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HomeMy WebLinkAbout028-076-0072 28-076-07 8 r ARLENE GREEN 45 3rd -.St ncut erm ff�64? Ho t P,E ntl -ELEC.- ---2, QD GAS. 4-pell ZA/ SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. Contr: ExecutiveS .Home I ; A 28-076-07 Contr: Jim Fields � 76 07 >.FerT Issued-it#1723-89MHI' mt 28-076-07 . Permit#2276-89B(new stairs I i f PERMIT NO. 2276-89B ` • PERMIT EXPIRES OWNER ARLENE GREEN CONTR. Owner ASSESSOR PARCEL 28-076-07 LOCATION 45 3rd St, honrut ' r _ r Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature r = OK 0 = Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch 5. Electricity; Location-Clearances-Grnd.-/ / Am 6. Gas; Location -Test -Wrap: / P1 ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance MISCELLANEOUS Date DEOS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- crete Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. R ; Shthg-Roofing Card -B1 Date Card -B1 Date xt.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date -, Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -81 Date Card -131 Date 14 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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 Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -B1 Date Card -B1 Date Card -131 Date uK 0 = NotOK RESIDENTIAL" (Single and Duplex) - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties -Pu rlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59.Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 67. Stairs & Rails Card -B1 Date Card -B1 Date 68. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Meeh. Fasteners -Bond Gas & Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection 27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I. 75. plb., Elec. &Mech. Equip. Listed for Location 26. Su Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. or Cu or AlAl 76, Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic Cl Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector Si. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/0 to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date 92. Roofing Certificate Card -61 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 39. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION MD PERMIT _!71M�TN Ass oR P uM zo"' G BUILDING PERMIT ° " ° SQ. FT. OCC. BUILDING VAL ATION OW R' A LING ADDRES ` CONTRAC OR'S AME 0 TELEPHONEY CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation ZV LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ /,0%- --ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermit r fee $ `- PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New❑ Addition❑ RemodelUtilities Astall4tionEl Other jrvf oy Describe work: ! Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 600 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am Licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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) F -1I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a ACC. BLGS. , h¢sgft New CONSTR( MULTI OD TLET NON-RESID .BRANCH CIRCUITS) 2.50 ea POWER APPARATUS a SINGLE OUTLET CIR. 200Sos Ex. Occup OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject Jam' 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 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentio property for inspection purposes. 1 also agree to save, indemnify keep harmless the County of Butte against all liabilities, 'udgmentsco , and expenses which may in any way accrue agains i ounty i con uence of t e granting of this permit. Date 7 Owner Contractor ❑ Agent ❑ Sig101, nature of Applifr3ntlories An OSHA permit ired for excavations over 5'0" deep and demolition or construct- ion of structures oin height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CONsT.TYPEJ r:�OLrO0JPWR7CELPD ND ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicat d abov for which I C OR PUBLIC By PER T XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date —Zo ^ �^ Z© Q Receipt No. WHITE-O.P.W.. YELLOW-ASOCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 4 y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATtDIV�UNTA SHEET i x Permit Nn OWNER AL (I �`" '~A. P. No. Proposed Building Use Building Inspector 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 2. School District fees paid ................. 13. Sanitation approval from lQ Health Department ... 14. City of Chico plumbing.. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ..... Pre-Inspec. request to Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process,as follows: - Mail to owner. Mail to contractor. Telephone and -hold for pickup at office. Deliver w/inspector. —Other e,k r Appl icanV Date 7— Copy of plans sent Health Dept., Fire Dept., 0 er Date The following data must be submitted prior to permit issuance ( 'rcle 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 counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by 6 Date % 17 Sets of plans on hold in File cabinet AP folder Copy—DPW It) ti TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance -Own er Location AP# Plan Approved for: Sewage Disposal Water Supply r Hold final for: _ Water Supply Final clearance O.R..for: Water Supply Clearance for _ bedroom mobile home. Other r NOTE s: Sanitarian Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroviile, CA 95965 OWNER-BUILDER_VERIFICATION Attention Property Owner.: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your .name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the bor and materials for construction of t6prosed property improvemen (ye rno) 2. Iave not)' signed an application for a building permit froposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. J 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: 0000 Property 0 ne Social Security Number • Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 'IM sat di Plam cad specti icarMons MUST bt :+sept on the inti at all times and it is U- nl'aw..foal tc rake any cl --n- ir�c nr alscrati°ns on some without Nritten permission from the Depaatiment of bblic MOTE; -=AA Materials A Workmanship Shall Be in Accordance with. Recognized Good Qract'ces and a g>, , zv prescri � l fcf lR; 1 c<�i,, case. is; the Jnifor-m Buiiding, Riumbing _l�flechar�iecal i:�do��a + ._--- >,he NefloaW EWCUicAl Coda, ft. from the A Setback' n�rc and a setback oroperty �,f 50ft from es the rO ►ear of centerline shall be ent excep, v� S ► L structures or equtpm , OBV� o�thang- W A,762 -- i a Max. Rig® 9" Min. Run Run measured toe to WS. : mix. tolerance between largest & smWisst riselrun., 11/0 fA'�$Glr�/Z�s`�i/Pf" yl hh v _. _..... t �G Sk i r ®�Q vie �., ( ��S AP rl ri OWNER int Y- \ 4AIN e- enn, PERMIT G-kq MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test .Req. Ser -vice Size Other Load Type Pipe Size Length YES I NO YES I NO 28-076-07 GREEN, Arlene '� �-�-7 • I 45 3rd St, Honcut r (util, MH) Contr: Executive homes PERS It FINALED: PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION Temp. Power Pole t Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature 1 • } COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 MemorialfWay, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 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. %A \ i j r 1 t r Inspector Date, -5— A S 9 89-019180 Rec Fee 7.00 Cash 7.00 Recorded Official Records County of Butte �/ Candace J. Grubbs PARTY SHOM AP NO. Q.28 6)76 d� / ' Recorder 9:15am 25 -May -89 1 BG 2 NOTICE"OF CONSTRUCTION AFFECTING ADJOINING PROPERTY T7ie u.ndersigried, do hereby declare -as follows: 1. I am, (We are), the owner(s) of ;thi4Z certain real property situated in the County of Butte, State of California, described in attached Exhibit A. 2. I, (We), intend to apply to the County of Butte fora building permit and, pursuant to said permit, to construct improvements on the said property. I,.(We), do hereby place all subsequent purchasers and encunbrancers on notice that such improvements will be constructed over a. parcel'or lot line(s) as described in the above noted Exhibit A, and that subsequent purchasers and encumbrancers should be aware of.the location of such improvements. 3.A So long as such improvements remain, said parcels or lots cannot be sold separately. DATED: SiL;nature of owner of record SG;"1'E OF CAL1F01twIA COU `:1-i. OF 131,7TE Y „2 19 d / be.foi-2 me, the undersigned, A Notary Public in ' and For the State of California, res-ic:ing therein, duly corrmissioiied and sworn, appeared /�aPL Co le& knr,,-: L-, i:Ie to be the person whose name subscribed to the within instrument and ac'n!.)-.:ledVed that 51.16 executed'the same. W1T1I:SS my hand and offical seal. OFFICIAL�SEAL DEBORAH L. PHIPPS NOTANY PLIBLIC•CALIFOP IA" BUTTE COUNTY P4V COMM. EXP. SEPT.25,1992 LD 1540 (5/88) ISI ecLSQ- slave Rec.e-Aed (9 Signature. 