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HomeMy WebLinkAbout027-330-006• 2)d .. BODINE, Dennis 151'Dack Way, Orovi le i Cont:.Harol-Ba1az Co. t /Q I } ' (utilities/mh) ELEA�P GAS' COMPACTION-TEST RE o SUPPORT ,STRUCT",REQ 27-33-06 SZ4-91MHI DENNIS BODINE 151 Dack Way Oroville- (MHI/651-9 I ' 027-330-006 93-281MHI, + BODINE;� .'Dennis &:. Lynee i d 151 Dack Way,-`Oroville (mhil/existing site) � r.a eat) ee i a j I� i i j i --------------- 711 --- lip RESIDENTIAL 027-330-006 BODINE,.Dennis and Lynee 151 Dack Way, Oroville Contr: Feather River Homes (MHI/existing site) { Address._ J ? GAS Meter ey-4 ELECTRIC Meter By,I JOB FINALED (Date) . Signature OFFICE COPY Dat Date 93-281MHI J=OK O=Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MO LE HOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks Easements ootings; Size -Spacing -Marriage Line as; MH Test-Demand-Valve—Connector Electricity; MH Test -Crossovers -Breakers -Clearances e/Drain; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector 'Water and Sewer Connected -C/O to Grade -HD Approval $. G and Electricity Tagged li!vxits; Insp.-Sketch 0. Cert. of Occupancy J / Date 7_ t /� Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS ,. Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -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-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2..Soils;.Compaction-Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Rirady RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except tt's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 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 4's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------------ --------------------------- 17. Water Pipe: Test & Anchor -Nail Protection --------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ----------------------- ------------------- 19. Shower Pan: Test, First Floor -Tub Access -------------------------------------------- 20.--Test--Tub & Shower. Second Floor -Tub Access ---------------------- - 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection --------------- ---------- ---- ---------- ----------- ------------------ -- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- ----------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -------------------------------------------------------------------- _---------- 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w!Mech. Fasiners-Bond Gas & Water --------- ----------------------------------------------------------------- _ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -- - ------------------------------------------------------------ 28. Subfeed Wire Size ga. Cu or At-A.C. Wire Size ! 1 ga. Cu or Al ------ ------------ ---------------- ----------------------------- 29. Range Circ ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect ----------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light -------------------------------------------------------- - - 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except la's 34. A.C. Ducts Insulation & Support -------- -------------------------------------------------- 35. Vent Fan.Exhaust above insulation -------- --- -- - ----------------------------------------------- 36. ----------------- ---- - -- - -- -- ----- --- 36. Condensate Drain & Overflow: Size & Grade ------------------------------------------------------------------- - - ---- -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------- ---------------------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ------------------------- -------------- -------------------------- --------- Date Card -B-1 Date Card -B-1-., ----------------- -------- ---------- ----- ----- -------------------- ----------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except k's 39. Sils. Proper Material & Anchors --------------- ---------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --- ------------------------------------------------------ 41. Bearing Walls over Girders & Floor Nailing ------------------- --------------------------- ------------ 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub - ------------------------ 44. Headers & Beam -Size & Bearing >ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. J-Dist-Rflr. ties- Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions __ -50. Garage Fire Protection Framing Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Head room -Rise-Run- Land in Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer __________ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear WalIs:-Nailing- Bolts 59.- Insulation -Walls -Ceilings ------------------------- 60. Infiltration -Walls -Windows --------------------------- Date ___Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61.- Ext. Steps -Door & Sidelight Protection -Landings ---------------------- --- - 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection --------- --------------- 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------- -------------------- __________ 67. Stairs & Rails 68. Fireplace or Stove: CIearance_s-Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. ---------------------------------------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance --------------------------------- - - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer --------------------------------- --- - 73. A.C. Duct in Garage -Damper ------- --------------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection --------------------------------------- 75. Plb__Elec & Mech. Equip. Listed for Location -------------76.-Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --------------------- - 7;. Insulation -Foam -Looked in Attic ❑ Yes -------------- - - --------- - - Guard Rails & Deck Construction -Post Caps - ------- ------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No -------------------------- - 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing ------ --- ----------------------------- ------ 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ------------------------- 85. 85. Exterior Elec. Trim: G F.I Receptacle -Underground 86. Ventilation Throughout House - - - -- - ----------- ------------------------ 87. Glass Protection 88. Corrections from Previous Inspections - - - - - - --------------- ----------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ---- ----- -------------------- - ------ ------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval ................. --- ------------------------------- 91. Energy Compliance Certificate -Other Certificates ------------------------------ --- --- Date Card -B-1 Date Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 n PERMITiN�O. Address or location of mobilehome l �,oC l ake tt Owner's name T Owner's address _ Insignia or hud numberg< 7 7;Z h Manufacturer's name Serial number of V.I.N� I7J�i Year of manufacture rovina&is*1nation) (D IF THi, MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBiLEHVAE IS INSTALLED ON A FOUNDATION SYSTEM. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 027-330-006 ZONING A-5 BUILDING PERMIT OWNER ee Bodine TELEPHONEDennl SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AWN igs 151 DMAa Oroville 95966 CONTRACTOR'S NAME TELEPHONE Fppther River Homes CONTRACTOR'S MAILING ADDRESS Yuba City Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Nonp Permit Fee $ ARCHITECT OR ENGINEER Nonp LICENSE NO. Plan Checking Fee $20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. J SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome® Other Building sewer 15.00 Mobile Home S I G I W =1 @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationEX Other ❑ Permit Fee $ Describe work: Existing Site Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Main service 200A TO 1000A) NEW CONST. gd\ OR ACDNS. ACC. BLDGS. NEW CONSTR. U LOUT LET NON •RESID BRANCH CIRC ITS POWER APPARATUS 6 (SINGLE OUTLET CIR. i Ex. Occup(OUTLETS OR FIXTURES .37.50 3.64sq.ft. @ 5.00 20 @ 76 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Ex. Occup. OUTLETS (RESID )REA.1 Temporary service Mobile Home Facilities Misc. Wiring 3.00 15.00 15.00 -15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. MECHANICAL PERMIT Heating FiIIng Fee 15.00 ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling I shall not employ any person in any manner so as to become subject IN 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. Hood Ventilation Permit Fee Contractor 6.50 $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iia Ilities, judgments, costs, and expenses which may in any way accrue agaPY said County in c nseqnce of the granting of thi permit. ; I X _ Date Mobile Home Installation Fee $ 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 105.00 HAz 1 OFEES IMP FL00 COF PARCE PD MD ISS _ r This permit is hereby issued under the applicable provi Signature of Applicant — Owner[] Contractor ❑ Agent ❑ An OSHApermit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. sions of the Butte County Code and/or resolutions to do worab a for which fees have been paid. E OR OF PUBLIC WORKS BAr 135198 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT MIT EXPIRES Date Date Z— 2. u,,,,•.-r*--�"`ti .1"`"ti"y['v--r�'^:.a^'� J" -,,, .+ o..-�"'t v-�.r...�All,w.r-r6rh':.'f r►+-`"�V, 1, •FCOUNTYOF BUTTE - DEPARTMENT OF-DEALOPM ENT SERVICES -BUILDING DIVISION , 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERM ITrAPPLICATION DATA SHEET F ��11•.��11 OWNER kol i ni le A. P. No. vd �- Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). . . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .. 10. Fees of $ 1 / ; ... i �4 11. Impact fees as-showwonratt�hed-se alt le Cltool.. �1S`�1't '�02 a 12. California Department of Forestry plan approval/fees. �je.r.;. ..� � '... . 13. Flood elevation letter (100 year floodp by CaII*fpprnia Engineer . ................ . 14. Sanitation and plot plan approval MuA /[PJiealth Department. .......... 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. .17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development,about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...P�As�ectlo; request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner �............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................................... . 33. 34. When you issue the per it, p o ess as follows: Mail to wrier. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation J �,, L ` �� Acreage Applicant �'� Date ►� �-O Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Count b _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Wori(s COUNTY OF BUTTE-,DEPART,MENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916;'538-7541 APPLICATION AND PERMIT PERMIT NO. ASS E51 P=RCEL NUMBERO� ZONING I BUILDING PERMIT ow R— YIN t � 0-- XYJ C�. � f V TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'SMAILI ADD ESS , CON^TR AC TOR' ME r- fi r U P. TE PHONE CONTRACTOR'S MAILING ADDRESS Fireplace C STRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $. 