HomeMy WebLinkAbout027-110-045_ 27-11-45-'
BL HEMPr41LL# _. ar;',. 27-11-45
Permit#96-$8A(Agricultural Bld^ >�r
49 Broi Ie Way, Oroville (horse �Exemp
R=) Q
Contr : Mo e Home Center � � t) - ""�' ' • -
'Permt-#-2877-8�?
ELEC .
GAS��
SUPPORT STRU TUR 'REQ. �>
COMPA_CTION TEST REQ -.--
27-11-45.. L)
EQ:- 27-11 45:0 rJ th.
ContR: 'Mob`i' 3me Center l '
Permit#.28 1-88.MHIr:,,
Issue
6 R -
J
r
.t
PERMIT NO. E(MH)
PERMIT EXPIRES 0
OWNER BLAIR HEMPHILL
CONTR. MH Center
ASSESSOR PARCEL 27-11-45
LOCATION 49 Broiller Way, ORoville
U
1
OFFICE COPY
r
Address
---------------
G AS
r � � ate
Meter By
ELECTRIC IDN' 7i$
Meter By
Temp. Powc.-r
Called PGf
Temp. Elec. Se
i
)r' Called PG!
Temp. Gas Ser
Called PGf
I
JOB FINALED
Signature
FA
=.OK
0=NofO'K
- = Not Applicable
= Not Ready
Date MON
MOBILE HOMES
E UTILITIES (Plans) OK except #'s
ui rements-Setbacks-Easements
of ; pecial MH Support -Sketch.
e ; Location -Test -Fall -C/O -Concrete
ater; Location -Test -Easement Needed (Sketch)
lectricity; Location-Clearances-Grn / mp-Concrete
Lfie,das; Location -Test -Wrap: / /"L"ft.
d
P'Nat. of/"L"ft./ LPG
Utility Clearance
Card -B1 Dat and -B1 Date
Card -61 I Date Card -B1 Date
Date VOBILEHOME INSTALLATION (Plans) OK except #'s
Zoning Requirements -Setbacks -Easements
Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector i
eElectricity; MH Test -Crossovers -Breakers -Clearances
Drain; MH Test -Fall -Flex Connector
jW'ater; MH Test -Regulator -Connector
ater nd Sewer Connected -C/O to ade-HD ApP
�6as and Electricity Tagged
9.,Exits; Insp.-Sketch
0. Cert. of Occupancy
0
MISCELLANEOUS • �• '
Datil 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- Bea ms-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -81 Date Card -131 Date
Card -131 Date Card -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 -61 Date Card -B1 Date
Card -B1 Date Card -61 Date
Card-B1C;ln
Dat
Gard -B1
Date
Card -B"
Dateb-7,P
Card -B1
Date
0
MISCELLANEOUS • �• '
Datil 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- Bea ms-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -81 Date Card -131 Date
Card -131 Date Card -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 -61 Date Card -B1 Date
Card -B1 Date Card -61 Date
= OK
0=NotOK
- =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.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., 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 - Bloc kouts-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 -131
Date Card -131 Date
Card -131
Date Card -61 Date
Card -131
Date Card -61 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 -B1
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
71. Elec. Outlets & Receptacles at Kit. Counter
23. Elec. Receptacles Spacing -Lights & Switches at Doors
72. Garage Fire Door; Swing-Landing-Closer73.
24. Size Boxes & No. of Conductors -Stapled
A.C. Duct in Garage -Damper
25. Romex Installed Close to Edge of Studs & C.J.
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
26. Equip. Ground made upw/Mech. Fasteners -Bond Gas &Water
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.
