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028-062-023
MOBILEHOME W/0 PERMIT 10/6/97 Claude Cates 28-062-23 ,V,,,yd SW corner of Pa ermo-Honcut Hwy & Middle H ncut, Oroville Permit #917-80P,E(util.,MH),r ELEC.3"o')�"-fo goo, -'I i� GAS�3 —.2S QD .0 10G- /_ SUPPORT STRUCTURE REQ._ COMPACTION TEST REQ. AJI-) 8-062-23 Permit #818-80MHI Issued ;21�_n*X& 028-06-2-02� 91-3384 TRIPLETT, JEA TTE CONTR: OWNER 1364 MIDDLE HONCU RD,T�= O?18,bi- j E REPLACE GAS LINE/MH `02�-06=2-023' -- 93 TRIPLETT, EANE CONTR : OWNE q' 3o�q) 1364 MIDD HONCUTy;•RD, OROVILLE MHI �5,� ,028-062-023 PERMIT#97-2237 TRIPLETT, Jeanette., 1364 Middle Honcut�Rd:,.Honcut. MHI Ex •Site 1 G • r f RESIDENTIAL - t X028 -062-023P } � TRIPLETT, Jeanette y Rd., Honcut PERMIT NO MHI Ex. Site PERMIT / Irl v f RESIDENTIAL - i X028 -062-023P 'PERMIT#97-2237 ' � TRIPLETT, Jeanette 1364 Middle Hopcut Rd., Honcut PERMIT NO MHI Ex. Site PERMIT / Irl EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION t I y J K t Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E IP Temp. Gas Service .r Called PG&E .,JOB FINALED (Date) Signature ..- .rT-----•�-►+�..,:►+�i�:,.�b`l�4�-✓�..�Pii.'�Rpy.;�C'�dt�,'%'ti.-=�•r•�"�i,�t �- �d!'�'�'�F�+ai.`,Ek:?�u� COUNTY OF BUTTE BUILDING DIVISION, DEPARTMENT OF DEVELOPMENT SERVICES; 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 , l CORRECTION NOTICE` A routine inspection indicates that the following violations of Butte County Ordinances exist at ry -the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please conta t this offfii immediately. .y� t":3 • w I,T�yy y£' Date p / ..- Ins ect REV 10/92 % " MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN:_ .:: \ PERMIT NOr) _ C) Owner's: Name: Owners: Address: '� � M1 Im� Mobilehome Year of Manufacturer Manufacture: Serial number ! l Insignia or or V.I.N. v HUD number: Official approving installation:' Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: � T PERMIT,VO.: `-r37 Owners: . .�._F, Name: 5' Owners: Address: J)D�kl ,V Mobilehome Year of ~ ManufacturerG& L Manufacture: Serial number ( Insignia or or V.I.N. V HUD number: Official approving installation: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: la _ �i PERMIT rJO.: 57 Owner';: t ! Name: (4z'I Owners: Address: ' I - ,4 0 V Mobilehome V Year of Manufacturer �) Manufacture: Serial number Insignia or or V.I.N. HUD number: /J Official approving installation: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor MOBILEHOME INSTALLATION"ACWTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO.: - Owners: Name: Owners: r Address:% Mobilehome Year of ManufacturerJH Manufacture: Serial number nia or i orV.I.N. number.�- 47 Official approving installation: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Courity Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. (Rev.12/96). ,.: APPLICATION AND PERMIT ASSESSOR PARCEL N// ����**U��MBER ZONING BUILDING PERMIT OWNER i TELEPHONE 71.1-5115 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE ' owm CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkii �g Fee $ BUILDING ADDRESS 0 1364 I3 R ' Energy Plan Checking Fee $ .}'�' PERMIT FEE $ 3;00 LOT NO. : SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeX_X Other sveclFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Eachl as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation oX Other ❑ Describe Work: ME ON EX SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920`00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 - Main Service zoos oa �s 23.00 1 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. NO. OWNER -BUILDER DECLARATION I her affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Ep I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ( ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 10DOA 46.00 NEW CONST. DWELLING OCCUR SD OR ADONS. ( 8 ACC. BUDS. 3.5¢FT. NEW NON -RESIST ANCI CIUTC� 97.50 OWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 @ 1.00 Ex: Occu BAL o .50 Ex. Occup. OUTLLETS(REESSID.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S + WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by, Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ,b, I certify that in the performance of the work for which this permit is issued, not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. W, vt X �'%... . - �. T / r-' : ��✓� _ Date_";7 _ —Slgnsture of Applicant - ❑- Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE 143.00 HAZ. _ D. FEES IMP / FLOOD _ COF PARCEL _ PD 14D.1SSUE� ",000, 1// This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �+t ' ' 1%�J / / •,.r By /'Date PERMIT EXPIRES ON 115191f r date Receipt No. 21 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V=OK _ 0 = Not OK Not *=NotRepady 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/0 -Concrete, 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /ttt / /Nat or/ /L'ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Data Card B-1 Date Card B-1 Date Card B-1 Date MOEAE HOME INSTALLATION(Plans) OK except #'s Lo<Zoning Requirements- Setbacks Easements tings; Size -Spacing -Marriage Line 3 as; MH Test Demand Valve -Connector tricity; MH Test -Crossovers -Breakers -Clearances 'r,Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector ; 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electrici T s -Ty nstallation Ce . Ew Insp.Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Dat Card B-1 V6C, Date Card B-1 Dat Card B-1 Date Card B-1 I 4 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-ft. Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps•Doors-Landings 12. Braced WAI1.Panels 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. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pod Lighting; 15 Volts -CFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/9 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestVWater Supply Test 11. Llght Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plats) OK except #s 1. ZoningSetbacks-Easments-Fbod-Sbpe 2. Ftg., Main; Soils-Elec. Gmd. / C Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ C Fig. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ /' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-BlockoutsaNrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.Sted 9. D.W.V.; Fall -Fitting -Test -2 Way QOSewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -ins. 14. Girders -Sills -Anchor Bolts-Joistsa/ents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower UghtSpa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45., Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-TrussShting: Ring. 48. Fireplace Ties or Type AFlue-Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width Headroom-Rise-Run-landing-FireProtection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mach. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: v COUNTY OF BUTTE- DEPARTMENtOF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75�✓� FIT o. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-062-023 ZONING ARMH1 BUILDING PERMIT 7 OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE _ CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 91-00 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehomej[X Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: MHI ON EX SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zuonoaLEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lqw for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. oWELLING OCCUR so OR ADONS. ( s ACC. BLDS. 3.5QFT; NEW CONST. MULTI -OUTLET NONRESID. C @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. 