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HomeMy WebLinkAbout026-290-016l_� 26-29-16 James V. Prater J.V. PRATER 100'off $/S Gene Ln.,app.1360'�/.Of. App 100'off E/S Gene Ln, 1300'N Pal- >- Pal mo Rd., Palermo ermo Rd, Palermo I, Permi YA4553-76B,E(util.,MH) T#1 Ag. Bldg Exemp. Permit #2-82A - ELEC . �, G AS N, A lown HORI SURORT STRUCTU dEQ. 1 COMPACTION TEST REQ. 1F 26-2 11 Permit #455.4-76P, 4 i ELEC .. GAS �'�' ' /1 !1 SUP ,ORT S TRUC TURK Q. +I C�PPACTION TEST MQ. "rM 26-29-16 Permit #605-78P,E(ut il. ,MH) +I ELEC. �AS SUPP RT S RUCTURE REQ. �l/. —,6 " .r C MFACTION TEST REQ. P 26-29-16 Contr :. Twin• 'Cities. Mobile Home' Marysville Permit #5394-78MHI. Issued _ Q- c 6 /7 9 c� tfl�^_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or•packaged, nor shall it be a place used by the public. ASSESSOR PAR&�/�_ I / AG ZONING _— OWNER PHONE NO. OW 'S ADDS LOCATION OF BUILDING USE OF BUILDI rie--, -- I SIZE OF STRUCTURE a� Co x — -L SQ. FT. TYPE OF CONSTRUCT ON: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYP O- SIDING ROOF COVERT G [FL,!,R TYPEIr V`2 ia6i ESTIMA D COST OF CONSTRUCTION $�6bc7 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: - EAR FRONT Z--.) , SIDES REAR— AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. - AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date _ Z Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. _ ( f `T G L Director of Public Works By Date�— White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant 4605-78P,,E "RMIT NO. PERMIT EXPIRES OWNER James V. Prater CONTR. �� owner LOCATION (A.P. 26-29-16 App.100'off JV S Gene Ln., app.1300'dof Palermo Rd.,Palerm rx r :t ' y Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. t Called PG&E A JPO B FINALED v(Date) , MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is'the mobilehome located with equired separation from lot lines and buildings and generally conform to plot plan? Yes No_ / 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No...; 3. Are footings and supports properly sized, spaced, and braced as pew -approved plans? (Note possible variation at spring shackles.) -(Sec. 5082 & 5083) Yes No 4. Is the mobilehome•level? (Sec. 5088) Yes � No_ 5. If more ban a single unit, are crossover connections properly installed? (Sec. 5088) Yes I No 6. Water A. -Is,flexible connector of adequate size and properly installed (1/2" ID m:in.)? (Sec. 5566) Yes i No B. Test -'Does water piping withstand working pressure or 50 lbs. air test? Yes—.No C. Backflow - If coach is not Sta ofT, aalifornia approved, does station have backflow device .. �' and pressure -relief valve? Yes 1'�":�- , 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes�o B. Does it have minimum V per foot slope and is it properly supported? Yes /'No C. Are any leaks detected in drainage system after running Pal�fons of water through each fixture including washing machine standpipe?..Yes No_ D. If coach isnqt, ate of California approved; does station have required trap and vent? Yes No //�`�[ 8.. Gas Piping and Gas Vents A.• Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector.not more than 6 ft. long? Note: All piping is to be at least as .4, large as the mobi ome gas line inlet without reductions other than the mobilehome connector. Yes_ No ti ? t B. Test OK as peFfollowing procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with . soapy water. C.. Are all appliance vents properly installed? 'Yes_ No 9. Electrical ' A. Is service large enough to provide adequate amperage-to.mobilehome (must equal rating �f mobilehome with a minimum of 19A mp);and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes V No B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused?. Yes CXNo D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of.the mobilehome. Upon satisfactory completion of theelectricai tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length__ Width Vehicle Serial No. (!, i�—) 417) 4 State Identification No. Additional Information or Comments: PW_A r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 t CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the Cal-ifornia Administrative Code, Title 25,1Thapter 5, under permit number* � .1`"7 for the following location: isi pn 2 cavn P Owner "ih+ri c�Sl r Owner's Address .0 • -AO�D q" ,,�.