15.00 Permit Fee $ ARC ITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ . BUILDING ADD 5 Q c rc Permit fee .$ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00' Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeo Other - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home - - S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation J ' Other ❑ Describe work: �. f ✓f z Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A) 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OC CUP.&\ OR ADDNS. (ACC. BLOGS. // 3.6Q sq.ft. NEW CON5TR NON-RULTI.OUTLET ESID BRANCH CIRC ITS @ S.00 POWER APPARATUS d (SINGLE OUTLET CIS. Ex. OCCUp(OUTLETS OR FIXTURES\\ 20 76d RAL 14 Ex. Occup. ou LETS (PRESIO )REA.7 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also 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 in consequence of the granting of this permit. X Date Signature of Applicant — Owner[] Contractor ❑ Agent ❑ An OSHApermit Is required for excavations over 5'0" deep and demolition or construct• ion of structures over 3 stories in height. Mobile Home Installation Fee S ©.00 ' Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 1O, HAz DVIMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 1:8,5-R', WHITE-D.P.W.. YELLOW-AS$ESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT TO; Building, Departilictit FROM: EnV I tot! nie-fita 1 Health 8u8JECT;o Sanitation Clearance sthrisvd, Pk Sj0C, Owner Location Plan Approved for: Sewage.Disposal -Y Water Supply: Public Clearance for �— bedroom mobile home. Othcr Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 I-. 11. 1 is I: V1,jor Hali AtUichal AP# Private Well -)0 Date r APPRO" /ED Butte County Environmental Health ------------ Da e ----- --------------- Signature y CIA .^, ..F `f iGi MD .t' 1 iii `� Ylt i 9f1ifK. t.3�f.e 3[ i 2ICARAR« Vii.' �;` Y: �c .rte F: fit,. • ''^S E' P.'• --- - .��-- mr.. �_�/Jl" i" .. UF, fv i7i:-/ �:p it'1' t _:i;r ��• ed i lip t- :- .:.✓szj ViEC F,sfi9.^.:`Sl!L. S? mumTrt i!?I 'iI1 7�3fii 2(E>"Ji2f" a.T.? =— A riri T b91E psi ar.'j l! rk:`e' fsY'1�Zi .`L3 i:Jii^ ! (F`,my i;s-.. •, �':- J lilt alit{7'3`#�, �� ) � APP2OVED county. nt [nvironmen C-3� Dot Signature BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District We yj fa v^ A.P. Number Qc^�° �Q Jurisdiction 0 Property Owner Ide h 11 i s 4— Property Location/Address Subdivison Residential Development Commercial/Industrial PJO No. of Living HI Units New Building Department No. County t7 d No. 0;. Sq. Footage G Addition (Gr up R) e 1a ee men*f o S Foota e q• 9 Addition „(Floor Plans reviewed by School District Personnel) (Including Exterior Roofed Areas) PA�m Date District Identification No. School District certifies that (App 'cant) /S f A)az)( (Street Address) " (Phone Number) (City) K' (State) (Zip Code) has complied with the requirements of ResolutiomNo. 7 -%1 - I y by payment of $ representing �� o square feet. .yY 'tti r y School bistrict Representative Date r Paid by Check Number Bank Number Paid by Cash 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 (CEQA), 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) feeformmkl (4/92) 1 � a BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS_ 7 County Center Dr-ive, Orovihle CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 6-31:p -. 0 9 �r 1. Owner's Name: IJ e/U/d//� a/fit •- 2. Installer's Name:. AggAerr(/ C r 3. Is the site currently under permit?Yes t. %J. No (If yes, furnish permit number ) OR Is the site an existing site? Yes No F (If yes, furnish two.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 Fit (If no, clarify. 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- 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 L -j No For - (If yes, identify the load and size: (Load) (Amps) -9. What is the mobilehome site gasTp_ipe size? -,------------ G% (in.) _.. ._. ? ------------------- 10. What is the type of ,gas serviceNatural LPG 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 tha fes. o ' BI N natural gas or less than 50 ft. on LPG.) TY NEXT PAGE MUST BE COMPLETED TO PROCESS PERMI4% IGATQ1,�,� ��: MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome'Mfr. furnish' Setup Model No. 5UA4101d,., vo Year 1. width* (ft.) Box Length�­t.­ 'Tagalong or Expando Size ft.'x ft. (f ) - .on all mobilehomes manufac . tured . after October 7,103, furnish 'manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte).* F . OUTINGS (check one) 1:1 1. Wood -pressure treate r foundation grade. 2. other (specify). SUPPORTS (check one) 1. Concrete block. F other (specify) Pier Footing Sizes and Locations ..SINGLE -WIDE MULTI-WID TAnp 1 Line Line 2 Line Main Beams > liL.—,2 Lt. -4 Line Line Main Beams Line + Tag or Triple Line 4. Line. 1 Line 1 Piers:, Line I Openings: Size -Min. --- -------- Size -Min------ ------------ Spacing-Max.='::M ------ Each' Side- bf Openings From Ends -Max. ------- With Width Over--------- �+ Line ver--------- Line 2 Piers:??Line 3 Piers* (Under Bearing Wall Only) Size -Min- --------Size-Min.------------------ -Max - ------ 7_Spacing-Max ----------------- Spacing From Ends -Max.------- From Ends -Max.------------- '_ Line nds-Max-------------- Line 3 Roof Loads: Size -Min. -- ------ ,9 �x. -x 36--30n %NAQII "I IIx III 1IX "x 0 J, Location (From Frnt) 1. EQ -a.