20 Q 1'00SAL @ .50 Ex. Occup. OUTLET OR FIXTURES Ex. Occup. ouTLEEDrs(RES D.)LNS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. i Datezi ature o Applicant - O Owndr ❑Contractor ❑Agent PAn OSHA permit is required for excavations over 5'0" deep and demolition or constructiony structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. NDETOTAL FEE $ 143.00 HAZ. _ I D. FEfS IMP I FLOOD I CDF _ PARCEL I PD T HD su This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ate PERMIT EXPIRES ON 1//:VV 1 7 ale Receipt No. 224880 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �AIALui� COUNTYOF BUTTE.- DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COLINW4CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE(916)538-7541 _ PERMIT APPLICATION DATA SHEET OWNER n A. P. No.09 � Proposed Building Use Y h Kj,, I e_v_ Building Inspectoir l� Date / V/ At time of permit application, I was advised the folowing data must be submitted prior to permit processing and/or issuance: r DATE RECEIVED 6Y 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 . ............................................ i• 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). .... r 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10 Fees of $ . ......... . Impact fees as shown on attached schedule.��� t ' 12. California Department of Forestry plan approval/fees....................... . . 13. Flood elevation letter (100 year floJJ��d b.California Engineer. . . 14. Sanitation and plot plan approvalV&I ` Health Department . ............ 15. City of Chico plumbing permit . ......................................... gIg" 16. Plot plan and business license approvI from City of Biggs/Gridley .. Rvo t 17. Planning approval Tor e. ... . 1C'[1 L 1 C16 18. Contact Land Development.about (A) Impro ents (B) Drainage. .......... . t, 19. Driveway permit (construction approval required prior to occupancy). .. 'eq' st 20. Pre -inspection for ""'required. .. oa ild��n P�aor (Date) 1 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 .�` I n check -I� .......... .......................... 32. Pw � l -L CSU:�hS........................... ................... N a f I �o or i Cf7.eaG,� Whe u issue the permit, grgess as follows: it to ow�pe . _Mail to contractor. ✓ Telephone �a-�A�and hold for pickup at r`bti� ` office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date �� - % - y% 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 top rmit issuance: (Circle new item not checked above). 1. Index permit for above items No.,A� 2. Additional items required: Contractor, designer, wner as advised of above required data by _,V phone _ mail Counter by jt3 Date .3 - Contractor, designer, owner as advised of above required data by -X. phone _ mail Qatinter by Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D. 1 22 l� Iii,D23 Owner Location AP# Plan Approved for: Sewage Disposal XWater Supply: Public Private Well Clearance for dwelling. Other L) —8nnozoUlgn %Y)-zjt�lLr /,hmc -- �''r�C. Hold final for: Final clearance O.K. for: NOTE: (!A� ./ Environmental Health Specialist 8/96 Ar—zef Date 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. 0 I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES Ql NO ❑ 2. I HAVE ❑ HAVE NOT 0 signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: CONTRACTOR'S 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: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: m /L 2 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER a.B•— I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contracTrs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until.the verification is returned. +Micel Vi ira, C.B.O. ,uilding Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754j ,� 3 �IT NO, (Rev.12/96) APPLICATION AND PERMIT 7 a� ASSESSOR PARCEL NUMBER p `t �! o Zoyg Q, _ /fJ�C�/-lyy'I. BUILDING PERMIT OWNERTEUPNONES So. FT. OCC. BUILDING VALUATION OWNERS MAILING 1 St ^,11 CONTRACTOR'S NAME / (�LJ ELEPNONE ' CONTRACTORS MAIUNG ADDRESS CONSTRUCTION UENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flan Fee 5 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS � � Permit Fee S Plan CheckingFee Energy Plan Checking Fee $ a S 5 PERMIT FEE t LOT NO. SUBDIVISION'S NAME PARCEL MAP, USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 01 Other sPECIPv Each Trap 7.00 Solar or heat Pump water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: _�(-gig-� Each as water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Flin Fee 20.00 Main Service z�ow oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P 1 rY P Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is lssded, I shall - not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 48.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.50R: NNON•RESEW CONS ID. ' MUITFOUTLET Ia7,50 PSOXP APPARAnrs asINGLE0 RT FL Ex. Occup. ountTORFIXURES Bw®':� Ex. Occup. .70 APoR ovT. ES10. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Coolinci Hood 8.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC - • -- -- CONST. TYPE ------ TOTALFEE ss—�� HAz D n Es ,MP PL000 coP PARCEL Po HDuE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ro ReceiptNo. WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT LL STRUCTUREf.3 AND EQUIPMENT INCLUDING VERHANGS SHALL BE CLEAR OF ALL EASEMENTS. SET BACK OF 5 FT. FROM THE. SIDE AND b _ FT: FROM THE REAR PROPER -1 Y LINES AND 5o _ s -"T. FROM THE iJOAD CENTERLINE SHALL. BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT € OR A 2 FT. EAVE OVERHANG. to APPROVED Butte County 11— CSnvironmental Health U " t2� - - I %--- � Dat ------- J (� Y- Signature t NATE: All Materials & Wo km d Practices and Be 1n Accordance with Recognized .. aat ]itg re _scribed for the Specified use In. the Uniform Building, Plum—" Ding & Meeonamc& Codesiand the National Electrical Code. This se of plans and specifications MUST be kept on t Is job at all times and it is unlawful to make .4,1 changes or alterations on same without e m., _ erssion from the Department of Publicvrrltt� Works, unty of Butte. p-71 a�, �� a, 0ne am Ml A Mobilehome Manufacturer: l Manufacture Year: If other than single wide, furnish Setup Model Number: Width: (ft.) (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. FOOTINGS: Wood pressuretrea -d or foundation grade[ -Other: SUPPORTS: Concrete block[Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 I Line 1 Line 2 Line 2 ..................................................................... .............. �•. Main Beans Line 2 e 2 Line 1 Line 3 Line 2 ............................................................................................... > Main Beams Line 2 Line 1 .............................................. ine S Tag or Triple e 4 ine 1 Line 1 Piers: Line 1 Openings Size minimum: r 1 x r 1. Size minimum: ] x [ Spacing maximum: Each side of openings From ends -maximum] with width over: ` Line 2 Piers: Line 4 Piers: Size minimum: [ 1 ] x [ 3c?. Size minimum: ] x [ Spacing maximum: S Lo ` Spacing maximum: ` From ends -maximum: t OFrom ends -maximum: ` Z �o e% -A Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): elX3D Ar Ac(- 04TCkio2 BEAV.i-4G wALLS BUILDING DEPARTMENT , OVER r PPRO� '. 