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027-360-165
NMt • thi§ is 6fi6 PdfMf 1011 t� b06 '3ack A. Rogers } AV Mos. Rogers and Henderson are � NIS pri.rd.,app'.2600'E.of Palermo Hong joint owners. cut Hwy,app.2500'S.6f Cox Ln,.,,Palermo (Front Lot) 4.4 ti Permit # 119 76PE(uti1.�,MH) ` ELEC . to gym. i GAS /U .� SUPPORT STRUCTURE REQ.• x` COMPACTION TEST REQ., AjQ r " contr: Earle Towne, Orovill'.� la Permit _��6390=76,NH-1_ _-.�114Gc1 J j � Issued_,&-,,?- W/-96+ , 1 contr:Earl Wood, Oroville Permit #6377-:76MRY- I Issued Permit #10()1-7715(deck & awning/MH) F25 Melody Lane F yi-lle tra Acro Lume ',5� mit#2367-85B,E(cabana & carport_/MH) -�-21 �4ki : Acro L`um,'o_F Permit#3038-85B (deck & wa lkw /K:i-,,- JACK ROGERS �� 7 215 Melody Lane Permit #962-86B,E(conv deck to cabana Y ,` 2- �— _ & move existing Pwning)MH -' _� j - __ _- _� . � � � � �i e3 PERMIT NO. 962-86B.E PERMIT EXPIRES Y7 OWNER JACK ROGERS CONTR. owner ASSESSOR PARCEL 27-22-12.6 LOCATI,N 215 Melody Lane Oroville Temp. Power Pole ii Called PG&E l �a6 Temp. Elec. Service 1 ti Called PG&E i Temp. Gas Service Cal led PG&E JOB FINALE[ Signature J _ 'OK' - O = Not OK ' - = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except rr's 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 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 MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability - 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4• Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK ' 0 = Not OK = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date lIbIDERF1 OOR Plans OK except N's Date FRAMING (Continued) oning requirements -Setbacks -Easements 487-P715`perty Line Firewall & Openings 2--Fig--,Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49e-eXT715-oors-One 3' -Check Garage -3rd story, 2 exits 3. Ft rage; Soils -Steel- / /" Ftg. Depth 50-S4eirs; Width -Headroom -Rise -Run -Landing -Fire Protection 4 I t��rches & Decks; Soils -Steel- / /" Ftg. Depth temwalls, Main; Steel-Blockouts-Wrapped-Slab 6 ails, Garage; Steel-Blockouts-Wrapped-Slab -1: 51.-P+ywoud on Roof Overhang -Attic Vents -Rafter Outriggers _ gr- Siding -Nailing -Veneer 59-&tucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access ZI-r-ers- Fig. -Steel 5 azing Area -Glass Protection -Skylights -Plastic &---D,W-V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55._SuearWalls; Nailing -Bolts 9Gee-4Dipe; Size -Anchors 10--Waley-Pipe; Test -Anchors -Regulator -Service Test 11, F, �ar•tric; Underground 12.--R.tsaums & Ducts; Clearance -Material -Support -Ins. 141 --Girders-Sills-Anchor Bolts -Joists -Vents -Cripples C I ate . Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date WK -BI at and -BI Date Date FINA tans) OK except H's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke-B6tector _ 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 58. -Faryrace-Vents-Clearance-Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Accessres 18. Test Tub & Shower, 2nd Floor -Tub Access & Tub Access .- Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors . -Stairs & Rails - 63. 546pleetro. Stove: Clearances -Hearth Card -BI Date Card -BI Date ut e s a d Panel; Int. & Ext. 65. tt. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. tacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Gavage -Fire -Boor; Swing -Landing -Closer 68. -RZ"'DacrlhrGarage-Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtm+h=Vents-Clea rance-Comb. I Air-Connector-P.R.V.- rage; Above Floor -Meth. Protection R E ec. Receptacles Spacing -Lights &Switches at Doors 21 Size Boxes & No. of Conductors -Stapled r. Plb., Elec. & Mech. Equip. Listed for Location 71`1. , _ 'n Garage; (G.F.I.)-Romex Protec. Installed Close to Edge of Studs & C.J. Romex 72' I4sulatiea-F in Attic E) Yes - - quip. Ground made up w/Mech. Fasteners -Bond Gas & Water -9Qck Consoked 73. �k Construction -Post Caps 25. A in Kitchen -& Conductor Size 26. a ize / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn-•Rets-& Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range -e rc-t / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ;Yes :1 No 28. uctors & Ground -Main Disconnect 29.qui'E�Cp Tnrances; Panels-Motors-Mech. Equip. 75. F.eHewTrtg-' r Id.: Drive ❑ Yes (-]No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 76. Ssuccp Brown -Finish 77, A. sconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Card B-1 Card B -I 30. &tathe7lMset Light -Shower Light - Dates'1�9i Card BI Date �6 Date Card -BI Date 78, -�me Roof; Pibg.-Appliance-Firepl.-Clearance to Opngs. 79. Watar"MI; Disconnect, Electrical, Plumbing 80. ExterivrElec. Trim; G.F.I. Receptacle -Underground 81. Vel throughout House 82, otection Date MECHANICAL (Permit) OK except N's . Corrections from Previous Inspections 84. Gases+meters Tagged: Gas -Electric _ Card -BI Card -BI 31. A.C. Ducts: Insulation & Support _ 32. Vent Fan; Exhaust above Insulation - -_ 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 Date Card -81 Date Date Card -BI Date 85. Wa4er'37Sewer Connected -C/O to Grade -HD Approval 86, ner mpliance Certificate -Other Certificates Card -BI Card -BI Date - Card -BI Date Gate Card -BI Date _.. Card -BI Date Card -BI Date Date FRAMI tans) OK except q's Comments at Final: _- 3roper Material &_Anchors__ - 3 Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor_Nailing_ _ 39. Draft Stop in Walls (rat proof) 40. Fir _tops: Furred Ceilings -Stairs -Chases -Tub der & Beam -Size & Bearing _ 4Y H ers- Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection-Draft_Stop-Ins. Baffles 4&' Irm. Windows or Exiting Doors -Sill Hgt. & Dimensions 477-17'arage Fire Protection Framing - _ _ (NOTE: Anentrymust be made each time youvisit jobsite) To: Building Department From: ,L.nvironmental Health . SnbcTt-.' earance' kn.it#t]'Q'n.0 / Owner Locat on AP// F]:an !Approved for: Sewage disposal water supply Hold final for: water supply Final clearance O.K. for Clearance for bedroom mobile home. Other n?oi , *** N water supply IPA Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California,95965 -,Telephone 916/534-4541 a APPLICATION AND PERMIT ASS R PACE =N7MER /�_/ ZONING _ BUILDING PERMIT OWNS TELEPHONE SQ.FT. OCC. BUILDING VA ATION _ �h > OWNER'S MAILIN DD S 2 i �'i D pA�d CONT CTOR'S NA' -'ME V TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 6-6.90 ARCHIT CT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS o� n 15 6 � J Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 C Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater vent 5.