77. Insulation -Foam -Looked in Attic ❑ Yes
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
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
8i. 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
9i. Energy Compliance Certificate -Other Certificates
Card -B1
Date Card -131 Date
92. Roofing Certificate
Card -B1
Date Card -131 Date
Card -131
Date Card -131 Date
Card -81
Date Card -B1 Date
Date
FRAMING (Plans) OK except #'s
Card -61
Date Card -B1 Date
39. Sills, Proper Material & Anchors
Comments at Final:
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
,�=wF-•-�-...w-*-�-:ri�--T' .. ^�'-:`�.c�,�;�S.,;cr•:Y''Rk='� �.�c�'•F s.�,:?
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-F307
CORRECTION NOTICE
I
jik
VNE _WT�IAR & 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.
4
COUNTY OF BUTTE
• DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
ER
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.
CX;>1
Inspector �1 Date9 ^� " U
MOBILEHOME INSTALLATION ACCEPTANCE
r COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT NO., 1 "
Address or location of mobilehome _° )rn I 1 I c+� r
Owner's name
Owner's addre
Insignia or hu(
k� Manufacturer's name
Serial number of V,.t:NQ Year of manufacture
(Official Approvingllnstollation) (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.
5138 White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESS R ARCEL NUMBER
zpNl G✓
BUILDING PERMIT
TELPHONESO.FT.
OCC. BUILDING VALUATION
NER•S MAILING A R SS
FCONTRACT7'5
NAME AI TELEPHONE
CO . N1rRACTO S MAILING ADDRESS --/
Yv �/
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 14-.W-'
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ `
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADJ5FJESS .� ' /
Permit fee
$ /
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT N .
SUBDIVISION NAME A C L 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 GKWY
10-00ea
TYPE OF WORK
,#
New ❑ Addition [:1Remodel ❑ Utilities[)d Install ation❑ Other ❑ j
Describe work: Sf70 /%i 1Jy
Permit Fee
Z Q
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
- I
Main service e00V OR LESS
100 AMP OR LESS
10 00 0
Main service EA. ADD•L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
am licensed under provisions of Chapt. 9, Div. 3 of the BUSIne$$
and Professior� ode and my- license is in full fo a and ffect.
License No. p� Classification- —
F-1 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
oR ADDNST DWELING
DGOCCUP.N)S.
/z¢sgft
NEW CONSTR TI.OUTLET
NON-RESID BRA CH CIRC ITS
12.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup. OUTLETS OR FIXTURES
eA 0530
FIX LNS.
Ex. OCCUp. OUTLETS APP
(RESID )REA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Yirin g
15.00
rkm
Permit Fee IF
$ 32
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 ent the abov ned property for inspection purposes.
I also ee to ve, ' mnify an keep harmless the County of Butte against
all li iliti judg n ,cost and expenses which may in any way accrue
agai st Id Co in ons enc granting of this permit.
y'
Date `
Agent ❑
Signature of Applicant — Owner ❑ Co�er5'0"
An OSHA permit is re fired for excavatioeep and demolition or construct-
ion of structures over 3 tories in height. "
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE 0LJ
uP.
CON9T.TYPC
JSCHOOLJ
.�.1.
F7AR
, PD ND
su
FThIspermit is hereby issued under
ns of the Butte County Code•and/or
rk indicated above for which
DIR T OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
to ��� �r
Receipt No
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
F..^ry ...-,�-'• ^ trr•T rr. +.y .�*n.raa ^ri, . �..s.,� fir;:►.' i r.-,;VTV`t"'
_ r
COUNTY OF BUTTE - DEPA� r* - /
...- _ RTMENT OF PUBLIC WORKS -BUILDING DIVISION /
7 COUNTY CENTER DRIVE - OROVILLE!Ar`LIFORNIA 95965 - TELEPHONE: 916/538-7541 /
PERMIT,APPLICATION DATA SHEET f
�a ,
Permit No. _
OWNER �' GYl I A. ..No. p /�
Proposed Building Use Building Inspector. Date / lO
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items.have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate. /triplicate, signed by preparer of plans. .
3. Complete plans in duplicate. /triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. 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 authori tion..
. . . . . . .