1. Owner's Name: I 2. Assessor's Parce Number: 3. Installer's Name 4. Is the site currently under permit? Yes[ ] No[ kPermit No. 5. Is the site an exis ing'site? Yes[] No[ ] (If yes, furnish two plot plans). 6.. What is the elect kcal rating of the mobilehome? Amperes. 7. What is the mobilehome site circuit breaker rating? J Amperes. 8. What is the electrical rating of the mobilehome site? P-C)D Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ J If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes- . , 11. Type of gas service at mobilehome site: Natural[ ] Propane[A None[ 12. Size of gas pipe at the mobilehome site from the meter or tank: 3 inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?_J!j(&). 14. What is the mobilehome gas demand?3P B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than '50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 ,P.i..,,:x,ti''i.'ii"y,'�''*kl•!"«'_'•'";i'•`'iK'M�"9.++rxfi'�Y'y%,` c.".:+.?"'yy`7'f"` `' 7n'7�""`''."c+!.3riij�jT'w�•-n�th„�;+-•r�V'�i>v-7*7t ✓.,r Tz'__:%�' F/ BUTTE COUNTY SCHOOLS''IMPACT FEE CERTIFICATION FORM (One Form Per. Building) 61 School District A.P. Number G& Property Owner Property Location/Address Subdivison Residential Development Commercial/Industrial Building Department No. m: 0 City Ik County No. of Living I Units yet Address) i 1 New -hoof District - I , _ _Lot No. 0 Sq. Footage VMA Addition (Group R) ' ' 0 Sq. Footage Addition (Including Exterior Roo ed Areas) Date sonnel) f; (Applibl (Phone (City) (State) (Zip Code) has complied with the /equirements of Resolution No.. &If-- /4 by payment of U representing square feet. A EAUB 2926LL MITIGATION hool District Representative Paid by Check # Remarks: 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 fullv mitigate its impact on the school district's schools. • 0 White (applicant), Yellow (building department),,Pink (school district) feeform.wk, („/sa)amm . BUTTE COUNTY DEVELOPMENT SERVICES Complainant: Address' Phone Number: Other Comments: • _ _ _ _ _ _ _._ _ _.� _ '_._ _ _....._ �..._.......�.aw�r.wr rA!:!•�i•..h�MfStf:i:•ti:NL�7i:Y,::.f.:.. � Inspector must draw a plot plan with all building locations: I Additional Comments from Inspector: t - ') COUNTY OF BUTTE ` `'. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES �N. 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE �.T - 06,x, 7z PERMIT NO. ''. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work MV, is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r . w Ado V=4E Date Inspector s: REV 10/92 I j 20C 84 or's MET) - N 6'.� 8 - 0 6 Count; v of BuCalif- MAR., RESIDENTIAL 028-06-2-023 TRIPLETT, JEANETTE CONTR: OWNER 1364 MIDDLE HONCUT RD, CROVILLE--� REPLACE GAS LINE/MH I -MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE ER 7 COUNTY CENT T DOROVILLENCALIFORNIA T OF PUBLIC 5965 S TELEPHONE: (916) 538- 514E PERMIT NO. Address or location of mobilehome PL Owner's name A- Owner's address Insignia or hud number Manufacturer's name 2� /Year of manufacture Serial numbs of V.I.N.---1---1` jo r (Date) 1(O4 iciahPPr�^9 Pnstallation) EHOME INSTALLATION' IF.THE MOBILEHOME IS MOVED INVALID. THIS FORM SHALR RELOCATED, THE L 6NOT BE USED WHEN HE ACCEPTANCE SHALL BECOM MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. T+^ s ry 513B White - Owner, Yellow-TInstaller, Pink - D.P.W. OFFICE COPY , Address I I GAS ~ Meter By Da?—A— Meter ELECTRI By DaT� JOB FINALI Signature J=OK O = Not OK = Not Ready MOBILE MOBILE HOMES ' Date MOBILE HOME UTILITIES (Plans) OK except If'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- tearences-Grnd-/ /Amp -Concrete 6. ta< LocationAp -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance R Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except If's oning Requirements -Setbacks Easements 2. otin s ize-Spacing-Marriage Line as; MH Test -Demand -Valve -Connector 4. ectricity; MH Test -Crossovers -Breakers -Clearances ta?ain; MH Test -Fall -Flex Connector 6. ter; MH Test -Regulator -Connector �Wate and Sewer Connected -C/O to Grade -HD Approval 8. as and -Electricity Tagged ,9! -Celts; Insp.-Sketch 10. Cert. of Occupancy Date / -A Date and B-1 Date Card B-1 tard B-1 r Date Card B-1 A MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except If'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 i 6. Carports; Windows -Doors 7. Electric 1 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 H'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 ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (f ' = 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.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors -7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & 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 k'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. Fastners-Bond Gas & Water --------- ---------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -- - ----------------------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size / ! ga. Cu or At ---------------------------------------------------------------------------- 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 P's 34. A.C. Ducts Insulation & Support ------------------------------------- ----------------- 35. Vent Fan: Exhaust above -insulation ---- ------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade --------------.------- .------..- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - ---------------------------------------------------- - 38 Attic Access & Platform if Furnance in Attic ------------------------------------------ ------------------------------------ Date Card B-1 Date Card B-1 ------------------------------ --------------------------------------------------- Dat ----------- ------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors - - - ---------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing-Plates-Sound -------------------------------------------------- 41. ------------------------------------------_---- 41. Bearing Walls over Girders & Floor Nailing -- - - - --- ---------------------------------------------------- 42. Draft Stop to Walls (rat proof) ----- -------------------------------------- 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing 'Oingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -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 ff'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 & Sub anel; Breaker Sizes & Labels 67.