- _9! _±L� I Line 4 Piers.: Line 5..Piers: . .(Under.'.Bearing Walls .Only Size-Min.---- Size -Min.------------------ ,x Spacing-Max ize-Min------------------- Spacing-Max ---------- Spacing -Max ----------------- From Ends -Max.------- From Ends -Max.------------- "� Line nds-Max-------------- Line 5 Roof Loads: Size -Min ------------- .,x ..x'A 1Ix 11 1 It I. IIX I. Location (From Front) I- 'T 8'-0" MAX PIER V-0- MAX - - — SPACING (TEP) - - - - - -AME AS6tMA - - - - - - — - - 1'-0" X SEE NOT£ 1 AX[E QUANTITY CITY M MAY VARY PIER T PIE REQUIRED PIER CAPACITY AT EACH END OF HCHE EQUALS M TOTAL DISTANCE, III FEET, 10 THE NEXT RIDGE BEAM POET MULTIPLIED BY 165! PER LDEAR FOOT. RE)DUIRED PIER CAPACITY AT INTERIOR RIDGE BEAM POST EQUALS THE DIS':AV= BMNa N EACIi POST ON FMTI SIDE, IN FEr, , WZIPLIiv BY 165 1 PER LlNzAR FOOT. £; SEE NOTE.2 NOT TYPICAL PIER F0UNDA7`ICN SUPPORT LNLCFR 1. Foundation supportsane required hider each main rail @ 8'-0" o.c. mixirmrn and shall be within 1'-0" from front and MAIN RALLS. SEF CAPACITY REQUIF g2t15 rear of taut. Additional supports are required under the mating line rim joists at each end and raider each ridge beam IN TABLE BIIad. interior spp0rt pont. 2. Perimeter piers mss : be placed warder the floor at the following locations (as applicable): 2e. Below sidewall at tiedoan strap labeled Cr2 n). Below jarrb stu of sidewoll door openings over 413" wide. b). Below misoruy aced fireplace when located in overhang portion of floor. c). 'Below each pof h post on recessed sidewalis when post spacing exceeds 42" d) . Perimeter pier ;aad capacities shall not be less than �Qaof�trayi.� 1.) 15001 For r•'rs (order arrb studs and 3. 3150E for piers under sidewall at labeled F.) j porch post up to 72" apart and for fireplaces. G-2 strap 2.) 22001 for v rs rrrrder porchPosts bettieerr 73" and 120" ariart.Q 1341I PIER LOW AtJ-CW rBLE ?M413`1 ALllJ�BLE MR41KJ 9 ALLO ABLE MINI?1IM ALLOWABLE, MDLIMPT ))l9)� j / 24' KIDS CAPACITY ;SOIL BEARING FOOTING SOLL BEARING EDUCING SOIL BEARING FOOTING SOIL HEARING E00IIING • i / IN P0UNDS VALUE PSF SIZE r VAIIJE PSE SIZE VALUE PSF SIZE VALUE PSF SIZE e 4 C €� 3750 1000 24"x24" 1500 - 24"x16" 2000 - 24"x12'• 3000 - 12"x16"OIC�(r(�« AR 14 1991 " - "x2 500 - 2 "x16" 2000 - 24"x12" - 3000 12"x16_ ». 18" EmS MAX: 4175 1000` 24"x26" '.:X-1500_,sa,'- 24"xlB" 2000 - 24"x14" 1-' 30001e' 12"x18" lio„ :^fl rte'. :r' .al... +� ,Ty� �♦ b . r!'Tr S r•nann PROPRIETARY AND CONFIDENTIAL - TRLE i'y.�ri ; �s SMT. 1. Piers can be concrete blocks sltinmed with wedges or an adjustable metal or - �...�.�^ BASEMENT FRAME r eonccete assembly. _ "`^`— _” T" PIERING PLAR-20-PSF FmF uvo OF 2.. Footings can be concrete. foLrdation grade or pressure treated min. 2 x 12 '?AJAR y I� 1991 Ll_ C 1 Mn � ^�^ 21' KIDE SECIRCN L lumber. t 3. If soil bearing values am not available use the 1000 PST colum for min. FLEETWOOD CALC: CALC: CALC: DRAWN BY NQ REV. footing sizes. �. 0022oµ5 002205 `i 4. Additionalma infortion and on piers afo zings mj TL be ford in the ITtcI-,ri- tZ ENTERPRISES STrf 72-18-0005 D CALC: CALC: CALC: DATE cal Installation Manual. INC -15 -4 &M BOG P-� ., USA AI DOUBLE WIDE PIERING WORKSHEET MODEL: //D — Z k qLAZ —a2-0— PSF ROOF LOAD PLANT# SEE PERIMETER PIERING SEE NOTE REQUIREMENTS TABLE SEE MATING LINE PIERING TABLE FRONT OF SEE PERIMETER UNIT PIERING REQUIREMENTS TABLE NOTE: SEE PIERING PLAN AND PIER LOAD CAPACITY DRAWINGS FOR REQUIREMENTS OF MAIN RAIL SUPPORT CAPACITY AND FOOTING SIZE. , MATING LINE PIERING TABLE' RIDGE BEAM INITIAL POST 1ST INTERIOR 2ND INTERIOR 3RD INTERIOR 4TH INTERIOR 5TH INTERIOR REAR WALL POST LOCATIONS AT FRONT POST POST POST POST POST POST PIER LOAD CAPACITY Ik LBS. o23 y3 �i8 8 `j // 2 D MINIMUM ONE PIECE FOOTING SIZE X /6i� X X3.5/" yX � 3 /g MINIMUFO WITH 6'X 116 PIADS -bo bLE Q�'�a Q� a.bLG7 NOTE: Footing. sizes based on 1000PSF soil bearing value. If soil conditions differ see the Pier Load Capaaty drawing or the Home Technical Installation Manual for method of calculation. PERIMETER PIERING REQUIREMENTS TABLE PIERS REQUIRED DOORSIDE WALL* ROADSIDE WALL* JAMB STUDS AT DOOR OPENINGS AND AND OVER 48' MASONRY FACED FIREPLACES IN OVERHANG OF FLOOR PORCH POSTS AT RE. CESSED S/WALL WHEN POSTS EXCEED 42' HEAVY APPLIANCES IN OVERHANG OF FLOOR *DIMENSIONS ARE FROM FRONT OF UNIT. X•S•129 1/66 } RESIDENTIAL - •27-33-06 651-91P,E BODINE, Dennis 151 Dack Way, Oroville t1 Cont: Harol Balaz Const (utilities/mh) i 1� 7167 3 pddress G As Meter BY ELECTROC Meter 6Y _JOB FINALED (Dat Signature -9 i J=OK O =. Not OK = Not Ready be MOBILE HOMES Date MOBIkE HOME UTILITIES Plans OK except #'s 1. Zor lip1gr Requirements -Setbacks -Easements Soils; Special MH Support Sketch ewer; Location -Test -Fall -C/O Concrete 4. ter; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grn - p -Concrete VIV Gas; Location-lbet=CN��raps. /"L"ft. �i /"Nat. o�'L" ft./f4f'LPG 7. Utility Clearance MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card 3-1 Date MOBIL OME INSTALLATION Plans OK except #'s o Requirements -Setbacks Easements ae-foongs; Size -Spacing -Marriage Line 3. s; MH Test-Demand-Valve—Connector lec i i ;-MH Test -Crossovers -Breakers -Clearances H Test -Fall -Flex Connector Water; MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval as and Electricity Tagged its; Insp.