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Home My WebLink About027-240-051r� ..�,...-tea,,. - ._..._,;,;�„",,;,,_��=M.yi:::�R,,,. ,�. ,.�.;. - •- _.... ,,.... j _ , ..�� .. -Shela Hampton T` P�dw-- tet: �,•, �. . >-S/S Daly Ave. ,, aPP:7/1'0 mi.E.of Pa nn 1dw" 2 -24-151 f ` `27 ,•,; -•> rr.. ,�( Honcut Hwy, lot 6 Palermo LO RUBS' 0, Rernard Permit 482-'78P,E(Sil. ,MH) 76 Sf&la 'Ct, Or'ov. 11`e ELEC. &M em GAS x tion Permif " `(barn) ' SUPP RT TRUCTURE REQ. jp�lAC IO�L�J' TES tREQ 27-24 -,jv,� ► �; - contr':'Lincoln Village.MH gales, Oro. Permit #4855-78MM ued 7X 4 27 - 24 -#T S Permit #3080-798 , , E( new r i. gara a & storage) / _•}_. . { 27 -24 -Or p't- 1 ° contr: P ly -mpton, Oro, Permit # $ , . (new• private, '{- swimming p COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. �-7 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 N0. � ZONING /4,9 OWNER �g-/r PHONE NO.os:_3 v OWNER'S ADDRESS 1611 LOCATION a B ILDIN 26-2 255�GILY- & A_ USE OF BUILDING SIZE OF STRUCTURE SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL V CONCRETE OTHER (Specify) TYPE OF SIDING RC PC �NE-6� II��--t�- zg1YPE FLOO7 Cj%1 tb ESTIMATED COST COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: [[ �o inn 44 FRONT _ SIDES REAR �S 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. p , Date Z ` / Signature of Owner✓`rye Permit Fee - $25.00 The above described AG Building is exempt from a building permit. FLOOD PARCEL P.D. ROOFING ISSUE Receipt No. 3 S Director of Public Works By Date � ,f White -DPW, Yellow -Assessor, Pink - B. I., Goldenrod -Applicant COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. ' I .�. O VA .. At time of per 't -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 ...r .................................................... 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 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. Date) When you issue the permit, process as follows: Mail to owner. -Mail 'to contractor. Telephone �� and hold for pickup at office. Deliver w. /inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. 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--nall—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 Date Sets of plans on hold in File cabiriet AP folder Copy—DPW -79B,P,E, PF;RMIT NO. 3081 �] PERMIT EXPIRES OWNER Shela & Hal Hampton Polly Pools.— Hal Hampton, Oroville `CONTR. "LOCATION (A.P. 27-24-47 ) S/S Daly Ave., app.7/10 mi.E.of Palermo Honcut Hwy, lot 6, Palermo 4 1 y R 1� • Temp Power Pole_ Called PG&E Temp. Elec. Serv._ Called PG&E Temp. Gas,Serv. Called PG&E _ JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. as Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BILEH )ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 1' (NOTE: An entry must be made on this form each time you Visit the job site.) a ✓ utte OROVILLE, CALIFORNIA GENERAL CLAIM Hal Hampton CLAIMANT: ADDRESS: 3163 Olive Hwy CITY & STATE: Oroville, CA 95965 IMPORTANT: At1QtlSt 9 SEE INSTRUCTIONS DATE OF CLAIM: • 1979 ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Decided not to build pool. Permit #3081-79B P E-Recei - 27-24-47 Building permit fee ------ $36.00 Ret M 113 of tee-------- 12.00 Amount of. rlefund due---- --$24.00 Plumbing permit fee------ 4.50 Retain filig fee-------- 3.00 Amount of refund due----- - 1.50 Electrical permit fee---- 9.25 Retain filing fee-------- 3.00 Amount of refund d -- Total refund due----------------- $31.75 TOTAL I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis ..............::.................. day of ............................. 19....... at................................, Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and*that there is a Budget Appropriation ❑ or Specific Board Approval ❑ (Check one) for the same. Datedthis .................................... day of ............................. 