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome9 Other SPECIFY Gas piping system.,.I- 5 outlets 5.00 Building sewe 5.00 Mobile HoS G W 0.00 ea TYPE OF WORK Remodel ,6tiliti ❑ Instal,l/a-tio nI, New ] Addition&yl DescL`ri,`be work: `F C4— 14 47 X `61,ELECTRICAL Permit Fee $ Contractor PERMIT Filing Fee 10.00 _ _ CM:Lt7 Ag Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service ADD'L 100 AMP 2.50 NTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 1, as the owner, Of 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 //EA. Na ADDNST 1 DACCLBLDGS 2'/z2sgft NEW CONSTR. MULTI -OUT` T NO N.RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 2AL BOC e030 FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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. 1 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 Ventilatio permit ee $ 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 again said ounty in nsequence of the granting of this permit. X —,M Date Sig lure of Applicant — wner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-E16TOR of structures ov�e^3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE occuP. CONST*TYPEJ Lo '01 PARC L PD ND f/ 59U This permit is hereby issued under the applicable provi- u to County Code and/or resolutions to do 4idicabove for which fees have been paid. OF PUBLIC WORKSQion Date ZS ��"�� PERMIT EXPIRES Date �S f Receipt No. . 2�7 -3 WHITE-D.P.W.. YELLOW-ASSE390R, PINK -INSPECTOR. GOLDENROD -APPLICANT � you eon F • �F t ,n r � t 1. Mini., i,Jnsulatior. as per method of compliance �2. Infi" '' ;i ti on 'c o n t ro 1 (2-5352-d) --as'.� wood framed ' :13. Vapor:*R,a^rier - Zones 1, 14' and 16-(2-5352-e) !ilings E Minimum R -•}g insulation (2-5352-a) ------ - nfiltratit'%n control'(2-5352-d) Open i r;i sea 1 ed 2. Attic access--we("therstripped Vapor barrier - Zore"l, 14, and 16 2-5352-e ? Faust systerr:, (2-535 ;4-4) Backdraft damper-:r,-.f--•�• ,replaces (2-5352-d"5 Combustion air to r -box 45 !.Damper:on combinats •air duct Damper in flue--,, Tight; fitting door.:. cts (2-5352=f) ' Installation as per U.M.C. ' 4o Insulation as per U.M.C. neral lighting --kitchen and bathrooms.(2-5352-m) Fluorescent light ,r ; /-S. i.'- rr r Fr „�;: ,,r �, .fi•y+-'ot . t -f. 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRI\;.E - OROVILLE, eAL°II`AWA "965 - TELEPHONE: 916/531 PERMIT APPLICATION DATA SHEET n Permit No. OWNER Proposed Building Use, Permit Fee Based Upon o vt �J e +0 —Complete Contract Price _ Otjy r jEfflain) 4 A. P. No. \ / ✓/? 4 1� DPW Valuation G Building Inspector C,, i:. 4LdA6G x Date -1 / 16/14 6((2 At time of permit application, I was advised the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED All items have been submitted. . . . . . . . . . . . Plot plans in u lica /triplicate. . . . . . . . . . . 3 Complete plans ' u lic /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9 Letter of signature authorizZrQ'V .l �� Sanitation approval from t, Health .Dept. . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16 o Mb'Ih I t Il t' Dt I e ome ns a a Ion a a. . . . . . . .. . • Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector 18. Record -M-1 (' ur�eAcknowledgment StateMent 19. Other���AY ((construction approval ri When you issue the permit process as follows: Mail Telephone - and hold for pickupa�-s Other Applicant uired prior to occupancy Date) % Mail to contractor. e. Deliver w/inspector. Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No..$_/_£r�—L!€i%XY-�- 2. Additional items required: (Contractor, Designer, Qgr as advised of above required data by Telephone Mail Other By � nate 11-_�34_'!� Plans checked by - Plans approved by Other Copy -DPW Date Date To: Building Department From: hvironmental Health Subject: Sanitation Clearance C4 0 Oi\rn Plan Approved for: Hold final for: e W4. 4 -) _ 2-a 4,2fo Location AP# Sewage disposal water supply water supply Final clearance: O.K. for: water supply Clearance for bedroom mobile home. Other CQUe(e�, CJa (< 4-o NOTE* Sanitarian , ..... . _ Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541 Jack Rogers 215 Melody Ln. Oroville, CA 95966 With reference to the above subject: Attached is: OTHER DATE April 23, 1986 RE$uilding permit application #962-86 A.P. # 27-22-126 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced ``1X 1 We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. X Complete plans in duplicate w/dim of converted deck & Plot plans in awning to be moved. Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW)., sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise. Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER You show 2 x 6 rafters on one drawni.ng and 4 x 6 on another,please clearify. You also need to show windows an oors location. Should you have any questions concerning the above, please contact this office. JAG/aj Yours very truly, William Cheff Director of Public Works .F. �Glander Chief Building Inspector U NOTE-.