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027-310-017
L, X L -f '? " S . A . BRAAS CH' 8036 Melvina Ave, Palermo Permit #2239-78P,E(5 il., S S' 3) ELEC .,r�� GAS q --Id �- SUPPORT STRUCT Q. govo COMPACTI EST REQ. ND 00*1 +:/ W Permit #2236-78E(ele ser for exi site) Site #1 MH a00/i-r., 19 2 7-2 0-51 Permit #2476-78P,(gas piping) sit # 1 MH 7 Centr: W lsori,MH Sar; Pa ermo Permit #2777•-7 MHIQ Issued Permit #2238-.r (site ,Issued 0-1 Permit 2� 0-781OHI (s ' tie # Permit # 2148-8tHI�for site #2 9 027-31-0-017 93-3650 B BRAASCH, SIDNEY -8036 MELVINA , PALERMO Z 2a REROOF RAMADA 027-310-017 PERMIT#98-0391 SMITH, Carolyn 8034 Melvina Ave., Oroville Cont: Broderick Const. MH Util-Admin use Permit#98-14 - -ELECTRIC -D 6, COMPACTION TEST'O SUPPORT STRUCTURE j' 027-310-017 '� PERMIT#98-03 2 SMITH, Carolyn 8034 Melvina Ave., Oroville C Cont: Broderick Const. (�0Alu- MHI-Admin use Permit#98-14 �� 'fir.; � _ �� .�. - I t-� RESIDENTIAL 027-310-017 PERMIT#98-0391 SMITH, Carolyn PERMIT NO 8034 Melvina Ave., Oroville Cont: Broderick Const. 'PERMITEXI,MH Util-Admin use Permit#98-14 OWNER .,CONTR. ,ASSESSOR PARCEL LOCATION i r Temp. Power Pole p OFFICE COPY CalledtlPG&E_ Address !J U '� I t nz_— Temp. Elec. Service GAS Date -Meter By I_ Called PG&E _ ELECTRIC Meter By Dates w� 9 Temp. Gas Service 1 Called PG&E qG JOB FINALED (Date) /0 Signature V=OK O =Not OK Not Apca *=Not Repalidyyble MOBILE HOMES Date MOBILE HOME UTILITIES(Plans) OK except #'s ing Requirements - Setbacks - Easements S ' " I MH Support Sketch tiorrTest-Fall-C/O-Concrete &Wetilir, Location -Test -Easement Needed (Ske ) 5. Electricity; Locabon-Clearances p -Concrete 6. Gas 1 oration Tecta/Vrao ` /'L fL / /Nat or/ ft"IL/ /LPG 7. WJ Clearance & Disconnect S tility Clearance 9. Siding; Nailing—Veneer—Stucco-Mesh Date — and B-1 Date Card B-1 Date Ca B-1 Date Card 8-1 Date MOBI HO E INSTALLATION(Plans) OK except #'s Requirements- Setbacks Easements Date tings; pacing -Marriage Line Date ndVahe-Connector Date MH Test -Crossovers -Breakers -Clearances n; MH Test-FalWlex Connector ±!1g -4H— Test -Regulator -Connector at nd Sewer Con ed -C/O to Grade -HD Approval jaeElecipitflagged e s-Type4nstallation Cert. its; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date A of Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 9. Health Department Approval -�, S o MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists-Decdng-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing—Veneer—Stucco-Mesh 10. Root,, Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall. Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connection's -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pod 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/8 Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval -10. Plumb.; Cir. TestWater Supply Test 11: Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 =No O = Not OK RESIDENTIAL .(Single & Duplex) - = Not Applicable Not Ready Date UNDERFLOOR (Plants) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /` Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ /" Ftg. 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. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor BoltsJoists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fuman a -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plants) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing C. Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage ani Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meeh. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove. Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. 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: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. JRev.12/95) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-31-0-017 ZONING A MH - BUILDING PERMIT OWNER CAROLYN SMITH TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 8036 KELVINA AMR. OROVITLE 99Q66 CONTRACTOR'S NAME BRODERTCK CONST TELEPHONE ' 2 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 8034 ME-1-111N.A. AVE, PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IR Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel -❑ Utilities ❑ Installation �] Other ❑ Describe Work: M14 �� ��C%, Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 EE PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZDDAORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter with Section 7000) of Division 3 of the Business and Professions Code, 9 (commencing w and my license is in full rce and effect./ U License Class Lic. No. bt% + (/j OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service zooA To I000A 46.00 NEW CONST. DWEWW- OCCUR OR ADDNS. ( 8 ACC. BLOB. SO 3.5Q ON N-RESID? =c R 97.50 POWER APPARATUS 8 SINGLE OUTLET CIS. EX. OCCU OUTLET OR FIXTURES RES BAL @ I.50 Ex. Occup. OUELEOTSA REESSID.OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring- 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation I/ of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation pro isions of section 3700 of the Labor Code, I shall Jarthwithe mply wi"those visions. X Date / �` / Sigrar"""e of App icant -Iff Owner VContractor ❑ Age t An OSHA permit is required for excavations over 5'0" deep an demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD OF PARQEL Po HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY A PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. at Date Receipt No. ?.�6zz91 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COU4OF,BUTTE DEPARTMENT OFD ' PMENT SERVICES - BUILDING DIVISION \7 COUNTY CENTER DRIVE - OROVILLE, CAL ORNIA 95965 - TELEPHONE (916) 538-7541 11 . PERMIT APPLICATION DATA SHEET OWNER: &a4 1{4 ASSESSOR PARCEL NUMBER: 0 Q 2- ( Q - Q 10 - Proposed Building Use: Building Inspector: Date: At time of permit application,t was advised the following data must be submitted prior to permit pro easing and/or issuance: Date Received By ❑ 1. All items have been submitted --------------------------------------------------------------------------------------- 0 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 0 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 134. Engineered plans, 3/4 sets, with wetignature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ 09 anufactured Home data and installation mstructions'including Tie Down Specifications .------------------ 3-4161Y %2 !3 ❑ 10. Fees of $ ----------------------------------------------------- & Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City.of Chico plumbing permit.----------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ----------- 7---------- ❑ 17. Planning approval for (A) Use: (B) Parking: El 18. 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- ❑20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- 13 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- 024. Letter of signature authorization.-------------------------------------------------------------------------------- _ ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26 Letter of intent on building use.----------------------------------------------------------------------------------- _ Ly'" 7 Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------ (Date) W.,,hhe�en you issuethepermit, process as follows ❑ Mail to owner, ❑Mail to co tractor. �`l elephone p r7 r and hold for pickup at rb u i 1 ❑Diver with inspector. Applicant: Date: y / Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Dep ent, it Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departme f: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D'vision counter, by Date: Plans reviewed by: Date: Plans approved by: — Date- /1-�- Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE �'DATE oZ REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ _�. SCHOOL DISTRICT FEES (paid at District Office) O3. SHERIFF FEES (paid at Building Division) CO Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x =$ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK. ` $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid'at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. The fees ed during the plan checking process. APPLICANT DATE Original -Owner Copy -Building Div. (Rev. 12/96) `.:,�,'y;.-C'Try.r'ty;�Ztr['w:Nl:i,l1..,`..jNJ"i>^"1"`ATiI<'.'lfliy..•`jfRa�vt:..r..;YSii.,�5°'w>jYr.,•.ee�dr+qn\"t'"7P`f'i'+'i�f�"'Yi'�a'=�T�►d'7$'�p9'-nv�'w4ti�'�rt-n,r.�.-y7'�w`rl`,iift,�'n"�`i •E`'�r7•-�:M:.��m7 BUTTE- COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Quilding). School District /�Q yl Q i'j Building Department No. A.P. Number Qj� t� /D'O/ Jurisdiction:City County Property /� l t p v Owner (.ASol, -- Property Location/Address Subdivision Lot No. Residential Development I Y I No of Living Mob Ike Home Addition Units Installation / Ess Commercial/Industrial rp a� 0 D New Addition (Floor Plans reviewed by School District Personnel) rict Identification Na. (Street Addr s , k-4 tl (City) District certifies that has complied with the requirements of Resolution No. representing (� square feet. School District Representative Paid by Check # Remarks: Sq. Footage (p (Group R) e ;Si ; q --4 Sq. Footage Q JiMAUU111y CALUIIUI ARoofed Areas) L Date (Applicant) (Phone Number) (State) (Zip Code) ww__ by payment of $ v� B 2926 rAl ULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency. that this project is being reviewed under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink' (school district) feeform.xis (2/97)dmm (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 Couhty Center Drive - Oroville,, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER p1-1/�T D I C zowN ��� BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S IMI I CSJrV 4� 1 I (� 7V\ Y1 / v ravI COM CTO R'SE -� U v TELEPHONE ' CO R`ACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation b ARCHITECT OR ENGINEER LICENSE NO. Filing Fee b 20.00 Permit Fee b ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3' r p� , U �-IF Energy Plan Checking Fee b b PERMIT FEE b : W LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome KOther SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation k Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 *OOVORUE Main Service zo.A OR LESS11 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service tow TO IOooA 48.00 NEW CONST. DWEWNO OCCUP. OR ADONS. ( a Acc..0cc SO 3.50FT. T. NON-REOSID MULTI.OUTLETCIRCUITS @G 7.50 POWER APPARATUS & SINGLE OUTLET C10. EX. Occu . OUTLET OR FIXTURES .00 SAL ® L.S0 Ex. Occup. OFIX�ES A=D°FR.n 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ J00. co Energy Inspection Fee b OCC CONST. TYPE TOTAL FEES HAZ. I D. FEES IMP I FLOOD I COF PARCEL I PO I HD I 6SUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Oafs Receipt No. C WHITE-O.D.S.