HomeMy WebLinkAbout028-170-13711
j rte►;,., _� , i` t a., '
28-17-137 '
MONTY-Y.,•-ROSAS_ ._ -------
W/S Stony Oaks Blvd, 1000, S tony Oaks �' ►T,
:�. Loop, Oroville
Contr: Schiedeck ConstFIbg
Permit#1507-85P,E(ele & for well
& future lot dev)
• � -17-137 4 ,_ ,. ''�, ` `� •
3415-89P,E(MH)
SCHIEDA K, - Jos
efa
& Johanna.,
6.330 -Stone :Oaks Blvd, Bangor p' �<
IContr: Schi eck Const` q
-(uti1; VIII)
.—...-ELEC . 700- / S W
GAS L -7, 3 } �,- ❑
SUPPORT STRUCTURE REQ. p I���I
COMPACTION TEST,.RE4`
28-17-137` 286 9
SCHIEDEC'
Johanna
G
♦
r
j rte►;,., _� , i` t a., '
28-17-137 '
MONTY-Y.,•-ROSAS_ ._ -------
W/S Stony Oaks Blvd, 1000, S tony Oaks �' ►T,
:�. Loop, Oroville
Contr: Schiedeck ConstFIbg
Permit#1507-85P,E(ele & for well
& future lot dev)
• � -17-137 4 ,_ ,. ''�, ` `� •
3415-89P,E(MH)
SCHIEDA K, - Jos
efa
& Johanna.,
6.330 -Stone :Oaks Blvd, Bangor p' �<
IContr: Schi eck Const` q
-(uti1; VIII)
.—...-ELEC . 700- / S W
GAS L -7, 3 } �,- ❑
SUPPORT STRUCTURE REQ. p I���I
COMPACTION TEST,.RE4`
28-17-137` 286 9
SCHIEDEC'
Johanna
G
AP
OWNER
PERMIT
M UTIL.CLEARANCE DATE
INSPECTO
ELECTRIC.
GAS
upport
Strl-'c-
77E—S1
Compaction
Test.Req.
Service
Size
Other
Load
.Type
Pipe
Size
Lenjzth
0
M
YES L NO
4)el�
���Aw
T
;1
t 'COUNTY OF BUTTE -DEPARTMENT OF,PUBLIC WORK PERMIT NO.
7'County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
w, w APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
'95;• . o
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
wt4�'
S0. FT. OCC. BUILDING VALUATION�nvl
�+
OWNER'S MAILING/ADDRESS a
/-t. t) . l�,nV, I I Ra l�r V % Ii
�.
� !
CONTRACTOR'S NAME0011
`•n /I lo 4 P e, ` o 11
TELEPHONE
V
CONTRACTOR'S MAILING ADDRESS !
r ``�' 1��✓/ X715 ';--
Fireplace
CONSTRUCTION LENDER
,,(J,-- Jr I, I ,--
UNKNOWN
Total Valuation $
Filing Fee
,$- __ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
ARCHITECT OR ENGINEER
(/v,
LICENSE NO.Plan
'tel- t✓�
Checking Fee
Penalty �• -�.
�j $ V
ARCHITECT OR ENGINEER'S MAILING ADDRESS .-
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMITFilin
F g .ee 10.00
,Each
GOr
t 1/
Trap2:00.h'
Solar Water Heater
20:0Q
/
ila /
Water piping
1 5:00'. .
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
.5(00) '
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF [:1Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
-5,00)"1., �
Mobile Home S G W
10.0Q:e�
TYPE OF WORK -
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ ,Other ❑
Describe work: t�-- f d 1 t r'r• `"-t y' /f;,* _J
fu G Y r. 1 n ! I Jnt>� li �ntF I•T
Permit Fee $ Y% rn
Contractor
ELECTRICAL PERM'IT�� Filing Fee ' 10.00
Main service 100 AMP OR00V OR LESS10.00
Main service EA. ADD -L. too AMP
2.50 •0 Irl
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
2�t20sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):NEW
a
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the-6usiness2050C
and Professions Code and m license is in full force and effect.
y
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 CONSTR. LET 2.50 ea
NON.RESID BRANCH CIRC ITS
CONSTR. ( POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR. /
Ex. Occup(o OR FIXTURES BADL®30
IXEDTs
PR
Ex. Occup. OUT LETS(RESID.)EA.) 2.00
Temporary service 10.00
Mobile Home Facilities , 15.00
Misc. Wiring I/* JJN1Gw I ) •15:00 46. CA
7a �, ; M
J` eo A on
Permit Fee
$ (r''
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under !penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less. t
❑ 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.
