HomeMy WebLinkAbout027-100-018a
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27-10-18 _
t AL►� PAULSEN
t' 7494 eservoir Rd,_, Palermo,
• y N Contr; Pa• 1 Daugherty
Permit#2589-85 ,E(util, MH)
,r ELEC 14-
GA
S
4-GAS
r SUPPORT STRUCTURE REQ 6)
t. COMPACTION TEST REQtW
-Yi�.k'
2.7-10-18��: J �.
JEFF CROPLE
..
• Permit#ZrT-
° �Issu
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Y
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• J
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9 r ✓ ~
LAND DEVELOPMENT
BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE sLdiding Permit No.
OWNER S A.P.
NAME: NUMBER:
PRINT LAS ME FIRST
ADDRESS / LOCATION:
COUNTY ZONING
DESIGNATION: FLOOD ZONE: FLOOD MAP:
APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL:
PARCEL CREATION BY DEEDS � OR MAP 3.74 Ac-
�2ESe<'YL✓ol
DEED INFORMATION:
DATE OF CREATION: %2�/ ��%D DEED REFERENCE: (ASO / SZ
LEGAL ACCESS PROVIDED: ✓ YES NO LEGAL ACCESS REQUIRED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO
COMM ENTS/CONDITIONS:_ JN �� 2�_. /O `0.3 ,
MAP INFORMATION:
DATE OF RECORDING
LOT
BOOK PAGE
COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW:
J
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG ON/S/ON UNLESS OTHERWISE NOTED.
X1. Maintain a 50 ft. building setback from centerline of road.
2. Maintain a ft.building setback from right-of-way/centerline of
_ 3. Comply with Zoning code for building setback from road.
_ 4. Maintain a 100 ft. leachfield setback from all existing wells.
5. Maintain a ft. leachfield setback from
_ 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department.
7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
8. Connect to a public water supply.
9. Connect to a public sewer system.
10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile
homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department
specifications, serves the parcel.
• ``PERMIT NO;
PERMIT EXPIRES
OWNER A. H. PAnsEN
.�. CONTR.. Paul,�QD)iugherty
ASSESSOR PARCEL 27-10-18
LOCATION 7494 Reservoir Rd, Palermo
r ,
Temp. Power Pole
OFFICE COPY
Called ..c ......«..: x ;��--
_ 4
Temp. Elec. rAddress
Called ,
• Dat
Meter. By
Temp.Gas :'ELECTRIC
IMeter By`� ` - Dat
CalledF
• JOB FINALED (Date)
44
;{ Signature F
j`
. _ � .. _• �c j � ray a, . • -:.�:. � t
V = OK
0 -• Net OK
— - Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBNE40ME UTILITIES (Plans) OK except tt's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's
o ' equirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—.Easements
So' ial MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
Se r; tion—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
at tion—Test—Easement Needed (Sketch)
4. Wood Awn.; Pasts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing
ricit ocation—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
f_XajtiorrTest—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7 tility Clearance
7. Elec.
Card -BI.
Date /vCard-BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBIL OME INSTALLATION (Plans) OK except N's
t,-'f9pknT1Aequirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except it's
1. Setbacks—Easements
ootings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
_
3�a , MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4 ctricity; MH Test—Crossovers—Breakers—Clearances
4, Elec.; Receptacles and Lighting; Distances—GFI
5' Dr . ; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6 ; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
A' ater and Sewer Connected—C/0 to Grade—HD Approval
8. Gas and Electricity Tagged
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enc losures— Pane lboards—Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
10. Plumb; Cir. Test—Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Dat r Card -BI Date
Card -BI
Date Card -BI Date
V �
5,
,fin•
1
%(.= OK
O Not CM
Not Applicable
Not Ready RESIDENTIAL (Single and Duplex) -
�
Date
UNDERFLOOR Plans OK exce t#'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
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
50.
51.
52.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
55.
Shear Walls; Nailing -Bolts
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
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
59.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
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.