-B.D. CANA •ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A.P. # �� _ 3e� OWNER C -A h 'y/x ! � PERMIT # MH UTIL. CLEARANCE DATE INSPECTOR Co 52�> L 4� ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE YES NO YES NO SIZE�1 LOAD TYPE SIZE LENGTH COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT -1 ASSESSOR PARCEL NUMBER 027-31-0-017 ZONING — BUILDING PERMIT OWNER CAROLYN SMITH TELEPHONE SO. FT. OCC. BUILDING VALUA OWNER'S MAILING ADDRESS 8016 MELVINA AVENUE, nIRnyu.i.F. 95966 CONTRACTOR'S NAME B877-6432 TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 213. UU BUILD8t^j.(W,4ESf4ELVINA AVENUE, OROVILLE Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome q Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallatiorXb Other ❑ Describe work: MH UTILITIES T—Replae-c-meef\ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G 920.00 0.00 PERMIT FEE $ 60.00 ADMIN PERMIT 98-14 ELECTRICAL PERMIoR Fling Fee 20.00 IEss 800VMain Service zo.A OR LESS 23.00 3.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWFR License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 1:2111 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( & ACC. BLDS. So 3.50FT, NEW CONS.9 NON-RESIDT MULT., CIROUTCUTITS @7,50 APPARATUS d SINGLE 0".CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ I'50 SAL @ .50 Ex. Occup. OUTLETS (RREsn.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 0.00 Misc. Wiring 23.00 PERMIT FEE S 63.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number 'are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation / of one hundred dollars ($100) or less.) C3/ 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 workers' laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall 1Z with comply ' thos provisions. X _ Date 3 2 Signature of Applicant - ❑ Owner [),Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL F $ 146.00 I.AL.. FEES IMP O COF PARCEL PD ,_ HD G;Scompensation 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. By D to / v PERMIT EXPIRES ON V -7, Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT n COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7,COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 *; --4. PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER: 0_ Proposed Building Use: Building Inspector: Date: e s a Iri F( _ At time of permit application, I was advised the following data must bwitted prior to permit proc ssing and/or issuance: Date Received By ❑ 1. All items have been submitted ------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. 133. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ -------------------- ❑ 11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees-------------- f ❑ 13, Flood elevation certificate. --------------------------------------------- %/b4. Sanitation and plot plan approval dUVi Health Department. ❑ 15: City of Chico plumbing permit. ---------------------------------------------------------- ❑ 16. Plot'plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 111.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- 020.. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. ------------------------------------------ ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ----------- 026. Letter of intent on building use. -------------------------------------------- 027. Manufactured Home utility clearance. ------------------------------------- ❑ 28. Existing violations and/or expired permits. ------------------------------- 029. 0433 A, ❑.Grant Deed, ❑ M.H. Title, Cl Check to H.C.D $ 030. Other: X (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. C�`I'elephone g� � 3� and hold for pickup at r0�' i office. ❑ D 'ver �wh inspector. Applicant: Date:�2 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisi= counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 'T E.H. USE ONLY Plot Plan Attached Floor Plan Attached le Sent to B.D., TO: Building Department FROM: Environmental Health ' SUBJECT: Sanitation Clearance 0,441(c)y,j C /'h 03� WAIVItOA,Y� l!J Q 7-2 ---3 11) — OI + Owner Location AP# Plan Approved for: Sewage Disposal, Water Supply: Public Private Wel Cie rance for dwelling. Other", �r�r�l t��.�'t�l� YY1� 1 to 0v— Hold final for: Final clearance O.K. for: NOTE: f Environmental Health Specialist Date 8/96 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION " 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT PERMIT NO. AS SESSO R PARCEL NUMBER�r'1 _ I^_� 1 ` U 1 ZONIN Ik S BUILDING PERMIT OWNER T V TE HONE SO_ Fr, OCC. BUILDING VALUATION OWNER'S MAILING ADORES V"C CONT OR'SE � TELEPHONE' 7- �3 CO OTOW LINO ADO 39 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fire lace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ �e ._... Permit Fee $ ' ARCHITECT OR ENGWEERS MAILING ADDRESS Plan Checking Fee $ 023 BUILDING ADDRESS �© Energy Plan Checking Fee $ , $ PERMIT FEE $ LOT NO. SUSDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 11� Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities k Installation ❑ Other ❑ Describe Work: (� ,Q 0/ ►tel V1tiL. L V, 1Qrlt.4 9y 17 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home LN G W @20.00 PERMIT FEE S (� ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2.*00' oa LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. SO 3.5¢R. RESID MOLT{ RANCH CIRCUITS @7,50 POWER APPARATUS d SINGLE OUTLET CIA. E7(, OCCU OUTLET OR FOCTUREs S� ®1:,550 Ex. Occup. DUT ETS PR D°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60' deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONS�K4TOTAL FEE $ L HAI.EIMP I_. COF PARCEL PO HD 6SUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. fe Receipt No. - WHITE-D.D.S.-B.D. CANARYLASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT LZU I 1 05- � 11 REII AND, EojpWNT 94CLUDINd OVERHANGS SHALL BE CLEAR OF ALL EASEMEN —19 A SET BACK OF _Z0 1 APPROVED FT. FROM THE SIDE ANry I Butte County FT. FROM, THE REAR PROPERTY LINES A L!Environmental Health �CTUREITARD THE0�'AftENTERLINoES L-AHALLCLF EQUIpM 1 . - -a:�!LL--'Rvu ---- FOAA2W ENT EXCEP .,EAVF • Date Signature APPROVED MAR new Plan UA -TE VAMANCE USE PERWMMU. m MOOR U.P. 0 ammommo "N" co.wAft DIRECTOR Of DEVELOPMENT- SERVICES zi -3lU - o Gn "� 1 -1) r) S r'-) ning Divislicn 7M4 R 0 4 1998 orovii!,A, ADMINISTRATIVE PERMIT for.TEMPORARY MOBILE HOME TO: Carolyn Smith FROM: Thomas A. Parilo, Director of Development Services DATE: March 3, 1998 FILE: 98-14 PURPOSE: Administrative Permit on AP# 027-310-017 for a temporary second dwelling to be located at 8036 Melvina Ave., Oroville, in the ARMH-5 (Agricultural Residential Mobile Home, 5 acre minimum) zone. PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements. 1. A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Cathy Engasser. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed, with the Planning Division, within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the own er's.expense. 8. The Permit may be revoked if any of the terms or conditions of the Permit are violated or if any acts or omissions of the permittee in connection with the use authorized by said Permit constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. Permittee Signature Date Craig Sanders, Principal Planner Date APPROVED Development Plan DATE MAR _1 0 199 USE PERMIT.......VARIANCE ......r• MINOR U.P. mommo ..ADM.PERMIT.,..... PLANNING COMMISS. ,�.._ DIRECTOR OF DEVELOPMENT SERVICES MAR 0 4 1998 Orov l.la, California MOBILEHOME INSTALLATION ACGERTANCE COUNTY OF BUTTE ) DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: 42 7- 3 - 1--7 PERMIT NO.: Owner's: / Name: Owners: Address: 0. Y Q i �/O► A /`i'�1-E Ort) L/ i 11—c Mobilehome rC4 Year of��� ' / Manufacturer '4.✓ �" rUa Manufacture: Serial number 'J C� or V.I.N. 6,4 5� y / Insignia or 0,--/ L HUD number: ` ,-- 313 3z/5 - y5 - Official approving installation: Official Date: `< l .v. J 1-1 q 10 / 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 -Bldg., Gold -Assessor N. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES` 411 Main Street, Chico, CA - (916) 891 -?751 4 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date !0 — 91— Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is complete¢IIf you have any questions pertaining to this matter, or need additional explanation, please co act this office immediately. V1 a -e- /�G/Ci�v ,f G 12, a/,9 - le Date -11 JID-b Inspector V�5 S -V- 1-7 REV 10/92 'ee'�r�+sO:�'+":'r:''7s.-•�f=,n„�y`*j,s.�,.�-.".4 vi r`..�-. ti-�...«-�.-i.•rr..��r'.=. .w.' ....�•. �i+-- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE ?L OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at j the above address and should be corrected. Please notify this office when correction of work ' is completed. If you have any questions pertaining to this matter, or need additional explanation, j: please contact this office immediately. iz -4 Date Inspector W REV 101d2 i t j. '7 a' z �Ml -4 Date Inspector W REV 101d2 TIEDOWN CERTIFICATION Installation Permit Number: Property Owner's Name: Address or Location of Units Assessor's Parcel Numbers Manufacturer's Names Z)LI0 " Size s / �/ X Year of M/H: Tiedown System Numbers. I certify that those portions of the tiedown system installed below grade (1) were not damaged. prior to or as a result of the installation, (2) were not modified. prior to or during the installation, and (3) were installed in accordance with the terms of their listing or with the terms of the engineered plans and specifications. Signature_ ..Date Print Name + ' r�1 S_3 , LZLJ Q (Ds V, I9,0 I 0��R lSj` I K44,9 0 Aiqq? op FROM Thr **-4�gs'����� F� RFS O G,�97op� ZIq R�4t �A APPROVED `w��F Q 10,t, ttvF SFS o Development Plan ` ��i►ry-sh'q��gNa DATE USE PERMIT....... VARIANCE MINOR U.P.. ...ADM.PERMIT_. ... PLANNING COMMISS. BUTTECOUNTY DIRECTOR OF BUILDING f:'ARTME — DEVELOPMENT SE40CP p F V r- 4 Q� - o�3ga31�1� ,',Ing Divisicr, MAP, 0 4 1998 Oroviva, Cal ��rn�a 1. Owner's Name: 7 Flo ,� % 2. Assessor's Parcel Number: DA, 7 0/7 3. Installer's Name: 4. Is the site currently under permit? Yes[ � No[ ] . Permit No. q p r 6 3 5.. Is the site an existing site? Yes[ ] Noy" M (If yes, furnish two plot plans). 6. What is the electrical. rating of the mobilehome?_22ZAmperes. 7. What is the mobilehome site circuit breaker rating?2r) Amperes. 8. What is the electrical rating of the mobilehome site? 200 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[./If itis, what is the rating? Amperes. 10. Is there any other electric load to be erved.by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ /J If yes, please identify the load and size: a) The mobile. home site: / Load- 167 Amperes- b) The main service: Load- Amperes- 2D� 11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None[ 12. Size of gas pipe- at mobilehome site from the meter or tank:nches. 13. What is the gas pipe length from the"Or to the mobilehome? (ft.). 14. What is the mobilehome gas end? B.T.U.* *(This information is not rerdd if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). ). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERAUT APPLICATION May 1995 8.5 Mobilehome Manufacture06L&/1/ Manufacture Year: If other than single wide, furnish Setup Model Number: Width: (ft.) Length.: ft.) Tagalong or Expando Size===,=:- 2(ft.) x,� On all mobilehomes manufactured after October 7,. 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure tryated or foundation grade[/] Other: SUPPORTS: Concrete block[/] Other: Provide Tie Down Specifications for all Mobilehomes: I Pier Footings Sizes and Location SINGLEWIDE MULTI -WIDE Line 1 Line 1 Line 2 Line 2 ................................................................................................ Main Beams Line2 ...................................................................................:........... ine 2 Line I Line 3 Line 2 ................................................................................................ Main Beams Line 2 Line I ...........................................:.....ine S Tag or Triple ine 4 rine 1 Line 1 Piersv' Size minimum: r i x Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: x 1-10 ]. Spacing maximum: Z2` From ends -maximum: ` Line 3 Roof Loads: Size minimum Location (from front):. Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ , ]. Each side of openings with width over: 1 4` Line 4 Piers: Size minimum: [ ] x [ Spacing maximum: ` From ends -maximum: ` OVER MINUTE MAN ANCHORS INC, ENGINEERED TIE DOWNS ENGINEER APPROVAL. oQ�pc ESSIO,I;�� • � Fly, X57 I o � STATE APPROVAL. A r P A 0 V I SUBJECT TO CORRECTIONS NOTED Appmvel do= not autbcnm of apfm %v env fa i3Mons or "boo (ram mgaeQntnu of opplicablo Sue laws end regw44ons. Suit of Cabfmraa D9uur-M of Ho umg and Cormnuryy Dv oopnni UMSION OF DES AND SI,ANDARDS 11115 TIE Uo"M MIDA wa-S THE REQUIRENIUM I 1`1%4 Mm AgNsrorof i �ffwes.�,l•7!�/-� OF SECTION 1330.3, SUOSECnOW (o) y .- PACIFIC CONSULTING ENGINEERS MIND MAN ANCHORS, INC. T 100 bed h.... su11a I b "— -U. Da. 9001a rni (e1e� 004 -ooze 3vA Mtd " a. W X101 Ibelrr Iq 307�i Ra' (Tot) 0o4-O� % . Design & Genereal DESIGN LOADS: who -------------- 13 KF SOIL REA MG --------- 1000 PSF T1E OowH >fr011J01r0 LOAD SOSWIC tONC— ----� 4 Notes MW 0E+_ & SPEC QQ—S-741H 400 TYPE j. CLASS � GSM 1. UWThGS EMZiH AUGERS -- --- 29A4 (�'T� TO 47600 WN.) CROSS DRNES »------.t1t1 (GILL'ULAM CONCRETE SMA NrG�01ii — 1 C/1LwMT>� GENERA!. NOTES: 1. THE C►WtTS SMOIrN MpiON ARE iOR TME RtEpUfiW NuY90i OF TIC.00011413 ON TME LOf1 OF TME WwUiK'Tyi1Lp M1011C 2 .TIE D004 ARE REQUIRED AT L/kCh CM= 9EJd1. EACN ta10 OF tloCii TWM~ABLE SECTIOM Of TME WAI UFAMAEO M94 ANO CAN BE AW Of TME Tvm aftm MERElN. 3. CWW"ATXW 0► TA& DIfiUdXT TIM OP TIE Do" CAN 6E USED. 4. IN THE Eb£NT AN EA M AUGER CM44M K INVALLM DUE TO AN 8F OED ORKSE ARE WSULLED FOR EACHEARM ^40 TirWTTCCN"T 0. FOR ALL TIE DOMM INS'T4-LATIONS. THE WFOM. Howe C►4A= WE310cits ARC SWWN AS `1' I CAMS. FOA " T"AT10N P♦JApsQ ONLY. CWii3Is �s CAN ALSO AE'C' iWPW OA ZiF� iwW06 0. cNo nE WOWS CAN K LACATXQ W MW 24' Of WHER SIDE Of 0.14= BEAM ASS AS 5010M. r v CKASSIS 9EAW a tiYW 7. THE SIZES. TYPES. LD QrHS. M. OF WATERW. SMONN HETI©N ARE 41hIWUW. LMOM LONCER, HEAMER W►TERWS SUPPUED BY IMPERVL SUIrPINC CORP. "Y M USED AT TME SIWE SPAGNG ! LOCADOM SMOwN. 0. AL1 Pmn AA[ STAWPCD bAHA-58— WTW TN[ AMwO'iuA.m POWT mumtrot. I 3 Installation• Ynstruct�on.s FIRST C14ECK FOR LNOERGROI.Trp UTI1.11Y LOCATIONS. EARTH AurjE. �. IrtsT'I� K+ceRs Irmo say rrrt�, coNsr,�NT YIr111115E SOIL 04'TUfiE1iV�CL L �h �AfiO p��URE Tp 2. IhSiAu sTAeluZAPPROLATE7(, TAM s o�asEc. — ORl1r1F � 8 WTH GROUNO SURFi10E. WN G'AINORNSURFACC INCAWER UNTO CROUN0 UOL AuWA FrrAD a ASN ANO TOP Of FLATL CROSS DRJVE ANCMCRS 1. CRDs DRMM MC U= GROuno UJ "CRE ROCKY $QL OocuR& F hEMMMSD.2ST1$U2DatNPEl,Tlr N OR YINIYUI r AS%� ►LAGE JrXjrxjr Dap CONCRETE FuANC�iORS . TO 6EywYw t/r iwC�c AND IN 6000 CONOMON. �- YINIYUII SLAB AREA 0. ORILL PROM SIII W lwLNW AMCiiOA It 2a SQ. �, Lw Tr FROW Atdr [ocL ALL AppUCATIOW z. u+sr lm .m wmL . SUN TM�N STJT kwT. GUT W can � AND _ nc+rT>a )R ECIIONS Emmim x..•11. .• a 1 � sloe mc oowN - sa cmAw 9oE TIE Ooww - srr rk. END TIE DOWNS END TIE DOWNS [NO TIE DOWNS :._ _ , ......� END TIE DOWNS W - LDCTII of fir IWA �2' 02' 62' 73' w►� Mo. a SWt 3 4 1 S :._ _ , ......� END TIE DOWNS W - LDCTII of �r �2' 02' 62' 73' w►� Mo. a SWt 3 4 1 S G 7 CONCRETE SLAB ANCHORS 1+L wom Of 34HHOW ' 42' 60' 59' 60' 4 s 7 0 o4o „e DOWNS N 1 NOTE—flk l ANCHORS, INC. 704 692 0258 P.02 I -BEAM SHOwN, SEE C k RFC CHASSIS FOR CONNECTIONS PIER BOLT—ON TOP M`�so END TIE DOWN Sly TIE DOWN i SPLIT BOLT dt NUT $PUT BOLT be NUT •0'-6P 4C -6d i STABILIZER q� O C GE`OJ��C. DISC ACTING—.� �iy� Lp —�- rm —1c• EZDH Earth Auger Tie Down kz%b Addendum #2 f MMA -91 5/13*0 MMA -92 3/4"4 MMA -94 3/4"0 12AUG:R ANCHOR 32" AUGER ANCHOR 36" AUGER ANCHOR 7 2-20-96 ADD THE EZDH EARTH AUGERS TO THE APPROVED TIE DOWN SYSTEM. 1 .. SPA E.T.S.-119 LTJ N d J �i C /7Q CDD - i C d O PA A L ! I ,1. 1 F Cross Drive Tie Down I MU 9/1 f HOS U of 9/1HOLE AT 410 HE1CI1f OF AT MG PWW Of ". INSTALL I tE� AwINSTALL aOIT. i/? A307 WXT. �• 1 " IA2104 ScE SEEYBfJW pKS55 JOR -r OqEAM C1 NCH lOR rE ppwN ANCHOR gTEEI STRAP FOR TIE DOMftI ANCtGi STEEL STRAP , .G. BEAM 0-4—S—S 'nc�' BEAM C}�SSIS_ . "Beam Chassis Bea m ChassisRSC C .. ..r wv.lw mlmN 2-f OF ENER SIDE Of CHASSIS i ® 0 h 0 PSI Inc. mobile home ttedowm" IJZMU±='='-AN ANCHORS, INC- ENGINEERED TI DOWNS 1 S=ate Of Calitornia s?A•No.aMMECTORS T nj I certify t.lat I have irstillad the Minute Man Inc. anchoring system as per anchors, ion instr uctiors . I have nada nmodifications ' a to the anChcring s: Stam Or to the building st_ruct%X&. 0 �a Ccm=any Nana: Contractors License No. Signature, _ 305 West WxQ�r Strret . East Flat Rock. Noah Carolina 28726 Telaphonal.0a)692-0256 »TOTAL P. i�Jl TIEDOWN CERTIFICATION Installation Permit Number: Property Owner's Name: Address or Location of Unit: Assessor's Parcel Numbers Manufacturer's Names Sizes Year of M/H: Tiedown System Numbers I certify that those portions of the tiedown system installed below grade (1) were not damaged prior to or as a result of the installation, (2) were not modified prior to or during the installation, and (3) were installed in accordance with the terms of their listing or with the terms of the engineered plans and specifications. Signature. Date Print Name ' -027-31-0-017 93-3650 B BRAASCH, SIDNEY 8036 MELVINA, PALERMO REROOF RAMADA e j f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Calif6rniA,5965 - Telephone (916) 538-7541_PERMIT NO. APPLICATION AND PERMIT 3--jE� ASSESSOR PARCEL NUMBER 027--31 MI 7 ZONING 11 BUILDING PERMIT OWNER r Y '•T+'Y �1?A A!' T ' TELEPHONE SQ. FT. OCC. BUILDING VALUATION ` t1n 'r. . nn on OWNER'S MAILING ADDRESS M BOX ^47 TAI �T!O 9596 j't) j}t) L j• II J CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ A.k l 0 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 29. W ARCHITECT OR ENGINEER I LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS T ,., fi�36 ��;LITZ IA PERMIT FEE S 40. 00 .r PAI F7"�) PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE 'n SF ❑ Duplex ❑ Mobilehome ❑ Other ' "'' SPECIFY Gas piping system 1 5 outlets 15.00 Building Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ElRemodel C]Utilities ❑ Installation Other ElContractor Describe Work: REROOF !,rfTT, 'TETAT PERMIT FEE g ELECTRICAL PERMIT Filing Fee 20.00 D Main Service ( BOOvORLESS ) 23.00 2OOA OR LESS Main Service ( 200A TO 1000A ) " 46-00 NEW CONST. DWELLING OCCUP. SO. OR ADDNS. ( & ACC. BLDS. ) 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. wrtLicense No. Classification as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 - ( POWER APPARATUS ) & SINGLE OUTLET CIR. @ Ex. Occup. ( OUTLET OR FIXTURES 20 1.00) BAL. .50 Ex. Occu FIXED TR) ( EA. ) 5•00 p' OUTLETS1ESIDESID.E Temporary Service 23.00 Mobile Home Facilities_;;;!- 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a certificate of Consent to Self -insure. lb'I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT- ' FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County ip consequence of the granting of this permit. X �, �C i..�- J �!/ Date % f — 13 Signature of ApplicantOwner ❑ Contractor ❑ Agent An OSHA permit is Jrequir6d for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 49.00 HAZ. I D. FEES IMP FLOOD I CDF PARCEL I PD I HD I ISSUE 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. % IRECTOR OF PUBLIC WORKS B Date 19N -11—S c 9 PERMIT EXPIRES ON /O1/lI%' - (Date) - Receipt No. 153513 WHITE-D.D.S.-B.D., CANARY -ASSESSOR ' PINK -INSPECTOR GOLDENROD -APPLICANT ' - - X IN COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, CaliRo.jrnia 95965 - Telephone (916) 538-7541 p, PERMIT N0. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 097-110-017 ZONING 11 TT BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION 20'30 MAT 1200.00 4'� OWNER'S MAILING ADDRESS PO BOX 247 PALER140 959.58 CONrRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ' 00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERucENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 8036 P-"IrE .1>;LIJI.�n1A PERMIT FEE $ 49.00 PALERMO PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 " USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other RA7111ADA SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 0. @200 TYPE OF WORK New ❑ Addition ❑ Remodel ElUtilities Cl Installation EIOther IR Describe Work: REROOF WIT ?TETAL PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS I 200A OR LESS 23.00 Main Service( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLOS. I 3.50 FTSO.. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I�I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON.RESID. ( BRANCH CIRCUITS I @7.50 ( POWERAPPARATUS I & SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES I B 20 @ 1.00 AL. @ .50 Ex. Occu FIXED APPWS. OR p' ( OUTLETS IRESID.) EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a f �rtificate of Consent to Self -insure. IC'I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County con equence of the granting of this permit. X ate 673 if-g� Signature of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is equired for excavations over 5"0" deep and demolition or construction of struc res over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ Z1 9 • OO HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PD HO ISSUE Thispermit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indi d above fo which fees have been paid. IR TOR OF PUBLIC WORKS B Date 8'NsV f S PERMIT EXPIRES ON 8 NO v 0srel ReceiptNo. 