19......, at .............................. , Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT.SUB. & SUB. PROD. 0BJ. CLAIM N0. INVOICE N0. INVOICE DATE DISC. GROSS AMOUNTJ ENCUMB. SUB -DIST. INSTRUCTIONS to CLAIMANTS All claims against the county must be. itemized," giving dates and character of service rendered -or' work' peFfoimed; quantities, de- scription and unit prices of articles furnished or delivered. . Claims must be certified by the claimant and^ submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor -tor payment procedure. Do not file with the County Auditor first. - Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS h 7 County G`enter Driye — Orville, California 95965 A' Telephone: 534-4541 APPLICATION AND PERMIT Owner Mailing Address Contractor Mailing Address Building Address S �1 r r , Telephone No. ephone A. P. No. .27 — ,;) y— q / Zoning & Planning ,Fjoesl S ion I Fire Dept. FireZone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration P p ovements ens Recd Parcel A royal Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Ig Single Family X Duplex ❑ Mobil Home J1 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ti m License No.,35I6 / 3 Classification C — S-3 I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X OL� Date o S Signature of Permitee r Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING SQ. FT. I OCC. BUILDING VALUATIO Fireplace Total Valuation Permit Fee -�- Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 OO Each Trao 1.50 Repair drainage or vent piping 1.50 Water piping 1.50• , Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ •Sa SO ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service SS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLBL GS.CCUP. 4� 22 sq ft NEW CONSTR. -OUTLET NO N.R ESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. EX. OCcUD{OUTLETS OR FIXT11RES 50@z5¢ BAL@1 FIXED APPLNS. OR EX. Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 6�a6_ Permit Fee $ _a $_ 25- MECHANICAL No. @ I FEE PERMIT FILING FEE J$3.001 Heating Coo I i Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 7.SJ This permit is hereby issued under the applicable provisions of the Butte ounty Code and/or resolutions to do work indicated above r hich fees have been paid. R OF UBLIC WORKS de Date Building permit expires Date �� 17 3080-79B,P,E --•,� .PERMI a( PERMIT EXPIRES_,=�T%7��/ `OWNER Shela & Hal Ha,.<pton owner . y CON T R. LOCATION (A.P. 27-24- t ) S/S'Daly Ave., app.7/10 mi.E.of Palermo Honcut Hwy, Palermo- lot 6 . y e L _ t Temp. Power Pole Called PG&E Temp.-Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTME,NT OF PUBLIC WORKS r BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out — 2 Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for phsically handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALL&TTI�ON - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS g- lZ)A coo (NOTE: An entry must be made on this form each time you visit the job site.) 9�YToOF BUTNT 699 bl-el—naer Avenue, Chico — Phone 343-4211, Ext: 70 7 County. Center Drive, Orovi Ile — Phone 534-4541 Skyway and EIIiotr Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 Inspector Date / E COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County ZenterZrive —+ Orovitle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 30A0-�9. X Date S - Jo Signature of Permitee or ge t Receipt No. White-D.P.W.—Yellq-7,,_396r ink-In/p `(iVldenrod-Applicant 111V Rutty Vvumy %JUuv GIIU/UI IGJVIULIV11A LU UU WUIR IIIJIUGICU abov o which fees have been paid. UBLIC WORKS k4 A �7 7 Date Building pe it expires ate �— 0 BUILDING Owner j SO. FT. OCC. BUILDING VALUA Mailing Address G6 z3 Cdv�e Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address r Plan Checking Fee &/r Penalt_Y3 Z7, ze Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3-06 Each Trap 1.50 Repair drainage or vent piping 1.50 P. No. 07 —o`L f/'7 Zoning 8 Planning Water piping 1.50 /,0-0A. Each gas water heater or vent 1.50 ,PCs I SgOA4-on I Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Plans Recd I Parcel roval I Arns Approval Lawn sprinkler system 2.00 NEW ® ADDITION ❑ UTILITIES ❑ OTHER CPQ= ri'�. ®D Permit Fee $ .