is subscribed to
Cou
o MycommissionlEXPIMSMay13,IWO a0 the within instrument and acknowledged that he
® • executed the same for the purposes therein contained.
season man sc0000mene "ion 0 IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Present A.P. No. �2 6 -I -
"lo ary Public
r
BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name:��
d
2. Installer's name: yL��
3. Is the site currently under permit? Yes Not�_�
( If yes, furnish permit number '� �`� ( ) OR�`� 644 ✓ y�
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? ----------------------- v 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: w A -Lt (Load) (Amps).
9. What is the mobilehome site gas pipe size? ---------------------- (in•).
10. What is the type of gas service? -=____e,____.._________________ Natural 7—% LPG
11. What is the gas pipe length from meter or tank to the mobilehome?
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.)
MOBILEHOME SUPPORT DATA
If other than single wide S
Mobilehome Mfr. OO furnish Setup Model No. Year ?S
t
Fidth (ft.) Box Length s (ft.) Tagalong or Expando Size . x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
Footings (check one)
Single 1. Wood either
pressure treated or
foundation grade.
(in.) (in.) 2. Other: (specify)
Center support Center support
locations* footing sizes Supports.(check one)
(in.
(o oncrete block.
xc7 E] -2. Other. (specify)
(in.) (in.)
4 --Tagalong or Expando,'
show support details.
(ft.)(in.) (in.) (in.)
/2x ? -- Typical Support
(in.) (in.) Footing Size
L0 y 36x 0
(ft.)(in.) (in.) (in.) Se- -- Max. Pier Spacing
(ft.)(in.)
Max. Overhrdo, (ft.) (in.) (in.) Cin.) (ft.)(in.) �O�C)
BUTTE COUNTY
BUILDING DEPARTMENT
*If center piers are other than drawn above,
�draw in.locations, spacing, and dimensions.
'M
A setback of 5 ft. from thi
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang.
a
C70
p&mit'.will be required for the
installation of the 'mobilehome.
Utility connections shall be within
4 ft. of the mobilehome, either
directly behind or within the rear ti
half of the roadside (left) of the
mobilehome.
AA 3
This set of plans and specifications l 40ST -he
'kept on the job at all times .and it is unlawfulft,-
'
make any changes dr"allf erations on same wish
c.
written permission from the Department of Pub it t
Works, County of Butte. ti
6
AOWorkmanshipTE:—All Materials Workmanship Shall Be W c27 V—
;.
Accordance with U=
Recognized Good Practices -.and COUNV' IT
of a quality prescribed for Ae Specified use in the
Uniform Building, Plumbing & Machanical Codes and4BUILDING DEPARTIV ENT
The National Electrical Code.
APP���
4
r J
OWNU
PERMIT
MH UTIL. CLEARANCE DATE
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compaction
Test eq.
,ervice
;i.ze
Other
Load
Pipe
Size
Len th
YES NO
YES NO
-Type