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27-22-73 JUD 8490 Pale Honcut Hwy, Oroville ContR: MH Ce er Limit#3125-89F, -titil lvaF g ELEC. U D GAS SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. -:-,v-- 27-2-2--71 --- 27--22 3 =ContR.: MH Permit 33'2_:8DMI j y - ued a h i, 273. 4255-89B' J Y LEE; Judy, F" 8496,- P6' t Hwy, Oroville` ' (COVy.porch),a •. f 1 I f C �h v i m t RESIDENTIAL 27-22-73! I 4255-89B LEE, Judy ( l f 8490 Palermo Honcut Hwy, Oroville j (cov porch) i -90 Y ; :l 9 r l 1 U JOB FINALED (Date) v Signature J=OK O = Not OK 1 Not ' = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / P'Nat. or/ /' L" ft./ P'LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEC OVERS, CARPORTS, GARAGES, (Plans)OK except #'s Zoni equirements-Setbacks-Easements ' ootings; Soils -Size -Depth -Spacing -Connectors -Steel Cf>ecks; Griders and/or Joists -Decking -Bracing airs- ails ms-Rftrs: Coonectors Shthg: Rfg.-Bracing mRs-Con nections-Spl ice -Decal -Enc losu res m ows-Doors ZFi -ntr�ic 9. Mash g -Roofing 11 t.; Steps -Doors -Landings Date C. 2_ � Card B-1 Date Card B-1 Date —ard B-1 Date Card B-1 Date POOLS (Plans) OK -except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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 boa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 *J=OK O=Not OK - = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 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. Headers & Beam -Size & Bearing (NOTE: An entry must be mac Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elea & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic EI Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive 0 Yes ❑ No; Walks ❑ Yes O No; Planters Cl Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: e each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 a 747 Elliott Road, Paradise- Phone: 872-6307 CORRECTION NOTICE - OW PERMIT 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. Date Inspector V% Is 69 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO=-754111."� PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone: 916 5 APPLICA''IN AND PERMIT � ASSVV PA CEL NUMB R ZONI G BUILDING PERMIT OWNER T LE ONE SQ. FT. OCC. BUILDING VALUATION O E 'S? I NG A D ESS r ©vt C_ ►'ID �l C T R'S NAM TELEPHONE CON ACTOR'S MAILING ADDRESS Fireplace CONS UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARC I CT OR ENGINEER LICENS E No. Plan Checking Fee Energy Plan Checking Fee ARCHITECT -OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDR Dhc r Gu Permit fee $ _ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 }� �! Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 9PARCEL 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 I J 10.00e . TYPE OF WORK New❑ Addition❑ R e1nodel❑ Utilities❑ Insta lation❑ Other Describe work: _0 l�C_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 t, 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.N New DONS. * ( A , , /20sgft ULTB OUTLET NON-RESID BRANCH.CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50Q °ALo3o FIXED APPLNS. Ex. Occup. OUTLETS RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject rM 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 g Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C ty in consequence of the granting of this ermit. X xx- - � "rte DateW� l ��f Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- an of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONSTTYPE TOTAL FEE $ L HAZ cuA PAR F PA Po HD Iss This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees EC R PUBLIC BY PERMIT EXPIRES Date - the applicable provi- resolutions to do have been paid. WORKS Date iZ-� D /2,02 Receipt No. 1 WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .y.ti-...--re.-r*,,�-�,,...,:v�...,�z�•:.Y`=`:*,."'fr...,-:.,r�'t_.y.�r...��•_.��.. ,n..���:.. ...;-..r.�;Y�Y'v��t^ri��"�N ,_rF Ls� .r�. -*�{. _ �,t���. y .��.i� _t COUNTY OF BUTTE - DEP ARTMENT_OF PUBLIC WORKS - BUILDING I SION 7 COUNTY CENTER DRIVE = OROV.ILLE.CC,I`.�I,► QQVNIA 95965 - TELEPHONE: 916/5 8-7541 10 PERMIT APPLIC TION DATA SHEET Permit No. OWNER �07 A. P. No. Proposed Building UseBuilding Inspector Date 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School Distrigt fees paid .............. ��4. Sanitation approval from /"�V r� I J j .. 6 Health Department a 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to f Building Inspector (rDate) 21. Contractor's license information (No., Name Style, Classifications ... I I 2. Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner IT, Mail to owner 41 2A Recorded copy of Agricultural Acknowledgment Statement Letter of signature authorization ................................... 