-Sketch Cert. of Occupancy Date Card B-1 Date Card B-1 DatC — q Card B-1 Date Card B-1 Date R —�L Card B-1 Date Card B-1 i, MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sits-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. --Setbacks- Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval f 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK ' - = Not Applicable ' RESIDENTIAL (Single & Duplex) =Not Ready - Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58, -Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - 20. Test Tub & Shower, Second Floor -Tub Access In Garage; Above Floor-Ducts-Mech. Protection 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B71 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. In Garage; Above Floor-Mech. Protection Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection Insulated Neutral ❑ Yes ❑ No 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth 32. Clothes Closet Light -Shower Light -Spa Light Clearance Looked under Floor ❑ Yes 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card 8-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 ( PERMIT N0. Address or location of mobilehome ` / i Owner's name 1 /�� /l/ /l/ c +o x/%11 Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. C-) (12 Year of manufacture pro virig lnstallation) (Dot 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. - `�%' , �. ra-.. F`*"-:,� �tT .`�.'-,>'�7 ��'�'r 'ib��.},,,%'1y',,,��Y...t.:�--.z=..,ynK+-.e+}-•f.�tc;;F,n�--^-w::�r�-�,�++" F f COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 f CORRECTION NOTICE i OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additi al planation, please contact this office immediately. i r Tn Date 3-51 Inspector f= -- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ' 7 County Center Drive - Or.ville, California 959E5 - Telephone: 916/538-7541 -7 L/ / APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 27-33-06 ZONING -5 BUILDING PERMIT OWNER Dennis Bodine TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 151 Dack Wa Oroville 95966 CONTRACTOR'S NAM Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS I Fireplace CONSTRUCTION LENDER UNKNOWN Owner LENDER'S MAILING ADDRESS Total Valuation $ Filing Fee Permit Fee $ 10.00 $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $ 15.00 $ $ BUILDING ADDRESS Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomen Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W O.00ea TYPE OF WORK r�tY New ❑ Addition [:1Remode1 [:1Uti lities ❑ Installlation&X Other ❑ Describe work: new MHI installation J Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 610V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p f y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.m) OR ADDNS. ACC. SLOGS. , /20sgft NEWCONSTR. ULTI.OUTLET NON .RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 20 0 SALO 30 FIXED Ex. OCCUp. -OUT LETS P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. rZrI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I' 'lilies, judgments, costs, and expenses which may in any way accrue a Inst slid County in consequence of the granting of this permit. —/ %� Date Signature of Applicant — Owner 9 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 $ 45.00 Energy Inspection Fee $ ' occ CONST TYPE TOTAL F E $ - 70.00 HAi. can PARK SCHL FL co PP Po I H ISSUE. This permit is hereby issued unoer the sions of the Butte County. Code and/or work indicated above for which fees � E ORO-PULIC 3y ate 7 HERMIT EXPIRES / .-- �" applicable provi- resolutions to do have been paid. WORKS p Date �&7 eceipt No. 88261-70.00 F MIrC-D. r. W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDEN Ra D -APPLICANT -r.�.• , e 1Cl:,�ivu�r .Zl'Y*+('*�l`'b"" rJ�' ""rT rear �yFlr9�r x_ A „ � � COUNTY OF BUTTE - DEPAVME`@ OF PUEmjc ORKS -BUILDING DIVISION , 7 COUNTY CENTER DRIVE - OROVILL'E, C'A'LIFORNIA 95t965- TELEPHONE: 916/538-7541 •. PERMIT APKIC TION DATA SHEET M l X Permit No. OWNER �e/U�o�tAJ e— A. P. No. 2-7-33-06 Proposed Building Use V Building Inspector Co Date / 4. At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC.,Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) O 9. Mobilehome installation data including manufacturer's installation _ „^ instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 2. Park feespaid 13. 6/Z — 6455' School District fees paid .............. t) .14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style,. Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter.of signature authorization .................................. . �S/% 4/l i /£Gil laIg / 27. When y issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other j, j Applicant Date Copy of Haz- Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitt prior to pe a e: !&new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owne was advised of above required data by_phone_lnail �ounter by -N.61 --date 4a261 Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by k.) —Date ALZ Plans approved by *AJ Date 11,2117 Sets of plans on hold in File cabinet AP folder y 7-ql Wo Copy DPW 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.' 