$ -5-0 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 p p Main service 100 AMP OR00V OR LESS5.00 Single Family ❑ Duplex ❑ Mobil Home Others ® Main service EA. ADD'L 100 AMP 2.50 f OVER 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 VNEW l I CONS. DWELING OR ADDNST', ACCLBLDGSCC P '!:I 2�Sgft CONTRALTO LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y NEW REST D. BRANCH T NON -REBID � BRANGH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON-RE'SID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTIIRES 5 L;7 Ex. Occu FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wring 6.25 0 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ SAVO$ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the nri�r>,s nh—n--ti—arl nn tv ffi--ti— numn... Land Development Fee $ TOTAL PERMIT FEE This permit is hereby issued under the applicable p X Date S - Jo Signature of Permitee or ge t Receipt No. White-D.P.W.—Yellq-7,,_396r ink-In/p `(iVldenrod-Applicant 111V Rutty Vvumy %JUuv GIIU/UI IGJVIULIV11A LU UU WUIR IIIJIUGICU abov o which fees have been paid. UBLIC WORKS k4 A �7 7 Date Building pe it expires ate �— 0 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ' SPECIAL INSPECTION REPORT �% 1. Housing. 2. Financing .Lj 3.. Change of Occupancy to L/ 4. Other (specify) Present use of bu A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: ,» r 8. Room and space requirements: 9. Bedroom window or door for second exit:, 10. ,Infestation of4insects, vermin,'or rodents: ' 11. Connection to sewage disposal: '12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical ' 1. Service and ground: 2. Receptacles.: 3. Fusing: 4. Comments: ' y D. Plumbing t 1. 'Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: ' 4. Comments :nnn1-9miaA nn hnnlr% E. Other .1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: ,. 4. Weather. protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: Field Problems or Violations 1. Problem or violatj n (give compete description): 2. (give, complete O.es 3. What action recommended: A. Information only - five. 7 -K- B. Hold for tea (10) days, then write letter. / / C. Write letter. 77 D. Other: I E i file No. BUTTE COUNTY ('Forction 1, .2, 3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Orng. / S.I. Sub. & Pcl. Maps Permits November 25, 1981 Katherine Allen RE: Garage & Storage Building 2920 Daley Avenue (AP 27-24-51) Palermo, CA 95968 Dear Ms. Allen: With reference to the above subject and the permit #3080-79 we issued to the previous owner of your property at the above address, we have no record of the various correction being made. Please contact this office within ten (10) days and arrange to have the garage building inspected for compliance. If th'e'previous corrections have not been made and the building is not completed, obtain a permit to complete it and to make any necessary corrections. Should you have any questions, please contact us. Yours very truly, Clay Castleberry Director of Public Works i J.F. Glander JFG:ds Chief Building Inspector CC: Oroville Inspector P t_ 4832--78P�E ""gs .PERMIT NO. PERMIT EXPIRES Shela Hampton OWNER CONTR. owner . LOCATION (A.P. 27-24-12 SIS Daly Ave., app.7/10 mi.E.of Palermo-, Honcut Hwy, lot 6, Palermo ' If i 1 I� A) Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Serv. Called PG&E //1emp.Gas OB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont;d) PLUMBING Sliback krewall i SA Piping Forks Pa)ppets 1 Floor Malq Bldg. Resiroom Finish 2nd loor F tins Wind4s 3rd Nor Ste all Sldin To out Slab Roof Shhthing Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s % Stemwal I Garage Vents Insulation Water Htr. Heaters Slab ' Carport Footings Prov. for ph sic Ily handicappedy Conformance of ex structure V A liances Gas Piping &Test Temp. Gas Slab Final A Sanitation Patio IR LACE Final Footin s Footing EIACTRIA Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam / FIRE SPRINKL4 Motors Framing Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Gird. Fa t Prot. Scratak Heat g Servic Bro n Co ng T p. Pole F 1sh Dtits deraround �6or Closer }final \I final MOBILEHOMEUTILITIES------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping CBILEHOME INSTALLATION - - - - - - - - -- - -- - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR • • -000 • �` . ,� (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location Z �� ^�7 Owner Owner's Address?