�����rDy t �� Mobilehome Mfg. �> tlzno� Modell YeaX Insignia No. Serial No. M17 3 662— T,f It is hereby certified for occupancy at the above described location and may be occupied. I �/ Director of Public -Works Date 94 /? X By l til THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED w . White - Owner, Yellow - Installer, Pink - D.P.W. - _ M I L� �a I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) k PLUMBING Se ck firewall it Piping For P ra ets st Floor Mai Bldg. Re troom Finish 2 Floor Fo tin s Win ws 3rd loor Stem all Sidin To out Slab Roof SNathing Water PAng Piers Roofing Sewer Garage Fdn. Ven Fixtures Footin s Stemwa I I Garage Vent Insulation Water Htr. Heaters Slab Carport Footings Prov. for physl Ily handicaped Conformance of e structure Appliances Gas Pipinq & Test Temp. Gas Slab Final Sanitation Patio FIR LACE Final Footings Footing ECTRIC L Masonry Walls Thmat R --h trona tsea FIRE SPRINKLOM Motors Framing Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Grd. F 941t Prot. Scr ch HeatAg Servi B wn Co ing TAO. Pole i!yerior Lam entllation I ffermanent it Closer rFinal NJ Vinal MOBILEHOME UT LIT ES ----------------- Elec- Servi a Elec. Pedestal Mal Water Piping+Z Sewer Gas Piping BI E24 14LINSTALLATWIY - - - - - • - - - - - - - - Supporf Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS Q i " (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 a- unty Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT i cl+i cac��.a.,vca UI ll lc liUuIILy UI OUll6 LU CIIICI Ul/Ul1 111C above-mentioned property for inspection purposes. F Date �_ Signature of Per'mitee or Agent Receipt No. /a Pe12 , `1[ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ID�EC41.j,F PUC WORKS WMA M - Date' �� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I ing ddress Telephone No. Contract G, ff B Mailing Address ,S6 C � A Fireplace Total Valuation ` / •.p- Teleph ne No. ly"`]S Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee w o `�,�,tcy�d /Zcf PLUMBING No. @ FEE PERMIT FILING FEE $3.00 L - _A501v Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No, Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fids Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration I Parcel Map 1 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 �_/ BldgH"Ians Recd Parcel A vol Plans caval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [!5 Permit Fee $ $ AV A// zGIT.t�%/C S ELECTRICAL No. @ FEE T y/1 ej5_-7 PERMIT FILING FEE $3.00 Single Family ❑ Duplex Mobil Home Others ❑ � ❑ Main service 600V OR LESS 100 AMP LESS 5.00 -L Main service EA. ADD'L loo AMP 2.50 Main service OVER 100 AMPs00v OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST %ACCLBL GS.LING CCUP, Y� 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California�[pyusl�f(]ess & Professions Cod nder the name style of: ,� / G/ /tel E' /1 �L L '744e,1 �G �« 5 /VfJli�( �9 7(-hfbVP _r" NEW RESID,CONSTBRANCH CIRCUIT NON-RESID 1 BRANCH CIRCUITTLET S/ 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID• SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTI1RES 6 L 1� Cq EX. Occup. FIXED APPLES, OR P•(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.%3-r 6-169 5 Classification C Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �( I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. @ MECHANICAL NO -1 FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby I aper ge ale�� $ S,5 TOTAL PE PERMIT FEE $ . A oc i cl+i cac��.a.,vca UI ll lc liUuIILy UI OUll6 LU CIIICI Ul/Ul1 111C above-mentioned property for inspection purposes. F Date �_ Signature of Per'mitee or Agent Receipt No. /a Pe12 , `1[ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ID�EC41.j,F PUC WORKS WMA M - Date' �� MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr.' 6c,// 9 furnish Setup Model No. 3 �� —� Year Width(ft._) Box Length p (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW), On all mobilehomes manufactured after Oct6ber.7, 1973; furnish manufacturer's installation mandal and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. (7" a.44 u. a �. �� Footings (check one) ?'en rc c ' o S ingl 1. Wood either pressure treated of x� foundation grade. (ft )(in.) (in. (in.•)" 2. Other (specify) ' Cente support Center support loc tions* footing sizes Supports (check one) (in.) 1. Concrete block. 