11. I personally plan to'provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 41M -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: 'Name Address Phone Type -of Work Signed: Property Owner_ ��Lue2IA_ Social Sec ry Number Date / NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must .be completed -and returned to our office before we are per- mitted to issue the permit. i BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form,per Building) A.P. Number �� Building Department No. School District 0City D County Jurisdiction Property Owner QeA1W.S geQ�iN� .fi t+ Project Location/Address !S� ��(' (/lJ(/ o v. CA) g596,6 Subdivision Lot Number Residential Development: rr Sq. *Footage' 1 O'! a o #"�Of'Living' MHI Addition (Group R) Units Commercial/Industrial: r a Sq.. Footage 1 New, Addition (Including°Exterior Roofed Areas) - .r Building Department Representative D e (Floor Plans reviewed by School District Personnels) . ,., `, • ,fit `� District Id No. � School District certifies that ( Applicant Na./m-e,) ( Phone Number) t ( Street nAddre'ss ) (-City) (State) (Zip Code) has complied with the requirements of Resolution No. F'5,-9/0-06 z,'by the paym nt of $ ��,�7 representing &0 square feet. chool DistrliAX, Representative Date PAID BY CHECK NO. / BANK NO REMARKS: PAID BY CASH / o0 white -applicant., yellow -building department, pink-school'di'strict SCHOOL.FEE (8/88) t AV '. COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS PERMIT NO. 7 County Center Drive - OroVllle, California 95985 L Telephone: 918/538.7541 APPLICATION AND PERMIT Assess f2 J) :.UMBER �3 w 06 Z "'"9�s BUILDING PERMIT wNeR TffrffFrHONa SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRES. /4 �16 Ci CONTRACTOR'S NAM TELEPHONE CONT ACTOR'S MAILING ADDRESS , Fireplace CONSTRUCTION �1DER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING`/ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15,06 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ' DACA� 20 Permit fee $ Fili PLUMBING PERMITn9 Fee 10.00 s Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex[] Mobilehomelk Other Building sewer 5.00 SPECIFY Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition Remodel[] Utilitieg❑ Installation- ❑ Permit Fee $ 1Other JV6 /M 0 � #A)STA�I1 VO/J Contractor Describe work: ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000VAMR OROR LE SLESS 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST'( DWELLING OccuP.aq OR ADDNS. ACC. BLDGS. yzQsgft I declare under penalty of perjury (check one): NEW CONSTR UL.TI.OUH ET 2.50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business CTL NON-RESID BRANCIRCITS /POWER APPARATUS 6 (POWER ) and Professions Code and my license is in full force and effect. OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES zo®s0e ?AL@30 License No. Classification. ❑ 1, as the owner, Or my employees with wages as their sole compen- FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID.) EA.) 2.00 sation, will do the work,and the structure Is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 10.00 I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Heating --[D—f- 1_have-ptaced on-file`-with-the-Countyof Butte-Butfding Department` ❑ a Certificate of Workmen's Compensation Insurance or a Certificate Cooling of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 ._..._to the W -C. laws -of California.._..._ Ventilation -- j Notice to Applicant: If after making this statement, should you -become subject Permit Fee $ f to. the W. C. provisions of the Labor Code,.you must forthwith comply with such provisions or this permit shall be deemed.. revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ , Energy Inspection Fee --- $ = is correct. 1 agree to comply to all County. Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE 0"'"�� TOTAL FEE $ I also agree to save, indemnify and keep harmless the County of Butte against HAz. CUA PARK SCHL FLO COF PAR PD 1 HD. ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue I I J J against said County in consequence of the granting of this permit. This permit is hereby issued unaer the applicable provi- X Date sions of the Butte County. Code and/or resolutions to do Signature of Applicant — Owner El Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories k height. ' By Date t�v Receipt No. WNITE-D.P.W.. YELLOW-A38C3 R. PINK -INSPECTOR. coLDCNROO-APPLICANT PERMIT EXPIRES Date * COUNTY OF BUTTE - DEPARTMENT OF- PUBLIC WORKS„PERMIT NO. 7 County Center Drive - Oroville.:Galitormla *965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARC_.E- NUMBER 27-33-06 ZONING A5 BUILDING PERMIT OWNER ,- Dennis Bodine TELEPHONE SO. FT. OCC. BUILDING VALN6WXON OWNER'S MAILING ADDRESS 151 Dack Way, Oroville 95966 CONTRA C TOR'S NAME Harold Balaz Construction TELEPHO 584—NO CONTRACTOR'S MAILING ADDRESS 3070 Louis Ave, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,QQ LENDER'S MAILING. ADDRESS Permit Fee $ ARCHITECT OR ENJINEER _T ICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 151 Dack Way, Oroville Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 6 SUBDIVISION NAME Oro Hill s Sub PARCEL MAP 100-1-7 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomoa Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S v 10-00 ea' 30.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities Installation❑ Other ❑ Describe work: MHU _ Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6,0000100'AMPR OR LOESLS.ESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. + �j License No. �/ 44 � Classification. � ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP..2 OR ADDNS. ACC. BLDGS. , /22sq ft NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRCUITS) 2.SOea POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occu ( p1 OUTLETS OR FIXTURES 1.20 zALO30 00030 EX. Occup. OUTLETS (RESID )FIXED APPLNS. REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring g 15.00 Permit Fee $ 37.