❑Y I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
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^ "`-���--'`h-fes- Date � �~ f -
'Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ 4
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures overt- 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE of CONST.
PARCEL
PD
HD
1550E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
_
Date -i (�'T /��
1 - ^r
Receipt No. �-
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Caiifornia 95965 - Telephone 916/534-4541
APPLICATION AND VERMIT
PERMIT NO. (�/
ASSESSOR ARCS%UM�R
ZONING
BUILDING PERMIT
R41n 11 k Sof 5
TELEPHONE
4
SO. FT. OCC. BUILDING VAL A I N
OWNS 'S MAILING DFFESS
CONT C ORAS N E
1 + G
TELEPHONE
v
CONTRACTOR'S MAILING ADDRESS
1 � '
Fireplace
CONST IJ�TION LENDER
/S
UN OWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'MAILING ADDRESS
Permit Fee
$
ARCHIT� T OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING QgRESS J
/) ``J'
!
PLUMBING PERMIT
Filing Fee 10.00
/ n\
O `' a on
Each Trap
2.00
Solar Water Heater
20.00
Oro tj r
Water piping
5.00 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 ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition [J/ Remodel ❑ U ' ities ❑ Instal lat' n ❑ Other ❑
Describe work: �e-fd ` f'or– r—
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 Q
Main service EA. ADO'L 100 AMP
2.50
NEW CONST. I DWELLING OCCUP.&
OR ADDNS. % ACC. BLDGS.
1
222SQft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F1I 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)
F]I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI.OUTLET 2.50 ea
NON.RESID BRANCH CIRCUITS)
NEw CONSTR (POWER APPARATUS &)
NON -RESID. SINGLE OUTLET CIR.
Ex. Occu z0®S0C
P�o TS oR FIXTURES 6AL®30
FIXED
Ex. Occup. OUTLETS P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring / .}6:'99J Q
- "C2 ga—
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
fvl I shall not employ any person in any manner so as to become subject
J� to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
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 &KCount in co equence of the granting of this permit.
X` Date) — Z-3 —�s
ignature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
Occu P. GROUP
I TYPE OF CONST.
PARCEL
PD
I No
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
//DIRECTOR OF RPBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
—�
Receipt No.
WHITE-D.P.W.. YELLOW-ASSQSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
On
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CF•I_IFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT. APPLICATION DATA $HEFT Ae,
j,� Permit No.
OWNER / � , 5a . A. P. No.
Proposed Building Use /R 4 l e. t cIlJ, o r
Permit Fee Based Upon: Complete Contract Price - DPW Valuation
Other
Building Inspector Date 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. . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8-! Fees of $
Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given 'toIowner❑, Mail to.owner ❑ )
15. Improvements may be required. . . . . . .
—�� Mobilehome Installation Data.
•Pre-Inspec. request to (pole)
Pre -Inspection for f 0-r •( i•Ci Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other
When you issue the permit, process as follows:Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w./inspecRor.
Other
ApplicantG-�`���" Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, ci cle .item.)
1. Index permit for above Items No.
2. Additional items required: '
(Contractor, Designer, Owner) was advised of above required data by /Telephone Mail Other
By ` Date
Plans checked by 1 Date
Plans approved by I Date
Other:
Copy—DPW
-=;5,3
Ile
ZV//
OWNER
E Ss
O WNE �I t� ±/D
)S MAI
Rr
CONT C DR'� \
CONTRACTOR'S MAILING ADDI
CONSTgI/FC TION LENDER
//l/�i'•7C.
LENDER'S MAILING ADDRESS
ARC HIT T OR ENGINEER
ARCHITECT OR ENGINEER'S H
BUILDING RESS
COUNTY OFBim, E - DEPS RTMENT OF PUBLIC WORKS
7 County Cent. rive 5 Ilie, California 95965 - Telephone 916/534-4541
PLI *I' ON AND PERMIT
�- 009
LING ADDRESS
WN
LOT NO. I SUBDIVISION NAME PARCEL MAP
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome❑ Other SPECIFY
TYPE OF WORK
New ❑ Addition [:] Remodel ❑ UtjJ ities ❑ instal Iat' n ❑ Other ❑
IJ
Describe work: -et.4r, j —
JJLKM1 t Nu.