` Q� Mobilehome Mfg. Model y��Year y�;c Insignia No. Serial No. It is hereby certified for occupancy at the above describe- location and may be occupied. Director of Public Works Date Bya i THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED hh.- White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes 9. Does the mobilehome have required clearances above ground? (Sec.5085) Yest-No 3. Are footings and supports properly sized, spaced, and braced as p approved plans? -(Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes— No 4. Is the mobilehome level? (Sec. 5088) Yeo_ 5. If more han a single unit, are crossover connections properly installed? (Sec. 5088) Yes— 6. Water A. Is f�lex�'ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand.working pressure or 50 lbs. air test? Yes VINO C. Backflow - If coach is not Stats ¢1 California approved, does station have backflow device and pressure -relief valve? Yes 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and.have flex connectors at each end? Yes— No B. Does it have minimum 4" per foot slope and is it properly supported? Yes Y No C. Are any leaks detected in drainage system after runn 3 -gallons of water through each fixture including' -washing machine standpipe? Yes No— D. Ifcoa not State of California approved, does station have required trap and vent? Yes o 8. Gas.Piping and Gs Vents A. Connecto s.mobilehome connected to the gas supply;with an approved 3/4" minimum, mobileho o Vents not more than 6 ft. long? ,'Note: All piping is to be at'least as large a' mobilehotrie gas line inlet without yreductions other.than the mobilehome connector. Yes No B. :Test OK as per following„procedure Yes. No 1. Open all appliance 'connector v�Llves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"014" water column or test with slope gauge (minimum ® 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehotke.with connector, turn on gas, -test connections with soapy water. C. Are all appliance vents properly installed? Yes— No 9. Electrical A. Is service large enough to provide adequate amperage�to mobilehome (must equal rating of mobilehome with a minimum of 1 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No - / B. Is there proper clearances around panels? Yes Y No_ C. Is power supply cord or feeder assembly properly fused? Yes_ No_� D. Is continuity test satisfactory as per the following procedure? Yes{ No 1. De -energize electrical wiring system.of the'mobilehome, at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral. conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. S. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is. job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle tJ (Il)ems, Length_ Width. 3 Vehicle Serial No. State Identification No. I I:1-01 � It-,:)Lz 1 *7 -r^11� :I\ tL_v Additional Information or Comments: n 41 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS s , - 7 County Center Drive — Drovi Ile, California 95965 '�j � Telephone: 534-4541 �,/ , APPUCATION AND PERMIT /e) r,c Beni tivao of tile %lounty of Dutte to enter upon the. abov-ment'.oned property for inspection purposes. �Datev' Signot r of Per' m ee or Agent Receipt No. / //�/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR.OT7)PUBLIC WORKS By �� pat _ B ildin, permit expires Date BUILDING Owner njiwl" ✓m SQ. FT. OCC. BUILDING VALUATION Mailing Address �� l l ki%j A L TALeJ Fireplace Contracto Al G& V Etng,= 44a L �6, Total Valuation g n] (�.g z N @ w A 1 , p, �y /l I � — Mailin Addressn] LU A�N40 Permit Fee Plan Checking Fee&/or Penalty Tel phone No. .o —777 Permit Fee $ Building Address S S %j,4L_Y AVE, 4PP -7//D PLUMING No.1 @ FEE 41MI-C E-IS7- PERMIT FILING FEE J$3.00 Each Trap 1.50 / o4)IL.V r //-W Y. Repair drainage or vent piping 1.50 _� Z-0 LOT( %�gL�ie/(`1� Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 7 a—I �. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F SaHftntmn Fire Dept. FI re Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. ons Rec'd Porce pproval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 ^� 49;,49;,/3/� P# _L v�3-7 Main service i°o°o AMP LESSOR 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 600-V Main service 1100 AMP 'OR LESS 255.00 Main service EA. ADD•L too AMP 1.00 NEW CONST. // DWELLING OCCUP. & OR ADDNS. % ACC. SLOGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEWCONSTR /POWER APPARATUS 8& NON •RESID. \SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styI of: / Ex. Occup(OUTLETS OR FIXTURES)BA@L @125Q 04 FIXED A Ex. Occup.(ou LETS ((RESID IKEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 cs License No. /Classification U0 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �j I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em P to an employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling , Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws .relating to building construction, and hereby _s ..., n_.._... _s r,...._ '- _-'-_ __ . TT s— 3Q ev T TOTAL PERMIT FEE $ 6? � r,c Beni tivao of tile %lounty of Dutte to enter upon the. abov-ment'.oned property for inspection purposes. �Datev' Signot r of Per' m ee or Agent Receipt No. / //�/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR.OT7)PUBLIC WORKS By �� pat _ B ildin, permit expires Date BUTTE COUNTY DEPARTMENT OF'PUBLIC WORKS 7 County Center Drive, Oroville, CA, I PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET s 1. Owner's name: 2. Installer's name: f ! Im P -A '4 X411 Y4 (ac= 1/1�.,61t Ix ; - Is a 3. Is the site currently under permit? Yes / / No / ./ (If yes, furnish permit 'number ) OR. ; Is the site an existing site? Yes / / No Ar (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /Z No (If no,, clarify ) 5. What is the mobilehome electrical rating? --------------- ------cm Amps 6. What is the mobilehome site service rating? --------------=------ C1) Amps 7. What is the mobilehome site circuit breaker rating? --=----------, rti/' Amps .8. Is there any other,electric load to be served by the mobilehome site service? --------------------------------------------------- Yes /1// No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ----------------- ------- 10. What is the type of gas service? ----------------------------- Natural LPG J,&V 11. What is the gas pipe length from meter or tank to the mobilehome? - (ft.) 12. :What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if, pipe length less than 6 ft. on.natural gas or less than 50 ft. on LPG.), MOBILEROME SUPPORT DATA If h ��^^ of er than single wide, Mobilehome Mfr. Fk ) (C�i furnish .Setup Model No. Year Width i)//' (ft.) Box Length 4.0 (ft.) Tagalong or Expando Size / -Q -ft. x ^4?g ft. (SHOW SUPPORT DETAILS BELOW). On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not'on file with the County of Butte). All center supports measured from front of- -. mobilehome unless otherwise specified. A:/ Single �� -- x (ft.)(in:) (in.) (in.) Center support Center support locations* footing sizes (in.) OX i (ft.)(in.) (in.) (in.) (ft.)(in.) (in.) (in.) L -X 1 (ft.)(in.) (in.) (in.) (ft.1 (in.) (in.) (in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. / Footings (check one) &7,1, h4&)6" )6 1. Wood either pressure treated c foundation grade. 2. Other (specify) Supports (check one) 1: Concrete block. 2. Other (specify) df -Tagalong or Expando, show support details. IQ x -- Typical Support in-.) (in.) Footing Size �-,j -- Max. Pier Spacing (ft.)(in.) -- -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED i 4 ' COUNTY dfBUTTE Department of Public Works 7 County Center Drive .Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner Location�O �?✓Z �-�3j! C'� ��l-C�/r� 1G✓ Mobilehome Installation Permit No, FILL IN INFORMATION FOR ITEMS 1 THRU.10 / Watts 1.. Width �� x ' Box Length x 3 = o% 2. 2.Kitchen Appliance Circuits = 3,000 3. 1 Laundry Circuit.. = 1,500 4. Ovens .... ............ .... 5. Cook Stove Top ... _ 6. Hot Water Heater .............................. _ �d 7. Dishwasher & Disposal ........................ 8. Clothes Dryer ................................. 9. ;Other -(specify, i.e.;.motors, exhaust fans, Sub -total - Watts ..... 'T First 10,000 watts @ 100% ................................ = 10,000 Remaining V3 b O watts @ 40% ............... ...... ). 10. Air Conditioner watts @100'/0.•. LargQst Demand = Central Heat System watts @ Mt. ) TOTAL.DEMAND"WATTS REQUIRED "Demand Watts Required".;' 230 ........ _ �l AMPS De-rate.Mobilehome to .................. �� J AMPS BUTTE COUNTY-' BUILDING DEPARTMENT APPPOVE.0" COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovilie, California 95965 Telephone: 534-4541 APPLICAVON AND PERMIT . c,.. v.acnaa+u vco V� a110 VVu.l ay VI OUllc lV C[ILUI UF/VII uIe above-men/tioonned propertty for inspection purposes. /! X /l.C✓ ��`"� Date Signature ofPermitee Agent Receipt No. /SY60/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O BLIC WORKS By nate-,P— 7�J` , % P wilding permit expires Date �' z,s' 7�' BUILDING Owner 54 L,4 A/(4P77D SQ. FT. OCC. BUILDING VALUATION Mailing Address Cf1"j��U/S'AVc e I T e Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address S VA -LY 4VG ar>P 7r0 PIanCheckingFee&/or Penalty Permit Fee lq,L-E- E,+.ST oF p1,LL_eFt2A4o PLUMBING No. @ FEE ,k)&0T /V W v PERMIT FILING FEE $3.00 3,0& Each Trap 1.50 Lar (aZ4n ►g �(gtjficatiop Ool�� )9 _IE"� 0 Repair drainage or vent piping 1.50 A. P. No. 7' — / Zoning 8 la i s Water piping 1.50 119 10 Each gas water heater or vent 1.50 s Sa 1_21`40n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans P rcel Declaration Parcel ap 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 0 a d Porc Ap roval Plons kDroval Lawn sprinkler system - 2.00 NEW ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ 23100 ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3,00 Main service 600V OR LESS 10o AMP LESS 5.00 X00 Sin le Family Duplex Mobil Home Others s v ❑ p ❑ ❑ -L Main service EA. ADD'L 100 AMP 2.50 500 S . FT. MINIMUM FOR MOBILES Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. 1 OR ADD NS. ACC. BLDGS. 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CO ID BRANCH CIRCUITS 2.5Oea NEW RESID, BRANCH CIRCUITS) �% �U NEW CONSTR POWER APPARATUS B NON.RES,SINGLE OUTLET CIR. EX. OCcUp{OUTLETS OR FIXTURES 50@250 10Q APPLNS. OR Ex. Occup.(OUTLETS OUTLETS (RESID.) EA/ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / 100 License No. Classification7%__R47 Misc. Wiring 6.25 PvA4P v 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,5'O WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ P.5-, 'go TOTAL PERMIT FEE $ C . c,.. v.acnaa+u vco V� a110 VVu.l ay VI OUllc lV C[ILUI UF/VII uIe above-men/tioonned propertty for inspection purposes. /! X /l.C✓ ��`"� Date Signature ofPermitee Agent Receipt No. /SY60/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O BLIC WORKS By nate-,P— 7�J` , % P wilding permit expires Date �' z,s' 7�' mob The BHT. Setback shall be 5 ft. from the side property line and 50 ft. from the centerline "of the road, permitting a maxi i1.1ur.: of a 2 ft. eave overhang but entirely out of all easements. h s set of plans and specifications MUSI po =pt can the job at all .times and it is unlawful to nake any changes or alterations on'same without mrit;en permisson from the Department of Public Works, County of Butte. NOTE:—All Materials & Workmanship Shall Be in .Accordance with Recocanized Good Practices and of a quality prescribed .for the Specified use .in the Uniform Building, . Plumbing & Machanical Codes and the National Electrical Code., `optic system and locati MDil." e on t+btri{,_ to be as per :Jutte County- Health Dept. Re- quirements. - A11 utility connections shall be located within 4 ft. outside the rear third' section of the mobile home on the left (road) side of the mobile home. TTE COUNT 0 GI. BUILDING DEPART EIV APPROVE. r %� RECORDING RE-.0L.)ESTED BY' hij Ff. T Lii AND WHEN R!-CCIRDL:.l MAll- rU A, "�r TPANT Njaii lax �tateiiwnt 19. 