—All Materials: & Accordance with" Recogni of a quality prescribed fo Uniform Building,'Plumbing the National Electrical [Coi tA* E i Shajl Be in i This set of plans anJ specifications MUST be Practices ane kept on the job at all times and it is unlawful to ' %'d use in the + make any changes'or alterations on 'scame without j !written;permission from the Department of Public ' 4 cal Codes and ior6,1 County of Butte. � f � i \ A setback of 5 ft. from th /4t property lines and a setb: r O of 50ft. from the road i ; I centerline shall be clear o i structures or equipment e E w eL L for a 2 ft. eave overhang. Y I ll I ' s BUTTE COUNTY j UILDING DEPARTMENT APPROVED . Lszz* C,q A 1��• � { j ( } f r �� 1ii i ew } j `rte it -Xp pip G; Www<-- Mme CJ 4L-5 , -F-0 I -D G 1 E 1 7 jrN G /v'--uA11A1& q DO - U -S M4 Zk-,6 epp-MP§ ;}SPY CO, .3i. 4 14�czt�'J74'6v;A.' Ifet '? v 1,000K A, 8L)TTE Ty, COUN RT G DEP;N BUILDIN, E D'. 10, PRO. - I ` *A fiie 4w 0 I i rc7 i 4x b PGR51 rgA No JV4 a DOW rig a BUTTE OMT r . JILDING DEPARTN Et 41 :T A --PP OVEl. ' 67, Y, I - —[I N C-, -- -.7 C--�A rl -- .F)( 'Is- -r I to G, W- c I ec. io 2411 - aA.fif . ;c6-uNTY BUTTE BUILDING DEPARTMENT' APPROVED � r PERMIT NO. 2367-85B,E PERMIT EXPIRES OWNER. JACK ROGERS CONTR.. Acro Lume ASSESSOR PARCEL 27-22-126 LOCATION 215 Melody -Ln, 0� Temp. Power Pole Called PG&E Temp. Elec. Service-- Called ervice -Called PG&E Temp. Gas Se Cal led P6 JOB FINALEI 1 Signature J, OK O = Not OK Not Applicable MOBILEHOMES = Not Ready Date MOBILEHOME 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 Flnr..Iri...• 1 ..ro.inn_ci...... n -r d _/ / A.n,.—rn....... MISCELLANEOUS Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—.Easements 2. Footings; Size—Depth—Spacing—Connectors 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing S AI„... Awn l:nl,.n..e—Cn...,nnannc—Snlirn—rinnel—Fnn lnc,rnc 6. Gas; LocatiorrTest—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 Card -BI Date 11 Date MOBILEHOME INSTALLATION (Plans) OK except #'s Card -BI Date Card -BI Date Date POOLS (Plans) OK except #'s 1. zoning Hequlrements—Setbacks—tasements 2. Footings; Size—Spacing—Marriage Line 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 5. Drain; MH Test—Fall—Flex Connector 6. Water; MH Test—Regulator—Connector 7. Water and Sewer Connected—C/0 to Grade—HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.—Sketch 10. Cert. of Occupancy Card B-1 Date Card -BI Date Card B-1 Date Card -BI Date 1 . 5etbaCKS—tasements 2. Soils; Compaction—Structure Stability 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lini 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 Equipment—Heater B. Elec.; Grounding; Equip. w/5'—Circulet ing Equip.—Pool Lghig. Boxes—Enclosures—Panelboards—Ins. to Main in Conduit 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card -BI Date Card -BI Date H = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL•(Single and Duplex) Date UNDE LOOR Plans OK except #'s Date FRAMING Continued oning requirements -Setbacks -Easements 48. Property Line Firewall & Openings -3.-Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4- F[__g_r- rches & Decks; Soils -Steel- / /" Ftg. Depth 5:4temwal1"s; Main; Steel-Blockouts-Wrapped-Slab 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer 6 alls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Z, -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9--81W.V--Fall-Fittings-Test-2 way C/O -Sewer Test 9rQas P ipe-,S i ze-A nc hors 16rlMaterP ffpe; Test-Anchors-Regulator-Seryice Test 11 rEfeCTf7-0 nd a rg ro u nd 1 ms`& Ducts; Clearance -Material -Support -Ins. 1 . Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FIN (Plans) OK except q's Card -BI Date Card -BI Date Date � PLUMBING (Permit)_O efK xcept q's 14. Water Ht.; ,ent- Access -Combust ion Air 15. Water P• e; Test & Anchors -Nail Protection . 5 Ext. Steps -Door & Sidelight Protection -Landings -a-Smoke Detector 58._-Eurfleee;-Vents-Clearance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W. .; Test-Fttngs & Anchors -Nail Protection 59-8etroom Exiting 17. S er Pan; Test, First Floor -Tub Access Bath Fixtures & Tub Access 18. est Tub & Shower, 2nd Floor -Tub Access 6.9-EI2c-.Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors •62-,Steirs Rails 6c1. lace or Stove; Clearances -Hearth 6 Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Dateitixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66..-EIec-Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 6z,-9ar3-ge Fire Do r; Swing -Landing -Closer 68 -k&. -Duct in; ara a -Dam er 20. Fixture & Transformer Clearance -Ins. Protection 69. tr. Htr. ,Ven =Clearance -Comb. Air-Connector-P.R.V.- In GaroVe Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes ll No. of Conductors -Stapled 70 ec. &Mech. Equip. Listed for Location 3. Romex Installed Close to a of Studs & C.J. ec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground ma -w/Mech. Fasteners -Bond Gas &Water 72. ns ion -Foam -Looked in Attic E] Yes 25. 2 Applianc rcuits in Kitchen &Conductor Size 7 uard Rails & Deck Construction -Post Caps 7 dn. Vents & Crawl Hole or -Drainage & Wood -Earth Clearance Looked under Floor t2 Yes 26. Sub ire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 7E. owinginstld.: Drive ❑Yes ❑ No; Walks ❑Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect cco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light As-#Tove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ell; Disconnect, Electrical, Plumbing Ex rior Elec. Trinj;.G.F.I. Receptacle -Underground Card B -I Date Card -BI Date g n • elation throughout House 82. I Pdfection Card B -I Date Card -BI Date Date MECHANICAL (Per OK except It's Cor tions from Previous Inspections 84 -Meters Tagged; Gas -Electric 31. A.C. Duct nsulation &Support r& Sewer Connected -C/O to Grade -HD Approval 32. Vent n; Exhaust above Insulation -Compliance Certificate -Other Certificates 33. C densate Drain & Overflow; Size & Grade 3 -Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 3 Attic Access & Platform if Furnace in Attic Card -B Card -BI Card -BI I Date Z-- - -BI Date if Patel!7Card-BI Date Dat Card -BI Date Comments at Final: Card -PI Date Card -BI Date � Card-kI Date Card -BI Date Date FRAMING(Plans) OK except p's 36. Sills; Proper Material & Anchors JU 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. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng_._ 44. Fireplace Ties or Type AFlue-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:Anentrymust be made each time youvisit jobsite) d: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 89]'-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE -Ro'Rr :rf;> _ 3 �,7 - � A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. JL. li tv A 2 ✓ r u ec l S V p Ur 1 T a A' -4I C, cP CG (rS -, -'j 7 .i ? ,-. 0 Inspector_ �� Date 3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT O. - 7 County Center Drive - Orovil_{e, California 95965 - Telephone 916/534-4541 3 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ,2 ZONI BUILDING PERMIT OWNER r ' F TELEPHONE 03 -6-L( SO. FT. OCC, BUILDING VALUATION U is aLt U OWNER'S MAILING ADDRESS - s- k4,6 L t.f i " �2UUfLC �. c) D t� CONTRACTO 'S NAME �t 1-4— TELEPHONE �S --Ci 4 CONTRACTOR'S MAILING ADDRESS `��� — �� d�✓����C Fireplace CONSTRUC ION L NDER UNKNOWN Total Valuation I $ 0 0 & Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ -12-s-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ,2 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome4 Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑'K Addition ❑ Remodel ❑ Utilities ❑ In lation ❑ Other ❑ Describe work: ,��k-_ / ��� — o Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e0v OR LESS 1000 AMP OR LESS 10.00 /'-Ida-T /;, %t A7 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELINGOR ADDS. ACCLBL GS.CCUP,ADONIS.21h2sgft / leu CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): W1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. r / �`{ 7 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 CONSTR. ULT. -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR. / POWER APPARATUS &'� NON-RESID, %SINGLE OUTLET CIR, Ex. Occu / BAL030 P OR FIXTURES 9AL®ao FIXED APP LHS, OR FIXE A Ex. OCCUp. OUTLETS (RESID,) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $/-!Coo Contractor MECHANICAL PERMIT Filing Fee 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 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 Countyot 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 xpenses which may in any way accrue all liabilities, j4dgm ��sequence against _n y 'he granting of this permit. %� Date L� '�-'�- — Owner❑ Contractor U Agent ❑ Signature of Appl4,rey'quired An OSHA permit for excavations over 5'0" deep and demolition or construct- of structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 163, occUP. GROUP I TYPE OF CONST. PARCEL PO I H ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC % By PEJ41T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date � P6 G' L�eceiptNo. T� TE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r NOTE -,All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in iib Uniform Building, Plumbing & Mechanical Codes aid the National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and it is unk41l to make any changes or alterations on snrne rv4onjf written permission from the Department of Publi. X39 Works, County of Butte. J, o � � o tS r); 114 n . . - A setback of 5 ft. from the property lines and a setback I'Ey iI of 50ft. from the road a' ,4e(31L C '�'1°`yc ' centerli h II b 1 e clear of structures or equipment except -� for a 2 ft, eave overhang. 4e no aT 1Z 00 4 -Co BUTTE COUNTY BUILDING DEPARTMENT APPROVE[ 1. (Tt X n � • `v - o SN r IIS LA T LA _ l' � Z ID (P N s , ® 0 ry 1 tA z 71 rr r T (T' iii N 2`ta tj ice' L"i Q!! F`T 4«-A) �C X (0 02 12 - w (at4 7T. �w� we, L. Es l 24 O • C, PL -.r ' I X Co 3PLc a�,�►� _ 02k y T%Fs Q #f 'off H�iN 4" k q 8 c „,2 X05 T 3..4:, -g�".. we-- RacHOR �} i r i ? I 1 u e.. ice. L C V i Z x re R FTIF,5 fb5T- Belm* ozXB aVi� sfc� eo�rnrF..cl�� 7i'iP'.4Lt Poi f 4 x 6�r Pols T• 4 x q Pos-- 4xG Pori f=P-bNT ELF-VA7fC)N,-1 RAGS BUTTE COUNTY i BUILDING DEPARTMENT APPROVED " CARPOR iZ �st.e 94Xc� /6PA. zs ( 3b �-4 1 76 r ,' ITGr-1 ?C i2 3 OG c 3.2 DL c S , Z.• ._ )ed Tr F 1 O, GAaL.E ovfzWA � 10 D, OOLi 2.'-1 AT FiEalc o r2iArz ��,�NA Y I 2 op c. tsi ; 94 ?,x 'STUD WALL i✓.r i � t � I I X 6 G1;65S a p- q t r-_., 1. /PpQTtCLe 8D _yYl;Q�iiY Zd' COX P%-Y\AjrooD _ 1?�,)C IZED�nraoD I1 = 4 •X4P os -T.C_ PI.cS d,'X /' r3 eAc r 'PP. h•_, if BUTTE COUNTY BUILDING DEPARTMENT APPROVED 8A NAf _ n ills 1 e9 F 2 . K y�� a t 2X4 51 r> 1".AL.%- Ip OX _ �•-X F -b D �Q `T wait' �FF � • ( 72 x 80 5tpER Copt N E WTRY ,F-L,EVA-rIOM AT COAGI-� I ^ITS 12 fAC kT , - P , GAaL.E ovfzWA � 10 D, OOLi 2.'-1 AT FiEalc o r2iArz ��,�NA Y I 2 op c. tsi ; 94 ?,x 'STUD WALL i✓.r i � t � I I X 6 G1;65S a p- q t r-_., 1. /PpQTtCLe 8D _yYl;Q�iiY Zd' COX P%-Y\AjrooD _ 1?�,)C IZED�nraoD I1 = 4 •X4P os -T.C_ PI.cS d,'X /' r3 eAc r 'PP. h•_, if BUTTE COUNTY BUILDING DEPARTMENT APPROVED 8A NAf _ n ills 1 e9 F 2 . K y�� C Y � z � 0 m0 -%% 3! W ` m Z Q � C. Z v a k I r r r o X W � Ic QO C Y � z � 0 m0 -%% 3! (Z ` m Z Q � � Z v I r r Y x v (,1 � Z t v I r r r o W � Ic 236785 . j, PERMIT NO. /3038-85B PERMIT EXPIRES / h Ai6 OWNER JACK ROGERS CONTR. Acro Lume, Oroville ASSESSOR PARCEL 27-22-126 LOCATION 215 Melody Lane, Oroville ,Y . Temp. Power Pole Called PG&E Temp. Elec. Service Called PI Temp. Gas Se Called PC JOB FINALEI Signature I/ = OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready IJ MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DEC , COVERS, CARPORTS, ETC. (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Z ng Re uirements—Setbacks—.Easements 2. Soils; Special MH Support—SketchFo gs; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3 ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rig.—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 -B Date& Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except p's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except H's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GF1 6. Water; MH Test—Regulator—Connector 7. Water and Sewer Connected—C/0 to Grade—HD Approval 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J J = OK ' O = Not OK = Not Applicable �E = 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 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 53. 