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Home My WebLink About028-072-0180 28-072-18 SADA LUPE CARRILLO W alermo Honcut Hwy, 200'S.School ST } _ Hogcu Permitlk2163-84P,E(RELOCATE UTIL,exist site) ELEC + GAS SUPPORT STR R O COMPACTION TEST REQ A&I-1000, _. 28-072-18 Contr: erior�NiT1 Ser,YMysv Perm --#2791-84MHI Ijpded �—/5<—Y9 28-072-18 (Health Clearance for IBR Mobilehome) a n s k a lip I PERMIT NO. PERMIT EXPIRES OWNER GUADALUPE CARRILLO owner CONTR. ASSESSOR PARCEL 28-072-18 LOCATION W/S Pal Hon Hwy, 200'S School St, Honcut Pyr Temp. Power Pole { Called PG&E Temp. Elec. Servi Called PG&E { Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise-- Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. I A . oe /i Inspector ��_,� Datei'-�Ofe-4'/- r � ! J } oe /i Inspector ��_,� Datei'-�Ofe-4'/- r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCYThis mobilehome has been inst 1 of the Califor is Administrative Code, Title 25, Chapter 5ance with e ure uirements nder permit Y' number .Z. `� `�� _ � 4! for the followinglocation: � /- Owner �-: Owner's Address Mobilehome Mfg. /✓� •; �_ Insignia No. " �;,_A Model/W—)(Year �. �;.7. Ski ._ Serial No. It is hereby certified for occupancy at the -above described location and may be occupied. Director of public Works Date • ��C� `. Bye THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. f� { OK. 0 = Not OK Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready- Date eady Date MOBILE11WE UTILITIES (Plans) OK except N's oning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements—Setbacks—.Easements i s; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors er; Loc n-Test—Fall-C/O-Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. n—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts— Beams— Rftrs.—Connec.—Shthg.—Rfg.—Bracing 8 ectricily; n—Clearances—Grnd._/ Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6_�Gas L Test�rap-/ /"L"ft./ /'Nat.ocP "L"ft. U'LPG 6. Carports; Windows—Doors 2: --Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (P s) OK except N's Date POOLS (Plans) OK except N's Hing Requirements—Setbacks—Easements 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability / 3P • MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4 lectricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI r in; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Health Department Approval %--tots; Insp.—Sketch loe-tert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test C B -I ate I jjCard-Bl Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date t 6�s'1 V = OK 0 = Not OK ` - = Not Applicable RESIDENTIAL (Single ,and Duplex) •* = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulationin Attic ❑Yes Foam -Looked 73. ) Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except p's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -81 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING Plans OK except N's Card -BI Date Card -BI Date Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin- Roof _Brac.-Truss-S_hthng_.-Rfn_g_. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-'Oroville, California 95965 - Telephone 916/534-4541 { APPLICATIONAND PERMIT PERMIT NO A A0 ASSESSOR PARCEL NUMBER 'ONI GF� BUILDING PERMIT OWNER^PHONE I r SQ. FT. OCC. BUILDING VALUATION ER'S MAILING ADDRESS �CONTRACTOR*S/NAME d TELEPHONE CON C '5 MAI ING A RES S e— Fireplace CONSTRUCTION LENDEIRUNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ S ,0f7 BUILDINGDDR `l ,N' PLUMBING PERMIT Filing Fee 10.00 ( I Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK re, New F] Addition Remodel ElUti I-I-esElInstal I ion LJ- uther ❑ Describe work: S — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUPM OR ADDNS. ( ACC. BLDGS. I t 2/20sq It CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I, am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. POWER