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. OKI shall not employ any person in any manner so as to become subject I, the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 again said County in c sequence of the granting of this permit. X —� _L___ Date 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 $ Energy Inspection Fee $ occ I. CONST TYPE TOTAL F E $ 9 .5 HA CUA PARK � scH FLD co PA PD Ho I sue. This permit is hereby issued unser the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated a ove for which fees have been paid. /DIR CTrPUBLIC WORKS (// B �', UDate PERMIT EXPIREV Date _!�_J7 Receipt No. 83716 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT AP �r e` � � � `� �C/•y ` � OWNER PERMIT' M!-1 UT IL .CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Req. service Other Pipe YES 'NO YES NO ize Load Type Size Len th ' �y !!f � 4 y � t- Ir q.. �yj,,y�4 '- • M�-'y�"Vt � 4 �.1��-�Y? ♦ , .�Y�-t�rw•(�-.{y�i r l/ CO_ U. TY OF BUTTE - 15EPARTI1 ESI F Pd,BL1:E %O, Il S -BUILDING DIVISION til/ 7 COUNTY CENTER DRIVE - OROVILLE4:CPALIFORNIA 95965 - TELEPHONE: 916/538-7541 t} - �PERMIT APPLICATION, DATA SHEET 1 Permit No. OWNER i/Y/�`//11f/� i� /C�— A. No. — Proposed Building Use s/% (� Building Inspector Date 3 7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and caics, with wet signature on plans .. 5. Hazardous Material Form ..................... .................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ...................................................... 4 School D' trict fees paid .............. 4 Sanitation approval from Health Department — 5. City Of Chico plumbing permit ....................:............... . 16. Plot plan and business license approval from City of (see City, for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 1 Improvements may be required. Contact Land Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. . . Recorded copy of Agricultural Acknowledgment Statement 9i /2U Letter of signature authorization ................................... . 26. 27. When yo sue the permit, process as follows: Mail to n Mail to contractor. Telephone �� and hold for pickup at fice. Deliver w/inspector. Other , Applicant Date 5- -7-- J ( Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date rBy The following data must be submitted pr 1. Index permit for above items No. _ 2. Additional items required: it issuance: (Circle new item not checked above). �! T Contractor, designer, owner, was advised of above required data by phone_mail—counter by bvj .date A Phl Contractor, designer, owner, was advised of above required data by_phone_m/a�lll�counter by date Plans checked by Date Plans approved by(J�l/ Date— Copy—DPW Sets of plans on hold in File cabinet V AP folder TO Buildinv Department 4, FROM: Environmental-Health SUBJECT: Sanitation Clearance e 1 1 �r �,rl 7 - �3.3',� c � � ,Q APS /f Omer � Location Plan Approved for: Sewaqe Disposal X Water Supply lje ll Hold final for: Water Supply 7inal clearance O.R. for: Water Supply Clearance for bedroom mobil other NOTE Sanitarian Date '. COUNTY OF BUTTE - GE,PAR•TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. Lr ASSESS PARCEL NUMBER— ZONG J BUILDING PERMIT OWNF-pr TWPHON� S0. FT. OCC. BUILDING VALUATION I!r/C1�1L�1�� YL�JNVIC�}-+ L)�� (/AACT CO T R'S NAME i TE PHONE CONTRACTOR'S MAILING ADDRESS (/ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ LENDER'S MAILING. AODRESS Per -ii: Fze $ ARCHITECT OR L -N :INEER Llc,SI- NO. Plan Che Lriing Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 S Each Trap 2.00 Solar or heat pump water heater 20.00 LOT O. SUBDIVISION /VNAME L' t Gjl� PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 STRUCTURE SF ❑ Duplex❑ MobOther WSPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 10.00ea TYPE OF WORK{ New ❑ Addition Remodel[L] Utilitie J Installation❑ .Other ❑ Describe work: �/ ' \ Permit Fee $ D Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 � /I;,JO Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.U) OR AODNS. ( ACC. BLDGS. / , /20sgft NE.W..CONSTR ULTI.OVTLET NONRESID BRANCH CIRC ITS .2.50 ea, POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 200306 6ALC30 FIXED APLNS Ex. Occup. OUTLETSP(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 j9Q Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 in consequence of the granting of this permit. 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ,iqZ CUA PARK SGHL FLO CDF PAR ( PD HO. ISSUE This permit is hereby issued urger sions 'of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY OC O�IrT Gw Or[1 e'c n_._ the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. ao� resg OwvLt All fhat real :property:.sit:uate in.the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION Date: April 1, 1991 a1111EIS, X DENNIS R. B013IIIE State of California) On this the 1st day of APRIL J 1991 before me, the ) SS. undersigned Notary Public, personally appeared County of Butte ) DENNIS R. BODINE OFFICIAL SEAL J— Personally known to me. M Proved to me on the basis JAMIE STEVENS E of satisfactory evidence. NOTARY PUBLIC — CALIFORNIA- to be the person(X) whose name( is .j COUNTY OF BUTTE subscribed to the within instrument and acknowled-ed that he Comm. Exp. Sept. il, 1992 d executed the same for the purposes therein contained. IN WITNESS I IIellmeueeaeoaeoaseelllle:lnlcaeae:uatlllulmllnelulaeeaulls� WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 27-33-06 Notary Public 2257 °r Return to DPW AGRICULTURAL, STATEI`IENT OF ACKNOWLEDGE14M FOR RESIDENTIAL DEVELOPIMM Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. .