153513 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 property improvement (yes or no) 4 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 construction: Name' Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name 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: F Name Address Phone Type of Work Signed: Property Owner Social Security Number _ Date 1 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. Owner Mailing Address COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel epitone: 534-4541 APPLICATION AND PERMIT I Telephone No. _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Contractor BAL@1 BAL@1 APPLNS. OR EX. Occup. (RESID.I EA) (OUTLETS 2.00 Temporary service 10.00 Mobile Home Facilities Mailing Address Misc. Wiring 6.25 Fireplace Total Valuation Telephone No. Permit Fee Building Address c- i Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE 1 ? PERMIT FILING FEE $3.00 Each Trap 1.50 �•! . r Repair drainage or vent piping 1.50 A. P. No. I:i !• — `)' Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation 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 _ Bldg. Plans Recd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No.1 @ FEE 1 r T 1 1 PERMIT FILING FEE ; $3.00 •'00V OR L Main service 10000 AMP ORSLESS 5.00 S"-0" Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 - Main service OVER 100 AMPP O OR LESS 25,00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBL GS.CCUP. 7i) 2¢sgft NEW CONSTR(. MULTI.OUTLET tinr.,.RF:%In_ BRANCH CIRCUITS 2.50ea 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: License No. Classification EX. OCCUD(OUTLETS OR FIXTIIRES BAL@1 BAL@1 APPLNS. OR EX. Occup. (RESID.I EA) (OUTLETS 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE 1 am aware of the provisions of Section3700 of the California Labor Heatina 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. F -1I 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 Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ r7•1 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 PUBLIC WORKS r By ,! r Date r Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Droville, California 95965 Tel e0hone: 5�4-4541 APPLICATION AND PERMIT aurnunce representatives of the bounty of t3utte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace JI Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000V OR L 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ 0- thers„❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 /EW / CONST. DWELLING OCCUP. & , ADDNS. ( ACC. BLDGS. ) 20sq it NE CONSTR MULTI -OUTLET NO ESID. ( BRANCH CIRCUITS) 2.50ea NEW NSTR (POWER APPARATUS .&) NON -R SID. (SINGLE OUTLET CIR. CONTRACTORS ICENSE LAW I am licensed under the provisio of Chapter 9, Div. 3, of the State of California Business & Profes a .�Cnd r the�r►af cl style of: x. Occup(OUTLETS OR FIXTURES) 50 BA@250 2j Ex. Occu ( FIXED APP LNS. OR P'OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ aurnunce representatives of the bounty of t3utte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date 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 51 under permit number-= 7- for the following location: OwnerC— Owner's Address Mobilehome Mfg/f���d/.��i1� 1/- /Model Year Insignia No. ./"�Ii.r . lU411y406 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director ff Public Works Date �'/ // Q By !1 t THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED Silk COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives of the county of ttutte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner � � ,' /:'� � `'? '� r �i SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor + I L , � Mailing Address- Af Fireplace Total Valuation Telephone No. Permit Fee Building Address _ r:' %tai Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Q Repair drainage or vent piping 1.50 _ A. P. No. r `j r Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C, Sanitation- 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 Bldg. Plan Rec'd Parcel A ro al__„_,Plan / val Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ ITIES OTHER Permit Fee $ $ '! >.J i ,2. /%�,, ~�I inti -- ��� ELECTRICAL No. @ I FEE PERMIT FILING FEE $3.00 s0ov OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home❑. ' Others ❑ Main service EA. ADD'L 100 AMP 2.50 ' Main service OVER 100 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBLDGS.LING CCUP. 4) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: - NEW CONSTRES'., MULTI.OUT LET NON.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES) o L@109 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EAY 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No @ 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. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑1 certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development -Fee •,�,, �;'.,� $ TOTAL PERMIT FEE $ - ' autnorize representatives of the county of ttutte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date MOBILEHOME• INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located h required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have,required clearances above ground?.(Sec.5085) Yes* No 3. Are footings and supports properly sized, spaced, and braced aser approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) YesM No - 5. If more than a single unit, are crossoverconnectionsproperly installed? (Sec. 5088) Yes J(. No 6. Water A. Is 1 xible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes -4 -No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. B -j - f coach is not State of California approved, does station have backflow device and pressure -re valve? Yes— No - 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 '" per.foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes— No D. If 'coac is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long?, Note: All piping..is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes4 No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge.(minimum 6oz.-maximum 8 oz..) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes �No 9. Electrical A. Is service large enough,to provide adequate amperage-to mobilehome (must equal rating of mobilehome with a minimum ofj 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes /� No B. Is there proper clearances around panels? Yes 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 p estal_ 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water,and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length_Ae Width Vehicle Serial No. atell, State Identification No. Additional Information or Comments:- U n Owner Mailing Address &14, V��V Contractor�� Mailing Address Building Address SS' n -,3 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone:r534-4541 / APPLICATION AND PERMIT BUILDING SQ. FT. I OCC. BUILDING VALUATION W 3 Telephone No. Telephone No. A. P. No. R7 — S/ Zoning & Planning F6,19's Fire Dept. Fire Zone Use Pennit EQA I Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration P p ovements Bldg. ans Recd Parcel ApEroval Plans Ap royal NEW ❑ ADDITION ❑ UTILITIES El OTHER ❑ oe_- / -!5 t7,Je V t G 0 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ 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: License No. Classification 41"arn exempt from the Contractors License Laws of the State of California. 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. WI have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. certify that in the performance of the work for which this prmit 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 Date / a Signature of Per itee or Agent Receipt No. 1 �P9 4.S-- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Fireplace Total Valuation ELECTRICAL No. Permit Fee PERMIT FILING Plan Checking Fee &/or Penalty $3.00 Permit Fee 100 AMP OR01V OR L LESS5.00 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 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 $ ELECTRICAL No. @ PERMIT FILING FEE $3.00 Main service 100 AMP OR01V OR L LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER OVER s AMP OR LESS O 25.00 Main service// EA. ADD'L 100 AMP 1.00 NEW CONS.DWELING OR ADDNST \ ACCLBLDGS.OCC UP. Y� 22sgft NEW CONSTR. NON.RESID. MULTI-OUTL T BRANCH CIRCUITS 2.50ea Ex. OCCUp OUTLETS OR FIXTIIRES ' L BALLmi EX. OCCU P• FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 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. T R OF PUBLIC WORKS By Date- �_A be caul Wm"ermit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 a� / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purpo es. S�!� X to Signature (of ermi a �argent Receipt No. r&`r 0.7-- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS r ByAll �� Date ----4 8V"d+rq permit expires Date —�Tf BUILDING Owner ,© SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. i repl ace Conttactor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address �� R. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 pp Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 1 "� --c7� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 /0-00 Each additional outlet .30 Foes #dl 9=4_t t+en' Fire Dept. Fire Zone Use Permit' Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 B Parcel Approval Plans Approval Permit Fee $ 3r, 04 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ~ ^ Main service 60000 AMP ORSSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 6 00V25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea NON -RESID R. (SINGLE OUTLETTUS 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 st le of: y Ex. Occup(OUTLETS OR FIXTURES)50 @250 109 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 $ $ 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 TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purpo es. S�!� X to Signature (of ermi a �argent Receipt No. r&`r 0.7-- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS r ByAll �� Date ----4 8V"d+rq permit expires Date —�Tf COUNTY OF., BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon t ab - ioned property for inspection purposes. a�z,--- Dat Signature of Pfermitee 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/d`F`VUBLIC WORKS By Date � B ng permit expires Date S' 2 3 ' di — �i BUILDING Owner 5 , SQ. FT. OCC. BUILDING LUATION Mailing Address Telephone No. Contractor L.56xJ z 5g;iI2vt Mailing Address L0-6 Fireplace Total Valuation phone No. Permit Fee Building Address 12 Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Law ti © Repair drainage or vent piping 1.50 A. P. No. '— Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F s Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improveme Each additional outlet .30 Building sewer 5.00 Bldg. P ns Recd Parcel oval Pla pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER Permit Fee $ $ mty—r ,- 7!r- ELECTRICAL No. @ FEE �.� PERMIT FILING FEE $3.00 Main service 100 S 5.00 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ 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.( DWELING OR ADDNS. ACCLBLOGSCCUP. 4) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Cod under the name style oJ: ) �/ NEW coNSTR RANCH CIRCUITS) NON-RESID (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 9 NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES g LOj TS (RESAPPLINIS• OR \ 2.001 Ex. Occup (OUTLETS OUTLETS (RESID,) EAI Temporary service 10.00 Mobile Home Facilities 15.00 License No. 7,1Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. n I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI certify that in the performance of the work for which this permitis issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby .-' $ �� TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon t ab - ioned property for inspection purposes. a�z,--- Dat Signature of Pfermitee 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/d`F`VUBLIC WORKS By Date � B ng permit expires Date S' 2 3 ' di — �i gj-/ OTE:=All Materials & � 3 • ccordar;ce Ivith' Work,cinshi ` f a quality. prescr-cosin',?ed Good Pr Shall Be In niforen g . lair 'rhe 5 actives and e Natio ald t ng, t lunt;ir, F�ccificd use . Electrical. �` McChailical in Me Coda. Codes and 5 Z&4 5 a 3- All utility connections shall be located within 4 ft. outside the rear �t e !'0s f ' third section o -f the mobile home °n ,,. °` l�,on the left (road) side of the mobile ,etre r�n� h , I • 't c.? { rr Sion. , home.' 01. is Sr 6A • o4n� of ®� s oF1 sary�jt%7ld�'�y�t,' �o . B4Ife. 0: Pat, f iho4i AeP,zt-d777-?f eviLaraG �OUMTy I MEW APPRovet) Y�% is v ' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,.Oroville, CA.� PHONE: 534-4541 MOB_ILEHOME INSTALLATION SHEET r 1. Owner's name: SIDNEY B R A A S C`H i 2. Installer's name: . WILSON 'MOB,I L E HOME SERVICE 3. Is the site currently under permit? Yes /x / No' _1 (If yes; -furnish permit number ) OR Is the site.an•existing site? Yes /x / No'/ / (If yes, furnish two (2) plot plans.) 4."Will the mob.ilehome.be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /x / No 5. 6. 7. 8. (If no; clarify ) What is the'mobilehome electrical rating? ----------------------- 00 Amps' ' What is the.mobilehome site service rating?------------,�----��------ 200 � � `�`• s t}t�f y gt- J (� What is.the mobilehome site circuit breaker rat in� _-- Amps Is there any other electric load to be served by the mobilehome site service? ---------------------------------------------------- (If yes, identify the load and size: WATER PUMP (Load) 9. What is the mobilehome site gas pipe size? ---------------------- Yes %x / No 20 (fps) + (in.) 10. What is the type of gas service? ------------------- Natural / / LPG /x / 11. What is the gas pipe length from meter or tank to the mobilehome? 20 (ft.) 12. What is the mobilehomegas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas :or less than 50 ft. on LPG.) (BTU) MOBILEHOME SUPPORT DATA If,other than single wide, Mobilehome Mfr. G U E R D O N INDUSTRIES, IftCnish Setup Model No. 139 Year "1978 Width 24 (ft.) Box Length- 48 (ft.) Tagalong or Expando Size ft. x 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 � � � mobileehome unless otherwise specified. Footings (check one) I✓f/ Single ❑x 1. Wood either Pressure treated or A grt-144A foundation grade. O (ft.)(in.) I (in.) .(in.) -. Tb (ft.)(in.) (in.) (in.) f (ft.)( (in.) (in.) (in.) *If center piers are other than drawn above, draw in 4 ocations,�spacing, and dimensions. Tagalong or Expando, show support details. � v -- Typical Support .) (in.) Footing Size 51611 -- Max. Pier Spacing (ft.) (.in.) -- Max. Overhang (ft.)(in.) FOUR SETS DOWN THE MIDDLE 8uTTE CUIJ�TY PADS BUILDING DEPARTMENT APPROVED (ft.)(in;) (in.) in.) 2. Other (specify) Center support Center support , locations* footing sizes Supports (check one) (in.) �x 1, Concrete block. 2. Other (specify) (ft.)(in.) (in.) (in.) O (ft.)(in.) I (in.) .(in.) -. Tb (ft.)(in.) (in.) (in.) f (ft.)( (in.) (in.) (in.) *If center piers are other than drawn above, draw in 4 ocations,�spacing, and dimensions. Tagalong or Expando, show support details. � v -- Typical Support .) (in.) Footing Size 51611 -- Max. Pier Spacing (ft.) (.in.) -- Max. Overhang (ft.)(in.) FOUR SETS DOWN THE MIDDLE 8uTTE CUIJ�TY PADS BUILDING DEPARTMENT APPROVED MUDILMiUM JUrrUM: UKIA If other than single wide, Mob ilehome Mf r. C. E' S furnish Setup Model No. Year -J179 % Width_(ft.) Box Length(ft.) Tagalong or Expando Size ft. x 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. .. j (ft.)(in.) (in.) (in.); (ft.Min..Y (in.) (in.) 1- � \)\ x (ft ) (in ) .(in,) (in ) Tagalong or Expando, show support details. /1 x � -- Typical Support (in.) (in.) Footing Size i ,. a Max. Pier Spacing (ft.) (in.) -- Max. Overhang fI V 1(ft.)(in.) 13UTT6 COUN I t BUILDING DEPARTMEN 1 r AppRpVED *If center piers.are.other than drawn above, draw in -locations, spacing, and -dimensions. Footings (check one) Single El�. Wood either" A, pressure treated oa �� `— x foundation grade.- (ft.)(in:) (in.) (in.) Ell 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) i. Concrete block. E/ 2. Other (specify) (ft.)(in.) (in.) (in.) .. j (ft.)(in.) (in.) (in.); (ft.Min..Y (in.) (in.) 1- � \)\ x (ft ) (in ) .(in,) (in ) Tagalong or Expando, show support details. /1 x � -- Typical Support (in.) (in.) Footing Size i ,. a Max. Pier Spacing (ft.) (in.) -- Max. Overhang fI V 1(ft.)(in.) 13UTT6 COUN I t BUILDING DEPARTMEN 1 r AppRpVED *If center piers.are.other than drawn above, draw in -locations, spacing, and -dimensions. 1 t BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: rn 2. Installer's name: 1 3. Is the site currently under permit? Yes / J-� No (If yes, furnish permit number 23.7 %0' ) OR Is the site an existing site? Yes / / No (If yes, -furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /T-/� No ( If no, clarify 5. What is the mobilehome electrical rating? ----------------------- �p ('. Amps 6. What is the mobilehome site service rating? ------------------ Amps 7. What is the mobilehome site circuit breaker rating? ------------- Z_"ps 8. Is there any other electric load to be served by the mobilehome (This information not required if pipe length less than 6 ft. on natural gas or less than -50 ft. on LPG.) t siteservice? --------------------------------------------------- Yes / Ly No (If,'yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size. -- in. 10. What is the type of gas service? ----------------------------- Natural LPG /fif 11. What . is the gas pipe length from meter -or tank to r 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.) t Bate County D OF NATURAL. WEALTH AND 6EAUT'f DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 695 Oleander Avenue,-P.O.,Box 1100 7 County Center Drive ❑ 747 Elliott Road Reply to. Chico, California 95927 Oroville, California 95965 Paradise, California 95969 Telephone; .916/891-1.727 Telephone: 916/534.4281 Telephone: 916/ 872-2961, Ext. 58 April 15, 1980 Sidney Braasch 8036 Melvina Avenue Palermo., CA 95968 Dear Mr. Braasch: This is to advise you.that pursuant to Section 19-19 of the Butte County Code, the Board of Supervisors has approved a,variance to Sections 19-10 and 19-12 of the Butte County Code for the placement of, a mobile home on your property located at 8036 Melvina Avenue. Palermo, CA and identified as Assessor's Parcel Number 27-20-51 This variance was granted on April 1, '19.80. and includes the following conditions: 1. The variance.is granted only -for a term of one year. At the end of one year you must apply for anew variance if the use is to continue. 2. If the applicant residing in the mobile home or conventional residence moves to another location or is deceased, the variance automatically expires and the mobile home shall be moved.within 120 days. If the mobile home is not removed within.120 days, the County may remove said mobile home and store it at the owner's expense. 3. The mobile home shall be placed on the property without violating any of the setback requirements of the zone in.which the property is located. 4. The applicant shall secure all necessary sewage disposal, electrical, plumbing and building permits necessary to install the mobile home. Very truly yours L� E. Vanhart, Director D is of Environmental Health LEV/lld cc: Clerk of the Board PXnning Department uilding Department NOTES—All Pntn,-irls & Workmanship Shall, Be in Practices and of a S-ec;f`ed, use in the Uniform Buildinq, Pluni',;n� -- & Machanical Codes and the National Electrical Code. chis setef-;pInnT A fv""�Cif' tic;s AWST be kent on 41, Al - at all t! mas and it is unA_w;uI to . L _j -make any . es or a; -rations on e without .!�.II_ written pormision from the D'e"ji- �tment of Public Works, County] of Butte. l x NI 14 4-�- The Mg. Se)qbach shall be 5 ft. from the sire prcpart,!, li.-,e and Fj ft. from the of I. i;: pe,'rniifinq u mum- cur"E'' L. U, i kJ w 2 f fl. eave overhang but entirely out of .call e4ements. 0 PERMIT NO. 2219-7gplp PERMIT EXPIRES // OWNER S. A. Braasch owner LOCATION -'(A.P. 27-20-51 8036 Melvina Ave., Palermo Temp. Powe Pole Calle/PG&E Temp.�c. Serv. Caded PG&E Tem( Gas Serv. Called PG&E JOB FINALED (Signat .COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ►' ' BUILDING INSPECTION RECORD In rior Lath N I Vnillation ennanent oor Closer anal anal MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Q� Water Piping a9 L Sewer 0 Gas Piping BI E OME IN TALLATIO - - - - - - - - - - - - Support 4 Elec. Continuity Q Water Piping 7 yp Drainage Gas Piping Z DATE REMARKS OR -CORRECTIONS JV4 / G 111� ,m+J b (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING BUILDING (Cont'd) PLUMBING tback FI wall Sol Ipin FdNMs Par.)Vets 1st loor A& Bldg. Restr m Finish 2nd loor otin s Windo 3rd FI or St wall Sidina To out Slab Roof Shea Ing Water Pi In Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physics y handicapedd Conformance of ex. structure Appliances Gas Piping & Test Temp. as Slab Final X Sanitation Patio F E LACE Final Footin s Footing E CTRIC L Masonry Walls Throat Rough Reinf. Stee Final Fixtures Bond Bea IRE SPRINKLE)IS Motors Framing Test Water Htr. Stucco Final Subpanels/ Mesh A MECHANICAL Gird. FaAt Prot. Scra h Heati Servic BrqAn Coo a T p. Pole In rior Lath N I Vnillation ennanent oor Closer anal anal MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Q� Water Piping a9 L Sewer 0 Gas Piping BI E OME IN TALLATIO - - - - - - - - - - - - Support 4 Elec. Continuity Q Water Piping 7 yp Drainage Gas Piping Z DATE REMARKS OR -CORRECTIONS JV4 / G 111� ,m+J b (NOTE: An entry must be made on this form each time you visit the job site.) A MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with equired separation from lot lines and buildings and generally conform to plot plan? Yes o 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes1'No 3. Are footings and supports properly sized, spaced, and braced as peX approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes — No_ If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flex' a 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 b_ o_ Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 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 