APPARATUS & / NON-RESID. (SINGLE OUTLET CIR. Ex. Occu / p\OUTLE'T'S OR FIXTURES 20@50c BAL®300 FIXED APPLNS, OR \ Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 Coun y i consequence of th nting of this permit. X Date L,�� Signa re of Applicant — Own Contractor ❑ Agent ❑ An OSHA permit is requir/ d for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stpries in height. Mobile Home Installation Fee $ np TOTAL PERMIT FEE $ ��UCJ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIR OR O UBLIC By ( PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS D < �' Receipt No. 2� (�, WHITE-D.P.W., YELLOW-ASSESSOR.'PINK-INSPECTOR. GOLDENROD -APPLICANT '.. . ; It c.0 L&W AGVJLCut,•.it,21;, S �ti'I7•.MIXI ifF Ai r.N . �r,t�t;iMENT FOR RESIDENTIAL DEVELOPMENT 84-31580 Section M-8.1 of the Butte County Code requires this acknowledgement n �E�Ob'.�� be recorded prior to issuance of a building. permit. p .f fry /'may/�{}49 �I The property described herein is adjacent to land or included bWA within an area zoned for agricultural purposes, and residents of this V property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides,,�ipeattieidea and fertilizers; and from the pursuit of agricultural operations includir4 i3iut`t�6ot�i imha to cultivation, plowing, spraying, pruning., and harvesting which occasionally generate , smoke, noise, and odor. Butte County has established agricultural 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: o'ED WITH oFII I ALPDOCUMENT Lot 45, as shown on that certain map .entitled "Official Map of Hor.'cut, Butte County, Cal." 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. F-ICEPTING TIEPEFROM that portion described as commenr_ing at the Northwest corner of Lot 46 of H,oncut as shown on said map: thence Southerly along the Westerly line of said Lot 46 50 feet to the Southwest co..-ner of paid Lot 46: thence Westerly alongg the Suutheriy line of said :.ot 45, 100 fhot to the Southwest corner of said Lot 45: thence Northerly along the Westerly line of said Lot 45, 50 feet: thence cesterly and parallel with the Southerly line of said Lot 45, 100 feet to the point of beginning. ALSO EXCEPTING a portion of Lot 45, described as follows: Beginning at the Norclucstl corner of said Lot 45; thence South along the West line of said lot, a distance OfIRI feet to a point, said point being the true point elf beginning for the parcel of land1 herein de:scril`;?; thence leaving said true point of haginning and running North along;) the West line of said Lot, a distance of 172 feet to the Northwest corner of saidlnt;l thence East -along the North line of said Lot, a distance of 200 feet to the Northeast1J corner of said Lot; thence South along the East line of :.aid Lot, a distance of 119 � feet to a point; thence West in a straight line, a d scaoce of 200 feet, more or l to the true point of beginning. Al SG EXCEPTING a portion of Lot 45, beginning at the SOVtheast corner and running North aloe& Che East line, 100 feet; thence Westerly and parallel with the Southern boundary, 200 feet to the West line; thence Southerly along the West line, 100 fact; thence Easterly in a straight line to the point of beginning. Date: - y - l PROPERTY OWNERS : _ • /�� /'�g��-vim State of ) On this the day of IQ1,Q vii ber 19Y, before SS. me, the undersigned Notary Publi , personally appeared County of ) l2(d,0. �Q� It p 2. � i i � l l (� Q Y� rA \\ n C F� �� ,. n 1 n r �• � � L/ Personally known to me. f Proved to me on the basis satisfactory of `:.<:;:=:'••'=�:.�.,=::�...�._, �;.��.��^= o y evidence. n OFFICIAL SEA[ to be the person(s) whose name(s) gkLo subscribed to nz�,K�, G;,flEir'E B. IiUSTON the within instrument and acknowledged that NOTARY PUBLIC - CALIFORNIA fCOUiTYOFMiEexecuted the same for the ur oses therein contai ed. P P:,:y ccmm. Expires t,1arc: 22, 1985 IN WITNESS WHEREOF, I hereunto set my hand and official seal. Z-, , Ve- , -) , . Notary Public Present A. P. No. PZ—C) �^ WHEN RECORDED RETURN TO: j, MILLINGTON & MILLINGTON; -alis Drari rs CNECUTEL,'7o coaRfct' P.O. Box 8767 Gridley, CA ` EM".LIER DEED; NO17t.:' ' A; TPANSFER 95948 TIPPU 'XY :S DDE i j VI.