64.
65.
Fireplace or Stove; Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except #'s
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
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
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes73.
25.
2 Appliance Circuits in Kitchen &Conductor Size
Guard Rails &Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or All
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 ❑No
75.
Following instld.: Drive E] Yes ❑ No; Walks E3 Yes []No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except #'s
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86,
Energy Compliance Certificate -Other Certificates
34.
35.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
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 -BI
Date Card -BI Date
Comments at Final:
Date FRAMING(Plans) OK except #'s
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_._
44. Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit 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
T NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector-• Dater_7 14A
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT N0.
Address or location of mobilehome
Owner's name��
Owner's address
Insignia or hud number
Manufacturer's name
Serial number of V.I.N.—Year of manufacture
(Official Approving Installation) (Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B White - Owner, Yellow - Installer, Pink - D.P.W.
JCOUNTY OF BUTTE - DEPART.VENT OF PUBLIC WORKS PERMIT NO. /
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541-
- - APPLICATION AND PERMIT
ASSES OR PARCEL NUMBE
ZON NG
BUILDING PERMIT
OWN R
TELEPHONE
SQ. FT. OCC. BUILDING VALUAT N
OWNER'S MAI, N DRESS
I �-0 r
CONTRTOR'S
AM
TELEPHONE
CONTRAC R'S MAILING ADDR _r_
bf2+i
Fireplace
CONSTRUCTION LENDER
UKNO
Total Valuation is
Filing Fee
$ 44-00---
n00Permit
LENDER'S MAILING ADDRESS
PermitFee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESSPermit
asex-volr `,Li,
fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
` 1B J'RMain
B00V OR LESS
service 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 'AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 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
o(Sec. 7044) r sale. (Sec. 7044)
as the owner, am exclusively contracting with licensed contract-
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.& ,
A 2/z2sgft
New
CONSTR.( UC TBI.OUTLET
NO N.ESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS Q
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20050C
eAL®30
FIXED
Ex. QCCUp. OUTLETS PLINIS R
RESID 1EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ 3 26P
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 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 s e, i emni d keep harmless the County of Butte against
all liabil' ' s, co S, xpenses which may in any way accrue
again o cons granting of this permit.
j71-1 Dat -
Ire
App c t — Own COntrO Age r ❑
n 0 A p mit is r wired for excavations over 5'0" deep G d demolition or construct-
ion structur stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST.TTPC
I FLCPDI
PARDE
PD
ND SSU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR O UBLIC
10
By-
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date r
—'
I` R eceipt No. —
WNITC-D.P.W., TELLOW-AS8C990R, PINK -INSPECTOR, GOLDENROD -APPLICANT
J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
.APPLICATION AND PERMIT
0,,�PEROIT NO.
ASSE S R PARCEL NU BER
- /
ZON' G
BUILDING PERMIT
OWNS/
1"D
T L PHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING A R S
I^ voi r
CONT TORS NAM
? V,
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONS FQUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCH ECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ i
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADORES$ -
0�)
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF❑ Duplex❑ Mobilehome)( Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
O.00ea
TYPE OF WORK
New ❑ Addition ❑ RemopeiEJ Utiliti s ❑ Installation Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100v OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2,50
.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p l y (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the busines$
and Professions Code and my license is in full force and effect.
License No. Classification
- ^FIXED
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
❑ I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.8d ,
OR ADONS, ( ACC. BLDGS. /22sgft
NEW CONSTR ULT' -OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS 6\
(SINGLE OUTLET CIR. !
Ex. Occup(OUTLETS OR FIXTURES 20050Q
eAL@30
APPLNS, OR
EX. OCCUp. OUTLETS IRESID.i EA.) 2.00
Temporary service 10.00
Mobile Home Facilities _ 15.00
Misc. �yirin 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): '
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
allliabilities, judgments, costs, and expenses which may in any way accrue
against s i County i cons uence o the granting of this permit. [,
X Date 1) �® _gj�
Sign e a pli nr - Owner C n actor ❑ Agent F-1work
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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP,
CONST*TYPEJ
I FLOOD
PARCEL
PD
HD
I -ISSUE-
SSUEall
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
DIRECTOR OF BLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
ate
—'
eceipt No.