42 26. 27. When you issue the permit, process as follows: Mail to owner-. Mail to contractor. Telephone and hold for'ckup at office. Deliver w/inspector. Other q�/ Applicant Date ( r4 r ,01 Copy 9f,p1- sent Health Dept., Fire Dept., Other Date 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 _maiI counter by .date Contractor, designer, owner, was advised of above required data by_phone_mall_cAnter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in . File cabinet AP folder Date TO Buildinc Department o�-- FROM: Environmental Health SUBJEC6: Sanitation Clearance. Owner Location AFS Alan Approved for: Sewace Disposal Water Supply Hold final fore Water Supply Final clee-ance O.K. for: Water Supply Clearance boy bedroom mobile home. Other J bX19 afic itions MUST 1 This sef of plans and spm Eta wt; ft— ?t all times and it is unlawf ` LIV4. �W kept on the 1t.. rations on same /� _ STV ay . To C9 vL 3 , •o r.. i ' o Y fv . �N I ? Y' S caw al make Lei make any cn�:: pepartr out written permiss;.0: r: P w..•1 wa arc. gygo �i41.�Rwac� rjoww� wy public orks Cou'.t 0"i 0rkC;,ViLLat C- e4 Pu , C, SCI Ll NOTE—AH Mcrferibis & 'Wortimanship Shull fle 10 Accordance with Recoanized Good Proctices anJ of c quality prescribed for fire Specified use in ¢he Uniform Building, Plumbing & Mechanical Codes and Else National Electrical Code. ` Faun'T ?&ftc44 c . ( W pip• IoK �� t _ C,ur" ivy/PAL e A 'satback of 5 ft. from the property liRes and a setback df 50 ft. from the road centerline shall be clear of structures or eauipment except for a 2 -ft. eave overhang: `� BUTTE COUNTY BUILIJNG DEPART /,4y � .� pi4� Cr rnv I� v w cu ► ��w y �I� o w vv brL R•C. �ercr-Savo v„� Uaovi LL.G C-4' 5Ppr&ceL4oz-)- zu- o -7s- 000l M obi �-e Howte x�b BUTTE COUNTY BUILDJNG DEPARTMENT App0® 1 a Max. Rise _ Min. Run Run measured toe to toe. 3/8" m )f. toieranee -between y,� _L largest & sr- llest ri34/rub-j .4 . �, Rio n Su T�hs 3 ` X4 D"wtv ZgL14 �ow� i.�.v�1— - 2.xg'xtb •cowcr�TE 'aLucl� r� p ww e►� R. c. ��e 1—apYso.� J� L�4 .:i fJoi� w o hLK ed 4 *Tro" w C O W t C%G ;Lx ne dw �{• �EWTbm— Top rail to be 36 in. high I intermediate rails to be ncV 1A over din. apa 9 V?- " " _ C) P IRC Vii,` �� COUNTY OF BUTTE - Department of Public Works - 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed proper y improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construc w Name , Address City Phone Contractors Licens No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provi a the major work: Name 5aloe ?19S GugnnyxP 7 Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: r, Signed: QJ Property Owner- Social Security umb Date — QI NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and Safety Code. This verification must be completed and.returned to our office before we are per- mitted to issue the permit. I I '> 27-22-73 9P,E(MH) � f LEE, Judy X490 Palermo Honcut Hwy, Or.oville ContR: Mobile home Center — (util,_ MH) i a `OWNER-- CONTR. ASSESSOR PARCEL LOCAT D 3 A0 _ 4d t• }t� 1 Temp. Power Pole Called PG&E )' Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. _ I Address or location of mobi lehome r �� o a 1 r rn �)+n• r- r Owner's name :r t f .> Owner's address Insignia or hud number rJ .F ✓ ) s l Manufacturer's name Serial number of V.I.N. Year of manufacture (Official Approvirjg 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. 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 MIT N 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. , t f - I i Inspector Date I r COUNTY OF BUTTE a DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 8912751 1 7 County Center Drive, Oroville — Phone: 538-7541 r 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE e 3 12 - OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ' • d iA Y; K� .ti 3� rf Inspector. /� Date COUNTY OF BUTTE),. DEPARTMENT OF PUBLJC.WORKS,, 196 -Memorial Way, Chico — Phone: -'.091,r,275,1 7 County Center Drive, Orovi l le — Phone'`538-7541 + r 747 Elliott Road, Paradise — Phorie:.872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 7 .. Inspector. FVe = OK.. 0 = Noi OK Not Not Ready MOBILE HOMES MISCELLANEOUS Date MO ILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s �p oning Requirements -Setbacks -Easements Soils; Special MH Support -Sketch 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Se er; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails go'Water; Locatioh-Test-Easement Ne d d (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Locatio -Clearance rn /Cp/ Amp -Concrete Gas; Location -Test -Wrap: / "L"ft. / /"Nat. or/ /"L"ft./ f//"LPG 