- Stairs -&-Rails--- 68 Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. ------ ------------------- 70. ------------------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 77. Insulation -Foam -Looked in--- --- Attic ❑ Yes ---------------------------------------- --- 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------------------------------------------------ 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes Planters ❑ Yes ❑ No ❑ No; ----------------------- 81. Stucco: Brown -Finish ------------------------- 82. ---------- ---------82 A.C. Unit: Disconnect. Electrical, Plumbing ------ --------------------------------- -- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect. Electrical, Plumbing - -------------------------------------- - 85. Exterior Elec. Trim; G.F.I. Receptacle-Underg round ------------------- ------ -- 86. Ventilation Throughout House .. --- - -------------------------------------- 87. Glass Protection - -------------------------------- 88. Corrections from Previous Inspections - ------------------ 89. ----------------89. Gas Test -Meters Tagged; Gas -Electric 90. Water& Sewer Connected -C/O to Grade -HD Approval ---------------------------------------- -- 91. Energy Compliance Certificate -Other Certificates ------------------------ ----------------- Date - ------------ Date Card B-1 Date Card B-1 ----- -- .. ----------------------- - --- Date Card B-1 Date Card B-1 -------------------------------------------- - Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS, 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 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 natter, or need additional explanation, .please contact this office immediately. A \ _ A . .COUNTY OF BUTTE _. ----- DEPARTMENT OF PUBLIC WORKS - 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Pnone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE -33(5-,s-- A 33(5 -,s -- OWNE 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 `y have`an you If completed. rA p y quesfon;pertaining to this Date Ins COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION -A0 PERMIT PE MIT NO. • ASSESSOR PARCEL NUMBER 028-062-023 ZONING ARMH 1 BUILDING PERMIT OWNER JEANETTE TRIPLETT message TELEPHONE 742-5315 S0. FT. OCC. BUILDING VAL ATION OWNER'S MAILING ADDRESS 1364 MIDDLE HONCUT ROAD OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN A Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR EN INEER'S MAILING ADDRESS Ener Plan Checking Fee 9Y g A $ Penalty $ BUILDING A°DRESS 1364 MIDDLE HONCUT ROAD OROVILLE Permit tee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® 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 fJ Other ❑ Describe work: 500 min EXISTING SITE/2 BDRM Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 J i J Main service 600VORLESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 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.SINGLE License .JO. 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 OCCUP.ad) NEW CONST. / DWELLING OR ADDNS. ACC, BLDGS. / 1 3.6d sq.ft. NEWCONSTFL ULTI.OUTLET NO N.R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) OUTLET CIR. EX. OCCU P( OUTLETS OR FIXTURES L20 @ 76 Ex. Occup. ourLETS P(RESID )D ALNSREA.) 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. LrY;J1 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g LHood 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 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 accrueHAz against said County in consequence of the granting of this permit. X 3 Date 9 " Sig Dture of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for @%COVOtIOnS Dyer 5,�,. deep and demolition or cDnsiruct. , ion of structures over 3 stories in height. Mobile Home Installation Fee S 70,00 Ener Inspection Fee $ Energy p OCC CONST TYPE TOTAL E 0 .00 OFEES IMP FLoo I Cr I PA PD HD I�S This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicat a ve f r which fees have been paid. TO OF UBLIC WORKS BY Date -7 � f PE MIT EXPI. Date —2Z ! Receipt No. 10112 Receipt WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .- r .--•. _ .. ..�dd ��+�r�'+�'T'SYR�i � ) �iisA's9��tT'�.•w w`���+•,'"l X,` `'''J f`:h...7-'�T.�ila('�'Pr{�t'x'..:`.+# �-'...Y:� COUNTY OF BUTTE -DEPARTMENT OF'PUBLIC WORKS - BUILDING DIVISION ♦ 'M w♦ - .r tYy i�' a »� 7 COUNTY CENTER DRIVE - ORQV1LLC�CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. �-I— a OWNER 7—eceP / o A. P. No. Proposed Building Use 'Building Inspector rbZe Date—S//Z_ l At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature.on•plans...:. 5. Hazardous Material Form .......................................... / 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) /6 / 9. Mobilehome insJ� Ilation data i cl}ading manuf ctur 's installation r instructions...��orn�s �h.. ..... n���� y,,, �`s harnL.....��Gr 10. Fees of $. 11. Chico Urban Area',fees paid ....................................... 12. Park fees paid f .................... 13. to cm 011 ;�rt 11 � School DistI t fees paid ... 14. Sanitation a royal from I^© .......... . PP ! ���- Health Department i � 15. City of Chico plumbing permit ..................................... 2 16. Plot plan and business license approval from City of (see City for other requirements) ' 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's licenselinformation (No., Name Style, Classification) ... 22. Certificate of Workm'ans Compensation Insurance .................. ,�X23. Owner -Builder Verification (Given to owner o, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit;` process as follows: Mail to owner. Mail to contractor. Telephon f _331Sand h d for pickup it ©rte office. Deliver w/inspecto.r. Other. C -a v ` M S t Applicant au VL, Date 0 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'iubmitted 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---naiI—counter by ..date r Contractor, designer, owner, was advised of above required data by_phone_mail nter by date Plans checked by Date Plans approved by Date _ Sets of plans on hold in File cabinet — ZAP folder Copy—DPW TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance -' Owner Location Plan Approved for: Hold final for: Sewaqe Disposal ^anal clearance O.K. for: Clearance for —2 -bedroom mobile home. Other NOTE "** *Rater Supply Water Supply Water Supply Date Sanitari i l711-<<,, G��-f- .1 10 3c' &ALVI cl e JJk-orr - �I APPROVED Butte County Environmental Health Date Sign Sign re ----- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT • ASSESSOR PARCEL U R 2 N NG BUILDING PERMIT OWN � Tri � � mS TELEPHON -5� SO. IT. OCC. BUILDING VALUATION OWNER'S MAI LI,G A RE S 11ei't Q v `0,4 QS% C NTRACTOR'S NAME TELEPHONE w C NTRACTOR'.S MAILING ADDRESS 1 Fireplace CO S RUCTION LENDER VNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ AR(;H TECT OR ENGINEER LICENSE No. Plan Checking Fee $ a 0c) ARCHITECT OR ENGINEER'S.M-AILING ADDRESS Energy Plan Checking Fee $ Penalty g BUILDING ADDRESS o c r v' Permit tee $ PLUMBING PERMIT Filing Fee 1 15.00 Each T rao Solar or heat pump water heater 5.001 20.00 L ..T X10. 1 SUBDIVISION NAME PARCEL MAP Water piping 1 7.001 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex J Mobilehome( Other SPECIFY Gas piping system 1 - 5 outlets 5.00 i Building sewer 15.001 Mobile Home I S I G. W @ 15.00 TYPE OF WORK New Addition L Remodel C Utilities �❑ Installations Other 70 Describe work: t' M�/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 �� Main service 6V OR LESS OR LESS 00 18.50 CONTRACTORS LICENSE LAW V I declare under penalty of perjury (check one): j 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 ;Jo. Classification U 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) LJ I am exempt under Sec. Business and Professions Code for this reason Main service 200A TO 1000Al 1_37.501 NEW CONST. ( DWELLING OCCUP.&) OR ADONS. ( ACC. 3LOGS. I j 3.6dsa.rt.l tiEw cohsTR. ���-l.uurLET 40N.RES10. 3RaNCF+ CIRC' Ir5 1 I@ 5.00I POWER APPARATUS tr (SINGLE OUTL=T . ) Ex. OCcup(OUTLETS OR=iAT'JRESi aF0'Dc5a j gd =�AEO APp LVS. 0R Ex. Occup. o:JTL='S ;RESID.; EA.) I 3.001 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 1 1 Permit Fee $ t — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): f —t 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. C 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_ i1 i Cooiin g rHood 6.50 Ventilation penult 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 Ccuntyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte agains! 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 C Contractor G Agent An OSHA over 5'0" deep and demolition or construct- ion of structuresover3 Mobile Home Installation Fee Energy Inspection Fee $ occ I CONST TYPE TOTAL FEE $ /0,5','0 IHALIOFEES IMP i FLOOD ICOF I PARCEL IPO I I HO i ISSUE I This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Dale the applicable provi- � resolutions to do ! have been paid. i WORKS Dale I Jstoriesoineheight.rions Receipt No. IVMIiC•D. P. LV,. YCLLOW-•$eC�]O P. PINA•MSPCD AOR. gni nruPnn.-PPI ��ur I r • . Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section.26-8.1 of the Butte County Code. requires this acknowledgement be recorded prior to issuance of a building permit. SEP 2 0. 1991 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon— veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, 91-038975 and fertilizers;' and from the pursuit of agricultural operations including, but not limited to cultivation, - plowing, 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 that real property. 'situate in the County of Butte, State of -California, described as follows: Date: THE NORTHERLY 50 FEET OF THE EAST 210 FEET OF LOT 120, AS SHOWN ON THE OFFICIAL MAP OF HONCUT, BUTTE COUNTY, CALIFORNIA, WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA ON MARCH 13, 1899, IN BOOK 7 OF MAPS, AT PAGE 85. LOT 121, AS SHOWN ON THE OFFICIAL MAP OF HONCUT, BUTTE COUNTY, CALIFORNIA, WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER, OF THE COUNTY OF BUTTE, STATE.OF CALIFORNIA, ON MARCH 13, 1899, IN BOOK 7 OF MAPS, AT PAGE 85. PROPERTY OWNERS: State ofC1i+Z,fr- ) On this the,�-)L_I_* day of S/ l� 19 l before me, the ) SS.. undersigned Notary Public, personally appeared Countv of ) i j1h _ ) ��,a'exry&g,y,-."N srt tsttu,mit- H,eZ Personally, known to me. ❑ Proved to me on of satisfactory c`.;to be the person(s) whose name(s) /S subscribed to the within instrument a d cknow Eexecuted the same for the purposes t erein cosi ? M6a6�'9;Isi4",V:RC.'.VCt € ?: in"N"-:?:�:r�c�T`x=N�%TNEREOF, I hereunto set my hand and off"tial (s Present A.P. No. 6" k��J�> the basis evidence. Ye d tai Notary Publi ESS COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7, county Center Drive - Orovllle, Callfornla 95965 - Telephone: 916/536-7541 APPLICATION AND PERMIT PERMIT NO. 3 � ASSESSOR PARCEL NUMBER 028-062-023 ZONING ARMH 1 BUILDING PERMIT/ OWNER JEANETTE TRIPLETT messaJe TELEPHONE 742-5315 SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1364 MIDDLE HONCUT ROAD OROVILLE CONTRACTOR'S NAME TELEPHONE OWNER CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is NONE LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ NONE ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy g Fee Ener Plan Checking $ Penalty $ BUILDING ADDRESS Permit fee $ 1364MIDDLE HONCUT ROAD OROVILLE PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ❑ Duplex❑ Mobilehomeq Other Mobile Home 015.00, 15.00 SPECT FY. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ 30.00 Describe work: REPLACE GAS PTPF _ Contractor (FIRE DAMAGED MR CITE) ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW NEW CONST./ DWELLING OCCUP.&� 3.64sq.ft. I declare under penalty of perjury (check one): OR ACDNS. l ACC. SLOGS. NEW CONSTR.ULTI.OUT LET 5.00 ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RESID BRANCH CIRCUITS APPARATUS tri and Professions Code and my license is in full force and effect. (POWER SINGLE OUTLET CIR. License No. Classification EX. OCCU o Occup(OUTLETS OR FIXTURES 20 7e I, as the owner, or my employees with wages as their sole compen- FIXED Ex. OCCUp. OUTLETS PRESID IKEA.) I 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I., as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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 g 1 shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 permit Fee $ 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 S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE $ 30.00 all liabilities, judgments, costs, and expenses which may in any way accrue HAz 10FEES IMP FLOOD CDF PARCEL PO HD Issu against said County in consequence of the granting of this permit. I XDate U( -p-o-9This permit is hereby issued under the applicable provi S4 ature of Applicant — Owner I Contractor ❑ Agent ❑ sions of the Butte County Code and/or . resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct- work indicate ab a for which fees have been paid. ion of structures over 3 stories in height.B R PU LIC Y7 WORKS Date L� Receipt No. I Q1 12 E; PE I PI • E Date — WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT �--.-�-a^-s-, ., .,, _ ._.,,,- _ "T'.-���'+���Fr.��rv,+t.'iy'f�T'�R�''4� ''*"y,+."r'���'F�r7*+'ir'i:lstit�.,:Y'lwr.�:,��.Ca•Ji--� COUNTY,OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAt!IFOR,,NIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ,/ Permit No. OWNER (, eotya fi- 1r; �f— A. . o. Jo _06� AQ o. Building Use GY 0 iytl Building Inspector Date 22tol 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 f 6ildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. - Whnyouu issue the pernit process as follows: Mail to owner. Mail to contractor. _ Telephone `��-53� and old for pickup at Olen office. Deliver w/inspector. Other �CcvC— �vt S 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 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--nail_couter by ..date Contractor, designer, owner, was advised of above required data by_phone_mail�co nter by date checked by Date TPlans approved by k)/ L/ Date Sets of plans on hold in File cabinet —L—AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7.County Center Drive - Orovillef California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER � 0 � �. .. -... a. i.. •i.trJ L/OlG 1 nNi rC-D.P. W., Z 1 Gam, BUILDING PERMIT OWNER g—e >1� T E E M//,O(1�N/ E _ �> SO. FT. OCC. BUILDING VALUATION OWN ' L 9 MAID ESS � OneKt- Oro I/ P Q i I CO�TR CTOR'S NAME TELEPIr ON.E CONTRACTOR'S MAILING ADDRESS Fireplace COIJS,TRUCTiON LENDER _ UNKNOWN Total Valuation LENDER'S MAILING ADDRESS Filing Fee g 15,00 Permit Fee g ARC ITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ I Energy Plan Checking Fee g. Penalty g 9ulL �NG ADDR,ss l ��% d& ©n e- Ll Pe rmft free g PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 Solar or heat pump water heater 20.001 LOT NC. 1 SU8rJ: VISION NAME j P'A R -CEL MAP 1 water piping 7.00 Each qas- water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex J Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home I S LGYW @ 15.001 15-,001 TYPE OF WORK New f-7 Addition] RemodeIL! Utili)ies� 1pallation[ Other��, Describe work: C/l� CLl l/`�' C� $ 1v C4 �-ir `- )_ re S' �a I Permit Fee $ Q.�Q Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 00OR LESS 2 200AA OR LESS 18.50 I CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): i _ 1 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 'Jo. Classification LJ 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 Main service 200A TO IOOOA: I 37.501 NEW CONST. DWELLING OccuP.s,\ OR ADDNS. ACC. SLOGS. I 9.Sesa.ic.l NEw CON5TR 'AUL'I.JUTLET 1 NON.PESID. SP. GNCH CIRC' ITS 1@ 5.001 ;10-M! APPARATUS g` SINGLE OUTL=' .:R. 1 i Ex. OCCUO�OUTLETS OR=IXT:JRES I 20�'oO �A 'D 460 =�.(cD .IPP L•!c R }} Ex. Occup. D:ATL=:S •RESIC.:EA.) I 3.001 j Temporary service 15.00 Mobile Home Fac;lities 1 15.00 I Misc. Wiring g i 15.00 1 Permit Fee S — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): J The permit is for 5100.00 (valuation) or less. CI have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not -employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. Contractor , MECHANICAL PERMIT Filing Fee 15.00 Heating_ I Cooiing Hood 6.50 Ventilation Permit Fee S 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 r' C Contractor L .1 Agent ❑ An OSHA ion of structures toverr 3 stories ineheighttions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ , CONST TYPE 1 I NOTAL FEE $ nA( OFEES MP I FLOOD coF IIPA RCEL IPO No SUE i 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 OCORAfr G'ZDIOCC n.,. applicable provi- I resolutions to do i have been paid. WORKS Date i Receipt No. YELLOW' -35C330-. -NK -INSPECTOR. rot of NRnn.APPL.CANr I 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. s Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of 'the proposed property improvement (yes or no) C 2. I r ave have not) signed an application for a building permit fore 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 Social Security Number Date G " © — 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. 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. 1 , Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (�hav /have not) signed an application for a building permit for 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 Social Security Number - - Date ao -01 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. OWNER: LOCAT PRE-INSPEC`lION /o o /,e DATE ION• 136 idULIQcu-t 114A. P. # 2-9-062 - -2 � CONTRACTOR: �2.�7Y1 Pte- _ ZONING ___________ r- _ i1 A IJ tori ' AID PRE -INSPECTION FOR: DATE TO INSPECTOR - C = -____-------------------------------- PERMIT HISTORY: Fl. NONE 0 �l AS FOLLOWS: 4 8"l7- gb M H U OLE ED M HI TYPE OF OCCUPANCY % 2 X G 5 ' / vl o b r (0 ( me J �, ------------ FIELD - INFOI:MATION BUILDING USAGE: TENNANT: IQ OCCUPIED [] HAS ELECTRIC p HAS GAS HAS SANITATION FACILITIES Q HEATED -COOLED T-1 PERSON CONTACTED I ACTION RECOMMENDED: 0 ISSUE BY [:] HOLD FOR. DATE�6 I Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9l-3915 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 91-038973 The property described herein is adjacent to land or included within an area zoned Recorded for agricultural purposes, and residents Official Records of this property may be subject to incon- County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder and fertilizers;' and from the pursuit 1:31pm 20 -Sep -91 Rec Fee 5.00 Cash 5.00 XX 1 of agricultural operations including, but not limited to cultivation, plowing, 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 that real :property: situate in.the County of Butte, State of -California, described as follows: THE NORTHERLY 50 FEET OF THE EAST 210 FEET OF LOT 120, AS SHOWN ON THE OFFICIAL MAP OF HONCUT, BUTTE COUNTY, CALIFORNIA, WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA ON MARCH 13, 1899, IN BOOK 7 OF MAPS, AT PAGE 85. LOT 121, AS SHOWN ON THE OFFICIAL MAP OF HONCUT, BUTTE COUNTY, j CALIFORNIA, WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER, OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 13, 1899, IN BOOK -7 OF -MAPS, -AT -PAGE 85. Date: e:� ,2,,o "f7- I PROPERTY OWNERS: State On this the, Of* day of Sl % 19 j before me, the SS. undersigned Notary Public, personally appeared County of �— � ,�&T-PL, �✓Li �L fi i,nL Personally known to me. n Proved to me on ® DANIEL F. HUNT in of satisfactory M •® NOTARY PUBLICCAUFORNLA ®t0 be the person(s) whose name(s) tJ a J Butte county ubscribed to the within instrument a d cknow My CommissionExpires0oi 1, 1994 executed the same for the purposes t er ' n co MmuumsmmmsomMMMEBBRBM6®8®iR4HEREOF, I hereunto set my hand and off cial Present A.P. the basis evidence. END OF DOCUMENT _, This set ofR tans and specifications OUST be kept on the: job at all times and it is unlawful tc make any changes or alterations on sae witK- out written permission from the Depart ant of 'Public'Works, County of Butte. NOTE:—All Materials & WorkmanshipShall Be In Accordance with Recognized Good Pr ctices and of a quality prescribed for the Specifie use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. A setback of 6A. from the property lines and a sett 50 ft. from the road oenterline shall be clear of structures or equipment ex for a 2 ft. eave overhang,,, t; 5W SQ. FT. MINIMUM a- FOR MOBILES 0 LJ ��41lDING DEPAPin'�Eli� I,77o:- 4-Y)-D1AQY ©I"J01bd 0 6/ ./ I J MOBILEHOME SUPPORT DATA If other than single wide, M bilehome Mfr, furnish Setup Model No. Year Width /� (ft.) Box Length 60 (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) 1Z1. Wood -pressure treated or foundation grade.❑ 2. Other (specify) SUPPORTS (check one)1. Concrete block. 1:1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 1 Piers: Line 1 Openings: Size -Min. ------------ k • . Size -Min. ------------------ Spacing-Max - -----------------Spacing-Max. --------- , Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- Line 2 Piers: Size -Min .------------ Spacing -Max---------- From Ends -Max .------- Line 3 Roof Loads: Size -Min ------------- Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min - ------------------ ,k „ Spacing -Max.--------------- From Ends -Max -------------- Line 4 Piers: Size -Min ------------- Spacing -Max.--------- - From Ends -Max -------- Line 5 Roof loads: Size -Min ------------- "x "x Location (From Front) Line 5 Piers: (Under Bearing Walls Only Size -Min .------------------ 'k Spacing -Max.--------------- From Ends -Max .------------- '- BUILDING DEPARTMENT OPROVF:D BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. , ,' • c • r, MnRTT.F.HnMF. TNSTAT.TATTnN SHFF.T 1. Owner's Name: J- —e0ne C --,L 7 2. Installer's Name: Otk) A& � 3. Is the site currently under permit? Yes No a (If yes, furnish permit number ) OR Is the site an existing site? . Yes Fy 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 ['\j No F-1 (If no, clarify 5. What is the mobilehome electrical rating? ---------.------ /0 Amps 6. What is the mobilehome site service rating? ------------- .)00 Amps 7. What is the mobilehome site circuit breaker rating? ----- /0 Amps 8. Is there any other electric load to be served by the mobilehome site service? ----------------a Q� -------- Yes © No (If yes, identify the load and size: (Load) 0 (Amps) 9. What is the mobilehome site gas pipe size? -------------- ! (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?--------------------------------------------- * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) �. ;PERMIT NO. . RY �Jj• PERMIT EXPIRES •OWNER Claude Cates owner .CONTR. �i LOCATION (A.P. 28-062-23 ) SW corner of Palermo-Honcut Hwy & Middle Honcut , Oroville i Tempa Power Pole Calle PG&E Temp. 7lec. Serv. 8 Call'led PG&E ! Temp/Gas Serv. _ 777 D Called PG&E JOB G F&ALED / 0 D V (Date) a _ (Sign re) 9. Electrical A. Is service large enough to provide adequat,e.amperage-to mobilehome (must equal rating of mobilehome with a minimum of 100 mp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.?' Yes o_ B.' Is there proper clearances around panels? Yes No_ C. Is power supply cord or feeder assembly properly fused?.