020 n// Z - `Name (typed or printed) Court i�eeorc(er'S O��' r� 3cc 4p1 ' Orden No. 30941 DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL ONE: Lots 6, 7, 8, 9, 10, 11 and that portion of Lot 12, North of a line beginning at the Northeast corner of Lot 13, running thence Westerly along the North line of said Lot 13 and continuing in a straight line to Third Street, as shown on Map entitled, "Official Map of Honcut, Butte County, California", which Map was filed March 13, 1890 in Book 7 of Maps, at page 85. PARCEL TWO: Lot 13 and part of Lot 12 of the Town of Honcut, as shown on Map entitled, "Official Map of Honcut, Butte County, California which map was filed March 13, 1890 in Book 7 of Maps, at page 85, more particularly described as follows: BEGINNING at the Southeast corner of. Lot 13; thence Southerly along Westerly line of Second Street-, 50 feet; thence Westerly 200 feet to the East line of Third StrF:et; thence Northerly 100 feet; thence Easterly 100 feet to the Northwest corner of Lot 13; thence Southerly 50 feet to the Southwest -corner of Lot 13; thence Easterly 100 feet to the point of beginning, according to the Official Records, filed in the office of the County Recorder of the County of Butte,,State of California. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. 17 Address or location of mobilehome Owner's name A r 1 P h e Gl i`c`y P In Owner's address m q Q L Al I) P r I Wylc J x Insignia or hud number A1 4,19 9l1 1 Manufacturer's name Elm P f 1 1 no !'p ' Serial number of VaI'.N. �`+ Year of manufacture (OfficialfApproving Installation) (Date) t IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION i ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. '� 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF.BUTTE DEPARTMENT OF PUBLIC WORKS :F 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 a 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE o)' 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. Inspector, �. A/!�N Date in I q— I µ e :z -F Inspector, �. A/!�N Date in I q— I µ OK 0 = Not OK ' NotReaable= dyMOBILE HOMES MISCELLANEOUS Date MOBJkE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s _Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements S 'Is; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel ewer; Location -Test -E --Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ater; Location -Test Easement Neede Sketch) 4 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- lectricity; Location -Clearances- rnd.-/ Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location-Test—Wrap: /,-PV'ft. , 3 , 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / P'Nat. o /" L" ft./C//"LPG :�-14 6. Carports; Windows -Doors Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -81 Date Card -131 Date 10. Roof; Shthg-Roofing Card -81 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date '00,91LgHOME INSTALLATION (Plans) OK except #'s ing Requirements -Setbacks -Easements Card -B1 Date Card -81 Date ootings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date 3. s; MH Test -Demand -Valve -Connector ctricity; MH Test -Crossovers -Breakers -Clearances _ Date POOLS (Plans) OK except #'s rain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. ter; MH Test -Regulator -Connector { 2. Soils; Compaction -Structure Stability Water and Sewer Connected -C/O to Grade -HD Approval } 3. Pool Structure; Steel-Connections-Thickness- 8.,Qds and Electricity Tagged Dead Men -Lining Exits; Insp.-Sketch G 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI l 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -81 Cn Dat -/ Card -131 Date 1 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards- Ins. to Main in Conduit Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -61 Date Card -131 Date Card -131 Date I s I3 = uK 0 = Not - =Not Applicable RESIDENTIAL- (Single and Duplex) ='Not Ready Date UNDERFLOOR (Plans) OK exceot #'s 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ - /"Ftg. De 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'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/Meeh. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -81 Date Card -131 Date Card -B1 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -81 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING 45. Hanger 46. Cing. Joist-Rftr. Ties- Purl in -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 T -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-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -131 Date Card -81 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 0 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic O Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive O Yes O No; Walks O Yes O No; Planters O Yes O No 8i. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -61 Date Card -131 Date Card -131 Date Card -81 Date Card -131 Date Card -131 Date Comments at Flnal: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RI1IT O. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT y.•ai ASSESSOR PARCEL NOER -zl- 6-pB ZONI G BUILDING PERMIT OWN R ,eG TELE NE SQ. FT. OCC. BUILDING VALUATIPW OWNER'S MA13,INGA--D ''RA'E--SS �/ �G //2 -VC /r CONT R9C TO R'S NAMED T�F_LEPH-N63 CONTRACTOR'S MAILING ADDRESS F i rep I ace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ , 9 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3 KN Permit fee $ Z PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFO Duplex❑ MobilehomeR] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer J 5.00 Mobile Home S G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ /Other c❑ Describe work: 4414-T �FuGE PEP�.�% -9 �7b '—�3-f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code nd y license is in full rce a d effect. License No. Classification =� ❑as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tl` OR AODNS. ( ACC. SLOGS. / , /ZItsgft NEWCONSTR MULTI -OUTLET NON .RESID .BRANCH RA C CIRC 5 2,50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 200601 eALO Bo FIXED Ex. Occup. OUTLETS (RESID )REA.� 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 s County in cons_equen f the granting of this permit. X S- ��_ Date r Sign re of Applicant — Owner ❑ Contracto- &� Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories In height. Mobile Home Installation Fee $ S✓ Energy Inspection Fee $ TOTAL PERMIT FEE $7-210 Occup. CONST,TYPfJ scNooL I PLOOD P RClL PD MD ISsu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PE IT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS / Date "' f �!, 0 Receipt No. % (% WHITE-O.P.W., YKLLOW-ASSESSOR, PINK -INSPECTOR, COL DENROD-APPLICANT ^' ; f'... .....-R,-.:. ''7v -:'7 �iY•fla,w'v. ^r-,• 'r-.....�-a.tiw "'r...f.e�.,="'v`.i-:�:^:`r,=."`.`^Kr`'`t�1. �Y'Y'{,at.ii '^DRi*.it.[ti"rh:.J*[�.r^.-�+!'"'.:q:%.. v..,.na•Vi.�.^....,n.Y •�,.�s..v :�'�•ti--'"- Y*. r � t COUNTY OF BUTTE - DEPARTMENT—OF--;PUBLIC WORKS - BUILDING DIVISION t 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 3 c 1 --- PERMIT APPLICATION DATA SHEET Permit No. OWNER,AjP c� Gz-�ao A. P. No. 0: " Proposed Building Use,Building Inspector Date 3 i' 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions ................ V .. ............................. 9. Fees of $ ` .......................... ` 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing -permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: '(B) .Parking`.' ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) .. . 19. Pre -Inspection for required .... Pre-inspec. request to Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 1 1 23. Recorded copy of Agricultural Acknowledgment 'Statement ............ 24. Letter of signature authorization ..................................... 25. i, 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone�_247-16M and hold for pickup at 00_42/ (EDffice. Deliver w/inspector. Other y Applicant 5�L_ i Date �,— 3J`0 Copy of plans sent Health Dept., Fire Dept., Other Date 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—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by off- Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,�California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P RMI 101 —d A gORji,A CSL NU E U // ZO I BUILDING PERMIT w ER 0;7 0;7`� i S0. FT. OCC. BUILDING VALUA ION O WNE A�IL 1114 AD DIRE S / \ CO R OR•S NAME fTELEPHONE ` J CONTRACTOR'S MAILING ADDRESS el Fireplace CONSTRUCTION LENDER U KNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty ; BUILDING ADDRESS rd St Permit fee $ PLUMBING PERMITFiling Fee 10.00 Each Trap 2.00 t Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFO Duplex[]MobilehomeA Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home G O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ut' liti s Installation[] Other ❑ Describe work: Permit Fee ; 140, 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (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 12/for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.EI