--- — — — — - - — — ----- The property described herein' is adjacenti ; to land or included within an area zoned 91-012257_ ; Rec Fee 7:00 for agricultural purposes, and residents ; Cash 7.00 of this property may be subject to incon-1 Recorded ; veniences or - discomfort arising from they Official Records ; use of agricultural chemicals, including, Coun ty of ; but not limited to herbicides, pesticides Butte and fertilizers; and from the pursuit; Candace J. Grubbs ; of agricultural operations including, Recorder ; but not limited to cultivation, plowing,L-2:02pm 1 -Apr -91 ; XX 2 spraying, pruning, and harvesting which occasionally 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 fhat real :property:.sit:uate in.the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION Date: April 1, 1991 a1111EIS, X DENNIS R. B013IIIE State of California) On this the 1st day of APRIL J 1991 before me, the ) SS. undersigned Notary Public, personally appeared County of Butte ) DENNIS R. BODINE OFFICIAL SEAL J— Personally known to me. M Proved to me on the basis JAMIE STEVENS E of satisfactory evidence. NOTARY PUBLIC — CALIFORNIA- to be the person(X) whose name( is .j COUNTY OF BUTTE subscribed to the within instrument and acknowled-ed that he Comm. Exp. Sept. il, 1992 d executed the same for the purposes therein contained. IN WITNESS I IIellmeueeaeoaeoaseelllle:lnlcaeae:uatlllulmllnelulaeeaulls� WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 27-33-06 Notary Public -9 1 1 2 2 5 7 ilo DESCRIPTION: ALL . THAT CERTAIN REAL PROPERTY SITUATE I+CZWS . THE STATE. OF CP_LZFOP.NIA-, COUNTY OF BUTTE, DESCRIBED r PARCEL I: , .. X7_33 DCS AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ORO HILLS RANCH Lor 6, rr WAS RECORDED IN• THE OFFICE OF THE SUBDIVISION", WHICH MAP RECORDER OF THF. COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7, 1985, IN BOOK 100 OF MAPS, AT PAGES) 36 AND 37. s PARCEL 11: . F A NON—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER DOCK COURT AND DACK WAY, •AS -'SHOWN ON THAT CERTAIN MAP ;* ENTITLED, "ORO HILLS RANCH SUBDIVISION", f7jICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7, 1985, IN BOOK 100 OF MAPS, AT PAGE() 36 AND 37. PARCEL III' A 60 FOOT WIDE EASEMENT FOR ROAD AND PUBLIC UTILITY .PURPOSES, ON, OVER, AND UNDER A STRIP OF LAND, THE CENTERLINE OF WHICH IS MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF SECTION 23, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M.; THENCE SOUTH 63 DEC. 15' 23" EAST, 419.40 FEET TO A TANGENT CURVE CONCAVE NORTHERLY HAVING A RADIUS OF 150 FEET, A CENTRAL ANGLE OF 52 DEG. 301 26", AN ARC LENGTH OF 137.46 FEET; THENCE NORTH 64 DEG. 14' 11" EAST, 249.28 FEET TO THE CENTER OF A 50 FOOT RADIUS.CUL—DE—SAC; THENCE NORTH 75 DEG. 33' 38" EAST, 523.62 FEET TO THE END OF THE HEREIN DESCRIBED CENTERLINE. ` END OF UMLE dT 'BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: '538-7541- MOBILEHOME INSTALLATION SHEET 1. Owner's Name:' M h C QGQ uyYt 2. Installer's Name: /Y1YlIS 500 Uy19 3. Is the site currently under permit? Yes No „a (If yes, furnish•permit number• ) OR • Is the site an existing site?Yes No (If yes, furnish two plot plans.). 4. Will the mobilehoine 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?Amps .. 6. What is the mobilehome site service rating?------------- Zbp Amps 7. What is the mobilehome .site circuit breaker rating? ----- `� Sn Amps 8. Is there any other electric,load to be served by the moblehome . s ite ,s•ervice? --=------we1------------------- 'Yes No (If yes, identify the load and,size: (Load) (Amps) 9. What is the mobilehome site gas pipe size?-•-------------- 314- (in..) 10. What is the type of gas service? ------------------- Natural LPG , 11. What is the gas pipe length from meter or tank to the , mobilehome?-----------------=---------------------- 2(ft.) *'12. What is the mobilehome gas demand?.---=-_---:---- ,- -- /b ._ ---- 6�(jiv (BTU). *(This -'information, not requir'ed'if'pipe length less than 6 ft. on natural. gas 'or less than 50 ft, on LPG.) kt $74-91 Mobilehome Mfr. MOBILEHOME SUPPORT DATA If other than single wide, furnish Setup Model No. Year 73 Width_jZ_(ft.) Box Length 6_(ft.) Tagalong or Expando 'Size ft. x ft. 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). FOOTINGS (check one) 21. Wood -pressure treated or foundation grade.0 2. Other (specify) SUPPORTS (check one) rte/ 1. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Line 1 Openings: Size -Min.--- - ------ „ Size -Min. ------------------ ,x 1 Spacing -Max. --------- ,_ Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- Line 2 Piers: Size-Min------------- Spacing-Max - ------------Spacing-Max.--------- ,_ � '- From Ends -Max.------- 0 11 Line 2 Roof Loads.• Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ "x Spacing -Max.--------------- From Ends -Max -------------- Size -Min .------------ , y: Spacing -Max.--------- ti From Ends -Max .------- „ Line 5 Piers: (Under Bearing Walls Only Size -Min .------------------ Spacing -Max.--------------- r_ „ From Ends -Max -------------- '- Line 5 Roof Loads: Size -Min .------------ ,�x Location (From Front), -