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 Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector 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. 18. Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 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. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 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 Al, Insulated Neutral ❑Yes E) No 75. Following instld.: Drive ❑ Yes [-]No; Walks El Yes [I No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except q'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 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin- Roof _Brac.-Truss-Shthng_.-Rfn_p_. Fireplace Ties or Type A Flue -Fireplace Throat i 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) FILE NO BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop Equip. & Yards Ref. Disp. Bldgs. & Grds. Bldg. Insp. Admin. D & C/Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Mapping Drng./Permits Sub. Checking Right of Way COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS .V/' 7 County Center Drive - Oroville, Calif6rnid 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER -Z 7_-� Z ZONIN BUILDING PERMIT OWNER vCf)L s - TELEPHONE -F3-(0oz) SQ. FT. OCC. BUILDING VALUAT169 i OWNER'S MAILING ADDRESS Tc I & I J Q J i LC C CONTRACTOR'S NA TELEPHONE 17 CONTRACTOR'S MA LING ADDRESS -7L ✓C Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ 0.0 LENDER'S MAILING ADDRESS Permit Fee $ 40. ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /S Penalty $� ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee ` $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home TsflG W 10.00e TYPE OF WORK New R Addition ❑ Remodel ❑ Uti lilies ❑ Installation ❑ Other ❑ Describe work: j nZcf— --' �L,) 12' X / od-Cle Gu / idY Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (/ DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. I 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Businessz0@50C and Professions Code and m license is in full force and effect. y License No.`���� Classification � b ❑ 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 CONSTR MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR. // POWER APPARATUS & NON-RESID. 1 SINGLE OUTLET CIR. Ex. Occup(D OR FIXTURES DAL®ao IXED A PK Ex. QCCUp. OUTTS (RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 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, judgrats, cost , nd expenses which may in any way accrue against d7Q�unty7' on en of a ranting of this permit.X z Date /© �',Z /r 9 Signatur of Applicant — Ow r❑ Contractor Agent ED An OSHA permit is required f xcavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ ` TOTAL PERMIT FEE $ `�T /.. OCCUP. GROUP I TYPE of CONST. PARCEL PO HD 17E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC ,s� By—'-�-�— , �� PER IEXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /T �j ! /—?6 Receipt NO. WHITE-D.P.W.. YELLOW-ASSe SSOR 'PINK -INSPECTOR. GOLDENROD -APPLICANT (',6,5 , + NOTE,—All Materials $ Workmanship Shall, Be in Accordance with Recognized Good Practices and of 'a quality prescribed for the Specified use in the Uniform Building, P14mbing & Mechanical Codes and the National Electrical .Code. A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of na un structures or equipment exc _x. b 1 � c►� - for a 2 ft. eave over sang-- � WA L- KwseAY. � +1 zo 20 . — _ _ na 3 A,n• 2-' 22 - i2 � This set of plans and specifications MUST be kept on the iob at all. times and it is unlawful to make any changes or alterations on same without written permission from the Department of Pubk Works, County of Butte. 0 pt,zn�, T LZ -36S :.gS J,I Z L >> L/ z✓ 3t>345-455 BUTTE COUNTY BUILDING DEPARTMENT' APPROVED } yy.r it .�L r i.%i.:• i c:;,, ". +..'_. —� .. t Fie e-,lrc- ova 12' I ; i { I RL- 0CK LAw IT: . I R�?A^s tr 'Z )C Q- ►�A.z-r � r: � [ V i d,n c� �: n n�• » io .l 0 C O/CJC. i- M - FLdd[ZINr de✓�. ^-1n TcS/S/7V/y�,1� 7a t1. ►iC./� y c /L v, -e,� �[e,�. BUTTE COUNTY BUILDING DEPARTMENT Jo. �L Cv v)-7»,) ^J)ecK APPROVED �/� } August 10, 1976 ..Jack A. Rogers RE: Mobilehome utility Permit 1984 Treewood Lane No. 4119-76 San Jose, CA.. 95132 (AP 27-22-126) Dear -Mr. -Rogers: With reference to the above subject, we must have inadvertently returned all of the plot plans to you when we issued the above -noted permit. Would you please return all but one of the plot plans,to us that covers your portion of the lot. ` Thanking you in advance for your cooperation in this matter. Yours very truly, 'Clay Castleberry Director of Public Works JJ6 Glander JFG:dd Assistant Director . API 1 A�i tii "0"00.0 { i COUNTY OF BUTTE 7 County Center With reference to the above subject: Attached is: Application for permit Building Plans Engr. Calcs. V , PARZAENT OF PUBLIC WORKS Drive, 0roville, California 95965 PHONE: 916-534-4541 DATE 7-2- 7-7 / RE: -.17 6c, v Typical Plan Sheet Mobile Home Sheet List of Codes Enforced OTHER We,need the following information: Permit application signed and completed where indicated with all copies returned. - Fees of $ Certificate of Workmen's Compensation Insurance. Contractors License Law information. . Letter authorizing signature of Complete plans, in duplicate, including plot & floor plans and complete structural details. Plot plans in duplicate. Structural details in duplicate. Complete plans, in duplicate, prepared by registered civil engineer or architect. Engr. calcs. Two (2) sets .of plans in accordance with changes marked in red. `-Sanitation approval from Butte County Health Dept. 695 Oleander Ave., Chico- 7 hic-7 County Center Dr., Oroville. Skyway & Elliott Rd.,Paradise Planning approval, i.e., use permit, variance,.rezoning,, etc., from Butte County. Planning Dept., 7 County Center Dr., Oroville. ' Improvement Plans. Parcel declaration recording data. Verification of access or right of way by deed. Verification of legally created parcel by deed. 9/Z ._Deed for right of way. Parcel map recorded. / / As soon as we receive the above data, we will process your application, or, should you have any questions concerning the above, please contact this office. JFG:dd Yours very truly, Clay Castleberry Director of Public Works J.F. Glander Assistant Director • it..4. PERMIT NO. 4119-76P,E PERMIT"EXPIRES OWNER YJack A. Rogers CONTR. owner 0 LOCATION (A.P. 27-22-126 ) N/S pri.rd.,app.2600'E.of Palermo Honcut Hwy,app, 2500'S.of Cox Lane, (front lot), Palermo LY ` '1 J r r �I { -F Te Power Pole alled PG&E T mp. Elec. Serv. 0 -74 Called PG&E emp. Gas Serv. Called PG&E JOB; / c FINALED �d (Da ;=& ature 2 _U T, � •tZ INS`LALLA` -10N 4INSPKTION CHECK LIST 1. Is the mobileh.omt:� located wi.i.l required separation from lot lines and buildings and generally conform to plot plan? Yes No 2, Does thEt m?bil.ehome have required clearances above ground? (Sec.5085) Yes No 3. Are foot:in,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ _ No 4. Is the mobilehome level.? (Sec. 5088) Yes <N_ Ifdor tthan a single unit, are crossover connections properly installed? (Sec. 5088) Yes(/ No ' Water. A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes01- No B. jest - Does water piping withstand working pressure or 50 lbs. air test? Yes C. Backflow - If coach is not State of California approved, does station -have backflow device and pressure -relief valve? Yes_ No4 � 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? Yeses No C:•. Are any leaks detected in drainage system after running 3 -gall f water through each fixture including washing machine standpipe? Yes No D. If coach is not S; ate of California approved, does, station have required trap and vent? Yes No 8. Gas Piping and Gas ents ' 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 ne inlet without reductions other.than the mobilehome connector. Yes No ,� / B. Test OK as per following/� ocedure? 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 lb 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 a. Electrical A. Is service large enok,glo td provide adequate amperage to mobilci,ome. (must equal rating of mobilehome (,rith a. ::;ici.u::um amp) and other facili_ti.r!s on lot, i.e., water pumps, �of� g::trage, caMna, ctc.: Ye-( No B. Is there proper clearances around panels? Ye(--<_ r10 C. Is power supply cord or feeder assembly properly fused': Yes L D. Is continuity test satisfactory as per the following procedure? Yes N 1. De -energize electrical wiring systeri of the mobilehome at the pedestal. 2. AJake 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 irrstrument to the mobilehome grounding conductor and apply ti.e Utu.e-i .,.eaca to ea%tr nwo-.�er1orne supt,�y conutictor, iniauulitg 'iieui.rai. 5. All nor. -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 completicn of the above procedure, the power supply cord or feeder assembly conductors shatl be connected to the site service equipment. A further continuity te;;t shall then be Heade between the ,grounding electrode and the chassis of the moirilehome. Unon satisfactory completion of the electrical tests, the lot or site service equipment. may be approved ior• energizing. Is job card signed by Health Department for'water and sanitation? �.;.. If evc_rything okay, sign off card and to services. , 'MOBILEitOME•' DATA Manufacturer and/or Namest:yle__ v Llength � Width Vehicle Serial No. State Identification No. ,.deiiLional Informar..aon or Cormr.ents: �' �+ . r COUNTY -.OF BUTTE — DEPARTMENT OF PUBLIC WORKS i BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows J 3rd Floor Stemwall Siding Topout' Slab Roof Sheathing Water Piping ,"Z 3 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Prov. forphysically Appliances handica ed Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing EL CTRICAL Masonr Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Sub aneis Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE / REMARKS OR CORRECTIONS IA c. f (NOTE: An entry must be made on this form each time you visit the job site.) 440 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 re uirements of the alifornia A ministrative Code, Title 25, Chapter 5 • un1 er�t numb 377-7 for the following location: N/S ND7 ?doh n_ X", "Aez/ Zcd s -7 Owner Owner's Address Mobilehome Mfg. Insignia No. rQ91:5 0?-/ It is hereby certified f may be occupied. Sld Model Serial No. Year7976 or occupancy at the above described location and . // Director of P blic Work Date S� �a By F THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED F7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 �6 l APPLICATION AND PERMIT BY Date [r Receipt No. �7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant uilding permit expires Date 7 !' BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ;14zFe- ✓oOD �/Lo ��-- -`13 T ehone No. 6- ��CA Fireplace Contractor Total Valuation Mai I i ng Address G Permit Fee PI an Checking Fee &/or Penalty Telephone No. Permit Fee p Building Address �� D / (��� �d. 6W�T, PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3,O �+�/1'I O �ICi�t. G lj T (�✓' Pte. Each Trap 1.50 0._ ZStJO rr. ✓ �60k /-N• � �o Repair drainage or vent piping 1.50 Water piping 1-59 J V • 0O L f72'�Q �1_r�Q 2oning Verificafion g1ril, Each gas water heater or vent 1.50 A. P. No. %� ZC7 ni " n Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s I WioK' S t Ion Fire Dept. Fire Zone Use Permit Building sewer 5 -me /0 EQA Parking Plans ParcelParcel Declaration Ma P 60' R/W Prov men Imp ts Lawn sprinkler system 2.00 Bldg...Plons Rec'd r e r Plans Approval Permit Fee $ 2_3.00$ 7-3 PJC NEW ❑ ADDITION UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 3.©O Main service 100 AMP OR00V OR LESS5.00 -,00 Main service EA. ADD•L 100 AMP 2.50,3 (q Main service OVER 600V 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Z Others ❑ Main service EA. ADD'L 100 AMP 1.00 gp,r • FT. MINIMUM NEW CONST. ( DWELLING CCU) 2¢Sq ftOR ADDNS. ACCBLDGS NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea FOR�ORjl. I� MOBILES NEW CONSTR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name stye of: "m�' ®��� f P Lb Ex. Occup(OUTLETS OR FIXTURES) BAL@251 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 '00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ia"a $ Z > L 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. ❑'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. 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 SignatuAgent �ofmiter MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ C 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 0 PUBLIC WORKS BY Date [r Receipt No. �7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant uilding permit expires Date 7 !' t, COUNTY OF BUTTE — jDEP�' R' .; 1 NT OF PUBLIC WORKS 7 County Center Drive t. Jroville, California 95965 Tel ephpne: 534-4541 APPLICATION AND PERMIT I' "" a Ives of the County of Butte to enter upon the above -mento d property for Inspection�purposes. x� % - " Date r Signature of Permitee or Receipt No. § cJ Ijr M 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 PUBLIC WORKS B Date /! 2-4-r- '7 wilding permit expires Date L P -7-H —77 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. g a Fireplace Contractor LTotal Valuation Mailing Address S — Permit Fee _ Plan Checking Fee &/or Penalty Telep one No. Permit Fee $ ` Building Address �/S / PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �OIfJIEach Repair drainage or vent piping 1.50 Water piping 1.50 gas water heater or vent 1.50 '% A. :P. N0. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30: F Saaiiziia+a- Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Re Parcel proval I $ $ NEW ADDITION ❑ UTILITIES ❑ OTHERLIK ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 - Main service 600V OR LESS 100 AMP OR LESS 5.00 V / Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25•00 Main service EA. ADD -L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 20sgft NEW CONSTR. MULTI.OUTLET NON_RESID. BRANCH CIRCUITS) 2.50ea - NEW CONSTR POWER APPARATUS & NON -REST D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �) ( Ex. Occup(OUTLETS OR FIXTURES) BAL21 APPLNS. OR O Ex. Occup. (OUTLETS P•(DUTLET$ (REST D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License �No Classification / ��_ Y�- Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of �4 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. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit F $ $ 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 re t t' F. Q� TOTAL PERMIT FEE $ I' "" a Ives of the County of Butte to enter upon the above -mento d property for Inspection�purposes. x� % - " Date r Signature of Permitee or Receipt No. § cJ Ijr M 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 PUBLIC WORKS B Date /! 2-4-r- '7 wilding permit expires Date L P -7-H —77 < < 1 BUTTE COUNTY DEPARTMENT OF PUBII:TC WORKS ` 7 County Center Drive, Orovill%,e ,CA. PHONE: 534-4541 " MOBILEHOME INSTALLATION SHEET 1. Owner's name: - Ae— 6e A. v 2. Installer's name: Cd 3. Is the site currently under permit? Yes No 7-7 (If yes, furnish permit number //!?�— 74 ) 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 /l No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- - -a%!>/ %s Amps 6. What is the mobilehome site service rating? --------------------- dZ Ott Amps 714 7.- What is the mobilehome site circuit breaker rating?-------------� Amps P 8. Is there any other electric load to be served by the mobilehome site service? -6AO.-SAL AS- -9-XA 7��.s1---------- Yes / r/ No (If yes, identify the load and size: (Load) (Amps) C------------- 9. What is the mobilehome site gas pipe size? --- o (in.) 10. What is the type of gas service? ----------- 4/-'L --\ ----- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? iS%N ` (ft.) 12. What is the mobilehome gas demand? ------------- eN_ ----------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 1.7 04 I�u MOBILEHOME SUPPORT DATA Mobilehome Mfr. i� /�•� Setup Model No. 8i Year 74 Width (ft.) Length � (ft.) Expando Size ft.x ft. - (Draw support details below) Ony alliobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not"on file with the County of Butte). 4 Sin le Footings (check one) 1. Wood -either { pressure treated or Center Center Support i fdn. grade: Support Footing Sizes . Locations (in.) 12. Concrete'pad. x 3. Other, specify (ft: iii: (ft)(in) (in.)(in.) I a �X f (in.)(in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. tai Supports (check one) r /W7 -l. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify - Typical Support Z X3v Footing Size tin.) (—in-:) -t I Max. x. r Pie (ft.) (in:) _....._ . Max. Overhang ft in..) Dull,, COUNTY pUILDING Ds?"RimstAl A PPeOVE® r 1/60-01 Nome Street Address City 3 State L Nome street Address City d Store. L RECORDING REQUESTED BY Orovill e Title Company Order No 98513 j .AND WHEN RECORDED MAIL TO Jack A. Rogers c/o 1815 Dalton Dr. Milpitas, California 95C I MAIL TAX STATEMENTS TO Addressee given above. jy dRqVILLE W11� GOAPA", Jut'I 1 1225 N1376 r� I' Cilli}! �' i'c;.GR01i:. 354290%% Fey SPACE ABOVE THIS.LINE FOR. RECORDER'S USE Individual Grant Deed THIS FORM FURNISHED BY TICOR TITLE INSURERS e The undersigned grantor(s) declare(s) : '� PAID Documentary transfer tax is $ �T4T— ( ) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( ) City of I and FORA VALUABLE CONSIDERATION, 'receipt of which is hereby acknowledged, WILhIAM Me HORNER AND SANDRA L. HORNER, his wife, hereby GRANT(S) to JACK A. ROGERS AND GAIL L. ROGERS, his wife, as Joint Tenants, as to an undivided 1/2 interest; and MARVIN HENDERSON AND` - ALICE L. HENDERSON,* his wife, as Joint Tenants, as to an undivided one—half:_::.interest; the following described real property in.the ' County of Butte ' , State of California: _ PARCEL ONE: -The Northwest quarter of the Northwest quarter of the Northeast quarter of Section 33, Township 18 North, Range 4 East, M.D.Be - & Me PARCEL TWO: The Southwest quarter of the Southwest quarter of the Southeast quarter of Section 28, Township 18 North, Range 4 East, M.D.B. & Me PARCEL THREE: A right of way for road and public utility purposes o a strip of land 60 feet in width lying 30 feet Southerly of and adjacent to and 30 feet Northerly of and adjacent to the Southerly boundary liry-of the North half of the North half of the North half o Section 33, Township 18 North, Range 4 East, M.D.B. & Pile Dated Juno 4, 1976. STATE OF CALI • RNIA ) COUNTY OF, }SS. on, —r-� 9 l44 I7b" before) me, the under- signed, a Notary Public in and for said State, personally appeared _719-Iiiam M. Horner and Sandra L. Horner . known to me to he the person S whose names are subscribed to the within instrument and acknowledged that they executed the same. WITNESS my hand and official seal. Signature OFFICIAL SEAL MARILYN K. OWENS as NOTARY PUBLIC. CALIFORNIA i NOTARY BOND FILED IN STANISLAUS COUNTY MY CprtlTnission Fxpi—FlebruarY'14, 1977 fur ot&•ial notarial seal) Title Order No. Fscrow or Loan No. E?r. m 0 cm l V 00 MAIL TAX STATEMENTS AS DIRECTED ABOVE -- Eh`9 OF D4l 'JMcN a , Individual Grant Deed THIS FORM FURNISHED BY TICOR TITLE INSURERS TO 1923 CA U 2.7a.> A. P. N. The undersigned grantor (s) declares) : XAX PAID Documentary transfer tax is ( ) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( ) City of and FOR A VALUABLE CONSIDERATION, receipt of. which is hereby acknowledged, . WILLIAM M. HORNER AND SANDRA L. HORNER, his wife, hereby GRANT(S) to JACK A. ROGERS AND GAIL L. ROGERS, his wife, as Joint Tenants, as to an undivided 1/2 interest; and MARVIN HENDERSON AND ALICE -L. HENDERSON, his wife., as Joint Tenants, as to an undivided v. one-halfi-interest; f, the following described real property in the County of Butte , State of California: PARCEL ONE: The Northwest quarter of the Northwest quarter of the Northeast quarter of Section 33, Township 18 North, Range 4 East, M.D.B. & M. PARCEL, TWO: The Southwest quarter of the Southwest quarter of the Southeast quarter of Section 289 Township 18 North, Range 4.East, M.D.B. & M. PARCEL THREE: A right of way for road and public utility purposes o a strip of land 60 feet in width lying 30 feet Southerly of and . adjacent to and 30 feet Northerly of'and adjacent to the Southerly boundary liry6of the North half of the North half of the North half o Section 33, Township 18 North, Range 4 East, M.D.B. & M. STATE OF CALIWRNIA 1 SS. COUNTY On �� �Z' �/�7b before))) me; the under- . signed, "a Notary Public in and for said State, personally appeared William M. Horner anan ra L. orner known to me to be the person S whose names are subscribed to the within instrument and acknowledged that they executed the same. WITNESS my hand and official seal. I J Signature T µ y OFFICIAL SEAL MARILYN K. OWENS ? m NOTARY PUBLIC. CALIFORNIA - . + NOTARY BOND FILED IN �,.. STANISLAUS COUNTY MY C',Dmmission Expires February '14, 1977 (This area for official notarial seal) Title Order No. escrow or Loan No. MAIL TAX STATEMENTS AS DIRECTED ABOVE ' .. - . •rs+Q.•,n+^ .:•rte-------T�---.._ .......,.._ Edi OF At R RECORDING REQUESTED BY �, Orovill e Title Company Order No. 98513 -` .t; .T oqY. ' J (:,.�`.� yypq ' M 11ILLE �� 1 Lr COMP N7 .^ ") AND WHEN RECORDED MAIL TO 15 1225 PM 1976 Jack A. Rogers . ' UU': e4 Nome c/o 1815 Dalton. Dr. CUU :T P, C! _C Address Milpitas, California 95C35 _q'�[/�� •6•/ FE` 34%0036 City & State .L % ' MAIL TAX STATEMENTS TO "°m° Addressee given above. Street Address - City b State L SPACE ABOVE THIS LINE FOR RECORDER'S USE ' Individual Grant Deed THIS FORM FURNISHED BY TICOR TITLE INSURERS TO 1923 CA U 2.7a.> A. P. N. The undersigned grantor (s) declares) : XAX PAID Documentary transfer tax is ( ) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( ) City of and FOR A VALUABLE CONSIDERATION, receipt of. which is hereby acknowledged, . WILLIAM M. HORNER AND SANDRA L. HORNER, his wife, hereby GRANT(S) to JACK A. ROGERS AND GAIL L. ROGERS, his wife, as Joint Tenants, as to an undivided 1/2 interest; and MARVIN HENDERSON AND ALICE -L. HENDERSON, his wife., as Joint Tenants, as to an undivided v. one-halfi-interest; f, the following described real property in the County of Butte , State of California: PARCEL ONE: The Northwest quarter of the Northwest quarter of the Northeast quarter of Section 33, Township 18 North, Range 4 East, M.D.B. & M. PARCEL, TWO: The Southwest quarter of the Southwest quarter of the Southeast quarter of Section 289 Township 18 North, Range 4.East, M.D.B. & M. PARCEL THREE: A right of way for road and public utility purposes o a strip of land 60 feet in width lying 30 feet Southerly of and . adjacent to and 30 feet Northerly of'and adjacent to the Southerly boundary liry6of the North half of the North half of the North half o Section 33, Township 18 North, Range 4 East, M.D.B. & M. STATE OF CALIWRNIA 1 SS. COUNTY On �� �Z' �/�7b before))) me; the under- . signed, "a Notary Public in and for said State, personally appeared William M. Horner anan ra L. orner known to me to be the person S whose names are subscribed to the within instrument and acknowledged that they executed the same. WITNESS my hand and official seal. I J Signature T µ y OFFICIAL SEAL MARILYN K. OWENS ? m NOTARY PUBLIC. CALIFORNIA - . + NOTARY BOND FILED IN �,.. STANISLAUS COUNTY MY C',Dmmission Expires February '14, 1977 (This area for official notarial seal) Title Order No. escrow or Loan No. MAIL TAX STATEMENTS AS DIRECTED ABOVE ' .. - . •rs+Q.•,n+^ .:•rte-------T�---.._ .......,.._ Edi OF At R