2. Other (specify) ( t.)(in.) (in.) (in.). lr----Tagalong or Expando, show support details. (ft. (in.) (in.) in. Typical Support ' (in.) (in.) Footing Size 'Xi (ft*.) (in.) (in.) S� G -- Max. Pier Spacing (ft.)(in.) x3 . -- Max. Overhang =)( (in.) (in.)(ft.in.) BUTTE COUNTY BUILDING DEPARTMENI APPROVED �- *If center piers are other than drawn above, ' draw in locations, spacing, and dimensions. ' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: w ( /l 2. Installer's name: /M G/ �- 1. 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes /' / No (If yes, furnish two (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 /Ise -7 No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- / 0 O Amps 6. What is the mobilehome site service rating? --------------------- c5 Amps 7. What is the mobilehome site circuit breaker rating? ----- ------ G 0 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No /. / (If yes, identify the load and size: (Load) (Amps) 9. What as p. size. g P ?---------------------- is the mobilehome site pipe � (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG l7e7l 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand?--------------� --- 2 661 M (BTU) (This information not required if pipe length less than 6 ft. on nat�gas or less than 50 ft. on LPG.) w3 _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drrve — Oro iille, CalAfornia 95965 ] Telephone: 534-4541 APPLICATION AND PERMIT s ,Y w3 _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drrve — Oro iille, CalAfornia 95965 ] Telephone: 534-4541 APPLICATION AND PERMIT 1.1-.. lou vcJ ul 410 VVumy ul UULLU. Iv QIIICI U1Ju11 mu above-mentioned property for nspection purposes. X IV - ' ate Signature of P ermiitee or Agent Receipt No. /6-9 9 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOf:0OF_PUBLIC WORKS BY Date B ilding permit expires Date '?% 7 7 BUILDING Owner •z5 SQ. FT. OCC. BUILDING VALUATION Mailing Address ° Telephone No. - Contractor Fireplace Mailing Address Total Valuation Telephone No. Permit Fee Building Address'C Plan Checking Fee &/or Penalty Permit Fee es o "" PLUMBING No. @ FEE PERMIT FILING FEE $3.00 O13 Each Trap 1.50 Sd�ztirg Jlersfication On1yJi Repair drainage or vent piping 1.50 ' A. P. No. A' ing Water piping 1.50 Each gas water heater or vent 1.50 S V&onFire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1 1.50 IV, 00 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improve is Each additional outlet 30 Building sewer 5.00 CJ Bldg.lans Recd c I A novo Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES §g OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 d(� Single Family Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ Main service soov OR LESS 1oa AMP OR LESS 5.00 —©p Main service EA. ADD'L 100 AMP 2.50 ,J Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP -1.00 NEW CONSDWELING OR ADDNST ( ACCLBLOGS.CCUP. 4') 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Ex. NEW CONSTR MULTI -OUTLET NON.RESID.ONST BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUSa, NON.RESID. SINGLE OUTLET CIR, Ex. OCCUp(OUTLETS OR FIXTIIRES 5 i� QCCU FIED APPLNS. OR Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 040 License No. Classification Misc. Wiring 6.25 �® �am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. X1 certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ e(3C TOTAL PERMIT FEE $ "� slkp �I 1.1-.. lou vcJ ul 410 VVumy ul UULLU. Iv QIIICI U1Ju11 mu above-mentioned property for nspection purposes. X IV - ' ate Signature of P ermiitee or Agent Receipt No. /6-9 9 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOf:0OF_PUBLIC WORKS BY Date B ilding permit expires Date '?