3 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Utility Clearance 7. Elec. ac:' - _ �� 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses l7�Ei g -,2g-,2' r n.1...c�� 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date U. Card -131 Date 10. Roof; Shthg-Roofing Card -131 Date p� Card -131 Date 11. Ext.; Steps -Doors -Landings Date OB HOME IN TALLATION (Plans) OK except #'s Cr2oj),idg Requirements -Setbacks -Easements Card -131 Date Card -131 Date . Fo tings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date . Gas;.MH Test -Demand -Valve -Connector lectricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s Draig;•MH Test -Fall -Flex Connector 1. Setbacks -Easements (Wer; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability ater and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8G and Electricity Tagged I xits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -61 Date L and -61 Date Card-131"'Date Card -B1 Date 9. Health Department Approval t. 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -81 Date = UK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrap ped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel n 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -81 Date Card -131 - Date Card -131 Date Date - PLUMBING (Permit) OK except #'s • 16. Water Ht. Vent -Access -Combustion Air -Baffle -17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -B1 Date Card -131 Date Card -61 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 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 Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49, Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage -Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -B1 Date Card -B1 Date Card -Bt Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75, Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive -❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; PIbg.-Appliance-Firep I. -Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 911. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -81 Date Card -61 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) COUNTY OF BUTTE - bEPAhTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO A 55E550 RC L NUMB Ejj ^ D973 ` Z (J / ZO I /tlls BUILDING PERMIT OW R 0 TELEPHONE SO. FT. OCC. BUILDING VA ATION E 'S AILING D SS PT!A CT R'S NA TELEPHONE CONTRACTOR'S MAILING ADDREqZ ✓ems Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee .4' Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT FiIingFee 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 /% SE OF STRCTURE SF❑ Duplex ❑ M bileome Other_Building SPECT FV Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home S G WO.00 ea TYPE OF WORK New ❑ Addition Q , odel ❑ Utilities❑Installatione Other ❑ Describe work: ���SD �/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare and enalty of perjury (Check one): am licensed under provisions of Chapt. 9, Div. 3 of the BUsines$POWER and Professions�J Code and my license is in full fce a �c/``ect. License No. ALJ �// l /GQ� Classification �- / F1 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.01 OR ADONS. ACC. BLDGS. , vtsgft NEW CONSTR I.OUTLET NON -.E _BRANCHCIRC ITS 2.50 ea APPARATUS 6 SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES OALO 30 DAL@30 FIXED APLISIS Ex. DCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORK 'S COMPENSATION INSURANCE I declare under pen of perjury (check one): ❑ The mit is for $100.00 (valuation) or less. 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 g Hood 3.00 Ventilation permit Fee : Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter u on the above-mentioned property for inspection purposes. I also a to sa indemand eep harmless the County of Butte against all abilities d ant , I sts, a expenses which may in any way ac rue ainst s o in eque a of the granting of this permit. Date �� Signature of Applicant - Owner E]Contracto Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE occu P. CONST.TYPC SCHOOL — I` ARe PD N -� 139U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which f E If F PUBLIC By PERMI EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / / G� Date `0--& Receipt No. 47�Q-f7 WNITC-D.P.W.. YELLOW-ASSE330111. PINK -INSPECTOR. GOLDENROD -APPLICANT l - - - --- .r. ...�w�:v'r7.....-1L..inw�..a..-p�..,+.T-ri.w�s s�w..+- �na�a.s .�•-'Y!•".,,..��..��...,,g.;1.��'!R'4�4'S++'�' . 1: F.. COUNTY OF BUTTE - DEPARTMENL--0FTUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICAT'ION_DATA SHEET Permit No. OWNER �,1`. � •" A. P N _ AL1� Proposed Building Use /ki 4 . Building Inspector Z4 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ti \ 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. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date; 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0) ...... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. W en you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone C`7z_44,CI_3and hold for pickup at office. Deliver yv/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other The following data must be submitted prior to permit issua 1. Index permit for above items No. 2. Additional items required: e:(Cjrcle Da to item not checked above). Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by—..date— Contractor, y ..date -Contractor, designer, owner, was advised of above required data by—phone —mai l_counter by date_ Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW Y . COUNTY OF BUTTE-.:13EPARifMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle,CAfornia 95965 - Telephone: 916/538-7541 APPLICAMN AND PERMIT PERMIT N ASSESSOR PARCEL NUMBER -0-07� ZONING BUILDING PERMIT V OWNE�R���� \J T L HONE SO. FT. OCC. BUILDING VAL ATION OWJyI ER'S MAILI A DRESS [[7! 0 � CONTRACTOR'S NAME `�v T' s✓F� .Q .� v TEL PONE x-33 CON TRT,?R'S AILIN A RESS Fireplace CO STRUC ION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ a/ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ $ BUILDING ADDRESS Permit }@@ 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 �y USEOF S UCTURE SF [:1Duplex❑ Meb+lehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home VO.00ea TYPE OF WORK New ❑ Addition ❑ emo el ❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee S Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service io°o AMP 1 OR ORSLESS 10.00 Main service EA. ADD -L too AMP 2.50 CONTRACTORS LICENSE LAW I declare der enalt of per'ur p y I y (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. ��l 7�%�_ Classification �T _/___ _ El 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. m` OR ADONS. ( ACC. BLDGS. / , /22sgft NEW CONSTR I.OUTLET NON.RESID .BRA C CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. ) EX. OCCUp(OUTLET3 OR FIXTURES eAL@30 FIXED PR.) EX. OCCUp, OUTLETS (RESIO.)EA 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �..i Misc. Wiring 9 15.00 Permit Fee : WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. /91 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. F -1I 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 PERMITFiling Fee 10.00 Heating d Coolin g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also a save, Inde y and ep harmless the County of Butte against all iIities ju men ,costs, an ses-whictr may in any way acc e a inst sa' C my i ons a of the granting of this permit. C fA Date Signature Of Appli nt — Owner Controc� Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition Or construct- ion of structures over 3 stories .in height. Mobile Home Installation Fee $ Energy Inspection Fee $. TOTAL PERMIT FEE $ C� OCCUP. CONST.TYPC JSCH00LJFL2JPARCE0L�PD ND S9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC PER T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date f�—^�3—pQ.09 Receipt No. 11?By. WHITE-D.P.W.. YELLOW-ASe LSS K, PINK -INSPECTOR, GOLDENROD -APPLICANT r. -. .-, - ,.. .. _ •zcM'�ie�.,u�--.�.+. rw.-r L� - .�.•t+:. �"''C`�-�h'!'iY�ti,.+� ..a:, .1 r•; ..�;.1:^�--�..5_.-n._.'... .—. ._ COUNTY OF BUTTE - DEPARTIbt-NT_-- F1PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 y PERMIT APPLICATIDN�DATA SHEET Ir�!1/ Permit No. OWNER��!%D& �---[--� °i P. Proposed Building Use /I l 1 Building Inspector / Date 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... j, 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fes paid .................................................... 113. School District fees paid .............. 4. San' ation approval from Health Department ? 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... �. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... al 25. LetLer, of si atureQaomuth- o�ri'zati i�n . �.i...... ........................ :!!!�26. 40 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone �--'1412!�;and hold for pickup at office. Deliver w/inspector. Other i Applicant .ate Copy of plans sent Health Dept., Fire The following data must be submitted prior 1. Index permit for above items No. 2. Additional items required: -Date ssuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_lnail_counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by r_, . R� Date Sets of plans on hold in . File cabinet AP folder Copy—DPW TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance ra, owner -/ 76 �0./�t rm H6 11 Cv&+ 1-7- Location AP# Plan Approved for: Sewage Disposal Hold final for: Final clearance O.R. for: Clearance for / bedroom mobile home. Other NOTE * * * Sanitarian Water Supply Water Supply Water Supply w� ?