HITE-D.P.W.• YELLOW -ASSESSOR, PINx-INSPECTOR, GOLDENROD -APPLICANT
F
i
aeptember 18, 1985
Butte County Department of Public Works
Oroville, California
TO WHOM IT MAY CONCERN:
,As owner"swof'record of the parcel shown in the Butte County
Assessort's office as A.P. 27-10-.18, Palermo Citrus Tract' Sub. No. 4'
and,Clas?4lsted in the postal records as 7494 Reservoir -Road,,Oroville,
California, the undersigned, Alfred H. and Margaret M. Paulsen herewith
y' authorize Jeff and-Deborah Cropley.to place.their•residential•mobile
home on said parcel.
BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS ! �'
7 County Center Drive,.Oroville, CA. '
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name:
2. Installer's name:
3. Is the site currently under permit? Yet / / No
(If yes, furnish permit number ) OR
Is the site an existing site? Yes / / No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome^be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes T77 No
(If no, clarify )
5. What is the mobilehome electrical rating? ----------------------- Amps'
6. What is the mobilehome site service rating? ---------------------
7.. What is the mobilehome site circuit breaker rating? ------------
8. Is there any other electric load to be:'served by the mobilehome
20_ o Amps
Sin Amps
siteservice? --------------------------------------------------- Yes / No
(I£ yes', identify the load and size: (Load) (Amps).
9. What is the mobilehome site gas pipe size? ---------------------- �� (I►•)'
10. What is the type of gas service. ---------- Natural %-7 LPG
11. What is the gas pipe length from meter or tank to the mobilehome? 2 S Q` (f t.)
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.)
27o 9-��
BUTTE COU N
T
BUILDING DEPARTMENT.
A-PPROvFr)
MOBILEHOME SUPPORT DATA
I If other than single wide,
Mobilehome Mfr. es4c,&-ale� furnish Setup Model No. Year
jJidth_ (ft.) Box Length t.) Tagalong or Expando Size 11_f t. x _/O "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.
(ft.)(in.)
(in.) (in.)
❑ 2. Other (specify)
Center support
locations*
Center support
footing sizes
Supyorte.(check one)
o
(in.)
Ist 1; Concrete block.
❑ '2: Other (specify)
(in.) (-i-n..,)
ee , M
I
Q E—Tagalong or Expando,'
show support details.
(in.) (in.)
X --
Typical Support
(in. (in.)
Footing Size
12- 30 �/
(ft.)(in.)
(in.) (in.)
--
Max. Pier Spacing
(ft.)(in.)
6''
--
Max..Overhang
(ft.) (in.)
(in.) (in.)
(ft.)(in.)
Tr
w
*If center piers are other than drawn above,
draw in -locations, spacing, and dimensions.
.: di 131
G EU Tc COU.-6.CALIFORHIA
Return to DPW AGRICULTURAL STATEMENT QF ACKNOWLEDGEMENT AT THE REQUEST OF
FOR RESIDENTIAL DEVELOPMENT
PARTY 18SH4VAJN
Section 26-5.1 of the Butte County Code requires this acknowledgement 1985 SEP 13 A14 9: 31
be reforded prior to issuance of a building permit.
The property described herein is adjacent to land or included ELEANOR M. BECKER
OL�RK-RECORDER F EE_...1._
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from 85-27710
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, Patios
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:
Palermo Citrus Tractp Subdivision No. Q Assessor's Parcel No. 27-10-18
Legal description as recorded is attached hereto:
Date: 2- Z3 -?S-" PROPERTY OWNERS:
Alfred. Margaret Mary PAULSEN
o eaervoir Hoad, Urovi.L.Le forn a Wb
State of / ) On this the /3�� day of ,-p �R 19_? before
County of 13c17�*
SS. me, the undersigned Notary Public, personally appeared
)
A[A'Reii H64A4 4044d&6y •oNa�
/ .4P-- Pu1Se-A1
L/ Personally known to me. j% Proved to me on the basis
��®®r■e������o�������g��� of satisfactory evidence.