k" per foot slope and is it properly supported? Yes&,�No C. Are any leaks detected in drainage system after running 3- lons of water through each fixture including washing machine standpipe? Yes_ No D. If coach is not State of California approved,-does�ystation have required trap and vent? 9 Yes No Gas Piping and Gas Vents i A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connecto 'not more than 6 ft. long? Note: All piping is to be at least as large as the mobil ome gas line inlet without reductions other than the mobilehome connector. Yes No_ B. Test OK as per following procedure? Yeses No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. ' 3. Air test with manometer to 10"-14" water column, -or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. '-Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes o 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical 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. c MOBILEHOME DATA Manufacturer and/or Namestyle i- Length, Width Vehicle Serial No. State Identification No. Additional Information or Comments: I I W1, 9. Electrical p A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of� amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No ZW B. Is there proper clearances around panels. Yes _ C. Is power supply cord.or feeder assembly properly fused? Yes _ D. Is continuity test satisfactory as per the following procedure? Yes 1. De -energize electrical wiring system of the mobilehome at the pedestao_l 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical 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. c MOBILEHOME DATA Manufacturer and/or Namestyle i- Length, Width Vehicle Serial No. State Identification No. Additional Information or Comments: I • COUW7Y OF' BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ,- , Oro\ ille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT A BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. v Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 3 Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @n FEE! FILING FEE $3.00 Each Trap 1.50 ILMM r eefion Onl y Repair drainage or vent piping 1.50 A. P. No. 77 _Z Zonin n Water piping 1.50 8 010 Each gas water heater or vent 1.50 F W. rSanAd fion I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel M p 60' R/W Improvements Each additional outlet .30 Building sewer 5.0010, Bldg. PI eed Parcrovol Plans pproval Lawn sprinkler system 2.00 EW 1❑ ADDITION ❑ UTILITIESF&r OTHER ❑ permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 100 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OR ADONS. ACC. BLOGS.CCUP. 9\ 24: sq ft 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 st le of: y NEW CONSTR (MULTIBRANCH-OUTLETCIR NON-RESID BRANCH CIRCUITS 12.50ea NEW CONSTR. (POWER APPARATUS e NON.RESID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTI1RES1 5BOg825 Ex. Occup. / FIXED APPLNSOR p.\OUTLETS (RESI.D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Califomia. 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. El have placed on file with the County of Butte a certificate of W Workmen's Compensation Insurance. 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 $ $ 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 LanF Land Development Fee l ^ TOTAL PERMIT FEE $ auttrunce representatives vi the uuunry u1 nutte to enter upun the above-mentioned property for inspection purposes. l Date �v Signature of ermitee 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. A DIAtECT Pf bF PUBLIC WORKS 0; 7 -,,-2 6 - 0 - 0,5-/ - 0 & V�0�rmanship Shall Be in PWI, and NOTF—L-k1l use in the ac -"!na of. a -1 . ur4, �,,Jcxchanicall Codes and Uniform SIA Code. the National Elecitrica -5 Phis set of plans an"/pe-c—iti ca�tons 4 T be rept on th.e j,)D at all tim:. s and 11 is unv wfk)l to make any ch -._e5 or alteration, atioT,_�ewiihoui written ptrrnisrn from the Department of Public Works, Count, of Butte. I' , All utility!c6nnect i o ms� ,-'6ha I I be , -located within 4 ft. outs,00 the rear third sect oil of the moble home on the left 0oacl) side of the -mobile home. The W.19. telba6 shall be 5 ft. rom the side prcp',,rf,� fii-,e and 50, ft. from the !,,a road, Pen of a ft. eave overhang 6ut entirely out of all r asements. Septic system and location v to be as per Butte County Health Dept. Re- quirements. * A pernnv; JAM reqWred for So' instaliatio of 41&&VII6 AW "X '77 - i . BUTTE COUNTY 11!LDLINI—Q-DEPARTMENI COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive. Orl6ville, California 95965 Telephone: 534-4541 0 APPLICATION AND PERMIT BUILDING Owner Irl SQ. FT. OCC. BUILDING VALUATION Mai I ing Address 0--a d x 4 `i' 7 Contractor Mai I ing Address e No. Building Address A. P. No. �/� 1 Zoning & Planning F 4 KI W 111 Sa ' ation I Fire Dept. Fire Zone Use Permit EQA I Parking I Declaration P P Parcel Plans Parcel Ma 60' R/W I Improvements Idrs er. d& Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER �, :M � Single Family ❑ Duplex ❑ Mobil Home E?' Others ❑ 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: License No. Classificat Fireplace 'BA L@1 Total Valuation ELECTRICAL No. Permit Fee PERMIT FILING Plan Checking Fee &/or Penalty $3.00 Permit Fee soot/ OR LESS 100 AMP OR LESS PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 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 'BA L@1 $ ELECTRICAL No. @ PERMIT FILING FEE $3.00 Main service soot/ OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCDWELBLOGS.LING OCCUP. 4� 20sgfI NEW CONST Nn N.R. RESID_ ULTI.OUTL T BRANCH CIRCUITS 2.1 EX. OCCUD(OUTLETS OR FIXTIIRES I 'BA L@1 FIXED APPLNS. OR EX. QCCU P•(OUTLETS (RESID.I EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 informatioh 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 QDate Signature oofP rmiteee�or Agent Or 1 I / r / Receipt No. Q ! ;_ - White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant MECHANICAL M - PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ L opment ee $ e7, TOTAL PERMIT FEE rzn 10—C This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above r which fees have been paid. I WOFP WORKS B Date Zi 6 Building permit expires Date MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. - fuinhish Setup Model No. YeArI�l 6Q Width' % i�) (ft.) Box Length JjJ (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single Fa'1_ Wood either. Center suppor locations* O (in.) (in.) Center supp it footing si s (in.) (in.)/(in.) (ft.) (in/.) (ft.)l(in.) (in.) (in.) L� (in.)I (in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. pressure treated or foundation grade. 2. Other (specify) Supports (check.one) LJ ": Concrete block. 2. Other (specify) Tagalong or Expando,' show support details. %,;� x U -- Typical Support (in.. in. Footing Size - ( -- Max. Pier Spacing (ft.)(in.) 1. �, + -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMEN1 APPROVED,��-� 2) az(0-? 9 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes / No (If yes, furnish permit number 9-7k OR Is the site an existing site? Yes / / No (If yes,.furnish two (2) plot plans.) 4.. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No _ (If no, clarify _ ) 5. What is the mobilehome electrical rating? ----------------------- Co d Amps 6. What is the mobilehome site service rating? --------------------- Amps 7., What is the mobilehome site circuit breaker.rating?------------- Q Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------------------------- Yes No / / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size. ---------------------- f (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG r 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,') PERMIT NO. '2148-$2MHI ex site PERMIT EXPIRES 913183 OWNER SIDNEY A. BRAA91i CONTR. ' Owner ASSESSOR PARCEL ?731-1% LOCATION 8036 Melvina Avenue, Palermo Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E/ e j JOB FINALED (Date) Signature Z I. s V = OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/0—Concrete 2. Footings; Size—Depth—Spacing—Connectors 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors .. 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBliEHOME INSTALLATION (Plans) OK except #'s Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except #'s Zo 'ng Requirements—Seth ks— sements 1. Setbacks—Easements matings; Size—Spay' —Marr ge Line 2. Soils; Compaction—Structure Stability Gas; MH Test—Deman alve—Connector ctricity; MH 't—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI in; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI V W MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed . water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Ga nd Electricity Tagged -";---)S M 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit . E ' ; Insp.—Sketch t Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date ? — and -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK O = Not OK = Not Applicable * = Not Ready , RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 52. 53. Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Card -BI Date and -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic E] Yes Guard Rails &Deck Construction -Post Caps 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water _ 25. 26. 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Oyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77, 78. Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrrit) OK except N's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval -__ 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing _ 39. Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing ` (NOTE: Anentry must be made each time you visit 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 aNi-o is Administrative Code, Title 25, Chapter 5, under permit number 4� for the following location: ?C)3 Ca cA y i h a Au e tial e r mn Owner s/d h eci! l'� T` c)1 tom ,, S C.:t1 Owner's Address 0� Ad V 1 V13 f U z Mobilehome Mfg. ^�y �a Model Year Insignia No. Kin 7 7 Serial No. � It is hereby certified for occupancy at the above described location and may be occupied. Director of Pubic Work r Date l J .,' By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 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: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. F I 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7• County Center Drive - Oroville, California 95965 - Telephone 916/§34-454 APPLICATION AND PERMIT 11PE MIT NO. ASSESSORPARCEL NUMBE —3/- ZONING BU ING PERMIT OWNER nn per„ / JMAILING ILIEYADDRESS Be/�"/7 �GT��Q �fH° E SQ. FT. OCC. BUILDING VALUATION OWNER 2 � CONTRACTOR'S /NM 4L TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADE5RESS Permit Fee $ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ 72— ' Penalty $ ARCHITECT ARCHITECT OR ENGNEER'S MAILING ADDRESS Permit fee $ BUILD NG ADDRESS ^ O/JT PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 1:2141�[J Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOF_ ST UCTURE SF ❑ Duplex❑ Mobilehome OtherLawn SPECIFY Building sewer sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel[:] Utiliti s ❑ Installation Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 60OV OR LESS Main service 100 AMP OR LESS 5.00 S STE Main service EA. ADD'L 100 AMP 2:50 NEW CONST. /DWELLING OCCUP.y) OR ADDNS. l ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered Q� for sale. (Sec. 7044) ` I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) �r am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR OUTLET 2,50 ea NON•RESID BRA I CIRC TS NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUR(OUTLETS OR FIXTURES BAL�j FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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 tci Self -Insure. I shall not employ any person in any manner so as to become subject Y'C 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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 agai st said County, in consequence of the granting of this p rmit. X% T/ :� ." .,�G�r.