- P.Z Date Return to DPW Aclacu1..'JAIRnl, SY'n'1'I:Fllafl' OF ACK140141,EDGEMEU ' '`' ;':t;ls,;i.:' -FOR RI:S11.)EN'1']A1, DEVELOPMENT - 26 -8.1 of Lhe Butte County' Code requires Lhi.s acknowledgement be recorded prior. to issuance of a building permi.L. perty''described herein is adjacent to land or included � or.:a ricultural purposes, and residents of this I •�'-• ..;,,r:f�t�,tk�;f�:��n .ee i g p P 1;,$:, e'r.0 ^inait'be'=subject;'to inconveniences or discomfort arising from =ail'tsllf.gu�le('o>;,agxicultural'chemicals, including, but not limited to herbicides, pesticides, r•i '1��a1fr;r+�1.izers; ;;and 'from: the pursuit of agricultural o e. �5 /r :) p atione including, but not limited' op1t�ttlilt,y�bion, plowing:spraying, pruning, and harvesting which occasionally -generate dust I (� emoke,��{nq}ise, : odor...; Butte County has. established agricultural zones which have as a ,;aprioXiityr use l'for i productive. agricultural purposes, and residents within said zones and on, ' +ad ae nt'k`property;should' be prepared to accepL such inconvenience or disconform from normal, 3cA.aaArysfarm •.'operations. •.�T9 YAP $1 Y}. ,�, f '. •' +Y 1L;All,,,that real property situate in.the Count of Uutle Y , State of described California, . �I �.1 l���'!'.,'°. 1'�ty:kxt,l 'i, �, y,i j�l n{I ' -i ... .-_.'--".�. _•.._ __._.._'__'._. �__.. k f`r,tiJr¢^,'1d'"'.�,f{Nc•pr11'�,vir - ----- •-- --------'-•- .lk+?.A'k Y Y i£i�r i it w %[wf�.✓'�x.,' Irl 11 , .tit , ' { 'r' `t ,`�� sclJiji1rJif e9-036294 l Rec Fee 7.00 + fNa�Yli it r Tota 1 7.00 is r. rjl n,tylN.Ay '�4, •.= t,,, . Recordedlzi r iaT�lt`k Official Records r County � ! ,� n=� ,€;�,i•#f�,i:' j j' of Butte , Candace J. Grubbs i Recorder. I 11:36am 21 -Sep -89 I BG 2 'F PI:RTY OWNERS AJe55 01, this Lite cay of hefore me, the undersigned •y Public, personally appeared Personallyk nown t me, L/ Proved to me on the basis i"`a'(;e+sin,�rt +�t•'= of satisfactory evidence. .' to be the person(s) subscribed Jill + 7 to the within instrument- and acknowledg that y. executed Lhe same for the purposes' the ein contained. '' i i•' IN WITNESS Wlllilt1:OF, I hereunto set my h nd and official' seal,' �'X ij '1 5 , 'rr ii }i` ... ��,s y'�•irf�,''l55'S''B'•�1 r S r - , r `ill FR,Yd�s!`�J��``, i, .. ,:. ,,.....:, .....„. •,...:.. Candace J. Grubbs i Recorder. I 11:36am 21 -Sep -89 I BG 2 'F PI:RTY OWNERS AJe55 01, this Lite cay of hefore me, the undersigned •y Public, personally appeared -Notary PubLis r . a7:--� Present A P.. STATE OF CALIFORNIA ------ COUNTY OF Butte i ss. r c On September 18, 19$9 E before me, the undersigned, a Notary Public in and for v said State, personally appeared_ ----DAVID My ------------- to be the person whose name is subscribed to the within instrument- as a witness thereto. ersowhong nbeially knownby me duly i= sworn, deposed and said: That he resides in _-0rQV_l]•le_ _$11tt:e,_Ca11f'o id -z7UDY----------------------- personally _ __ __ that he was present and saw ANN TU _ E personally known to him to be the same person—__ described in and who executed the said within instrument, as the ■®�oomoee�®ee■®s�a.a�o:ems� ii partY. —thereto, sign, seal and deliver the same arg W that the said - JUDY ANN TUCKER -----------F CYNTHIA A. COLLIER e°1i ------------------� a� NOTARY PUBLIC -CALIFORNIA 3, --------------------------- i . Butte County ----------y My Cornmisslon E:xplres OCL 30, 1992 p T duly acknowledged in the presence of said affiant, thate_� ®O��A�tiWti4gfTltl�ti0s0�9lCB�i�@ t„t executed the same, and that he, the said affiant, thereupon at E her request, 0scribed is n e as a witness thereto. ,0 WITNESS my nd an cial.seal Signature -- C_ ----- Name (Typed or Printed) ,This area for official notarial seal' Personallyk nown t me, L/ Proved to me on the basis i"`a'(;e+sin,�rt +�t•'= of satisfactory evidence. .' to be the person(s) subscribed Jill + 7 to the within instrument- and acknowledg that executed Lhe same for the purposes' the ein contained. '' i i•' IN WITNESS Wlllilt1:OF, I hereunto set my h nd and official' seal,' �'X ij '1 5 , 'rr ii }i` ... ��,s y'�•irf�,''l55'S''B'•�1 r S r - , r `ill FR,Yd�s!`�J��``, i, .. ,:. ,,.....:, .....