25 1 57 W1971 i 52 E 4, -SPACE ABOVE THIS LINE FOR RECORDER'S USE-- laf(Mft L7, k 4io 3nhrntnrrm(,d,, fiv ... ...... ...................................... da I)], -d -1 ..... ................... MIC IhMlsfilld Ilia,' 111111drf It( Airtwunc: ..... . ......... 7. ......................................... ........................ ............................................................................................................................ .......... ..................................................... .............. ........ ........... ........... .......... ...... I /I(, part I)fIlle.first j)(irl, p ........... I ....................................................................................................................................................... . .......................................................... ................. . .................. the part i4thorsecond part. ITTI ifuriti-tirtil Thal /ho, purl....of 1/1'(1 .first p1jr-1, d '/I ideration of Ili(, love and JM an I t Its' (I.I.It"clioll which ..... /I I, .....Ira.':.. .1 Ihe parl.'\ of the second part, do ..... by these presents give and gratit unto the pfrilt-1. f4* I h or S(,(:,) Ild purl, (III .......... heirs aild its.,;' ign s jowever, all ............................ ........................... ........................................................................... .......... ccrla'n 101. parcel ................ oflandsil.1104, 'It the .............................. ................................... ... ........... Cou illy Of..... ..... /67:1. 7-1 .............................................. I a I e o 1: ..................... ........... . alld bounded and described as f0 Hoics. to u,'1/: i iii j, /Vol, "7 C, 17 M 0IIt Pf Px ivi! /I /he teat'joiletils, heredilartients. find - (tippurterimices liftereunto 1)(,I()Ilgi . ng or appCOMIlial.", aril the rvversimi (III(] reversimis. remailider and reinainders, rents, i-SNIU-S raid profits 01 -!aup un6 to i6ath the s;a'd prem'ses. 'together with the appurtenances, unto the part of //I(t second part, and to .......... heirs and assigns forever ................................................... ................................................................................................................................................................. is .......................... ...... ............................................. the part 0 V, /bt, first part ha...n ...... vis ............. hertirloset ......... ....... hand..... the day and year first '', 1, 1) r it I e I I. .'49ned and Oeliveri,d III the Presence of J. ,7 ...................................... ....... . ... ... ..... .. ........ 666 ................ ........ ......................................... ........ ............ I ................ . .... ..... ......... ................. This document is only a general form which may be Proper for use in simple transactions and in no way acts, or is intended to mt. as a substitute to, the advice . of an attorney. The puhlisher does not make any warranty• either express or smplie(s, as to the legal validity of any Provision or the suitability it these fo,.a! it, any specific transaction IS TA T /1" OV V Ss. ......... On this .....X_A ...... day of ...... `ter III the VVar o) I(., thousand nin hundred and .......... i........................................................ before me. .......... ( ........... ..................................... ...................... a Notary PubliC. hale r) J71 -� ,:......../...,. ) .......... toned and sworn, personally appeared ... .15? fryr4w-, duly conintI'ss ............................................................................................................... ...... known to. me to be the person described in arid whose name is subscribed to the within. instrument, and acknowledged to me that she v.i'ecuted flit, Same. I have hervititto svi'mY bund and affixed fit.Y of'ficitilm-al inthe ............................................... Colinty- of... ., the day and year in this certificate firs above sur'ten. A, . ............ Nola/r Public, SCa e e� /Vly commission expires . ........ .. 4y END OF DOCUMENT