OR ADDNS. ACC. BLDGS. ). ,�22sq ft NEW CONSTRESID, U NCH TLETCIRCUITS) NON.RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR, Ex. OCcup(OUTLETS OR FIXTURES 0051 23 t eAL@L00 FIXED \\ Ex. Occup. P OUTLETS (RESID )LINIS REA./ 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin g 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 f Consent to Self -Insure. l�J ' 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 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to s -e, indemnify keep harmless the County of Butte against all Iia ties, ' dgments, cost and expenses which may in any way accrue again s id C my in con ce of th granting of this permit. X Date ""7� Signature Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSH4 permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE Occup, cONST.TYPC SCHOOL F PA L H;,�13;y This permit is hereby issued under sions of the Butte County Code and/or work indic&Md above for which fees D! OF PUBLIC By ( ��—Date-3-17—WI PERIIIIT EXPIRES Date -3 v the applicable provi- resolutions to do have been paid. WORKS Receipt No. WNITE-D.P.W., •EL LO W-A,eC3sOR, PINK -INSPECTOR. aOLDENROD-APPLICANT .-r...�__..T.-'i..r'Y-.t-Z•i,y.,, v'F.h..:� �`r.,, +w iFi���jr"a.�C. y'�s."�1%?v'�'.�{'YM.'..4..j i.1Y�'+'4��;����'!�S+TMT.;+.. �:ra'�t'.r.t �•i: ti� ;.,*. +l COUNTY OF BUTTE - DEPARTMENT -.017 -PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Permit No. A. P„No. 'D G Proposed Building Use ,�/(// Building lnspector�;�_ Date) 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....... ....... .................................... 9. Fees of $ i .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12.School Dist ict fees paid ................. �13. Sanitation approval from Nmy� Health Department .. . 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy)? . 19. Pre -Inspection for required ...... Pre-Inspec. request to Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... fl 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ......... X23. Recorded copy of Agricultural Acknowledgment Statement ............ r,>r 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Y Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other_ .. / Applicant 6Z&U4 % o Date r Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issua f 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_—rlaiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by�T 3 Date 3 ` Sets of plans on hold in Copy—DPW File cabinet AP folder Y TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner, Location AP# Plan Approved for: Sewage Disposal Water Supply`/ Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobil home. ,Other NOTE *** I Sanitarian ate Incl yru I o DPW AGRICULTURAL STA` I'ME0 OF ACKNOWLEDGEMENT FOR RES1PRN1IAI, DI VL LOPMf1NT �cct ion LG --ti. 1 of the 13uLLe County. Code requires IJ i.s acknowledgement be recorded prior L.o issuance of a building permit. The property descr. i.bed herein is adjacent e9-009204 1 Rec Fee 7.00 I o .I rind or included within an area zoned 1 Cash 7. OU l'or agr icu ltura.l purposes, and residents Recorded 1 Of Lh.is property may be subject to incon- Official Records 1 ven:i.enc•es or discomfort arising from the County of 1 PARTY SHOWN use of ogr. i.cu.l.Lura.l chemicals, hiclud.i.ng, Butte 1 but. not. I.im.i.Led to herbicides, pesticides, Candace J. Grubbs 1 and L:crl..i..Livers; and from the pursuit Recorder 1 of agr..ic.u.lLur�al operations including, 45pm 9 -Mar -89 1 RB 2 buL not .united to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established ,I;;ri, nl t.ura.l zones which have as a priority use for productive agr:icul.Lural purposes, ,Ind rr:;iclrnl:, w i Lh i n said zones and on adjacent property should be prepared to a.Icc cl)L srlrh i nrnlvc u i c n, c or disconform .from normal, necessary .farm operations. All that. real. property situate in the County of Butte, Stale oi: Ca.11for.nial, described :Is fol lows : 4/,s 3?� si Sy�(o O fzvviLL C- Cf7 4 �° r /0 X s° Da t C : State of. C ) SS CounLy of ,Bo OFFICIAL SEAL ;�. DEBORAH L. PHIPPS u NOTAf1Y PUBLIC CALIFOPNIA BUTTE COUNTY MY C0114. EXP. SEPT.25 W024 Present. A.I'. No. On the PROPERTY DWNERS this the'day of � l9 o before III(,, undersigned Notary Public, personally appeared 2&E N e__ fid-/'oc 6 2EE 1 • -- El Personally known to me. Proved to me on the hrlsis of satisfactory evidence. to be the person(s) whose name(s) AZ?LEtJ46�- wAe�E�iV' subscribed to the within instrument and acknowledged Lh;II _ executed the same for the .purposes therein contained. IN WITNI".SS WHEREOF, I hereunto set my hand and off.ic.iaA seal. X&&C-_� ee ze f v Notary Public I l.