[3 .�ttllPttlitrP mairthe.—+enty=8ecoad doyof I';j _ January _ o, a thousand rine hundred aril eighty-one JTINA CP_i R 1L 0, man and wife 1 VPtWPFtI_....—ESUS CARRILLO and ERN_S --._.—...--- ......_—.... _..__.._. I the part0--_of the first part, on:t....-GU..AD.4j UU W1RILLQ._And.-JOSEFINA CARRILLO his wife !...................._......................... .........._...._..._.__........._....... ....... ..... _.._.._..._............ __.._._.......__.... _ ......_.. 'Ic ]� _ _.._........_... ..... _........ _..the parties ...... of the second part, lu tpruPO: That the said parti.ea_.._...of the first part, in consideration of tat sum of 1 TEN and UO(HUNDREDS--------------------------------- -- dollor.r, i'•' lawful money of the United States of America, to__..._.Che a... _......... -in hand !kid by the said partle.S.....of the second part, the receipt whereof is h; reby acknowledged do---. . by these pres- #encs grant, bargain, and sell unto the said port.ies.-of the second part, and heirs and assigns forever, a1L—_....----..._.._..---.....- •-.-___. i_._ _—that _.certain lot...__.., piece --or parcel...._ of land situate in the l of_ 5G'TTE ._..__..—.._...__....___...—_._. � : r State of__ CALLZQRUTA and bounded and described as follows, to : i I Lot 45, as shown on that certain map entitled "Official Map of Horcut, Butte County, Cal." which: map was filed in the office of the Recorder of the County of Butte, Stage of California, on March 13, 1899 in Book 7 of Maps, at page 85. `!'. EXCEPTING THEREFROM that portion described as commencing at the Northwest corner of Lot' -46 of Honcut as shown on said map: thence Southerly along the Westerly line"of said Lot 46 50 feet to the Southwest corner of said Lot 46: thence Westerly alonngg the SuutheHy line of said Lot 45, 100 foot to the Southwest corner of said Lot 45 thence: Northerly along the Westerly line of said Lot 45, 50 feet: thence Eesterly�end parallel with It Southerly line of said Lot 45, 100 feet to the point of beginning. ALSO EXCEPTING a portion of Lot 45, described as :6)llows: Beginning at the Norttuest corner of said Lot 45; thence South along the West line of said lot, a distance ofIT, feet to a point, said point being the true point of beginning for the parcel of land herein describe; thence leaving said true point of beginning and running North along the West line of said Lot, a distance of 172 feet to the Northwest corner of said Lot; thence East along the North line of said Lot, a distance of 200 feet to the Northeast corner of said Lot; thence South along the East line of ;,aid Lot, a distance of 179 feet to a point; thence West in a straight line, a discaace of 200 feet, more ori,less to the true point of beginning. ALSO EXCEPTING a portion of Lot 45, beginning at the Southeast corner and running; North along the East line, 100 feet; thence Westerly and parallel with the Southern boundary, 200 feet to the West line; thence Southerly along the West line, 100 feet; thence Easterly in a straight line to the point of beginning. 01 Lige Y'r with the tenements, kereditmnents• .Ind appurtenances !hereunto belonging or I appertaining, and the reversion and reversions. remainder and remainders, rents, issues, and profits thereof. 0a i4'Jt)P unb 10 I jUlb the said premises, together w;t'r the appurtenances, unto .the said part.ieA_._of the second part, and __....-heirs and assigns forever. -._...__..._......__............ --- ...... ................. ................... ,tri Witmas 04rrrDf the s,:id part-ies_.of the first part haVe.-executed these �!o i! presents the day and year first above written. Signed and Delivered in the Presenct of ! !� j� ; ca ;: Clow• o+ 0...••. t� -----r..�w.�',--- sucui.urassl.+-a. �s� ._--------=--_-----------•-- - --_=. OV" 0'7'1 1"t3 APPLICATION FOR PERMIT e 3 910 be 58 rr �, � 1 n r owner's Name ° `� �� C/ Mobilehome chis set of pians and specifications MUST bi Address kept, n_the inh A+ .II times and ,►Addg#%s;x,,1 s make any changes or alterat ons on same withou Telephope.—issonh ; d }N*Mir't, `•lobilehome Works, County. of Butte.' Installer's ocation No. BLFVA.TION Locate all connections in rear 1/ of mobilehome, within 4' outside rear of mohileho Installer Contractors License property lines and a setback 9 of 50ft. from the road centerline shall be clear of j Q structures or equipment except, or a 2 ft. eave overhang. , ; NOTE.—AR Materials & Wor! Accordance willz Reiog zed of a c!'10,01"Y P -_bed '�,r Unifarii Bu&,i 1% PI ir�g t I4h' WHA S�CfrkA Code. MOBILE 63- ?� 1- BUTTE COUNTY ,1 ` F 1 BUILDING DEPARTKN`� V. v v A`TP0VL96:::" i eLEvATzoti v 7 i r 0 D Q S.i te' Utility Services All facilities serving the mobilehome within 4' outside. the rear half of the mobilehome, and on the 1 f' (road) side of the mobilehome, or within 4: outside the rear. of' the mobilehome mith .respect,to the location, or proposed location, of the mobilehome on the lot. YY \ 1: ' Gas: Natural LPG /` Riser Size 2 Drain Inlet:. Size 3..Electrical Equipment: (a.)...'Receptacl a .'Rating (amps) b R— ', (b) Connection for power ass^^? _ Circuit breaker rating (amps /o (c) Main switch'egUipment rating (amps) a o e, ome "ata `1 Size: width: �le'ngth: ShA'.B(E11@ctrical Power Ass-nmbl„ Curd ct ,c cbs Move rating. OR II mer supply assembly A np.ilF rating Fhexible condult�siz'zee— Goat supply inlet: Size _ Gas connector, descri!. 4.-: Water connector, des :ri Drain connector, descr be: fi..�' State insignia numbers.:._— Serial No. _ (If no insignia) Manufacturer: Daae Made: _ Ofter October 7, 1973)� Roof live load: 36 Il, p.s.f. Wide load: p.s.f. . Installation.Instruct ons: MOBILEHOME INSTALLATION INFORMATION SHEET. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 3 - ASSES OR PARCEL NU ER ,- ZONING BUILDING PERMIT OW R �a f TEL P ONE ^�01 SQ. FT. OCC. BUILDING VALUATION O ER'S A G ARES. Z x-63 CONTRACTOR'S NAME r .1 TELEPH NE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 14.00' LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADD SS Permit fee $ BUILDINGtADDRE It S ft PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 �h (:,/ U Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home JW 10-00e AA,DD TYPE OF WORK--/ New ❑ Addition em del ❑ Utilities le Installatio Other ❑ r<: L S Describe wo1 Permit Fee $ ®� Contractor ELECTRICAL PERMIT Filing Fee 1'0.00 OR LE Main service jp0 AMP ORSLESS 10.00 91 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2/20sgft CONT CTORS L CE E LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NoN.RESID R BRANCH CIRCUITS 2.50 ea NEw CONSTR POWER APPARATUS & NON.RE.ID. SINGLE OUTLET CIR. Ex. Occu zoesoa P(ourLETs OR FIXTURES BALQ30 FIXED APPLN.. OR Ex. OCCUp. OUTLETS (RE.ID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 ' consequence of the nting of this permit. X Date Sign re of Applicant — Owner Contractor 1:1 Agent ❑ An OSHA permit .is requ red for excavations over 5'0" deep and demolition or construct -PUBLIC ion of structuress 3Q�storries in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARC 4ftD H 199UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which PUBLIC „m By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS D to r over Receipt No. y 76 Z WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT To; Building Department From: Environmental Health Subs ct : Sanitation araaa:e aer . eatIon Flan Approved for: Sewage Disposal Wester Supply Hold Final for Water Supply , Final Clearance C.K. for: Water SUpp17 Clearance for _/_ hadroom hou e/mnbilehome or other P70TE Clerk g A