- Yes I11N0 D. Is continuity test satisfactory as per the following procedure? Yes J.. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord•or feeder assembly. conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure,.the power supply cord or•feeder assembly conductors shall be connected to the site service•equipment. A further continuity test shall-then,be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be -approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Czeor_� Length Width % Z Vehicle Serial No. State Identification No. Additional Information or Comments: I MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with •quired separation from lot lines and buildings and generally conform to plot plan? Yes o 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yesla/No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_l/No 4. Is the mobilehome level? (Sec. 5088) YesNo �. If more than a single.unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flex' le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes 11 No_ f� Backflow - If coach is not State of California approved, does.station have backflow device / and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes v No B. Does it have minimum 4" per foot slope and is it properly supported? Yes�o C. Are any leaks detected in drainage system after running 3- allons of water through each fixture including washing machine standpipe? Yes No tel: If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas.Piping and Gas Vents A. Connector - Is mobilehome connected to the gas 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 mobile me gas line inlet without reductions other than the mobilehome connector. Yes No B. :Test OK as per following procedure? Yes No 1. Open all appliance connector v�Llves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"014" water column or test with slope gauge (minimum 0 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min.. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? ,Yes No_ N COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY Men This mobilehome has en installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: I Owner : Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No. , r It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. ! - . etback rms In Bldg. ootin s S mwall Sla Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walla Relnf. Stee, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILD)NG INSPECTION RECORD BUILDING ABUILDING (Cont'd) Newall Ski Piping Pa ets t Floor Rest om Finish 2n Floor Windo 3rd loor Siding To out Roof Shea hlna Water PiNn, Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation - Water Htr. Heaters Prov. for physical _.Landicappea Conformance of ex. structure Appliances Gas Piping Temp. Gas Final Sanitation FI P ACE Final Framing / \ I _Test \ I Water Htrl T mesiT MECHANICAL Grd. F It Prot. Scr tch Heating Servile EJ(own I Coolin TA -6— Pole PLUMBING TR ITSA L Inish X I Duc Anderground terior Lath Ve tllatlon Permanent boor Closer nal Final MOBILEHOME UTILITIES ----------------- Elec. Service3-,; 44o - lec. Pedestal Water Piping 0 Sewer —CA -Gas Piping DdQBILEHOME INS ALLATION - - - - - - - - - - - Support 7. Elec. Continuity Water Piping Y1>5 7Z Z >:�,(L> Drainage 3 Z S-6 Gas Piping ,p v �d V DATE REMARKS OR CORRECTIONS Y ALI, I ���JJJJ..�,.�,A- ox. lz�a� _fid-a4000,.e�� ..I (NOTE: An entry must be made on this form each time you visit the job site.) I COUNTY OF BUTTE — R DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, California 95965 Telephone: 534;4541 APPLICATION AND PERMIT autnorize represeniatives of the Lounty or tette to enter upon the above-mentioned property for inspection purposes. ie g, , -"/ �Date Signature of Permitee or Agent Receipt No. 5607-1 White-D.P.W. - Yellow -Assess r - 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. DCTOR PUBLIC WORKS By—An ` a Date - permit expires Date BUILDING Owner L,L�E Cs SQ. FT. OCC. BUILDING VALUATIO Mailing Address ZG9 g Q�!%✓6iiL.� Tel a No. ContractorWO&--?Z_ Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address�t18L �� G�tf Plan Checking Fee &/orPenalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 QZ) Each Trap 1.50 Repair drainage or vent piping 1.50 -7C_ A. P. No. 4-0 (� �Z � Zonin Planning Water piping 1.50 /0, UU Each gas water heater or vent 1.50 Fet W S ' do Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 0, e) 7) EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements E 'h additional outlet .30 wilding sewer 5.00 A P Bldg. Plans Parcel royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES I'a OTHER ❑ permit Fee $ UO ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3,07) Main service 600 AMP LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service ADD•L 100 AMP 1.00 (DWELLINGEA. NEW CONST*OR ADONS. ACCBLDSCCUP. 6) 22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: NEW CONSTRES,., -OUTLET NON -REBID BRANCH CIRCUITS) 2.50ea NEW CON STR. (POWER APPARATUS e NON.RESID. -SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES) BAL 11 Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 p jD License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , 50 $ S� WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. KPI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby l F Land Development Fee $ �•- TOTAL PERMIT FEE $ C autnorize represeniatives of the Lounty or tette to enter upon the above-mentioned property for inspection purposes. ie g, , -"/ �Date Signature of Permitee or Agent Receipt No. 5607-1 White-D.P.W. - Yellow -Assess r - 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. DCTOR PUBLIC WORKS By—An ` a Date - permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK y 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT (/ / Owner (; LlJ.r,n,�. CW7Z-- 5 Mailing Address �4- Z e Contractor Mailing Address Telephone No. Building ��A//ddress _ ao A. P. No. Zoning & Planning Fels W!E I Sen+4&tion Fire Dept. FireZone Use Permit EQA Parking I Parcel Improvements 60 Parcel Ma ' R/W rovements Plans Declaration P p . Bldg. Plans4Rec'd I Parcel roval Plans Apoproval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER_ Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification 15 1 am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned propertyforinspection purposes. X —Date Z /9 E4 Signature of PermiteeJo,Agent Receipt No. ��UZ _ White-D.P.W. — Yellow-Asselsor — Pink -Inspector — Goldenrod -Applicant _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace 50BAL'L@'I' Total Valuation ELECTRICAL Permit Fee PERMIT FILING FEE Plan Checking Fee &/or Penalty Main service Permit. Fee 5.00 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee 50BAL'L@'I' $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service O100 AOVER sMP0vR LESS 0 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST *(DWELING OR AODNS. ACCLBLOGS.CCUP. 4\ 20sgft NEW CONSTR. NnN_ (MULTI -OUTLET `/ BRANCH CIRCUITS/ 2.50ea Ex. OCCUO(OUTLETS OR FIXTIIRES, 50BAL'L@'I' FIXED APLNSd Ex. OCCup.