__ ..:......_........... i' d Exhibit "A" Escrow No. 0598 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL NO. 1: a i Lots 6, 7, 8, 9, 10, 11 and that portion of Lot 12 North of a line beginning at the Northeast corner of Lot 13, running thence Westerly along the North line of said Lot 13 and continuing in a straight line to Third Street, as shown on Map entitled, Official `;ap of --:Icut, Butte County, California", recorded March 13, 1890 in the office of the County Recorder of the County of Butte, State of California, in Book 7 of Maps, at page 35• PARCEL NO. 2: Lot 13 and part of Lot 12 of the Torn of Honcut, Butte County, California, more particularly described as follows: BEGINNING at the Southeast corner of Lot 13; thence Souther]'v along Westerly line of Second Street, 50 feet; thence Westerly 200 feet to the East line of Third Street; thence Northerly 100 feet; thence Easterly 100 feet to the Northwest corner of Lot 13; thence Southerly 50 feet to the Southwest corner of Lot 13; thence Easterly 100 feet to the point of beginrti%, according to the Official Records filed in the office of the County Recorder of the County of Butte, State of California. u 1 END OF D(X'! N 4rvtr 7- R A permit will be required for t1m kafallation of the mobilehome. .-Shall. be;�vithin tly connections 4 4 f • of the rnobilehOM3, either di ctly behind'or \qjihin f the r na M bllehome- 7rz� N Of dansodans and specifications MUST O -o iep+ on lie in, nt all times and it is unlawful to 'nake any changes or alf ercitions on some wit houi w4fen rmission from the Department of Public Wait, I *I Ounty of Ou+i% N'-TE—Al Shall Be In Onswip . I Materials & Wotl(mI nize-j Good Pro, ► Z.. - the Spec!fJau presc Mechanic., Al A OP C CJu­" - i .1fora, Bu ding, I plumbing & jqtIMAI klarat 4 0 ra C'e 'b 5� '&- ok t, "'0 0 ��e� ''0,51 V'<' A permit will be required for t1m kafallation of the mobilehome. .-Shall. be;�vithin tly connections 4 4 f • of the rnobilehOM3, either di ctly behind'or \qjihin f the r na M bllehome- 7rz� N P 13 - BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: �1rlejle 2. Installer's Name: 3. Is the site currently under permit? Yes No u (If yes, furnish permit number — ) OR Is the site an existing site? Yes No E (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No U (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- O Amps 7. What is the mobilehome site circuit breaker rating? ----- / /9Q Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes 11 No 2 - (If yes, identify the load and size: (Load) (Amps) 9.. What is the mobilehome site gas pipe size? -------------- (in.) type g ?------------------- f--, 10. What is the t e of as service. Natural � LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- - 7 / (ft.) e * 12. What is the mobilehome gas demand? ----------------- ----- (BTU) *(This information not required if pipe length less than 6 ft fo natural gas. or less than 50. ft. on LPG.) a6 t MOBILEHOME SUPPORT DATA qg�/-•- _/� If other than single wide, Mobilehome Mfr./- /��'�������Y furnish Setup Model No. Width P/ (ft.) Box Length '41(ft.) Tagalong or Expando Size_ Year ft. x ft. On all mcbilehomes 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) U 1. Wood -pressure treated or foundation grade.2. Other (specify) SUPPORTS (check one) E11 - Concrete block.0 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE - - --� :lain Beams Line 2 — — — � Main Beams — — — — — — — Tag or Triple Line 1 Piers Line 1 Openings: Size -Min. ------------ Size-Mio. ------------------� Spacing -Max. --------- , „ Each Side of Openings ,_ With Width Over--------- s �� From Ends -Max. ------- - Line 2 Piers: Size -Min. ------------ k3 Spacing -Max.--------_ ,- From Ends -Max.------- Line 3 goof Loads: Size -Mia. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- Spacing-Max ---------------- From ------------------Spacing-Max.--------------- From Ends -Max .------------- x ..xI I. ,k I.k .,xI. .,X x k Line + Piers' Size -Min .------------ k Spacing -Max.--------- From Enda-Max.------ e 5 tiers: (Under Bearing Wails only) Size -Min ------------------- .� .. Spacing -Max.--------------- •_ •, From Ends -Max.------------- _ Line 5 Roof [rads Size -Min.- " ..X 1.1 ..x ..x ..x "A ..x ..x ..x Location (From Front) _ _ -