■ sto be the person(s) whose aame(s) A& subscribed to
® RICH,ARD MERSTEIN She within instrument and acknowledged that
■
■
NOTARY PUBLIC -CALIFORNIA 3xecuted the same for the purposes therein contai ed.
■ Butte CouMy
o Mycwm*sstonExiAmsJw.24.1%9 I N WITNESS WHEREOF, I hereunto set my hand and official seal.
■
Notary Public
Present A.P. No.
Butte r Statc of California, dcscr'bcd as follows:
A portion of Lot 17, as shot"rh on that certain ma map entitled, "��lof Subdivision
r No. 4 of the Palermo Citrus Tract, Butte County, Cal.", which map was filed in
the office of the County P.ecorder of the County of Butte, State of California,
l on July 26, 1890, more particularly describer) as follola:s:
Beginning at the. Southeast corner of said Lot 17; thence llest alo." the South•
boundary of said Ldt 17 to the Southviest corner of the So;!tlieast quarter of said
Lot 17; thence North along the 'Nest boundary of the Southeast quarter of said
Lot 17 to a.point on>the Southerly boundary line of the Reservoir Road; thence
Southeasterly along the Southerly boundary of said Reservoir Road to a point on
the East boundary of said Lot 17; thence South along the East boundary of said
Lot 17 to the point of beginning.
EXCEPTING THEREFROM the following described parcel of land:
Beginning at the Northt4:esterly corner of the above described parcel of land;
thence Southeasterly along the South boundary of the Rescr%-oir Road, 103.0 feet;
thence Sout'htt:esterly to the South!%:est corner of the Southeast quarter 'of said
Lot 17; thence North along the :?est bOUndary of the Southeast quarter of said
Lot 17 to the point of berinnin7,
r ALSO EXCEPTING THEREFROM that 0.15 acre parcel in said Lot 17, described in deed
from E'L,.F._Ford and Nellie L. Ford to Butte Cou:!ty, dated ;.lay 9, 1927 and recorded
Ju4e 8, 1927 in Book 217 of Deeds, page 81.
4 �y a "
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NOTE.—All Materials & Workmanship Shap Be in
Accordance wHch Recognized Geod Practices and
'0— of:foualify presc;'sf�ed for the S;.eciried urie in the
n'I r n Building, Rluinnlbing .5 Mechanical Codes cora♦
C� 19 a 1 at al Electrical Code.
P
Utility connections shell be Wt h1r,
4 ft. of the mobilehorne, either
directly behind or w'th'
I his set of plans and specifications MUb I "Pt
sept on the job at all times and itis unlawful tr
make any changes, or. altfAations on same Knthoul ?
written permisson from t. Deparfinent of :Public.
Works, Cpunty of -Butte,
IV
i n the rear tback o ft. frc
half of the roadside (left) of tho
rpobilehome, prope lines a d a
of Softf the a
centerline s, I be c
A permit will be required for the
installation of the mobilehome. 500 SQ. FT. MINIS 2 f ,��
FOR M BILES
I®o Ar;
the
tbac
Ir Of
sat
LTTE
C � MY
N BUILDING DE �a
16
A.
AA /l APP
17506. RES ERV®I 1.. IZD.
. vt
AP #- 97—/o — (&
OWNER A..... 6,.; t,. Sae-
PERMIT Z 5 �s
MH UTIL. CLEARANCE DATE b
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compaction
Test Re .,
�ervice
size
Other
Load
.-Type
Pipe
Size
Length
YES NO
YES -NO