Sanitation approval from 1�'O t%.1 �(� Health Dept. q1 D
.11. Planning approval for (A) Use: (B) Parking:
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 -Ins ec. request to
Pre -Inspection for Required. Building Inspector (Date)
98,e.corded copy of Agricultural Acknowledgment Statement.
V griveway Permit.
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check).
22.
When you issue the per t, proc s as follows: Mail to owner, Mail to contractor.
Telephone S and hold for pickup att_ooffice, Deliver w/inspector.
Other
LApplican Date c
Copy of plans sent Health Dept., Fire Dept., Other Date
`> The following data must be submitted prior to permit issuance: (Circle new item not checked above).
4.
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone --- tnall—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by (Date
Sets of plans on hold in „File cabinet "AP'folder
Copy—DPW 1 4.
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
jn�
Owner Location
Plan
Approved for:
Sewage Disposal _ ..
Water
Supply 4zcj1
Hold
final for:.
Water
Supply
Final
clearance O.R. for:
Water
Supply
Clearance for q�)-- bedroom obile home. 'Other
NOTE *r*
LL
Sanitarian ate
Return to DPH AGRICULTURAL STATEMENT OF ACKNOWLEDGEMEN'r
FOR RESIDENTIAL DEVELOPMENT kOTC oMpAI pyy�?ii
-- �RIGINAI D:�EC—UMEW
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to �ssuance of a building permit.
The property described herein is adjacent to land or included 88- `
within an area zoned for agricultural purposes, and residents of this 030343
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including," buttnot"timited: '=
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate duet,`;•;
smoke noise and odor. Butte Count has established agricultural zones which have as a egg,
, , Y g sin '
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:
SEE ATTACHED LBGAL DESCRIPTION
Date:
State of )
SS.
-•
County. -of )
PROPERTY
I Llh.� I I
On this the day of, ,.19 .., before
me, the undersigned Notary Public, personally appeared -
STATE OF CALIFORNIA
COUNTY OF BUTTE Iss.
On SEPTII�� 7, �1988 ) me on the basis
said State, personal) a --- -- before me, the undersigned, a Nota P
Y appeared DAVID L. HOY Notary Public actdry evidence.
known to me (or proved to me on the basis of the oath of I subscribed to
personally r
a credible witness who is personally known tome) tobethe person whose nameissubscribedlothewithininslrument as `t
awitness thereto, who being bymeduly sworn, deposed and said
: contained.
That he/she resides in BUTTE COUNTy i and official sea 1.
� 3
that he/she
was Present
LAIRand saw SH �eetaemo®®!e0®®eeBereerfee�
IRLE,y L HE'IPLIILL,____ •
known to him/her to be the same eT , personally a-ANIViASTELO7TQ. ■ !y Public 4 �'
Person(s) described in and who s ' e� .:,1 NCTARY PUBLIC•CALIFORNIA
executed the within instrument, as a party(ies) thereto, sign, seal
and deliver the same and that said artBulls County ±,
in the presence of said affiant, that he/she/the acknowledged MY Commission Expires Sept. 7,1990
same, and that said affiant, thereuponY executed the s R IB 4 ■ i D ®■ ®o o ■
subscribed his/her name as a witness theretoarty s(ies') request,
i 4
WITNSS m hand and official seal.
Signal
n
-All that.certain real property situate id tbo-County.of Butts, state,
of California, described as followss
!ARM 21
• -Parcel I, as shown on that certain Pafe*l Map entitled, "Being in. Sect.Lcm
10, T.18 N., X.4 sold Parcel.Map was filed in the Office of
the Recorder of the County*cf-Butte, State of.Californi4e an December 31*
.1985, is Bo6k 102 of Parcel maps, at page 55* •
ItESiMNG THEREFROM a -non-exclusive easement for Ingress, *gross and public.'