(OUTLETSP(RES(D )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land_DeueLePrnent fee $ 1 TOTAL PERMIT FEE A4 I$ Q This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f which fees have been paid. 1111%R �OF BLICWORKS B Date7CU7 Building permit expires Date MOB ILEHOME SUPPORT DATA If other than single wide, , Mobilehome Mfr. furnish Setup Model No. Ne$r Width' (ft.) Box Length � (ft.) Tagalong or Expando Size ft. x ft... (SHOW SUPPORT DETAILS BELOW) . On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation .manual and structural setup sheets (if not on file with the County of Butte). All center supports measured•from front of mobilehome unless otherwise specified. Footines.(check one) Single 1. Wood either, pressure treated or ' foundation grade. x (f .)(in:) (in.) (in. 2. Other (specify) Center s port Center pport locatio * footin sizes Supports.(check one) (i .) 1: Concrete block. x 2. Other (specify) (ft.)(in.) (i .) (in.)0 0 V (ft.)(in.) x (ft.)(in) (in.) (ft.)I (in.).. (in.)( (in.), *If center piers are. other than drawn above, draw in . -locations, spacing,.and dimensions. 4 ---Tagalong or Expando,` show support details. 2 x �bj Tical Support n. (in.) Fo ting Size (_G(1 -- Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.)(in.) BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville. CA. PHONE: .534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner' s ' name : 2. Installer's name: 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number`a 1'7 —80 ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes % No (If no, clarify 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas' or less than 50 ft, on LPG.) BUTTE COUNTY BUILDING DEPAPTMEN1 APPROVED 5. What is the mobilehome electrical rating? ----------------------- 160 Amps 6. What is the mobilehome site service rating? --------------------- 7c) o Amps 7.. What is the mobilehome site circuit breaker rating? ------------- f b Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes &:f/ No (If yes, identify the load and size: 6A19,46E (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural / / LPG P0 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas' or less than 50 ft, on LPG.) BUTTE COUNTY BUILDING DEPAPTMEN1 APPROVED 'r % 4.e e/, °r the �Ce�K-- r` TJ9y a�q= °t11g, �C� �\ kr� - _ • r S 6-1 set of {flans and specifications MIST b@ �� � aot a� --. -- - -- - -- - -- kop+ fhe joh'at all times rnd It is unlawful � `re, rS a ;\ ma�eq changes or altPro' ions on Sarno wtfltauf A setback of 5 ft. from the n Permission from the Doparfmonf of Pu�ile k o _ - - \� 2 �. property !i }and a setback Vdor&s. Gouniy of Butte. -road � Ne centerline shall be clear of _ structures or equipment except\� a ft. eave overhang, - t G-siO NOTE• -All Materials & Worl rnanship SW! Be ink, Prices and' accordance with Rec� n'i+red • �''�n or ;he $r+--*-iiad use in. the '} If 'a quality presort r p F /. - VnifoBuildinc, C; �u�x rilErtYllC i l.C�.' CS31C UN rm iBUTTE COUNTY . the National 1=lQci•rlcal Colo. � - - - _ QUILDIWG E?ARTM O. j 0 OK J'p.I? 3 OFFIC'AL PF,CT)t?Dt L TTE C4Ula l T' r; .. t.1 F• 9�b�,�,r3f MAS j.9,'= .7- F, Y 3 49 PFS I CLARK A. IvE t.Sr)�I CLERK-RECOR CRC 7 �� ..WELL AGREEMENT AND EASEMENT FOR PIPELINE This Agreement.made this 20th day of February 1980, by and `between: CLAUD 0. CATES and DONNA M. CATES, his wife. There now exists a water well located'on property known on Assessors parcel number 28-06-24, more particularly described as follows: Commencing at the Northwest corner of Lot 121 as shown on the Map of Honcut; thence Southerly along the Westerly boundary line of said Lot 121, a distance of 35 feet; thence West a distance of 18 feet to a point in the center of the existing well. WHEREAS it is the desire of the above described party to create and, establish a water well agreement appurtenant to the following described parcel of land: The Northerly 50 feet of the East 210 feet of Lot 120 as shown on the .Official Map of Honcut, Butte County, California, which Map was filei& .in the Office of the Recorder of the County of Butte, State of California on March 13, 1899 in Book 7 of Maps, at page 85. i Lot 121, as shown on the Official Map of Honcut, Butte County, California,, which Map was filed in the office of the Recorder of the County of Butte, State of California, on March 13, 1899, in Book 7 of Maps; at page .85. TOGETHF,R WITH the light to take half of the water from said well and an easement for water pipeline ,110 feet in widith from the existing well extending Easterly to a point on the Westerly boundary line for said appurtenant parcel. For so long as the above mentioned well shall exist in private ownership, the Party hereto, their successors and assigns, shall bear the expenses of maintaining it in good repair. It is agreed that the cost of maintaining said well shall be paid equally by the Party hereto, their successors and assigns. ALSO TOGETHER WITH the right of ingress and egress for maintenance of the well and pipeline over the following,described 20 foot strip of land, the centerline of which isdescribed as follows: (.COMMENCING 'et the Northwest corner of said lot 121; thence Southerly along the Westerly boundary line of said Lot 121 a distance of 35 feet to the Point of beginning for the centerline of said 20"foot strip thence West a distance of 30 feet and the end of said centerline. MAIM n reT>♦c TO 1944 CA (8.74) (individual) TITLE J AND TRUSTINSURANCE ( STATE OF CALIFORNIA 1 Ar(coRCOMPANY 9 l7 Ss. On. 72_j Z'R.-_c:,X6 , 3 l .2 4�_ _before me, the undersigned, a Notary Public in and for said State, personally appeared_'-- __QDw.N�_..M. known to me to be the person-$_ -whose name .5_ subscribed to the within instrument and acknowledged that_ _7A I'—/L executed the same. WITNESS my hand and official seal. r Signature ORWBUL 0" MAUDIA BROWNING NOTARY PUBLIC • CALIFORNIA BUTTE COUNTY MY COMMISSION 8 MRIiS FH, 1, 1"4 WD OF D(D(''um I (This arca for official notarial seal) gCIO aYc l~P r^ IP4 �pf� d°� �6 �8i d 'r 112 a.v�. i n �ovrea-fi ®Cj)� 2 -� r J 4P A -L Big CLARK A- Y.;ISGNOEE CLERK-RECORDS. 5547 NOT COMPAP.ED WITH ORIGINAL DOCUMENT WELL AGREEMENT AND EASEMENT FOR PIPELINE . This Agreement made this 20th d4y Gf February 1980, by and. betwee:.: CLMUT 0. CATES and DONNA M. CATES,`his wife. _ There now exists a water well located on property known -.as Assessors parcel number 28-06-24. WHEREAS it is the desire of the above described party to create and establish a water well agreement.appurtenant to the following described parcel of land: The Northerly 50 feet of. the East 210 feet of Lot 120, as shovm on the -Official Map of Honcut, Butte County, California, which Map was filed in the Off ice of the Recorder of the County of Butte.- State of California on March 13, 1899 in Book 7 of Maps, at page 85. Lot 121, as shown on the Official Map of Honcut, Butte County, California, which Map was filed in the office. of the Recorder of the County of Butte, State of California, on Parch 13, 1899, in Book 7 of Maps, at page.85. TOGETHER WITH the right to take half of the -water from said well and an easement for water pipeline from the existing well extending Easterly to a. point on the Westerly boundary line for said appurtenant parcel. For so long as the above mentioned well shall exist in private ownership, the Party hereto, their successors and assigns., shall bear the expenses of maintaining it in good repair. It is agreed .that the cost of'raintaia ing said well shall ue puid equally by the Party hereto, their successors and assigns. X X