�1 Date Z Signature of Applicant — Owner ❑ Contractor ❑ 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 $ -pp TOTAL PERMIT FEE $ �p OCCUP. GROUP I TYPE OF CONST. _JPARCELJ PD I HD I ISSu JG - This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF FRIELIC By /4,=Q4t�r PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date w- V - Receipt No. �6,� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT teturn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 82•"27017 NOT COMPARED WITH IAL DEVELOPMENT ptppClJMENT FOR RESIDENT OFLGJN .. IFFG y'- Section 26-8.i of the Butte County Code requires this acknowledgement :R I ' �3r be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural ' purposes, and residents of ELEANOR M. SECKEi1 t""""'° this property may be subject to inconveniences or discomfort arising CLERK -RECORDER from the use of agricultural chemicals, including, but not limited to herbicides, EE .pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte,County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: September 1, 1982 PROPERTY OWNERS: State of California ) On this the 1Gt day of SP1 t-amhar , 1982 , SS. ,before me, the undersigned Notary Public, personally County of Butte ) appeared Dorothy Braasch A 7 -3b Present A.P. N0, i Notary Public known to me to be the person(s) whose name(s)is. subscribed to the within instrument and acknowledged OFFICIAL SEAL SHARON M MCGHEE that she executed the same for the purposes m NOTARY PUBLIC - CALIFORNIA therein contained. BUTTE COUNTY IN WITNESS WHEREOF, I hereunto set my hand and official ^wMY comm. expires APR 5, 1985 seal. A 7 -3b Present A.P. N0, i Notary Public _ 1 3 f. -O - 0 I "7 - 0 This set of pldns and specifications MUST be kept on the job at all times and it is unlawfJJa make any changes--or-ante r - �onE. ame with- out written permission frorm thrtment of Public Works, CO e. YO 3 6' d --AII Materials & Workmanship (Shall Be in ccor ante with Recog 'z Good Practices ar-I 95- of a q ality prescribed for rhe Sp 'fie use in the ifor Building, Plumbs�jg & echamical Codes an th National Electrical Codi k '-' I'X 4, Yv1 vy A setback Q: f 5 ft. from the property likes and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft.. 'ave overhang. 6UT-16 C OUN I AUILDING DEPARTMEN v 1. Owner's name: 2. Installer's name: 0 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET C-) IEE! , 3. Is the.site currently under permit? Yes / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes Ti— No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- ��0 Amps 6. What is the mobilehome site service rating? --------------=------ © C) Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No —/T7 (If yes, identify the load and size:' (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural 7-7 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? .(ft.) 12. What is the mobilehome gas demand? ------------------------------ :,(This -------------=:,(This information not required if pipe length �less than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. Year �3 Width l Z-- (ft.) Box Length 407 (ft.),. Tagalong or Expando Size ft. x 4 ft. (SHOW SUPPORT DETAILS BELOW) c 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. v til Single A n (ft.)(in.) Center support locations* (ft.)(in.) (ft.) (in.) (ft.)(in.)\ (ft.)t (in.) -I x (in.) (in.) Center support;' footing �? sizes (in.) ` I X (in.) (in.) r 7X (in.) (in.) Footings (check one) 1. Wood either pressure treated o. foindation grade. i 2. Other (specify) ,�,/ Supports (check one) I�1. Concrete block. 2. Other (specify) (--Tagalong or Expando, show support details. - 12 x3C) -- Typical Support in.) (in.) Footing Size (in.) (in.) GJ_ Fj -- Max. Pier Spacing �. (ft.) (in.) (in.)j (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. I V Z _- -- Max. Overhang (ft.)(in.) t3U il-E C OUN 1 Y 'AUILDING DEPARTMEN I certify that as owner of the property acquired by deed in Volume a� Page Official Records of Butte County, (AP#! 6 2 ,2 4 Cir/ -Z) I am requesting permission to build or install an additional living unit on this property. I will.not divide the aforementioned property for sale, lease, rent, or financing unless.all applicable land division laws and map requirements are com- plied with. I am conversant with the present: zoning regulations affecting the aforementioned property, and declare that I shall not violate same. I represent that the proposed use of the additional living unit is��-,-,�_. and that further I shall not change this proposed use of the additional living unit unless and until I receive written approval therefor from the County of Butte. I fully understand that pursuant to Chapter 20 of the Butte County Code and §11535 et seq of the Business and Professions Code that if I, in the future, sell, lease or finance the area on'or adjacent to said improvement without fully complying with the applicable laws and ordinances, that.I shall be guilty of a misdemeanor and therefore, subject to the aforesaid penalties and imprisonment pursuant to law. Further, this statement shall be properly acknowledged and recorded at the request of the County of Butte. OFFICIAL RECORDS BUTTE COUNTY -CALIF. REC�}S R ULSt MAY 1 03N 1918 LOUI•SE KLUENDER COUNTY RECOIOE E Owner / ,/ Gni /P.)-er•tiL v�. � 7 /"��ir��-c-�i Address 22'L -c-' 2,9 NOT COMPARED WIN Date O 37693 at1GINAL DQCUMEj STATE OF CALIFORNIA ) ss COUNTY OF Butts ) On this first day of Msv , 1378 , before me, Dorris M. Goff , a Notary Public in and .for the County of Butte State of California, residing therein, duly commis- sioned and sworn, personally appeared Dorothv Grassch known to me to be the person whose name is subscribed to the within_ instrument and acknowledged to me ,that she_ executed the same. IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal in the County of (butte the day and year in this certificate first above written. S96-1275 +�OTT71CIA1,,SEAL 7' � nor tRq DORRIS M. GOFF zi NOTARY PUBLIC • CALIFORNIA BUTTE COUNTY , Notar Public -� _ i u ` `" My comm. expires MAY 26, 1979 :l �'i 'i" 6� LAN I; 0 F Ni AT Li RA L l) EA L T H P. v > c EA U TY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 695 Oleander Avenue, P.O. Box 1100 X 7 County Center Drive O 747 Elliott Road Reply to Chico, California 95927 Oroville, California 95965 Paradise, California 95969 Telephone: 916/891-2727 Telephone. 916/534-4281 Telephone: 9161872-2961, Ext. 58 Sydney A. Braasch April 22, 1979 Post Office Box 247 8036 Melvina Avenue Palermo, California 95968 Dear Mr. Braasch: This is to advise you that pursuant to Section 19-19 of the Butte County Code, the Board of Supervisors has approved a variance to Sections 19-10 and 19-12 of the Butte County Code for the placement of a mobile home on your property located at 8036 1`Melvina Avenue , Palermo and identified as AP# 27_20-51. This variance was granted on February 6,, 1979 and includes the following conditions: 1. The variance is =ranted only for a term of one year. At the end of one year you must apply for a neer variance. if the use is to con- tinue. 2. If the applicant residing in the mobile home or conventional residence moves to another location or is deceased, the variance auto- matically expires and the mobile home shall be moved within 120 days. If the mobile home is not removed within 120 days, the County may remove said mobile home and store it at the o,-raer's expense. 3. The mobile home shall be placed on the property.without violating any of the setback requirements of the zone in which the property is located. 4. The applicant shall secure all necessary sewage disposal, electrical, plumbing and building permits necessary to install the mobile home . Very truly yours, Lyn Vanhart, Director Division of Environmental Health LE V/ j cc: Clerk of the Board Plannin;:-, Department Building D �aartr!ent �� nvi.ronnenta.l Health 1 i' 'February .1. 1978 .Mr. Sidney A. Braasch P.O. Box 247 Palermo, California 95958 Dear Mr. Braasch This is to advise you that pursuant to Section 19-19 of the Butte County. Code, the Board of Supervisors has approved a variance to Sections 19-10 and 19-12 of the Butte County Code for the placement of a mobile home on your property located at 8035 Melvina Ave., Palermo, CA.D 27-20-51 a Street Address AP# This variance was granted on January 31, 1978 and includes the following conditions: date .1) The variance is granted only, for a term of.dne`year-. At the end of one year you must apply fora new variance if.the use is to continue. 2) If the applicant residing in the mobile home or conventional.' residence moves to another location or is deceased, the vari- ance automatically expires and.the mobile home shall be removed within 30 days. If the mobile home is not removed within 30 days, the County may remove said mobile home and store it at the owner's expense. 3) The nobile*hor..e shall be placed on the property without violating :tf O� Li. S %J ck requir-intnts of tha -O:tC 1'1 YhI_t. ne U v�a.iLV is heated. 4) The applicant shall secure all necessary sewage disposal, electrical, plw-nbing and building permits necessary to install.the mobile home. Very truly yours, Howard J. Toussaint, Director Division of Environ:lental.Health cc:. Clerk of the Board Planning Department i Building Department Oroville Environmental Health a i N6 � CD Y L7 F Q �3 co m U. rn O m �i � AL Z LL m VWk LL - LU Q1 O ,'7 00 a i N6 Hichard I3c SvibnA ,,, ENVIRONMENTAL HEALTHuNll' Address ] 695 Oleander Avenue, P. 0, 8 x 1100 ❑ 7 County Center Drive- 747 Elliott Road Reply to Chico, California 95927 Oroville, California 95965'. Ra.adise, California 95959 'telephone: 916/343-4211 Xto 62 Telephoner 916/534-4'281' Telep}ron�:916/i377-085't. January 1h 9 1977 ` .Mir•. Sidney A. Braasch PoO. Box 247 Palermo$, California 9596$ ij r o Braasch. This is to advise you that pursuant to Section 19-191 of the Butte C:oul.i?,y Cb le, the -Board of Supervisors has approved a var1ance to Sections 19-1:0 allra. 1..9--12 of the Butte County Code for the. placement. of a mobile home~ on your propE.i ty. located aty P*O. Bo{ 247, Palermo. Cali Street Address AW Tris varia.nce•:u•a.s, grimed on January 11. 197°,�and i:pcludes t l.e: f-o1�a:�d.r!g. date 1) Tire variance is granted only for a tern of one year. At the.- end he:end of one year you must apply for a new variance if the use: is to continue. 2) If the Applicant residing in the mobile home or conventional residence moves to another location or is dece•a.sed.,, the vagi- arse automatically expires and the mobile home shall b -e- removed wit.hir. 30 days.. If the mobile home. is not remwi-ed wi rhi,t 311 days, the County may remove said mobile home and. store it, a:: the olYner°s expense. 3) The mobile home shall be placed on the property h'It}loti—, v%cilati�g. arty of the setback requirements of the zone in which t:he: ?�roosrt�: is located. , 4) The applicant ,hall secure all necessary se wage- disposal, el ectri.ca l , p'lliil ring and bt.,ildir pci-mits necessary to install). the- I.lob-'Ie hw3-e. . ve-ry truly you c s , '"o -ward J. Toussaint, Director Fnvl.rO t^en*..al Health CC: Clerk of the Board 11.d.i11 Drip:li trent. Orovil.l.e Br:.,i_onment l health +� _• '. 2237-78P E • HERMIT NO. ' , PERMIT EXPIRES WNER S. A. Braasch s:ONTR. oraner 27-20-51 LOCATION (A.P. ) A 8036 Melvina Ave., Palermo (SITEi) . 1 z a mr a u + a 1. ri Temp. Power Pole Called PG E Temp. Elec Serv. Called PG&E Temp. Gas Serv. Called PG&E 1 /FIALED (p (Date) (Si,gnatu i a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING i S ;back kewall SOI aping j FO ' s Pakpets 1 sNF loor M Bldg- Rest om Finish 2nd Nloor F tins Windo 3rd FIV Ste all - Siding To out Slab Roof Shea lng Water Pi in % - Piers Roofing Sewer Garage Fdn. Vents Fixtures 41 Footin s Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Prov. for physical A liances handica ed Gas Piping & Test Carport Conformance of ex. Footings V structure Temp. Gas Slab Final Sanitation Patio IRE ACE Final Footings FootingLECTRIC Masonry Walls Throat ! Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLE6q Motors q Framing Test Water Htr. Stucco Final SubDanelf Mesh MECHANICAL Grd. F ult Prot. Scrat Heat Servi e Bron Cooing kmp. Pole F Ish D is nder round In rior Lath entilatlon Permanent dolor Closer anal Final MOBILEHOME UTILITIES_ -- -------------- Elec. Service Elec. Pedestal Water Piping l Sewer /' (J Gas Piping E ME INSTALLATI 1 ...... - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping _�� DATE REMARKS OR CORRECTIONS 114 I� - / moi- _ • r' / ��i.f� (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome locatedwith equired separation from lot lines and buildings and generally conform to plot plan? Yes— 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_4.1_- 3. 0 7. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5 82 & 5083) Yes' No Is the mobilehome level. (Sec. 5088) Yes_ No_� If more than a single unit, are crossover �c Yes— No— Water A. Is' a connector of adequ Yes flexNo l Ri B. Test - Does water piping wit4s Backflow - If coach is not Sta and pressure -relief valve? Yes ions properly installed? (Sec. 5088) -1y installed (1/2" ID min.)? (Sec. 5566) ire or 50 lbs. air test? Yes__k11No— )proved, does station have backflow device Wastes and Drains V A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum '" per foot slope and is it properly supported? Yes 1/No C. Are any leaks detected in drainage system after running�allons of water through each fixture including washing machine standpipe? Yes— No If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas �upp with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? N' All.piping is to be at least as large as the mobilehome gas line inlet without r ti" s other than the mobilehome connector. Yes No B. Test OK as per following procedure? Y s No 1. Open all appliance connector valve . 2. Shut off appliance burner and pilo v v S. 3. Air test with manometer to 10"- ter column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated i tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes— No ..e 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 RI Is there proper clearances around panels? Yes_./_ Is power supply cord.or feeder assembly properly fused? Yes Nos continuity test says actory as per the following procedure? YesNo . De -energize electr c 1 wiring system of the mobilehome at the pedestal. 2. Make su a that t oJer supply cord or feeder assembly conductors, including neutral conduct r, ha,e n disconnected. 3. Switch ill eakers and switches in the mobilehome to the "on" position. 4. Uonnecton lead of a test instrument to the mobilehome grounding conductor and e other lead to each mobilehome supply conductor, including neutral. 5. current, carrying metal parts of the mobilehome (aluminum siding, gas line, ne), 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 theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length ✓ Width L Vehicle Serial No. / State Identification No. Additional Information or Comments: '�P/ DOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —� Oroville, California 95965 Telephone: 534-4541 �Q2 APPLICATION AND PERMIT M Receipt No. 'I White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant B 111 oi Date Building permit expires Date �~ G BUILDING Owner t SQ. FT. OCC. BUILDING VALUATION Mai I ing Address vL r t7 1 ` 03(hfig visec.fl T lephone No: Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address® �Z� Vb� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @rFE PERMIT FILING FEE $3.00 Each Trap 1.50 eri cation Only Repair drainage or vent piping 1.50 A. P. No. _ ' _ A ZZ Water piping 1.50 Each gas water heater or vent 1.50 F *!�_ S ation Fire pt. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 /0,,00 EQA Parking Plans P Decl ation Parcel MP 60' R/W Improvements P Each additional outlet 30 Building sewer 5.00 Q, 0 �� � Bldg. F1aFs Recd Parce roval Plan pproval Lawn sprinkler system 2.00 NEW ❑ ADDIT ON ❑ UTILITIES B*' OTHER ❑ permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 , 61D Main service 100V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ 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 CONS. DWELING OOR ADDNST ( ACCLBLDGS.CCUP. I 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: NEW CONSTRES'., MULTI-OUTL T NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 5 L25 Ex. Occu / FIXED APPLNS. OR P•\OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S D License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ e93.co $ OC MECHANICAL No. @ F_EE 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. 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 Date — Signature o P rmitee or Agent PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $djs cc TOTAL PERMIT FEE $ 6C 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. DI ECT R OF PUBLIC WORKS Receipt No. 'I White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant B 111 oi Date Building permit expires Date �~ G NOTE:—All Vei+v-iols & Workmanship Shall Be in Accnrdr,,-P w*f'� Pr-.r.fices and of a quolrbi S-e�:*f;edl use in the Uniform Bui'lj;nq, P: --n: ,inn Mechanical Codes and fhe National Electrical Code. inis set of Plans and specifications 51 be .(ept on the joLt ut all times a'rvcl-rs unlawful to make any chanl�es or a!terations cin same wiihoui written ptrmisST n from the Department of Public Works, County!'of Butte. 1\ D ! The Soi- aack s * I ...... . line �.e -, c z V V; e J1 k; 0 G rnurn. of a 2 e::2ve VT oil ea. men ft. from -the ,j 50 ft. from the PP71,41.1-ting a moxi- verhanq but entirely. 1z N11 All utility c nnec�-tions shall be located wittin 4 ft." P utside the rear third section of the mobile home on the left'(road) si4e of the'mobile V h Septic system and loca io4 dwaxowt to be as per I Butte County Health Dept. Re- I quirements. A h-mifwill be reg-Vir d[for the 113 7-7 .BUTTE COUNTY BUILDING DEPARTMENI APPROVED COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive- --Oroville, California 95965 Telephone:,534-4541 v (( APPLICATION AND PERMIT Signature of Plermitee or Agent _ Date Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date BUILDING OwnerC � 1¢ SQ. FT. OCC. BUILDING VALUATION Mailing Address ` (�l Q � D� �Z�1✓r,a- L��o Telephone No. S 3-� . Contractor 41 Mailing Address 0 Lg.cuA,.tA S FireplaceTotal Valuation Telephone No. Permit Fee Building Address o3 60 �� Z, Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 8 Repair drainage or vent piping 1.50 A. P. No. aQ -� lZ oning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improv ents Each additional outlet .30 Building sewer 5.00 BI Rec'd Par roval CFr.ns Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 �/ Single Family Duplex ❑ Mobil Home IBJ Others ❑ Main service EA. AOD•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 DWELLING OR ADDNS. ACC. SLDGS.CCUP. Q) 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 st Y le of: WCOCONSTR BRANCH CIR T NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR.POWER APPARATUS e NON-RESID, ISINGLE OUTLET CIR, Ex. OcCUD(OUTLETS OR FIXTIIPES BAL@1 FIXED APPLNS, OR Ex. QCCU p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 E!ram exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 above-mentioned property for inspection purposes. X Date 3� L $ C), ax TOTAL PERMIT FEE $ Q( This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abo r which fes have been paid. R 0 PUBLIC WORKS Signature of Plermitee or Agent _ Date Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date `_`� • . Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT: 82.-27017 FOR RESIDENTIAL DEVELOPMENT �L •r•- CCalii1 � + Section 26-8a of the Butte County Code requires this acknowledgement0''��gS be recorded prior to issuance of a building permit. Q 9 15I 141, . The property described herein is adjacent to land or included OtT within an area zoned for agricultural•purposes, and residents ofR EUEANOR this property may be subject to inconveniences or discomfort arising CLERK-RECOROcR F E from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise; and odor. Butte County has established.agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 586 - s +6 3 - Date: September 1, 1982 PROPERTY OWNERS: State of Calif6rnia ) On this the ist day of GPP,-PmhPr , 1982. SS. before me, the undersigned Notary Public, personally County of Butte ) appeared Dorothy Braasch ca coy known to me to be the person(s) whose name(s)is. CNOTARY FFIC7COUNTY� subscribed to the within instrument and acknowledged • that she executed the'same for the purposes CRON PUBtherein contained.BUTrIN WITNESS WHEREOF, I hereunto set my hand and official Tmm. eseal. Notary Public Present A.P. NO. a �/ END OF DOCUMENT �.