Utilities as shown on said Parcel Napo
LARCZI; Ilt-I
A non-exclusive easement for ingress, egress and public Utilities ova*
Parcels 2. 3 and 4,as shown an that certain Parcel Hap entitled, Obsing -in
Section 10, T-18 N,, R.4 said Parcel Hap was filed In the
Office of the Recorder of the County of Butte, State of California, an
December 31, 1985, in -Book 102 of Parcel Hope, at Page 559
IN
AP# a`7 -1I-
OWNER L7
PERMIT �k I
MH UTIL. CLEARANCE DATE
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compaction
Test Re .
vice
e
Other
Load
Type
Pipe
Size
Length
YES NO
YES NO
5
/4
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS�PEF)IT NgZ �
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754 �y//
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMB
%— S
ZONI G
BUILDING PERMIT
OWNER r
TE P ONE
SQ. FT. OCC. BUILDING VALUATION
�
OWNER'S AILING DRESS
NTRA T R'S NA E
1; 1
T -EEPHO
ONT RaCTO AILING 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
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING A4pRESS
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❑ Mobilehome4�' Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G 1W 1,
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Re odel Uti (ties ❑ InstallatioOt r ❑
Describe work:
Permit Fee
$
Contractor
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'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 �qde a d my—license is in ful force d effect.
pZ(Q
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 CONST.' DWELLING OCCUP.61`
OR ADDNS. ( ACC. BLDGS. / , 0sgft
NEW CONSTR.TI-OUTLET2,50 ea
NON.RESID BRANCH CIRC 1 S
POWER APPARATUS e
(SINGLE OUTLET CIR, I
20050t
EX, OCcup(OUTLETS OR FIXTURES DAL030
eALeao
Ex. OCCUp. OUTLETS FIXED PIRESID IREA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE E
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
Ihaveplaced on file with the County of Butte Building Department
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 constructio , ereby authorize representatives of the Countyot
Butte to en po abov entioned property for inspection purposes.
I also ree s inde ify and keep harmless the County of Butte against
ue
a Inst id C u ty ' ons e a ei-t�e granting of this per
all 'abilit' g Int costs, and ey.EoAses which may in7,�.7��
Datesions
igno ure of Applica Owner ❑ Contractor)GAgent El
An OSHA permi Is squired for excavations over( 0" deep and demolition or construct-
ion of structures ova storie in height.
Mobile Home Installation Fee $ Q
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST.TYPE
SCHOOL
FLOOD
PARCEL
PD
I ND 139UE
This permit is hereby issued under
of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/ClI _— may.
Ot o JU
Receipt No.
WNITE-D.P.W.. YELLOW-ASe G3SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
,l4.•. }.-.��.. ., , 3., � T. •e.rt + r v:,.ry �M• i:1.•Y`1'�•.-fY��.:1+i».. ....-r -s>n .,,r n.r...,....r•.nr'- -K`rr`.�.`t',y�""f�•1'-.....-,ww-.�...�.' = 7' L r : -
COUNTY OF BUTTE - DEPARTMEWOF-PUBLIC WORKS - BUILDING/D[VIS'ION /
1 I t f
7 COUNTY CENTER DRIVE - OROVILL'E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541,.. p
A
PERMIT.APPLICATION DATA SHEET �.-
tt, Permit No.
OWNER C I�l� / %A7P.. o.
Proposed Building Use _T/� Building Inspector / Date
r
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or is$nce: DATE RECEIVED APPROVED
_L/<
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.
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 $ , . , , , , , ,
9.
Letter of signature authorization. . . . . . . . . . .
10.
Sanitation approval from Health Dept.
11.
Planning approval for (A) Use: (B) Parking:
12.
Certificate of Workmen's Compensation Insurance. . . . . . �>
13.
Contractor's License Information (no., name style, classif.)
14.
Owner -Builder Verification (Given to owner0, Mail to owner ❑•) ~ti
_15.
Improvements may be required. . . . . . . . . . . .