BUILDING PERMIT
S0. FT. I OCC. I BUILDING VALUATION
Fireplace
Total Valuation $
Filing Fee
Permit Fee
Plan Checking Fee
Penalty
Permit fee
PLUMBING PERMIT
Each Trap
Solar Water Heater
Water piping
Each qas water heater or vent
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home J S I IS IW
Permit Fee
Contractor
ELECTRICAL PERMIT
Main service UOOV OR LF -5S
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
NEW CONST. DWELLING OCCUP.e
OR ADDNS. ACC. SLOGS. _.
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
I
❑ 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 t
El 1. as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044) i
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CON5TR r.'IUL.I I-VOI—I
NON•RESID BRANCH CIRCUITS
NEW CONSTR POWER APPARATUS fi
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCup\OUTLETS OR FIXTURES
FIXED APP LNS. —0R
EX. OCCUp. OUTLETS (RESID.) EA.�
Temporary service
Mobile Home Facilities
Misc. Wiring / 1
Permit Fee
Contractor
M CH L PERMI
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.
Heati g
Cooli
Hood
Venti at'on
Permit ee
Contrac r
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
C t co a uence of the granting of this permit.
Mobile Ho e I tai tion Oe
TOTAL PERMIT FEE
occuP. GROUP
TYPE OF CONST.
$
$
$
Fi ling Fee
2.00
20.00
5.00
5.00
5.00
5.00
10.00 e
10.00
10.00
$ 1& f�
Filing Fee 10.00
10.00 ro.
2.50
2'/22sgft
2.50 ea
2.00
10.00
15.00
4&.W
FilinaFee 1 10.00
1 -
PARCEL PD
ISSUE I
against – oun �r In q
�� �- /_ 23 --. G'� This permit, is hereby issued under the applicable provi
-
X� Date J sions of the But County Code and/or resolutions to do
ignature of Applicant - Owner❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid.
An OSHA permit is required For excavations over "A,. deep and demolition or construct- DIRECTOR OF PUBLIC WORKS
ion of structures over 3 stories in height.
�;�Q�' l `- BY
Receipt No. , /C)( 5 PERMIT EXPIRES Date_
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Date
v 28-17-137 mi' ' v—g=
SCHIEDECK, Josefa & Johanna Dlc�>(- '
r_ I 330 Stoney Oaks Blvd, Bangor
Contr: Schiedeck Const
(util, MH)
PERM
} PERMIT EXPIRES
OWNER (tP :3a -I d-qw)
CONTR.
t ASSESSOR PARCEL
t
LOCATION
i
4
i
x
'1
{
OFFICE COPY
Addres 'P i
Temp. Power Pd1 GAS
IMeter By Dat�_� {
Called PG&1 ELECTRIC
LMeter By
��— Dai-oZ� {
' Temp. Elec. Service - --- +
Called PG&E
{ Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
1. = OK
0 =-Not OK
Not ' = Not Reaable
dyMOBILE HOMES
Date MOBIL"OME UTILITIES (Plans) OK except #'s
4!lon(ng Requirements -Setbacks -Easements
;_Special MH Support -Sketch
er; Location -Test -Fall -C/O -Concrete
Water; Location -Test -Easement Needed (Sketch
electricity; Location-Clearances-Grnd_-I-o Am
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Nat. orfr70PV ft./ �PG
Utility Clearance
Date/24/9Card-B1 Date
Car -B1' Date 'TJ Card -B1 Date
Date MO HOME INSTALLATION (Plans) OK except #'s
&�t�Zqning Requirements -Setbacks -Easements
F Ings; Size -Spacing -Marriage Line
G s; MH Test -Demand -Valve -Connector
Elegycity: MH Test -Crossovers -Breakers -Clearances
rain; EH Ters all -Flex Connector
11t 6 aWr-, MH Test -Regulator -Connector
ater and Sewer Connected -C/O to Grade -HD
°(gyp G nd Electricity Tagged
'ts; Insp.-Sketch
ems. Cert. of OCCUDancv
Card -Bt Dates � Card -B1 Date
Card -B Data_ Z-) and -B1 Date
MISCELLANEOUS
Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
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
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -B1 Date Card -B1 Date
Card -Bt Date Card -B1 Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
= VK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =
Not Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-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 -131 Date Card -131 Date
Card -131 Date Card -61 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 -B1 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/Mech. 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 -131 Date Card -B1 Date
Card -131 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 (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-Clg.