% 7 7 NOTE: -All Materials & Workmanship Shall Be in Accordance w `ili Recognized Good Practices and of f qualify prescribed'Plumbing lu Bing' & the Me Mechanical Codes and tJnifcr;xs Building, fie.; National Electrical Code. - I, t'GO :re�_dq 'for the P� perm, i e o e. installs t i83 %. This fans and specific ^�#.yes Ts set opte�l�S7'`b� `'`� es f YxTL'� kept on the iob at :-a11 times Ord it ;s =,n,l���+✓fuT , #- 2 Z 9- rnca�e anv ch�nc'es cr o1fr -r,4:nns on: ;!nv w4hout: writter permission frorn t1 -e Department of Publ Works, County of Butte. A'A. The:f g. Se back shall be F ft. from the All utility connections shall !ide-propertf line and 54 ft. from the located "within 4 ft. outside the rear �ei�terline of he road, permitting a maxi- third section of the mobile home mum of a 2 f• . eave overhang but en, irely on the left (road) side of the mobile out .of -all e_ etnents, ; `home. Septic system and location - ��"'- to be as per Butte County Health Dept. _ Re- BUTTE COUNTY BUILDING DEPARTMENT APPROVED e ' ,ar of Awe OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: James V. Prater ADDRESS: P.O. BOX 2204 CITY & STATE: Oroville, CA. 95965 IMPORTANT: July 14, 1977 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) . AMOUNT Owner denied sanitation permit by Health Department. arm pp - , AP 26-29-1) _ #4553-76 - Plumbing permit fee ----- $33.00 .Electrical permit fee #4554-76 - Plumbing permit fee ----- $33.00 Eleetrieal permi� fee -- TOTAL REFUND DUE -------------------$117.00 $117.00 TOTAL $117 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .................................. day of ............................. 19....... at................................, Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation Q or Specific Board Approval ❑ (Checkone) for the same. 14th July 77 Oroville Dated this .................................... day of ............................. 19....... at .............................. . Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM ............................... :........................................................... FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY VENDOR CODE DEPT. ✓i SUB. PROD. SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. Rm — INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities; � de- 1 scription and unit prices of articles furnished cr delivered. . Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. r v � COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 �^7 Telephone: 534-4541 �f 1 3 /6 APPLICATION AND PERMIT / V „y UIC above-mentioned property for inspection purposes. X ate nature of Permitee or 1C� Agent "L' G Receipt No. `i q U 9 v This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date Date BUILDING Owner A MC -7 r 4 E SQ. FT. OCC. BUILDING VALUATION Mailing Address 0 • 0_ �A1 �t ; /7 ,4- ZAPS' Telephone No. -53e/—OZ! 6 Fireplace Contractor d Total Valuation Mailing Address �/ Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address �!D �i�0 FT. orl= 510,47 op PLUMBING No. @ FEE PERMIT FILING FEE $3.00 .7 O 0 1:V d 0 /= V, e Each Trap 1.50 �r Q4'Erzy Y'O 94. Pdz.- oc yr, .p, Repair drainage or vent piping 1.50 F� T e matin OP 6aAvc�c ;° Tnog erifieaiien 14 )! J�o �� N'tach Vater piping 1;"• �,"D D gas water heater or vent 1.50 p A. P. No. Z G C 1 A Zonin 4&_Each 1-,WGas piping system 1 - 5 outlets 1. additional outlet .30 FVs Sanitation Fire Dept. Fire Zone Use Permit Building sewer _-_% O EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd il I Parcel Approval Plans Approval Permit Fee $ 31,021 1.9 1_5t NEW ❑ ADDITION ❑ UTI LITIESX71 OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 F' t✓ /V/ l Main service 100 AMP ORSLESS 5.00 S. d O Main service EA. ADD'L too AMP 2.50 2, SO Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER Main service EAMP oR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. I DWELLING OCCUP. & OR ADONS. ACC. BLDGS. ) 2�sgft NEW CON5TR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 @25,t 100 Ex. Occu P'(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 16,00 License No.Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 2 •�D a S WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file'aIih the County of Butte a certificate of Workmen's Compensation Insurance. rV I certify that in the performance of the work for which thisLMJ permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE r $ 7 _ C „y UIC above-mentioned property for inspection purposes. X ate nature of Permitee or 1C� Agent "L' G Receipt No. `i q U 9 v This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date Date • FILE MEMO ' OWNER rTA,,41, `> V P�� AP N0, 2< At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2.- Plot plans in duplicate/triplicate. , 3: Complete plans in duplicate/triplicate, 4., Complete engineered plans and calcs. 5. Fees of $ 6., Letter of signature authorization. !� 7.' Sanitation approval. 8. Planning approval 9. Workmen's Compensation Insurance Certificate. 10. Contractors license information.��V`�-�/ 12•. Access declaration. 13. Aunt Minnie information. 14. Deed of access. 15. Deed of parcel creation. 16. Parcel map. 17. Pre -inspection request for: 18. Other By, y,�/ 1 Date lS _/A 2 Bldg. Inspector aammoaaaaaammamaamammammmaaaanmaamacmammamaaaaaaanaaaamoamamaamaaamaoamamnaaaaaaamaaamamaommam�ma When permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other �ammaaaaaoaaasaaaaaaaaaasnaaaaaaaaaaaaaaaanaoaaaaaooaavaeaaaaaaoaca000aaaaaaaaeaaoaaaaasaaaaeaaana During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items numbered above, 2. Applicant advised by telephone we need 3. Send letter to applicant. We need 4. Pre -inspection for NOT verified. (Index) 5. Other f� 6. Plan chec and/or approved by Date ae==e=eaeoecec.�===eec=c...e�ecae -^^^ean.ennaoaaaaaaaaaaanaaaaamaaammmamaaaommoaaamaamaaoa: Additional Processing or Notes: —i 6—,7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 / ��-�� // 7/ Telephone: 534-4541 (� APPLICATION AND PERMIT t� •- BUILDING Owner�S '�, 2 I ]A TF SQ. FT. OCC. BUILDING VALUATION Mailing Address OPO 1 Q% /] J,(7" %4 Telep one No. / Fireplace Contractor Total Valuation Mailing Address (,(i N Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address �Q j� r �1 �� PLUMBING No. @ FEE PERMIT FILING FEEQD $3.00 L„ 45 X &OD I=r. JVe,s ' Each Trap 1.50 PE — M �� Repair drainage or vent piping 1.50 OFF 74,-.e FtJJ lir 6/2AVd64td Water piping x-66 le qD Each gas water heater or vent 1.50 A. P. No. -•� Zo� nin Gas piping system 1 - 5 outlets 1.50 Q. co Each additional outlet .30 Fe@!� vU. Sanitation ire Dept. Fire Zone Lfse Permit Building sewer 5.00 Q, EQA Parking 9� Parcel Ma Plans D l r on P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd arcel Approvol Plans pproval Permit Fee NEW ❑ ADDITION ❑ UTILITIESR] OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 23,C� Main service 600v OR LESS - (1'A. 100 AMP OR LESS 5.00 5 Main service EA. ADD -L. 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 10 00E EAMP oR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 OR ADDNS. ACCNEW CONST,DWELBLDGS.LING CCUP. &) 22sgft ( / NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS)2.50ea NEW CONSTP- POWER APPARATUS & NON.R ESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name s tyle of: Ex. Occup(OUTLETS OR FIXTURES) 9AL2@51 09 (/ FIXED APP LNS. OR Ex. OCCU P.OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 91 am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE cel. - �Y•"•+".••-•.�'� k- VV Jlly Ul UULLU LU cnlcI UPUI1 Lilt:above-mentioned property for inspection purposes. X __`\-JI `,.] ate I 4 nature of Permitee or Agent Receipt No.� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date ' FILE MEMO Q OWNER b%�i d'�% �/• �✓P�`�' %'L�� AP NO. 2 6 �Z [ At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: 1. A1l.items have been submitted. 2. Plot plans, in duplicate/triplicate. 3. Complete plans in duplicate/triplicate. 4. Complete engineered plans and calcs. 5. Fees of $ Letter of signature authorization. 7. Sanitation approval. 8. Planning approval 9. Workmen's Compensation Insurance Certificate. X1.0. Contractors license information. 1. Parcel declaration. 12. Access declaration. 13. Aunt Minnie information. 14. Deed of access. 15, Deed of parcel creation. 16. Parcel map. 17. Pre -inspection request for 4_-- 18. Other By Date Bldg. Inspector mammaaamamammmmammmmm maamaaamammmmmamammaaaamaaaaamammaamaaaaaaaamaaamamaaaamaaaaaaaammaamaammma When permit is issued,.process as follows: y/1. Mail to owner. 2. 3. 4. 5. Mail to contractor. Deliver with inspection. Telephone, Other - and hold for pickup. aoanaaaGao�aaaasaaasaaaaaca�acaaamcaaoomaa000esaa��aaaonon���oeoa�e�000�oaaaaaeacea�a��sooaaaaacaa During plan checking process,- the following data or information must be submitted prior to permit issuance: 11 ►�-1. Index permit for items numbered 7 above. 2. Applicant advised by telephone we need 3. Send letter to applicant. We need 4. Pre -inspection for` NOT verified. (Index) 5. Other !% 6. Pla s check ' and/or approved by Date a.aeaeaeeoeaee=eeeeeeeececc�aeoc-_ aaaaaaaaaamaaaaaaaaammaamasaammmm mammammaaammmma: Additional Processing or Notes:rc ` Jay 6v 1977 IAU*. JM= V. Peawr rltmoll Meo D= 15M &anta Atot CaUf arWa %105 War Kr, Pretty: Tho GYPU02"tica r0o a !=%dt to oo.-ztrmt 0 C-cmice 41090=1 wot= on V=w proymoty locamled on Ek-= lana In Moss-ro. ^,-v4 f ta-thsr Ca AMG= bcrnAPP�-., 0 Bar= wo can la= 0 VMV4S m mwt be O=a0d tbatv ado%nto Food, coadMom o -,dA-- " � q4 4 ",imm prqM a,:)=.aojcQ & a =- �,tjo tan% cgstm: C -au wvu-natu.... 1-6" m- 3=V sxI-ixIMz" -:b42CP..tV Z�J =5 t.=Ntlom :r�"nto WITh QL�,,,; L:qm--I= .12 ImIat-s- e. tcr.) oca 0=10titc. conn-ovimtIve your bao be= dczdt-.2. Ir cbnetico ehould oSjw� or $9 = alt==tIve t of aqft'la W*o--zl tba-33A � q m timu t* bapv, to vca=aId=" rx-- O�Vlicztlolu vord" trw"I 70=1, ac -11 c Al FOP .-."v W4 41 oil IiL DECLARATION RGGARn1NG LOTS OR PARCELS I certify that as owner of the property acquired by deed in Volume / 9 �1 d2 Page /J 3 _, Official Record-_ of Butte County, (APO 0,>4. -09 -0 -a0/ -a), I am requesting permission to build or install an additional living unit on this property. I will not divide the aforementioned property for sale, lease, rent, or financing unless all applicable land division laws and man requirements are com- plied with. I am conversant with the present zoning regulations affecting the aforementioned property, and declare that i shall not violate same. I represent that the proposed use of the additional living unit is / o Q % L F and that further I shall not change this proposed use of the additional living unit unless and until I receive written approval therefor from the County of Butte. I fully understand that pursuant to Chapter 20 of the Butte County Code and §11535 et seq of the Business and Professions Code that if I, in the future, sell, lease or finance the area on or adjacent to said improvement without fully complying k:th the applicable laws and ordinances, that I shall be guilty of a misdemeanor and therefore, subject to the aforesaid penalties and imprisonment pursuant to law. Further, this statement shall be properly acknowledged and recorded at the request of the County of Butte. 4'771 OFFICIAL RECORDS -11-TE COL14TY Ce! I- D P.Q1V f --U Sox Address SA,V74 1}NR 0AL/�a 7 S I . ;ISE KL Ci tiDFR U UUU2;1Y RLtA;t..LR Date - - - - - - - - - - - - - - / - - - - - - - - - - - - - - - - - - - - - - - - STATE OF CALIFORNIA ss COUNTY OF BUTTE On this LLTH day of August 197 6, beforeme, the undersigned a Notary Public in and for the County Of BUTTE State of California, residing therein, duly commis- sioned and sworn, personally appeared James Vinson Prater known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he_ executed the same. IN WITNESS NMEREOF I have hereunto set my hand and affixed my official seal in the County of BUS the day and year in this certificate first above written. bus 1?a:nnin" ::uuunmm::ummuvuumi� isMILDRED L BRAZIL KUTNI' i' tUW1C - CnLI}OILVA �• �. PRINCH'AL OFFICE IN DU 1 I c COUXI°Y My Commimdon Expim JOY 27. 1979 nm uutuunusaunusuiuuunaa M-1275 CP 0 N a y P1 lie 07I KM rNt) OF DOCL*AW 47 _ - - . _5--" ' J SEC. 6 ' �' 7, T _ /8 N. 660 - --- A IRA& 0 M ,,ods, �/La2• �?��� This set of plans a.. MUST be ce_pt_o�ihej,ob at all times and it is unlawful to make any changes or alterations on same without written permisson from the Department of Public Works, County of Butte. y ')'I/ -T ; y6 4"y. 7 � All utility connections shall be located within 4 ft. outside the rear third section of the n6ac ile home on the left (road) side ohke mobile .home. M. D B. NOTE:—All Materials & Workmanship 5ka4l: -Be intax Area Code '92- 00 26-29. 6 - 2�' Accordance 'with Recognized - Good .Pnc�tices �on4. - of a quality prescribed for the. Specified.. use. in the ;. g /Q Uniform Building, Plumbing & Machanical Codes and H O MV the National Electrical Code !,'. .L4 COR. SEC. 7 y, N E/ =; 11The*Vdlj. Setback shall be 5 ft, from I 103 I the side property line and 50 ft. from i the centerline of the road, permitting ' a -maximum of a 2 ft. eave overhang. 364 i3 323 G 1. tk I 323 325.97 _ o 4 C ')eptic system and lotion of build - o ing draim stub-outti o be as tier 2 %.d o�s"o Butte County Health Dept. Re- ( qufrements. ES TA 1' ES GENENTRY LANE 25 TOWN cod 16 5 q 6 7 K,� e r I N U IT - - - • 366 63 -- - _ � _ 3Z3 � � BUTTE COUNTY BUILDING DEPARTMENT APPROVED sec 6 5rc 7 O W r �► Peru + wif( 6e requtreg ?or fFo installation of the mobilehorrie. IR