16.
\4
Mobilehome Installation Data. h
17.
L
Pre -Inspection for Required. B ldingeInspectort to (Date)
18.
Recorded copy of Agricultural Acknowledgment Statement. y
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, proc ss as follows: Mail t owner, Mail to contractor.
Telephone .�. and hold for pickup at�fice, Deliver w/inspector
Other
u,
/
Applicant` Date C
. P Z
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to per mix i ��u�ncce: (Circle new item not checked above),
1. Index permit for above items No. ��1/�a Al
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date
Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date
Plans checked by Date Plans approved by 5 Date ' 1
Sets of plans on hold in File cabinet AP folder
Copy—DPW
200.
Pse ad
!_j�jbfte'v,pt1o,
Pa"
0 ivirkeis I I
f 180
S
4e- Q
160'
140
M cmce with, Recognized 0
br4 SF
jj� prescribed for th
of a q01- Ti
I ) -
!bi n'g' V
'04
:un*4 Baldiiio.Ti4l
1.
100,
80,
160'
401
20'
I t 20'
lap 91d
id Practic
edified use
. a n
46
e In
ani�
n tht
1010
��re e ;t*d ' c f ; I
ZN 0
I i
,l,
MOBILE 80ME
CENTERNe.
Contrae'to
fit
AF
x 110:
60' 80, 100,
1.20 i
140-1
40
at all cm
nwt
make MY dhcmcjes or alter
Ho S' b"i 6 1
wr"No pwmisdan from th
artnt
W", COON -of &06.
1010
��re e ;t*d ' c f ; I
ZN 0
I i
,l,
MOBILE 80ME
CENTERNe.
Contrae'to
fit
AF
x 110:
60' 80, 100,
1.20 i
140-1
40
s
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: —�
2. Installer's Name: LlNo
3, Is the site currently under permit? Yes ,�
(If , fish permit number oCr 6 7 "-) OR
TPyes, urnp.�
Is the site an existing site? Yes No
IV I
(lf yes, furnish two plot plans.)
5 ft. away from septic tank and leach
4. Will the mobilehome be located at least
CM No
F]
fields and clear of all setbacks and easements? Yes "`ttt--���
(If no, clarify
i
'.
ya Amps
5.
What is the mobilehome electrical rating? ---------------
. 6.
What is the mobilehome site service rating?
-------------
Amps
7.
What is the mobilehome site circuit breaker
rating? -----
�I Amps
j
8.
is- there any other -electric load to be served by the
❑
Yes E No
mobilehome site service? ---------------- ---------------
d
of the load and size:
(If yes, identify
(Load) (Amps)
9.
What is the mobilehome site gas pipe size?
------
1.0.
What is the type of gas service? ______________
-----
Natural ❑ LPG
11.
What is the gas pipe length from meter or
tank to the
mobilehome? -------------- ------------------------------
_-___ (BTU)
�12.
What is the mobilehome gas demand? --------'-"
-----
*(Thi.s information not required if pipe length
less than 6 ft. on
natural gas or .less than ft. o
)
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ipp�q\yape�cjgpp3�'� ala
+A'yy y��/��(j�pc
y!� j�uH �v }?j�q�,l
RUAM4NGS. :I���Ye7 .`# ZtM4.0 `+l V'
•
L��'' �9d/.�• (yam..
t•; y
MOBILEROME SUPPORT DATA
If other than single wide,
Mohilehome Mfr.Vl&tl furnish Setup Model No. 7d� Year
Widt.hQ (ft.) 'Box Length -' /cO( t.) Tagalong or Expando Size ft. x ft.