„. •,...:.. -Notary PubLis r . a7:--� Present A P.. STATE OF CALIFORNIA ------ COUNTY OF Butte i ss. r c On September 18, 19$9 E before me, the undersigned, a Notary Public in and for v said State, personally appeared_ ----DAVID My ------------- to be the person whose name is subscribed to the within instrument- as a witness thereto. ersowhong nbeially knownby me duly i= sworn, deposed and said: That he resides in _-0rQV_l]•le_ _$11tt:e,_Ca11f'o id -z7UDY----------------------- personally _ __ __ that he was present and saw ANN TU _ E personally known to him to be the same person—__ described in and who executed the said within instrument, as the ■®�oomoee�®ee■®s�a.a�o:ems� ii partY. —thereto, sign, seal and deliver the same arg W that the said - JUDY ANN TUCKER -----------F CYNTHIA A. COLLIER e°1i ------------------� a� NOTARY PUBLIC -CALIFORNIA 3, --------------------------- i . Butte County ----------y My Cornmisslon E:xplres OCL 30, 1992 p T duly acknowledged in the presence of said affiant, thate_� ®O��A�tiWti4gfTltl�ti0s0�9lCB�i�@ t„t executed the same, and that he, the said affiant, thereupon at E her request, 0scribed is n e as a witness thereto. ,0 WITNESS my nd an cial.seal Signature -- C_ ----- Name (Typed or Printed) ,This area for official notarial seal' BEGII::4I:4G at the Southeast cornef of the :forth 10 acres of the South half of the:iortheast quarter of said Section'29, as conveyed by Deed from L. I.ones Zellner et al to Charles M. Andrew, et ux, dated May 26; 1949 and re- cordeS June 14, 1949, in Book 4950 of Official Records of Butte County, at pale 343; thence South along* the East line of said Section 29, a distance of 220 feet; thence :•:est and parallel with the South line of the Vorth 10 acres of the South half of the Northeast quarter of said Section 29, a dis- tance of 500.9 feet; thence :tort.` and parallel with the -East line of said Section 29, a distance of 220.0 feet to a point on the South line of sold Andrew parcel; thence along said South line, cast to the point of beginning. T a 0 U v i= C E Q Z 0 0 E ro STATE OF CALIFORNIA COUNTY OF Butte On September 18, 1989. before me, the undersigned, a Notary Public in and for said State, personally appeared ----DAVID HOY------------------ personally known to me to be the person whose name is subscribed to the within instrument, as a witness thereto, who being by me duly sworn, deposed and said: That he resides in Orovi 1 le, BUtf'e, Cal l forma__.--- — that he was present and saw ----JUDY ANN personally known to him to be the same person—_— described in and who executed the said within instrument, as the party thereto, sign, seal and deliver the same and that the said --- DY ANN TUCKER-------- ------------------------------- ------ ■ CYNTHIA A. COLLIER ------------------------------------- o� NOTARY PUE1lIGCALIFORNIA I duly acknowledged in the presence of said affiant, that She BUtteCourdy executed the same, and that he, the said affiant, thereupon a/ My Commission Explms OCL 30.1992 her a equest, su ribed s nam s a wi Hess thereto®//gggg//////tinfgg•■D■t■/0 WITNESS my h d and , I !eaal. Signature V ` r &ffi---- -A. CpTT.TF.RL� —_-- ame (Typed or Printed) %This area for official notarial sear 11/ 9 36 89=436295 ' Rec .Fee 't.• 7 x.00 r Cash' a 7_00 Recorded official Records' of ' County ,� .� • .. Butte i Candace J. Grubbs Recorder 11:39am 21 -Sep -89 ' GF. 12 AFFIDAVIT OF COMPLIANCE WITH COUNTY CODE SECTION 24-202 (A)(3) N� TO BE RECORDED BY OWNER \` (ADDITIONAL DWELLING IN SINGLE FAMILY RESIDENTIAL ZONES) Applicant -0-ci d y 141,10 7`r�.cAn? a" Date Zone A J AP Building Permit # =- I'r`aA� �a �L do. declare, that the dwelling (Building Permit at ) at address (present) Q on AP. # 0a-1--C7--C�-1 -� is intended for the sole occupancy of one adult or two adult persons who are.- 60 years of age or over, and. the area of floor space of the dwelling unit does not exceed 640 square feet. Said property -is more particularly described in Exhibit "A" attached hereto. I also understand that violations of these provisions are subject to the penalties provided in Section 24-63.1 of the Butte County' Code. - �j Attach Notarization Form Si Da v - 3 �- f -t- F., a. �- f -t- F., BEGIt.*.TING at the Southeast cornet of -the :forth 10 acres of the South half ofthe quarter of said Section 29, as conveyed by Deed from L. Hones Zellner et al to Charles M. Andrew, et ux, dated May 26; 1949 and re- corded June 14, 1949, in Book 495, of Official Records of Butte Countv, at ` page 343; thence South along* the East line of said Section 29 a distance of 220 feet; thence :•lost. and parallel with the South line of the North 10 acres of the South half of the Northeast quarter of said Section 29, a dis- tance of 509.9 feet; thence :forth and parallel with the East line of said Section 29, a distance of 220.0 feet to a point on the South line of said Andrew parcel; thence along said South line, Cast to the point of beginning. END OF DOCUMENT AP # 2 2 — -3 OWNER d t PERMIT "#ja4l l <— 49 9 NEi I UTIL.CLEARANCE DATE INSPECTOR64�-� ELECTRIC r GAS Support Struc. Compaction Test Re . Service Size Other Load T e Pipe Size Length YES NO YESI NO O AN loa OL - oA Ul puo .Oroo�5 rw"',1w 13 PYMIV014 .400 u 4 66uvins;WOR () d Ic bun1 -,nb 0 JA ,om `jO uroo _ell CIO) uo ly 63 te, lsao 1. Owner's Name: 2. Installer's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC`WORKS 7 County Center Drive, Oroville,.CA PHONE: '538-7541 MOBILEHOME INSTALLATION SHEET Z /, 5. What 3. Is the site currently under permit? Yes the mobilehome No G 6. (If yes, furnish permit number 1) OR the Is the site an existing site? Yes F� No Amps 7. (If yes, furnish two plot plans.) is the.mobilehome site circuit breaker rating? 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes - No (If no, clarify -------------------------------- r- F� 5. What Amps is the mobilehome electrical rating? --------------- G 6. What is the mobilehome site service rating? ------------- Amps 7. What is the.mobilehome site circuit breaker rating? ----- OC). Amps 8. Is there any other electric load to be served by the - -------------------------------- r- F� mobilehome site service? Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- �T (in.) ❑ 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------- 1. (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 £t. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide, 4 D Mobilehome Mfr.-, //✓�- furnish Setup Model No. Year Width �T (ft.) Box Lengthy (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup s is (if not on file with the County of Butte). FOOTINGS (check one) Wo -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) Concrete block.2., Other (specify) Pier Footing Sizes and Locations ------------ 1 SINGLE -WIDE MULTI -WIDE ine 1 yLine 1 Line 2 _ Main Beams - 1.1 rte 2_, r_ Main Beams � Tag or Triple Line 1 Piers: Size -Min. ------------ „x „ Spacing -Max. From Ends -Max- ------- Line 2 Piers: Size -Min .------------ Spacing -Max. --------- From Ends -Max. ------- kine 1 Ooenintes: Size -Min, ------------------ „x „ Each Side of Openings With Width Over --------- Line 3 Piero: (Under Bearing Wall Only) Size -Min .------------------ nx u Spacing -Max.--------------- From Endo -Max -------------- Line 3 Roof Loads: „ x „x k a „x „x „ „x „x - F Location (FromFront) Size -M lo.------ Line 4 Piers: Line 5- Piers: (Under Bearing 021TS n y Size -Min -------- -------------- ,k „ Size-Min------------------- Spacing-Max ----------- ------------------Spacing-Max.--------- , ., Spacing -Max ---------------- From Ends -Max.------- n From Ends -Max .------------- '- Line 5 Roof Loads: Size -Min ------------- x u ,k „ ,� „ ux „ „x „ nX a „x „ nx n. Location (From Front) STATE OF CALIFORNIA BUtte C ss COUNTY OF o. On September 18, 1989 before me, the undersioned, a Notary Public in and for E o said State, personally appeared ----DAVID HOY-------------------- personally known to me 11 to be the person whose name is subscribed to the within instrument, as a witness thereto, who being by me duly �w i= sworn, deposed and said: That he resides in 0=111e, B13A, California—_...---- o that he was present and saw ------JUDY ANN TUCKER--------------------------- -- -- - Epersonally known to him to be the same person—__ described Qin and who executed the said within instrument, as the ®■■//■/■■■///■■/■■■.■A■■■■® i part Y thereto, sign, seal and deliver the same ar/ —�7UDY ANN TUCKER---------- ! CYNTHIA A. COLLIER i V) that the said a / z-------------------------------------- ,mom NOTARY PUBLIC -CALIFORNIA ■ t_ Butte County m 3 --------------------------------------® / My Commission Expires OCL 30,1892 / duly acknowledged in the presence of said affiant, thatSlle�/■■//■/////■///■■//C6/■■� o executed the same, and that he, the said affiant, thereupon at E her request, ubscribed is na�tness. LL WITNESS my nd an ciCeal Signature Name (Tvoed or Printed) ,This area for official notarial seal) Return to DPW AGRICOIJAMM, S'EATEMENr OF ACKNOWLEDGERENT 89-36294 FORRESIDENT3AL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. n- e"t-praperty'de'scribed herein is adjacent to ].and or included oragricultural purposes, and residents of thisf Jin!,ar'ea',izon6d fxW"ctito inconveniences or discomfort arising frome-su�wi.4 Pr�00�etyo.fiid bje ril pesticides, PA t 61 PtOgrlcuLttl ��chemicals, including, but not limited to herbicides pe Iiers�5add't,frdm- the pur'suit of agricultural operations including, but' not limited .4 t1, WX U( ation;,il,oldwAng;i-spraying, pruning, and harvesting which occasionally -generate dust, I n S. f, "S n rio ox Butte County has - established agricultural zones which have as a I , .11 �,ko 11 1 . 61'4, M, " i `productive. �`AP'<�,�prio,rityFusefor; ,�.IagriCLIltLiral purposes, and residents within said zones and on adjacenC propertyr•ehould,be prepared to accept SLIC11 inconvenience or disconform from normal.' Sig r.... arm,operations. :�real:,,property situate In the County of Butte, State of California, described'1 a 0. OWS :� 39U"g14.. . "I 7.00 139-036294 R e c Fee Total 7.00 Recorded C 9 90111. Off i c i a 1, Rec:6rds r% County Of 9" K - Butte Candace -J. Grubbs % Recorder BG '2, j M11 2M r .11:36am'21-Sep-89 A. , X ?W PERITY OWNERS 0n this the ay of 19—, before.' SS. me, the undersigned y Public, personally appeared v• Personally known t me. 0 •on the basis s a k ka'a" evidence. tQ �or.y - .' to be the person(s) A • -subscribed to* I-lic within instrument and 7 acknut.1.-,--dg"'that`' executed the same for the purposes bfd e in',contained. 'i IN WITNESS WHE'RE.OF, I hereunto set -my"h nd'*and official' seal, T�; Notary Public 9 rn M OD BEGIZrHING at the Southeast cornef of the North 10 acres of tho South half of the :northeast quarter of said Section 29, as conveyed by Deed from L. Hones Iellner et al to Charles M. Andrew, et ux, dated May 26; 1949 and re- corded June 14, 1949, in Book 495, of Official Records of Butte Countv, at page 343; thence South along the East line of said Section 29, a distance of 220 feet; thence ::est and parallel with the South line of the North 10 acres of the South half of the Northeast quarter of said Section 29, a dis— tance of 500.9 feet; thence :sort. and parallel with the -East line of said Section 29, a distance of 220.0 feet to a point on the South line of said Andrew parcel; thence along said South line, East to the point of beginning. u. Q Z W i 1 C� 99-036295 R e c Fee 7.00 V I D> 7.00 t Cash iRecorded Official Records County of Butte Candace J. Grubbs Recorder 11:39am 21 -Sep -89 GF 2 AFFIDAVIT OF COMPLIANCE \ WITH COUNTY CODE SECTION 24-202 (A)(3) 7! � TO BE RECORDED BY OWNER (ADDITIONAL DWELLING IN SINGLE FAMILY RESIDENTIAL ZONES) Applicant V-4 d v 241 : T41 C/Tr 0 -Date Zone AP ,# Z—'z� Building Permit #~ 'A)�Vb n do declare, that the dwelling (Building Permit #%�'l-�� ) at address � (present) �3'y .rJ on AP # C�a-1 -�-� -(j -C�-7 3 is intended for the sole occupancy of one adult or two adult persons: who are •60 years of age or over, and the area of floor space of the dwelling unit does not exceed 640 square feet. Said property is more particularly described in Exhibit "All attached hereto. ` I also understand that violations of these provisions are subject to the penalties provided in Section 24-63.1 of the Butte County Code. Si Da STATE OF CALIFORNIA COUNTY OF Butte i ss. On— September 18, 1989 before me, the undersined. a Notary Public in and for said State, personally appeared -----DAVID HOY----------------- to me to be the person whose name is subscribed to the within instrument, as a witness theretoPwhonally being'own by me duly sworn, deposed and said: That he resides in----QZOVille-, B tte., C.-aifornia—_._--- that he was present and saw ---nRXff_ANN TUc1,CEg-- personally known to him to be the same person—__ described in and who executed the said within instrument, as the party thereto, sign, seal and deliver the same and that the said===RJDY ANN TfTC'KFR__ _®�QQQQQQQQQQQQQQ.QQQ.Q'QQ� ____________________ ___________-_- _-_ It - CYNTHIA A. COLLIER i duly acknowledged in the •® NOTARY PUBLIC -CALIFORNIA 9 presence of said affiant, that sh�Q �� Butte County executed the same, and that he, the said affiant, thereupon a� h ! My Commas;ton Ezplrea OcL 30, 1992 1 equest, su ribed s nam s �ness reto WITNESS my h d and I seal. � �QQtirQrQQQOQQQtIiQQQtiQQQQQQs Signature -- A.T ame (Typed or Printed) tThis area for official notarial seal' J !+ 1• BEGrIr-4r:iG at the Southeast cornef of the North 10 acres of tho South half of the :tortheast quarter of said Section 29, as conveyed by Deed from L. Hones rellner et al to Charles M. Andrew, et ux, dated May 26; 1949 and re- corded June 14, 1949, in Book 495, of Official Records of Butte County, at page 343; thence South along the East line of said Section 29, a distance of 220 feet; thence ::est.. and parallel •4ith the South line of the North 10 acres of the South half of the Northeast quarter of said Section 29, i dis— tance of 500.9 feet; thence North and parallel with the East line of said Section 29, a distance of 220.O'foet to a point.on the South line of said Andrew parcel; thence along said South line, East to the point of beginning.