60. Infiltration-Walls-Wndws
Card -131 Date Card -61 Date
Card -131 Date Card -B1 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; 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-Mech. 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 ❑ 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 ❑ No;
Planters ❑ Yes ❑ No
81. 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 -81 Date Card -131 Date
Card -B1 Date Card -B1 Date
Card -61 Date Card -131 Date
Comments at Final:
(NOTES An entry must be made each time you visit iob site)
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT NO.
Address or location of mobi lehome
Owner's name Z
Owner's address
V
Insignia or hud number—
Manufacturer's name v4,\
Serial number of V.I.N. Year of manufacture
(Official Approvin; Ins—tallation) (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 - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
.196 Memorial Way, Chico — Phone: 891-2751
-1 County Center Drive, Orovi Ile — Phone:. 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
T
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
mm.F.W.1m,
I WORIEWN
a -'a- 7
lnspector-'�i Date
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
n
iNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exi ' st at the above address and should be corrected. Please notify this office
wWen correction J �of work is completed. If you have any question pertaining to this
7 a ' It r'.'or-need additional explanation, please contact this office immediately.
'_� I a I A I
A
T
"I
Date
Inspector P
0
I've I/
v 4u
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i
V.�
o-nNEY OA,ks, alvi)
0
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Z
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AI
COUNTY OF BUTTE - nEPA (MENT OF PUBLIC WOR PERMIT
7 County Center Drive - Orovi#�e, Califbrnia 95965 - Telephone: 916/53 -71
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
28-17-137
ZONING
MR I
BUILDING PERMIT
OWNER
Johanna Schiedeck
TELEPHONE
679-2448
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. Box 231, Rackerby, CA 95972
CONTRACTOR'SNAMETELEPHONE
Schiedeck Const.
CONTRACTOR'S MAILING ADDRESS
Same
Fireplace
CONSTRUCTION LENDER
UNKNOWN
u
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 15.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
330 Stoney Oaks Blvd.
Permit fee
$ 25.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome)a Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
5.00
Mobile Home S I G W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationLX Other ❑
Describe work: Util #-34155 89 _
S -Qd M l ✓V
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I de la under penalty of perjury check one):
P y P 1 y ( ):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code n� my license is in full ford and effect.
License No. Classification /Er
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OC C UP.tr
OR ACDNS. ACC. BLDGS.
,
2/zQsgft
NEW CONSTR.MULTI-OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS tr
(SINGLE OUTLET CIR.
EX. OCCup(OUTLETS OR FIXTURES
BAL030
eAL®3o
FIXED APPLNS. R
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
FiIirig 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 save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against a County in ons quence of the granting of this permit. p
X ���–� Date 30./ C7
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $ 45.00
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 70.00
HAz
cuA
PARK
"—
!CHL
_
FL
PA
P
HD
l
Is uE
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PE IT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
;L�/ 4 j
Receipt No. SFS
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMVN;rfW PUBLIC WORKS - BUILDH41
1VISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA,9$�965 - TELEPHONE: 916/53
b l \
PERMIT APPLICATION DATA SHEET.
Per 't N
�)ml _o.
OWNER r 30_ t I e Q CI i\ A. P..No.� c�—
Proposed Building Use Building Inspector Date Q
zw
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)
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 approvaLfrom 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.requestto
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.-`
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold fo,r-pickup at �T office. Deliver w/inspector.
Other
Applicant_ ice./`-�.��� Date
w
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 ---mail—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 " 2�` Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
6
COUNTY OF BUT; - DEPARTMENT OF PUBLIC
7 County Center Drive; oville, AN
California 95965 - Telephone:
A ICATION D PERMIT
WUHKb ` '1 PERMIT NO
916/538-7541. ` ,5_
ASSESSOR PARCEL NUMBER
�..
;Uq�-
ZONIN/�<G9
tw
BUILDING PERMIT
OWNER
o G / t
!?
TELEPHZoCE<4
6My
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
o n a�clLe r .�
CONTRACT 11•5 NAME 1
---A r e 1
TELEPHONE
97-1
CO TRACTOR' MAILING ADDRESS
Pp 11_ � Z,k S ,Z
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
FilingFee
$�
LENDER'S MAILING ADDRESSO
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ , U
v
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS.3_3
e �
Permit fee
$ C>o
PLUMBING PERMIT
Filing Fee 10.6b
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT N
�^
SUBDIVISION NAME
ELNMA
ARC g Y
V
Water piping
5.00
Each pas water heater or vent
5.00
USEOF S UCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home
0.00ed.,:? D, aJ
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities Installation❑ Other ❑
Describe work: /f'i%� �% _
2 s
Permit Fee
$ L CJ, Dv
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service jp0 AMP OROR SLESS
10.00 �, c90
Q
Main service EA. ADD'L too AMP
2.50 D
CONTRACTORS LICENSE LAW
I declare under penalty of perjury check one):
n , P Y P Y ( )'
I�y-SII( I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSInesS
and Profess' is Code and my license is in full for a and effect.
License No. Classification
❑FIXED
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.N
OR ADDNS. ACC. BLDGS.
, /20sgit
NEW CONRES . RANCH TLETCIRCUITS)
NON•RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS e
%SINGLE OUTLET CIR. )
EX, QCCUp OUTLETS OR FIXTURES
PzALO 30
2L* 30
P
Temporary service
10.00
Mobile Home Facilities
15.00 S GO
Misc. Wiring
15.00
Permit Fee
$ V
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 becomesubject
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
F'IingFee 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 � o n consequence of the granting of this permit. �
%� Date 167, /I�
Signature of Applicant — owner
g pp ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5' '7 eep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE .Z. �v
AL
HAz
.__
cuA
PARK
_
L
PD
HD
Issu
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY `
PE EXPIRES Date-
the applicable provi-
resolutions to do
have been aid.
P
WORKS
Date
0
Receipt No.���
WHITE-D.P.W.• TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
' 1
COUNTY OF BUTTE - DEPAr:#TMENT OF PUBLIC WORKS - BUILDING
71
ra, �,,,t.,,
7 COUNTY CENTER DRIVE', )ROV�YJ596
LE, CALIFGRKIA 5 - TELEPHONE: 916/538-7541
PERMI APPLICATION' DATA SHEET
` Permit No
OWNER 1 . s:r r p A. P. No.
Proposed Building Use Building Inspector
DIVISION
o—
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, t` 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 .........
o , 7. Statement of Intent for Non -Heated and AC Buildings . .
.. 8. Engineered truss details and layout in duplicate (required prior to plan check)
. M1Y 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 ..............
Sanitation approval from /I/9L"— 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)
Contractor's license information (No., Name Style, Classifications ...
Certificate of Workmans Compensation Insurance ..................
3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement ..
25. Letter of signature authorization ...................................
26.
27.
When youi.ssue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 9 21- 29 �40 and hold for pickup at office. Deliver w/inspector.
Other ,
/-//X\\Applicant ate
� \ p
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issu ce:cl item not checked above).
1. Index permit for above items No. I
3 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 c Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Buildina.-Department
Environmental &ei 11h
FROM:
SUBJECT: Sanitation Clearance.
AP#
eAei
Location/
Owner
Water supply
Plan Approved for: Sewage Disposal
Water Supply
Hold final for:
Water Supply
Final clearance O.K. for:
Clearance f or bedrooi:�E�>me. other
NOTE
Dfate
S*W�—Itarian
M'7777-77-7777-77777.
cel on the coh-atie
sand at] tis crud it is unk wdul +c
CM, I changes of 0140?'ntilnMS cln same AlRhout
+i t "?en per Mssic"9 from the iDopwf aw.4 E
Mich a Wq*WGMMP SA fd-=� Good Practices ani
�. _
K.Acccrda�nce with Recognizedf
rig;' ftk:a Specfieeai case int
of a quail: t y Pres
or .
Uniform Bonding, Plumbing & Mee ,
recd Cedo. _
F69 Natia�
14
500 so.
e4st AAC s
A set` actC of e ' a s�tbeck: _1 porenit •wifl be requited fot4e� ,
pro rty lino
�rtl
P from the roa i�talkction of. th® moble �ti
of 5t �••e ha11 be chert a ..i '
Y.
tj�lS ores or equfPm
t 2 it- ee ani '
ETON y D,& Kr
-� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541.
1: Owner's Name:
2. Installer's Name:
MOBILEHOME INSTALLATION SHEET
i
h
3. Is the site currently under permit? Yes No
(If yes, furnish permit number ��.I �) OR
Is the site'an existing site? Yes No
(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
(If no, clarify
5. What is the mobilehome electrical rating? --------------- Amps
6. What is the mobilehome site service rating? ------------- Amps.
7. What is the.mobilehome site circuit breaker rating? ----- Amps
8.. .Is there any other electric load to be served by the
mobilehome site service? --------------------- ---------- Yes L4J No
(If yes, identify the load and size:Am Load) �.� - s)
( (Amps)
9. What is the mobilehome site gas pipe size? ----�-------- (in.)
type g ---------------
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?--------------------------------------------- (ft.)
* 12. What is the mobilehome gas demand? ---------------------- 1 (pf 00-<) (BTU)
*(This information not required if pipe length less than 6 ft. on n.>
natural gas or less than 50 ft. on LPG.)
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr.furnish Setup Model No. Year
Width_ /-Z (ft.) Box Lengthy (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) 1. Wood -pressure treated or foundation grade 2. Other (specify)
SUPPORTS (check one) 1. Concrete block.[A2. Other (specify) X�� �� ak
Pier Footing Sizes and Locations
SINGLE -WIDE
Main Beams
Line ,2�`I_—_ — — — — — _ _ ___ — _
Line 1 Piers:
Size -Min. ------------
Spacing -Max. -•------- r--
From Ends -Max. "
Line 2 Piers: j `�
Size-Min-------------
Spacing-Max -
------------Spacing-Max----------
From Ends -Max .-------
I.ine 3 Roof Loads:
Size -Min.------------ F „x „
Location (From Front) "
Une 4 dere •
Size -Min .------------ k
Spacing -Max.---------
From Ends -Max .-------
Line 5 Roof Loads:
Size -Min .------------
Main Beams
Tag or Triple
}gine 1 Opeoinxe:
Size -Min. ------------------
Each Side of Openings
With Width Over ---------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min .------------------ y� „
Spacing -Max.---------------
From Enda-Max .------------- �.
nx u l ,k u I „x n nx n I ux l ',x
Size-Min.------------------
„x „
Spacing -Max.---------------
From Ends -Max .-------------
location (From Front)I
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT t -.S 9 —A 4.Q :$ 8 /
FOR RESIDENTIAL DEVELOPMENT
Section ..26-8.1 of the Butte County. Code
requires this acknowledgement be recorded
prior to issuance of a building permit. �
-,.r .'. ' .- a - • r' -- - - .: .. _ ;a •tom _ - ,lk ��FC •..i S'�!'7hi+ , :°l..i•�i�y +}.yf a•'t' .?vyZ J .y'.. Y.
The property described herein is adjacent ` 89-1744088 •-'Rec "'Fee ? 5.00
to land or included within an area zoned % . Check 5:00
for agricultural purposes, and 'residents ; i' Recorded .
^'
of this property may be subject to incon- Official Records
4 .� , � �,.,..
��;C o _. f
_ . o
veniences or discomfort arising from the u n t Y.,�,,.^ .
use of agricultural chemicals, including, Mme' Butte°' - ,
but not limited to herbicides, pesticides, Candace J'. Grubbs
and fertilizers; and. from the pursuit Recorder
of agricultural operations including, 8:02am ,3 -Nov -89.
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 disconform from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as
foflows: m 92J
ILe-
' �.. Cl,,
Ile
r:70 43
00 ° 314 ' /8 4 33 o (f ci S ° qe r 2-7.r C .
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�, 00° /6' a27`� .. Tem �✓ ��° S`�'3� 2-
se-
Date:
Date: , PROPERTY OWNERS:
State of oe,✓%� ) On this` the`v_1� day of fo[�?/2 before me,
SS. the undersigned Notary Public, personally appeared
County of tr%)
AA/VNA �1' Sfc /P
Personally known to me. [] Proved to me -on the basis
mf
satisfactory evidence.
RICHARD FEUEEMES Vie: A be the person(s) whose name
roto
NOTARY PUBLIC -CALIFORNIA Fi
;....:;:. B,utteCc_,„..y .subscribed to the within instrument and acknowledged that 54e
` My Commission Expires Feb. 16,1993 executed the same for the purposes therein contained. IN WITNESS
Rommuseemo®®meacom,00mnoamgWHEREOF, I hereunto set my hand and official seal.
Present A.P. No. Notary Public
END OF DOCUMENT
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