on all mubilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FO(THNGS (check one)F�91. Wood -pressure treated or foundation grade. 2. Other (specify)
SUPPORTS (check one 1. Concrete block. ❑ 2. Other (specify)
Pier Footing Sizes and Locations
S I N(:LE-WIDE MULTI -WIDE
Line 1 -_ .� Line 1
Linc 2 _ _ _ Line 2
Ma_in Beams — —
nL.c Z — — — — — — — — —, -� — — — — Line 2
Line l
Main Beams
. i n
I.ln_e 1
— — — — — — — — — .�._ Line
'fag or Triple
Line 4
LI,- i Pla:rs: Line 1 Openings:
Size -Min. ------------ Size-Min-------------------� i
SpaeIng-Max . --------- Each Side of Openings
Fr-., Finds -Max. ------- '_ " With Width Over ---------
i
Ltnq.'1.._I1lers:
Sire-Mln,-_--________
Spac Ing -Max. -------- .�
From Ends-Max--------
Size-Min. -------
Size-Min.
Line 3 Piers: (Under Bearing Wall Only)
Size-Min-------------------
Spacing-Max ----------------
From
------------------
Spacing-Max----------------
From Ends -Max --------------
C'xk.x�y „x „x n
Uwatlon (From Frnnt) j�-3 �� 3__30o_,?o , �, ,� ,-
---
I:1ne_4..1'lr e: Lire 5 Piers: (Under Bearing Walls Only)
Slz•-M1n.----____.._-- k „ Size -Mit-.------------------
"x I
Spa, Ing -Max.--------- Spacing -Max----------------
From Eude-Max.------- From Enda-Max.------------- '
Linc 5 Koof loads:
S I zc- M i o. --.._------- .
x
Iuratinn (From Front)
a, y r-' , ;�:. v� i • �,• x.�.nf.�....f�„ , '"� r�T .- 't'i,:.r cs i;, �:'„ �� �,x�� '
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - TeleptTone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT )
P R -MIT f�0./
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 PARCEL NO.
ZONING
%—%
—
A-6
OW _
C
0 D l �--�
PHONE NO. /-I/
�� — /417 (FJ 0
OWNER'S ADDRESS
/V
f U
1,
2 Jed 0 L
LOCATION OF BUILDING
IPA
U E OF B LDING
SIZE OF STRUCTURE
X — SQ. FT.
TYPE OF CONSTRUCTION:
��-
WOOD FRAME STEEL `� CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
F R TYPE _
A16Aj EESTIMATED
COST OF CONSTRUCTION
$
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows:
FRONT '
S
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.
G
Date�/�/ /d Signature of Owner
Permit Fee - $25.00 The above described AG Building is ex pt from a building permit.
Receipt No. _� O Director of Public Works
By ! Date /c-1 7 --,?9
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
�. ►�'S,�� A Y ti � 4 .{�nf •'.��,$� jy ��•��",`a' 'r �, � Y yp "i'f. A. r_ �r3 � .yl,f.
'�1, F 1 r...\TI�'�.+�'fYNFi/'�`'r`'T�`i{�ni�'��� i et"`�.. '.rl r♦ T�+Ty 4.
_i -A Fr
~ COUNTY OF BUTTE - DEPART IIJIE, :t -j,& PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -.TELEPHONE: 916/538-7541
PERMIT APPLIC-APON DATA SHEET
5 Permit No.
OWNER ai S k i t' k CM 6 1A A. P. No. ? %
Proposed Building Use�4 ��1� l�'� �e/�'I�//,0//Building Inspector AZ Date /0"-
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . .
2. Plot plans in duplicate. /triplicate, signed by preparer of plans.
3. Complete plans in duplicate. /triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. 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 $ , , , , , , ,
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12, Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner0, Mail to owner ❑,) t`k
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Date)
17. 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: Mail to owner, Mail to contractor.
Telephone and hold for pickup at office, Deliver w/inspector.
Othar
vvNy Vi N10110 acro ncaiui vcNi., riic vcNt., vuroi Lid LU
The following data must :be submitted prior to permit issuance: (Circle new item not checked above).
•,
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_—mall.—counter by date
L -
Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW