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HomeMy WebLinkAbout028-300-033BUILDING!CODE VIOLATION 30 DAY LETTER 02 -/Y-OS BUILDING CODE VIOLATION 10 DAY LETTER - AP 8-30-33 Stanley Nunn 1,2- s/s Bangor Par Rd. 4pprox. 1/2 mi. W. of Oro -Ban Hwy., Barigor ow -Permit -47 3- -5-P,E---(ut l:/TIH)---_ . ELEC . GAS ,(, SUPPORT STR . REQ. -Y-yo COMPACTION TEST —Ltd - AP 28-30-33 Permit 4956-75MHI CONTR: Earle Tome Mfi Sery . ,Peradise ISSUED '69 — 28-30-33 P NT ICE NUNN S S Bangor Park lit�a, app 2 mi. Wo O o it angor =Hwy, B ngor �j *- 9/J7j Contr: Carrell Bros MH, Chico Permit #5078-78MHI(existing site) 04-2232 ODESHA, BRENDA 241 BANGOR PARK RD, BANGOR Cont: OWNER INSTALL NEW SERVICE 028-300-033 05-0208 ODESHA, FRANK 241 BANGOR PARK RD, BANGOR CONT: SIERRA MHS EX MN PERM FND �7 ' l= March 25, 2005 Butte County Department of Development Services www. butte county.netldds 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING Frank III and Brenda Odesha P.O. Box 51 Bangor, CA 95914 RE: Formal Warning Notice Building Code Violation Location: 241 Bangor Park Rd., Bangor, CA 95914 AP #: 028-300-033 Dear Frank III and Brenda Odesha: This is a formal warning.notice:Pursuant to -Butte County Code (BCC). -Section 41,2j. we sent you a courtesy notice dated February 14, 2005, 'notifying ,you that you .are in• violation of the BCC, and 1998 California Building Code (CBC), at the above -referenced location. As s of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the construction of four agricultural buildings, a covered deck and new swimming pool. (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.1 Inspection Approval Required Before Use or Occupancy (d) Section 3405 Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit `issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your, final;,..warning. . Unless youcontact this office.. and make. the proper arrangements to corrector abate: the violation(s) voluntarily, within ten (10) days from the date of this.letter, enforcement shall be;pursued-through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. - Frank III and Brenda Odesha March 25, 2005 Apn 028-300-033 Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a'description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact a Permit Tech at this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief Building Inspector SR: mb 1 2 3 4 5 6 7 8' 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte. I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division. 7 County Center Drive, Oroville, California 95965. I am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On March 25, 2005 the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Frank III and Brenda Odesha P.O. Box 51 Bangor, Ca 95914 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on March 25, 2005 Oroville, California. Misty L Blackhorse Butte: 1 --our tjy of Deveiapmept Services ADMINISTRATION x 6W—DING * GIS ` PLANNING OCf JNt10 7 County Center Drive Oroville, CA 95965 RETURN SERVICE REQUESTED `�.C - `' pM s t1 i I AR { `�� • Ci.i7.- CO imUNW APR 01 2m. Fran?, 111 acid Brc-vid., Odt slla DJVEL0pmwT P.O. Box 51. � Ba-iao.r; CA 95914 T ENDER 5051*R 959142151 1205 44 03/29/05 TU ODESWA IOIISFRANK PO BOX 33 MIDPINE5 CN 95345-0033 RETURN TO SENDER •=�==--��.�.� �:.�: �� ;°Irl;;;t,1r1,1,�►1,1,,,lrl��,it��,tt,t,i�,1,,,tl,I,�t,t��,tt��i March 25, 2005 Butte County Department of Development ,services www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING Frank III and Brenda Odesha P.O. Box 51 Bangor, CA 95914 RE: Formal Warning Notice Building Code Violation Location: 241 Bangor Park Rd., Bangor, CA 95914 AP #: 028-300-033 Dear Frank III and Brenda Odesha: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated February 14, 2005, notifying you that you are in violation of the BCC, and 1998 California Building Code (CBC), at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the construction of four agricultural buildings, a covered deck and new swimming pool. (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or Occupancy (d) Section 3405 Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warnin . Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Frank III and Brenda Odesha March 25, 2005 Apn 028-300-033 Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, . the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact a Permit Tech at this office at the address or telephone number listed above. Sincerely, 4L!Scottrd Chief Building Inspector 01, e, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18' 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte. I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division. 7 County Center Drive, Oroville, California 95965. I am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. =March 2 , 2005 the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Frank III and Brenda Odesha P.O. Box 5.1 Bangor, Ca 9591.4 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on March 25, 2005 Oroville, California. fi&G(-V%6�� M'sty L lackhorse / Butte County Department of Development Services www.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING 14 February 2005 Frank III and Brenda Odesha P.O. Box 51 Bangor, CA 95914 RE: Building Code Violation Location: 241 Bangor Park Rd., Bangor, CA 95914 APN: 028-300-033 Dear Frank III and Brenda Odesha: 00A )110* This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for the construction of four agricultural buildings, a covered deck and new swimming pool. Since pen -nits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact a Permit Tech in this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief Building Inspector SR: mjs RECORDING REQUESTED BY: 7-� AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 BUTTE COUNTY FEB 2 81005 DEVELOPMENT SERVICES Gam► /� // /i I, /i L Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:03AM 11 -Feb -2005 REC FEE 16.00 CONFORM 1.60 Andrew Fuge 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code X Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit S� described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. FRANK III AND BRENDA ODESHA REAL PROPERTY OWNER/LESSOR PO BOX 51 MAILING ADDRESS BANGOR BUTTE CA 95914 CITY COUNTY STATE ZIP 241 BANGOR PARK RD. INSTALLATION MAILING ADDRESS, IF DIFFERENT BANGOR BUTTE CA 95914 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE UNKNOWN MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-0 8 530 538-7541 BU ING PERMIT N TELEPHONE NUMBER/ .AW j f2---/ SIG TURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. MERRY HOMES 1978 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER S878A/13 60'X 24' 079788/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 028-300-033 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. v1 �1,i1 I V V. Escrow Ivo. 1. � zr. N4o. WHEN RECORDED MAIL.TO: r1 Fra.nK Odes hci aepGDa —toozo 164GD8 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:11AM 02–Apr-2002 I REC FEE 7.00 1 COPIES 1,00 I I i I I I Cindy l -Page l' of 1 DOCUMENTARY TRANSFER TAX $ .............. ..... ,rA(it AtSUvt t nib t_INt t -OR RECORDER'S USE �V ...... Computed. on the consideration of value of property conveyed; OR �t .. Computed on the consideration or value less liens or encumbrances c� 1 L( (,'& remaining at time of sale. Signature of Declarant or Agent determining tax — Firm Name ©Z�- 300,033 GRANT DEED ,f'T /191i �� Cvh v2yane�e where.. e ucc.Q or rrwr..a,, fha� p ��- FOR A VALUABLE CONSIDERATION, receipt of which is hereby. acknowled§ed, Psi a wta vrier4 rnan, a.s hereby GRANT(S) to r rar'4 ©desha� 0 -yid rb(oda Odes ha) hu5b0-nJ a�,nd U. k e as 0S 10 i 4 4 e 0 n oxv✓ 5 the real property in the U 0 R Cor p6yC',ked wreck County of ' u+i-ee State of California, described as 11 +y)qQor+lon ea5+ c�uar�-_r of -4 he S64hea5+ . C�uo-r-Vp-r nor -1 -haves+ r)uar e r OA8 A 11 +kja_,6 gorj'l c)n of +he- Soukhwe5i- qua pier O� or+heas4- �ua,rkr o� Sec_A-ic)r 28, +owr151'i,P 18 Nor+h, rarge.5 eusfi'X m. P M . , t ,n a)v hery o� +he .%nror 0 ry- 7pa.d y 5 y � Dated Aer►L i 2�oZ STATE OF CALIFORNIA } COUNTY ol= before me, 1. rt_ L( personaItTt rtfWn to me (or proved to me on the basis of satisfactory evidence) to be the person (d) whose name(&) is/ak&subscribed to the within instrument and acknowledged to me that he/4ia executed the same in his/lawAtft-authorized capacityo*, and that by hi$XoWtt :..signa- ture(e) on the instrument the person(tto or the entity upon behalf of which the personK.acted, executed the instrument. WITNESS my h d and official s + - Signature MAIL �,roC �1"AT IVENTS TO: �� G w JUDI SUTHERLAND COMM. #1215301 F NOTARY PUBLIC -CALIFORNIA ° BUTTE COUNTY � My Comm. Expires May 4, 2003 y (This area for official notarial seal) 1002(1/94) / V—b — A-1ZL ver . A) Z Ll vo�- PA -r— IC -1 .I IF s. R f f � � � ` � r r � L ' �4 , ` � ` - � 1 -> s. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 CC]PY of Document Recorded 11 -Feb -2005 2005-0008411 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. FRANK III AND BRENDA ODESHA REAL PROPERTY OWNER/LESSOR PO BOX 51 MAILING ADDRESS BANGOR BUTTE CA 95914 CITY COUNTY STATE ZIP 241 BANGOR PARK RD. INSTALLATION MAILING ADDRESS, IF DIFFERENT BANGOR BUTTE CA 95914 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-01208 530 538-7541 BU iING PERMIT N.. TELEPHONE NUMBER SIG TURF OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO MERRY HOMES 1978 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER S878A/B 60'X 24' 079788/9 SERIALNUMBER(S) LENGTH WIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCIUPTION SF.F ATTACHED ASSESSOR'S PARCEL NUMBER 028-300-033 HCD FORM 433(A) REV. 8/91 WHITE. County Recorder CANARY - HCD PINK - Applicant GOLDENROD. Building Dept. -Escrow No. WHEN RECORDED MAIL.TO: Fra mr, aid 'bvthda Od es hra PO 13oY 51 Elckle,9or, Cc, q5q 14 210102-1O t0 1 64108 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:11AM 02–Apr-2002 REC FEE 7.00 COPIES 1.00 Cindy Page V of 1 p................................ SPACE ABOVE THIS UNE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX $ .............. 1. -Z V ...... Computed.on the consideration or value of property conveyed; OR .. Computed on the consideration or value less liens or encumbrances / //[ remaining at time of sale. Signature of Declarant or Agent determining tax — Firm Name 0z6- 300--033 GRANT DEED kir 011 n doh uega.nca. where eilVtsil is 1Fr T e�uae or rrwra. f�-tan °6 FOR A VALUABLE CONSIDERATION, receipt of which is hereby. acknowled ed, i re. ?h.i I li ps1 a n�a rrie ►'vim, 6j.5I-�t s soles a se PM?CXy hereby GRANT(S) to rrarL4 ©de-s�� avid Odes ha 7 h,usl�u n� and u at e as j o to Us J(>in- 4eylnarl�5 the real property in the L)ni n Cur Qoyo-ied G.reQ County of lo -4c , State of California, described as 11 -�>1a Qor- ►on od e sovi4le-as+ ivar4e-r 0� the so4hea5+ .c�uo-r{er r- 4h-e-ylari-htues+ Guar e r ortci all �}ho porjl�r o� +he +he or+hea s� park r o� sec-A-�Or 23J +owr-shLP 18 Nor+h, Yarge--5 et, sty M. P t M . , lyln5 50viheyly 0� +he . k`�io�ncjot' Dated l-�P�`►L j 2�Z STATE OF CALIFORNIA } %�[' II -- COUNTY OF { w e—)ss. � eAle t-4 ?k III 4 before me, to me (or proved to me on the basis of satisfactory evidence) to be the person(g)whose name(!) is/�subscdbed to the within instrument and acknowledged to me that hely. executed the same in hisfRoA tiirnauthorized capacityg*, and that by hls/ iwsigna- turekQ on the instrument the person) or the entity upon behalf of which the persont* acted, executed the instrument. WITNESS my h d and official s r:Z��/ �� Signature MAIL T�A WENTS TO: JUDI SUTHERLAND COMM. #1215301 m = NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY My Comm. Expires May 4, 2003 (chis area for official notarial seal) 1002(1/94) 1i't ';'''"c t' 1r �',x.��y� }�}Y� `f`,`�F+r�, '.. ;ryl♦ �,yy„s 4YS' y+<y�i.z;,+.+�yx+•i$ �,r4*3n ey .T'.�, ,U 4 ;}`# d .-If,:, �, �+ i `ti star. -y F Q ''t s •r, 'gra Ti^ a a ,1 5 �7- n 3 a7 da: a .�' t x ,i �'�', a i a�3 ` id� Si �` ���.,. �sr�}; ��x ntl=�;FOU-N, DA YrI �N¢ySYS _•EMPx�`;x_ :eLEr ' }�� ��G,���Vc.� 4 !.�J`" r "� .�-� It: d's'.�" �J d "�' �1+iF fes` F;x$9 r[it � %• 3 t,+�i�''!: " �'�"��'`� i}`�i.9�j.`3� ,x`"T u�4. j "fitVi ERTI°FICAN E OFYOCCU WNCY` a yµ* € � i.?� �f.c.• : �'a"S'��"i` ta�at74� ��a�� M�:.'�•�*�,t�Cf, �'T;!is��a'E,T� •�"'�'4�:••r'S=�d°°-:`ht ''� Y�3:'.� i.-'}J.,P-.'rtF ��' Er `2�'�'u 3'�•'.; : t; ,.�.Xe'. r BUILDING PERMIT NUMBER: 05-0208 Address or location of unit: 241 BANGOR PARK RD., BANGOR, CA 95914. Legal Description of Real Property: AP#: 028-300-033 t . SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety -Code Section •18551. Owner's name: FRANK III AND BRENDA ODESHA t Owner's address: PO BOX 51'BANGOR, CA' 95914 t t ' INSIGNIA OR HUD NUMBER: `079788/9 SERIAL NUMBER OR V"I.N.: S878A/B MANUFACTURER'S NAME: MERRY HOMES YEAR: 1978 OFFICIAL APPROVINGINSTALLATION: DATE: PHONE: (530) 538-7541 j H.C.D. 513C RESIDENTIAL PERMIT NO.—' 028-300-033 - - 05-0208 ODESHA, FRANK 241 BANGOR PARK RD, BANGOR CONT: SIERRA MHS EX MH PERM FND SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE ,REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTIOWTEMS VERIFY USE PERMIT CONDITIONS SUB-STANDARD,HOUSING LETTER JOB FINALED ( e D O Signatur i • 1 RESIDENTIAL PERMIT NO.—' 028-300-033 - - 05-0208 ODESHA, FRANK 241 BANGOR PARK RD, BANGOR CONT: SIERRA MHS EX MH PERM FND SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE ,REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTIOWTEMS VERIFY USE PERMIT CONDITIONS SUB-STANDARD,HOUSING LETTER JOB FINALED ( e D O Signatur J=OK - D = Not OK . = NotReadyahle 4. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Drain; MH Test -Fall -Flex Connector 1. Zoning Requirements -Setbacks -Easements Water; MH Test -Regulator -Connector; 2. Soils; Special MH Support Sketch ' Water and Sewer Connected -C/O to Grade -HD Approval 3. Sewer; Location -Test -Fall -C/O -Concrete Gas and Electricity Tagged 4. Water; Location -Test -Easement Needed (Sketch) Tie Downs -Type -Installation Cert. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Exits; Insp.-Sketch 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 4. 6. Water; MH Test -Regulator -Connector; Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. 8. Gas and Electricity Tagged 9. 9. Tie Downs -Type -Installation Cert. Roof; Shthg-Roofing 10. Exits; Insp.-Sketch 12. 11. Cert. of Occupancy 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5':, -Circulating Equip. -Heater Date Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins: to Main Conduit Card B-1 Date Card B-1 Date _ Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking Date 4. Gas; MH Test -Demand -Valve Date 5. Electricity; MH Test , 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels ` Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plan's) 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, Distance-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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure;,Fencing-Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. _ Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Smoke Detector 17. Water Htr.; Vent -Access -Combustion Air Baffle Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 18. Water Pipe; Test & Anchor -Nail Protection Bedroom Exiting 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Date 74. Card B-1 Date Card B-1 Date 75. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s A.C. Duct in Garage -Damper 24. Fixture & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Plb.; Elec. & Mech. Equip. Listed for Location 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al _ 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 86. 34. Clothes Closet Light -Shower Light -Spa Light 87. 35. Smoke Detector 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date Ventilation Throughout House r Card B-1 Date Card B-1 Date Glass Protection Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings j 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits i 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection) 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers i 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls-W i ndows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa I 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House r 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 881-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE:, www.buttacounty.netldds LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect (065 'C License Class : License le i Date: ) 3 6 S Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.6 Business and Professions Code: Any clly or county which requires a permit to construct, alter, Improve, demolish-, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement (he( he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9. commencing with Section 7000) of Division 3 of the Business and Professions Code) or (hal he or she is exempt therefrom and (he basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500):): O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner-bullder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). 13 I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdesions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for, such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Lew.). O •i am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. O 1 have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation Insurance carrier and policy number are: Carrier. - ` 7-5-7 Policy #: S4_6 O 1 certify (hal in the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wilb thprovisions. . S Date: W-37 Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000). In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code; Interest, and attorney's fees. PERMIT NO. BP050208 Issued Date: 02/03/2005 APN: 028-300-033-000 Site Address: 241 BANGOR PARK RD BAN Map Index: Description: EX MH ON PERM FND Owner: ODESHA FRANK III & BRENDA P0BOX 51 BANGOR, CA 95914-0051 Applicant: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 Contractor: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530-534-0599 License #: 470386 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: C/1 �3o7 �Ii9353 CONSTRUCTION LENDING AGENCY This permit!Oereby issue'd,und r e appl' .able provisions of the Butta County Cody;anrt/or u Resolutio to do work Indicated bove for hich f s have been paid. I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued Sec 3097 Clv.) P P ( �i / (ice i.•' S f Name: Address: PERMIEXJFfIRES ON: Date O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19027.5 of California Health & Safely Code Is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information,is correct, and that'I am (he owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. thereby authorize representatives of BBIss County to enter upon the above mentioned property for Inspection purposes. Print Name: !/ t C- 9 Signature: Date: /7 Jy r� U Owner Contractor O Agent for Owner O Agent for Contractor t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE:: www.buttecounty.nelldds PERMIT NO. BP050208 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under Issued Date: 02/03/2005 APN: 028-300-033-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. (7G3S` Site Address: 241 BANGOR PARK RD BAN License Class: License Nvrpb P 3 0 S Contractor. Map Index: Dater Description: EX MH ON PERM FND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any clly,or county which requires a Owner: ODESHA FRANK III & BRENDA permit to construct, alter, improve, demolish; or repair any structure, prior p O BOX 51 to Its Issuance, also requires the applicant for such permit to rile a signed statement that he or she is licensed pursuant to the provisions of BANGOR, CA the Contractor's Slate License Law (Chapter 9. commencing with Section 95914-0051 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500):): O I, as owner of the property, or my employees with wages as their �• sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions 'Applicant: SIERRA MOBILE SERVICE Code: The Contractors' State License Lew does not apply loan BILL REID owner of property who builds or Improves thereon, and who does 466 CIRCLE DRIVE such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for OROVILLE, CA 95966 sale. If however, the building or Improvements are sold within one 530-534-0599 year of completion, the owner-bullder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professlons Code. The Contractors' Slate License Law does Contractor: SIERRA MOBILE SERVICE not apply to an owner of property who builds or Improves thereon, BILL REID and who contracts for such projects with a contractor(s) licensed 466 CIRCLE DRIVE pursuant to the Contractors' Stale License Law.). OROVILLE, CA 95966 O •1 am Exempt under Article 3 of the Business and Professions Code 530-534-0599 Date: Owner: License #: 470386 a WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit Is issued. Engineer: O 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: `(7-5-7 Total Square Ft: 0 S. F. Carrier. Valuation: $0.00 Policy: Census Code: ❑ I certify that in the performance of the work for which this permit Is Issued, 1 shall not employ any personany manner as l0 / %� b C� become subject to the workers' compensation laws of California,l v L/ / Vr/ / 2 / and agree (hat if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wit thor provisions. Date: !1-5 Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000). In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code; Interest, and attorney's fees. ° CONSTRUCTION LENDING AGENCY This permit !Vfiereby issued r s appl' .able pr visions of the Butte County Cods a. nrUor I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Clv.) Resolutio to do work in cated bove for hlch f es have been paid. {/� — ri v B Date: ` Y — Name: —� ©�^. PERMI IRES ON: Address: pate Cl I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Informalion,is correct, and (hal •1 am the owner or the duty authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of B to County to enter upon the above mentioned property for Inspection purposes. 11 <% 42�a_ Print Name: S% < 'Signature: •1 Date: J 0 Owner Contractor i 0 Agent for Owner 0 Agent for Contractor '4 �UTTFo BUTTE COUNTY ° DEPARTMENT OF DEVELOPMENT SERVICES ° BUILDING PERMIT APPLICATION ° AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 c01 j Nly A FEE WILL BE REQUIRED AT TIME OFAPPLICATION **PLEASE PRINT CLEARLY** OWNER Last Name ® 0'6s H A First Name `9� Fii�q Nr� Address ? qI 6 AA16-o-ie f h i2 K `e oA 0 City State C� Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name , Address Address City No State �` Zip 9SfE Phone Shy DS9 9 Fax E-mail S 3 q OS -6 E Lic. # y765,y6 Class 45 APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address Address City No State Zip Phone State Fax E-mail S 3 q OS -6 E State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Property AddressCi ,241 d�w�oK yA�l� RD Flood Zone Cross Street Address Yes No City Subdivision NameE State Zip Phone S 3 q OS -6 E Date Approved: Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning . Property AddressCi ,241 d�w�oK yA�l� RD Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision NameE Map Book Page Lot # Planner Date Approved: v v r`r- FUM )OU01VII I I AL KtUUIKEMENTS PERMIT NO. BPo'S_02D BIN # LOCATION AP# Property AddressCi ,241 d�w�oK yA�l� RD ty �yN�o� Cross Street WORKER'S COMPENSATION Policy Number Y� s� Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: l%� 4t Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount 007 Receipt #: Date: / Other '::� Total Y COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ... 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: (.`� /'fV t <�C ASSESSOR PARCEL NUMBER (52B 30 Proposed Building Use:G X &? f4 X . S/7Z' , 1 ounter Technician: Date: 2 d Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or d plans, a I in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ OErosion Control Plan Required........................................................................ ........ IV -3. Fees as shown on the attached Schedule of Fees Due Sheet .............................. Cl2.' City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... O 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits.....................';...................,............. ❑ 36. Deed,Pestriction....................................... \pr U 37.rant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. r I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: �z �/1-5- 1. Index permit application for the above items numbered: Plan Check Letter 2.7cor.,., l items required Condesigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, Date: designer,owner; was advised of the above data by ❑ phone, ❑ mail, ❑ counter by Date: Plans reviewed by: Date: Plans approved by: "` Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES 2 . OWNER A.P. # — 76 D% a PROPROSED BUILDING USE L F L� S ��TL�; ! F�J DATE i/ RECEIPT # DATE REC. �IBUILDING PERMIT FEES ` 7 r ---Balance Due ..................... . $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... . X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) F 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) t 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) i Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. , 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking proc . APPLICANT 4 DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project of from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) 6 Vector Dynamics Foundation system INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 INDEX Approval PAGE RELEASE SECTION NUMBER DATE MANUFACTURED HOME/MOBMSHOMB FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 19551 APPROVED INTRODUCTION 2 9/2/03 SUBJECT TO CORRECTIONS NOTED GENERAL INSTALLATION 3 9/2/03 kPPRO`VAL DOES NOT AUTHORIZE OR APPROVE ANY PARTS LIST 4 & 5 9/2/03 MISSIONS OR DEVIATION FROM REQUIREMENTS Of LONGITUDINAL DEVICES 6 9/2/03 APPLICABLE STATE LAWS AND REGULATIONS Slalo of California PIER HEIGHTS 7 9/2/03 ent f'Housin and Community Devetopm" SET-UP INSTRUCTIONS 8 9/2/03 W+ N DES AND STANDARDS e DAT- _ (sign -6) SPA FOOTER SIZES 71iar Appwva1Expiros_ WIND ZONE I - SINGLE 9 9/2/03 l y � � 7-D7—y? L--- 4—DOUBLE -DOUBLE 10 9/2/03 - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 �oQROFESS101V - DOUBLE 14 9/2/03 M. - TRIPLE 15 9/2/03 No. 6 245Jrn p' V -DRIVE & PIER SYSTEMS 16 9/2/03 ST9TFOFICAUF°`\P SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST SU17E COUNTY 9V' I L00 t, 4 G D �V 15z'00v APPROVED 5 co O N O O 0 Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use.of the lateral and longitudinal foundation system: You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required b'y the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or'gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required,by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. 1:0 Page 2 California g/2/0� GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 2.1) to comply with local requirements for footer depth. FOUNDATION/FOOTING. SPECIFICATIONS FORVECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE -TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED , Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 9/2/03 Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 per system) 4. Tie Bracket (2 per system) Nc Ca Op Examples of Possible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section I 00 I I I I . I I I I I I I I I I I I I I I I I I I 00 18 Ft. Max. Wind Zone I Double Section 32 Ft. Max. ` - Forgreater widths use triple section design. Page 6 Combine Vector Dynamics & LSD Wind Zone I Triple Section T T I I I I I I I I I I I I I 1 I I I I Wind Zone I Tag Section TIT Ma 48 Ft. Max. California 4ML. 9/2/03 1 1 I I I I i i T T I I I I I I I I I I I I I 1 I I I I Wind Zone I Tag Section TIT Ma 48 Ft. Max. California 4ML. 9/2/03 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to,exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 it max. Unequal Pier Heights Maximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". Page 7 California'9/2/03 T. Set Up Instructions 'for !lector System #59018 Long U -Bolts v 1. Set Vector Pads 4. Inside brackets & straps Clear all vegatation where pads will rest. Place Attach the inside tie brackets to the U -bolts over a long U -bolt in pad as_ shown. Press ,or ham- the compresion member. Attach a strap w/hook mer pad into the ground. or swivel strap w/nut & bolt: Place other end of the strap over opposite I-beam I& down to out - 2. Set Block or piers on ads. p p ► side tension bracket. Cut strap 12 - 15 inches Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in pre-cut center compression member between bracket. Tighten strap until tight with 4-5 wraps blocks, resting on pads, centers between U -bolts around bolt. Repeat with' opposite strap. as shown. 3. Outside.Tension Bracket r f Attach outside tension bracket as shown to out- side of pads. ,Page 8 N' Califor 9/2/03 0 NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements C-) W 0 -No anchors required. For pier heights up to 46" for WIND ZONE 28'=36' wide, 38" for 24'"wide. See Pg 12 for high pier instructions. 2•sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors,Required': None ('Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required WIND "ZONE I, SEISMIC ZONE 4 L.S.D. 0 to 40' _ 2 Vector Dynamics Systems Required for \ 41' to 66' 3 Double Section' Homes .3' (Materials Required) - - - - ' Kome _ _ _ _ _ Cn - septi -72 ovale _K_ o _-- ` ample \ 0 NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements C-) W 0 -No anchors required. For pier heights up to 46" for WIND ZONE 28'=36' wide, 38" for 24'"wide. See Pg 12 for high pier instructions. 2•sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors,Required': None ('Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side . L.S.D. 0 to 40' _ 2 0 �2 41' to 66' 3 0 Y .3' 67' to 84' 4 0 4 85' to 90' 5 0 4 Each Vector System.requires one of the following: 1-4x4 or 2-2x4's pressure_ treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D:= Longitudinal Stabilization Device See Page 6. 4 VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40-u.p More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: _ 16x16 = 256 sq. in. -- - - 20x20 = 400 sq. in. _ - or 16x18 = 288 sq. in. -= or 17x25=425 sq. in. - - - ''- EQUALS -- - EQUALS 2 -Vector Pads # 59275 - 1 -Vector Pad # 59271 "- - 288 sq.. in, or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent, liste bove. "Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in r tar with site conditons Page 17 California 9/2/03 STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �s1Nc y� 0 Division of Codes and Standards •� �� 0 O© �u Z �10 11 w 3GA Title Search �� � Date Printed : 01/26/2005 pEv Decal #: LAV6373 Manufacturer: Tradename: MERRY HM Model: Manufactured Date: 00/00/1978 Registration Exp: First Sold On: 09/13/1978 Serial Number S878A S878B Record Conditions Registered Owner: HUD Label / Insignia 079788 079789 PPF Exempt Voluntary Conversion to LPT Use Code: Original Price Code Rating Year: Tax • Type: Last ELT Amount: Date ELT Fee Paid: ELT Exemption: Length 60' 60' JEFFREY PHILLIPS PO BX 411 BANGON, CA 95914 Last Title Date: 04/05/1996 Last Reg Card: 04/05/1996 Sale/Transfer Info: Price $30,000.00 Transferred on 08/01/1995 Situs Address: 241 BANGOR PARK RD BANGOR, CA 95914 Situs County: BUTTE Legal Owner: PRENTICE A NUNN EMMA V NUNN (Joint Tenants with Right of Survivorship) 2626 CHASE DR . OROVILLE, CA 95966 .Lien Perfected On: 02/10/1994 12:00:00 Inactive Decal/DMV: DMV SL3792 Title Searches: FIDELITY NATIONAL TITLE 455 ORO DAM BLVD SUITE A OROVILLE, CA 95965 Title File No: 107093 *;N* END OF TITLE SEARCH SFD AEW LPT NONE Width 12' 12' ti ttr ' BUTTE COUNTY DEPARTMENT OF, DEVELOPMENT SERVICES. BUILDING PERMIT - 24 HOUR INSPECTION #:'(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecodinty.neAdds.- 4, PERMIT NO. .BP042232 I LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/03/2004 APW 028-300-033-000 the Business and Professions Code, and my license'is in full force and effect. License Class: License Number: Site Address: 241 BANGOR PARK RD. BAN Date: Contractor. Map Index: 5 4 INSTALL NEW ELECTRICAL PANEL OWNER -BUILDER DECLARATION ZDescription: I hereby affirm under penalty of perjury that ,l,am exempt from the Contractors' State License Law for the followirig reason (Sec' 7031.5 Business and Professions Code: Any city or county which requires a Owner: ODESHA FRANK III & BRENDA permit to construct, alter, improve, demolish; or repair any structure, prior to its. issuance, also requires the applicant for sucti permit to file a P 0 BOX 51 signed statement that he or, she is licensed pursuant to the provisions of BANGOR, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division of the Business and Prof6ssions Code) or that he or 95914-0051 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structuee is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: ODESHA FRANK III & BRENDA Code: The Contractors' State License La w does not apply to an P 0 BOX 51 owner of property who builds or improves thereon, and who does t such work himself or herself or through his or her. . own employees, BANGOR, CA provided that such improvements are not . intended or offered for -or 95914-0051 sale. , If however, the building improvements are sold within one year of completion, the, owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1, asowner of.the property, am exclusively contracting with licens . ed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Llw.). LI, I am Exempt under Article 3 of the Business and Professions Code Date: Owner: License WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the,following declarations: 'a 0 1 have and will maintaincertificate of consent to self -insure for workers' compensation, as provided for by Section of the .3700 Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: Ll I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, Jor the performance of the work for which this permit is issued. My workers' compensation insurance carder and policy number are: Carrier: Total Square Ft: 0 S. F. valuation: $0.00 Census Code: Policy #: I certify that in the performance of the work for which this permit is issued. I shall not employ any person in!any manner so as to become subject to the workers' compensation laws of California, and agreel'that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date'. Applicant WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an,employer to criminal perialties and one h6ndred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the1abor code, interest, and attorney's fees. - 6d - r76 4rw CONSTRUCTION LENDING AGENCY' This permit is hereby issued under thg-i9plicable provisions of the Biifte County Code OnrVor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Res tions o do'work indicated ab ve r whis have been paid. Name: B, 1: PERMIT EXPIRES ON: 876— "S Date: 9 Address: I 1 - (Date) • I hereby certify that the use of this facility shall comply With Sections 25505, 25533, and 2553.4of the California Heal'th and Safety' Code, which regulate the storage, handling and use of hazardous materials. • Notification in accordance with Section 19827.5 of California Health &,Safety Code is not applicable to the scheduled construction of this project. 13 Attached are copies of the required E.P.A. notification formil I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with laws rofal all county and relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby __�te _nt.� Butte County to enter lives authorize e e r upon the above mentioned property for inspection p o es. Print Na le: - VU A dA- 0(�d, kJ 6k 4 Signatud Date.: 3 11_/Jb� , 13 Owner 1, Contractor 0 Agent for Owner 13 Agent for Contractor YJ 6 , T�'�. BUTTE COUNTY O DEPARTMENT OF DEVELOPMENT SERVICES C BUILDING PERMIT APPLICATION O AND SUBMITTAL REQUIREMENTS O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 _0 OFFICE #: (530) 538-7541 L A FEE WILL BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** ARCHITECT/ENGINEER CONTRACTOR OWNER Last Name Address Phone Fax i a e Address 0 I ajjL City Map Book State a_ Zip Phone j Ct -O G2 Fax `�Q 3 _L�1��,ut E-mail 1/ re ndQ Ubi {fit ARCHITECT/ENGINEER CONTRACTOR Name O w �� Address Phone Fax City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class ARCHITECT/ENGINEER Name Address City a Zip Phone Fax E-mail State License Number APPLICANT NAME Name Address i-/ City State Tzjp q3v Phone z Fax E-mail V APPLICANT SIGNATURE OCL�G� For office use only: Zoning AP# Flood Zone Property Address SRA I Yes I No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERAHT NO. BP o BIN # Deription or Scope of Work: P Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: �" Amount: i 10 • _ Bldg SRA Receipt #: AF07QOF Sheriff SMIP Date: 7. Other Z g , 04 t't b • Total LOCATION AP# X8.300. 03 Property Address �d city Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Deription or Scope of Work: P Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: �" Amount: i 10 • _ Bldg SRA Receipt #: AF07QOF Sheriff SMIP Date: 7. Other Z g , 04 t't b • Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED.. ALL PLANS MUST BE LEGIBLE AND IN INS. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). . ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the en ' eer Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required.) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMSS1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 O.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An `.`owner -builder" building permit has been applied for in your name and beam 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 jou labor and materials for construction of the proposed property impr .vement : YES NO ❑ *2. I HAVE EY HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ' ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide themajor work; NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. the work indicated.: - - NAME ADDRESS PHONE TYPE OF. WORK SIGNED: PR • � �_ CJI ._ � NOT' This Owner -Bushier VeriTmulon is required by Section 19831 and 19532 of the California Health and Safety Code. Mis ver�ication must be completed and returned, to our office before we are permitted to issue the permit OWNER BUILDER INFORMATION Dear Property Owner An application improvements sp��for a building permit has been submitted in your name listing yourself as the builder of property For your protection, you should be aware teat as "owner4milde>" you are the responsible party ofrecord on sucl a permit: Building peanut are not required to be signed by property owners unless they are personally perfo own work. If your work is being performed by someone other than ourse rn?ing their liability if that person applies for the Y You �Y Protect Yourself from possible P permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to license have a business from the city or county. They are also required by to p� their license number on all pedis for which they apply. If you plan to do your own wo&, with the exception of various trades that: you plan to subcontract, you should be aware of the foIIowing information far your benefit and protection; a If yon employ or Otherwise engage any Pms= other titan your immediate family, and the work (mciuding materials and other costs) is $300 or more for the entire project; and such persons are not licensed as contractors or subcoiz MCft ra, then you may be an employer. ♦ If you are an employer, you must reesber with tie State and Federal Govt as an employer and you. are subject to several obligations including state and federal income talc witmmhO workers compensation iasmance, �� fedPaal social security taxes, ♦ There be financial disability insurance Costs, and �lo� compensation eontrbuti ns. Y risks for you if yon do not cosy out these obligations, and these risks are With respectt� to worhes ensafioa �P� Y serious ♦ For more specific mon abate your obligations under Federal Law, contract the internal Ret►emle Service (ce, ifyou wish, the U.S. Small Business Administration). For mare specific infinmation about State Law, confact the Departamment ofBenefit Paymenia and the Division of industrial Accid bhgahoas under If the is intended ibr sale, PMPW'Y owners who are not licensed contractors are allowed to perform their work personally or through their ova employees, without a licensed contzactar or subcontractor, only under limited conditions. A frequent Pace Of unlfcensed P=Os FQofessing to be oontracbors is to secure an 'owner builder" building permit, erroneously implying 'that'be Xgmty owner is providing his or her own labor and permits are nuit required m be � P��IIY• Building by property owners unless they are performing 1heir own vow Inf am"& n abo" Homed may be obtained personally community or at 1020 N Street; S �e State License Board in your Plr�e � � 0. CA. 95814. P "Owner Builder Verification" on the reverse side of tris form so rid we can confirm that you are aware of these matters. The building pmmit Will not be issued uaW the verification is reinmed. NOT. Y,115 0wne7-.8=1der rHfor=rorr Is reptred by Section 19830 ofBre Ca1rfOM& Heal& m d Safely Code COUNTY OF BUTT -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ODE H /-I ASSESSOR PARCEL NUMBER Proposed Building Use: �t'E � � � �"" Counter Technician: Date: 7' 4 - Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 0 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. } ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ...................... I....... .❑ 22. City of Chico Plumbing permit.:...................................................................... ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: - 0- 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form ...................... !...................................................................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... @--1" 28. Pre -Inspection for t=Lec. j:g, d C, required....... 0 29. Contractor's license information.'(Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (✓ iven to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.......................................;............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction..................1...................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 370 • t X39 and hold for pickup. ve items and requirements for obtaining a building permit. I have be=application ApplicantC./C�(� Date: 1. Index peve items numbered: Plan Check Letter 2. Additional items required { Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by. Date: Plans reviewed by: Date: Plansapproved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: ' Yellow: Building Division' V PRE -INSPECTION REPORT OWNER: ODES H-.4- . DATE: 7.28 • o 4 - LOCATION: z4'1 _BA#4 c o rz aa 14 moo, e^,J G o,2 A.P. # owe 3�0 • 0 3 3' CONTRACTOR: ZONING: REASON FOR PRE -INSPECTION fiFLr_--c. ;5v- - DATE v`— DATE TO INSPECTOR: Y 97 PERMIT HISTORY ( ) NONE (VI -SEE ATTACHED - BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: -Residential # of Units: Mobile home # of Units: Currently Occupied (Yes ( ) No Abandoned/Vacant: (( Electric: Electric Currently �(Q) On ( ) Off Condition of Electric j Gas: Currently I ( ) On ( ) Off Condition Sanitation: Plumbing Worldng ( Yes () No Obvious Sewage Problems ( ) Yes (fie} No ACTION RECOMMENDED: Hold for permits or verify: Vt'✓ ( ) Yes ( ) No Inspector: Date: 0 o�0 A BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" ARCHITECT/ENGINEER CONTRACTOR OWNER Last Name 1rk"a 1 Phone Fax City Address (j ) �, . To'oL rj f City Vl State Zip ,15 Phone 2 G2 Fax Iyq E-mail I'� l�Ymd'a.L U61 ;Yt2 ARCHITECT/ENGINEER CONTRACTOR Name City Iqa a Address Phone Fax City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class ARCHITECT/ENGINEER Name Address City Iqa a Zip Phone Fax E-mail State License Number APPLICANT NAME Name n d�JJ� Address `/ City Statepi Zip ,-v Phone Phone . Fax E-mail U APPLICANT SIGNATURE For office use only: Zoning AP# Flood Zone Property Address SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: re11=1ZO CnU c1101ftAl-rTAI D=nl11D=MGAITC PERMIT NO. BP o4 -x-23 BIN # Des ription or Scope of Work: + Pec - P Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: kfl" Amount: I O . ^ Bldg SRA Receipt#: 4-07 0CFi Sheriff Date: 7'• 8 , a4 SMIP Other L't Total LOCATION AP# Property Address ZV,t Ed C' n rl Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Des ription or Scope of Work: + Pec - P Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: kfl" Amount: I O . ^ Bldg SRA Receipt#: 4-07 0CFi Sheriff Date: 7'• 8 , a4 SMIP Other L't Total - 2 Stanley Nunn AP 8-30-334.2 s/s Bangor Par Rd, approx. 1/2 mi, W. of Oro-Ban Hwy., Bangor Permit 4763- 5 .1P,E (utit.1Ird) ELEC. Q GAS J7 SUPPORT ST R REQ, COMPACTION TEST --� AP 28-30-33 ara Permit 4956-75MHI CONTR: Earle Towne MR Sery .,Pdise ISSUED 28-30-33 P} ENT ICE NUNN S/S Bangor- Park Rd, app 2 mi. W 0 0 -o 'Bangor Hwy, B ngor ®�/�(, 4 V/ Contr: Carrell Bros MH, Chico 0 termit #5078-78MHI(existing site) 0 w' PERMIT NO. 5078-78MHI PERMIT EXPIRES OWNER PRENTICE NUNN r CONTR. Carrell Bros MH Sales;'Chico LOCATION (A.P. 28-30-33 ) S/S Bangor Park Rd, app 2 mi. W of Oro Ban Hwy,Ban t. } .Iw b . Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E j, JOB 4 FINALED i 9. Electrical A. Is. service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yeso_ B. Is there proper clearances around panels? Yes` No C. Is power supply cord or feeder assembly -prop erly fused? Yes LAo_ D. Is continuity test satisfactory as per the following procedure? Yes `/No 1. De -energize electrical wiring -system of the mobilehome at the pedestal 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. �. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead,to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the' power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card'and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle A ftt-%A Abn�N� C" r:nmJJP)-�_ Length_ Width 1 Vehicle Serial- No. C) o -7R K -7 0:79, a State Identification No. ` Additional Information or Comments: & P B S r ' MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located w quired separation from lot lines and buildings and generally conform to plot plan? Yes— No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes L/l<o 3. Are footings and supports properly sized, spaced, and braced as p, approved plans? (Note possible variation at spring shackles.) (Secc.. �5082 & 5083) Yes— No 4. Is the mobilehome level? (Sec. 5088) Yes No - 5. If mo�rhan a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fl ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No / B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes V No— C. Backflow - If coach is not St t f California approved, does station have backflow device and pressure -relief valve? Ye o I 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes wINo' B. Does it have minimum 4" per foot slope and is it properly supported? Yes 1L.1/No C. Are any leaks detected in drainage system after runn��g 3 -gallons of water through each fixture including washing machine standpipe? Yes �No_ D. If coachot State of California approved, does station have required trap and vent? Yes r 8. Gas.Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobi home gas line inlet without reductions other than the mobilehome connector. Yes V No B. .Test OK as per following procedure? Yes 40 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"014" water column; or test with slope gauge (minimum) ® 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehoute with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No_ 1 Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam COUNTY OF BUTTEL- DEPARtMENT'OF PUBLIC WORKS BUILDING INSPECTION RECORD 5 BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets list Floor Restroom Finish 2nd Floor Windows= 3rd Floor Siding To out Roof Sheathing Water Piping • Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for phsically handicapped Appliances Conformance of ex. structure Final FIREPLACE Footing Throat Final FIRE SPRINKLERS Test Final Gas Piping & Test Temp. Gas Sanitation Final Fixtures ELECTRICAL Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES --------•--------- Elec. Servi 2 S E ec. P destal Water Piping Sewer VUXIpi MOSILEUOME INSTALLATION. - - - - - - - Support 17 Elec. Continuity Water Piping Drainage Gas Piping Z DATE REMARKS OR CORRECTIONS A CWf (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under_ permit number for the following location: Owner Owner's Address Mobilehome Mfg Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. • COUNTY -OF BUTTE — D-EPARTMENT OF PUBLIC WORKS ' 7 Cour,'y Center Drive - OrovilTd,, California 95965 ' Telephone: 534-4541 APPLICATION AND PERMIT v GUUIUI IGC I%:PICSCIItGUVeS UI LFIV L`UUIIIy UI DUtte to enter upon the above-mentionedpropeor inspecti n purposes. X Date ��-� D Si atu of Permitee or Agent Receipt o. White-D.P.W. - Y Ilow-Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS By Date 7 BU' ding permit expires Date 9S - % cl BUILDING Owner P.y u N SQ. FT. OCC. BUILDING VALUATION Mailing Address e eph ne No. Contractor e Mailing Address Z �,0 Fireplace Total Valuation J , Wh4D e o. 9,6 Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee Sgvwok PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 C v, o & 7-y Repair drainage or vent piping 1.50 A. P. No. _ ��^� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe fie"Retier+ Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking I Plans ParcelEach I Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. PI s Recd Parcel A al Plans pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L loo AMP 2.50 _ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST', ACC. BLOGS.LING CCVP. 81 22sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style `' SYN e- // a za S i /�/► 1 � � - NEW CONSTR BRANCH CIRCUITS) NON.RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES) g L 0 ICO APPLNS. OR EX. Occup. (OUTLETS OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. '_>69 Classification 6-601 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Work en's Compensation. have placed on file with the County of Butte a certificate of .Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Is C) dd TOTAL PERMIT FEE $ a GUUIUI IGC I%:PICSCIItGUVeS UI LFIV L`UUIIIy UI DUtte to enter upon the above-mentionedpropeor inspecti n purposes. X Date ��-� D Si atu of Permitee or Agent Receipt o. White-D.P.W. - Y Ilow-Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS By Date 7 BU' ding permit expires Date 9S - % cl • i • • a -40 • be This set of plans and specifications MUST at aft times and it is unlawful to kept on the job make any changas or alterations on same without wriiien permission from the Department of Pula - tic Works, County of Butte. All 4ti�• • °c.I fy this: ed _ •• Withtonne,e sect. 4'0/7S °ns 01) ede►et17 of fimd e thdirf�;/he°lr c';5� rno°tee / M > c• V 1 44 r. 0 .40 ,O J� • *4H Up W Setback shaft be 5 ft. from the iidb p .;perty line and 50 ft. from the �dllfl;:.:e of the road, permitting a maxi - Muen of a 2 it, eave overhang but entirety at of all owmentw q%,4, V-) —Akpl"� S40)9-0)911, Bill pv Gg co L4 DEPgQTMEN' 'A pPRo yEo yY F, W,j wl of W,l I BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: j'" /'Snto ) / i/_r� 41 U IV !1./ 2. Installer's name: l re _-rte %� Q J2 3. Is the site currently under permit? Yes / / No 7, (If yes, furnish permit number ) OR Is the site an existing site? Yes LOr No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes i/E 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 �la .. (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? ---------------------- / (in.) 10.. What is the type of gas service? ----------------------------- Natural / / LPG % 11. What is the gas pipe length from meter or tank to the mobilehome?-`- (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less,than 50 ft. on LPG.) 4 , I. MOB ILEIOMB `'UPPOkT DATA �� ��J'= If other than single wide, �9�( QCn%Zaw �-/ Mobilehome Mfr. furnish Setup Model No. z 3 Year WidthA Li (ft.) Box Length _(ft.) Tagalong or Expando Size -__ft. x T------ ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). I. All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either A A pressure treated o MM foundation grade. (ft.)(in:) (in.) (in.)Other specify) Center support Center support locations* footing sizes Supports (check one) (in.) 1: Concrete block. (� [:] 2. Other (specify) (ft.)(in.) (in.) (in.) [��. 3 -0. (ft.)(in.) (in.) (in.) n� a4rx (in.) (in.) 4 24 AD (ft.) (in.) (in.) (in.) *If c.e`nter piers are other than drawn above,. draw in -locations, spacing, and dimensions. Tagalong or Expando, show support details. /�,jx Z -- Typical Support (in.) Footing Size L/. -- Max. Pier Spacing (ft•)(in.) -- Max. Overhang BUTTE CoLiNTY BUILDING DEPARTMEN1 APPROVED r util.'MH, 4763-75P,E PERMIT NO. P E M MH UTIL. PERMIT NO PERMIT EXPIRES F OWNER Stanley Nunn' CONTR. owner t LOCATION (A.P. 28-30-33 ) OSIS Bangor Park Rd., app. 2 mi. W. of if Oro Bangor Hwy., Bangor l / �j L _ 3 C) _2,' t Temp. Power PotD /a Called PG&E Temp. Elec. Serv. I Called PG&E Temp. Gas Serv. Called PG&E I JOB F FINALED 2-- ' -7% (D te) l / (Signa ure') t MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with equired separation from lot lines and buildings and generally conform to plot plan? 'Yes 2. Does the mobilehome have,. required clearances above ground? (Sec. 5085) Yes � No 3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec.' 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes` No 5. If more 'ansingle unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flex' Ie connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No -B. Test - Does water piping withstand working ressure or 50 lbs. air test? Yes No C. Backflow.- If coach is not State o Califo a approved, does station have backflow device and pressure -relief valve? Yes 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum k" per foot slope. and is it properly supported? Yes C. Are any leaks detected in drainage system after running 3 -gallons of ,rater through each fixture including washing machine standpipe? .Yes No D. If coach is not State ofaliforni d, does station have required trap and vent? Yes No 8. Gas Piping'and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobile me gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure. Yes, No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge.(minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10. min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connec�ions with soapy water. C. Are all appliance vents properly installed? Yesz 2 9. Electrical A. Is service large enough to prov-de ad<egtiata amperage -to m.•obilehome (must equal rating of mobilehome with a minimum o X100 amp) and other facilities, on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panes? Xesl��vo_ / C. Is power supply cord or feeder assembly properly fused? Yes ✓ No D. Is contini?ity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. S. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed'by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services.. MOBILEHOME DATA -- / `f Manufacturer and/or Namestyle UlA /�C_ Length 6 D Width / -1- Vehicle Vehicle Serial No. '//1/ , State Identification No. p2� 4�5 Z Additional Information or Comments: /ZU o < 74 7.01yeel COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback / V Firewall Soil Piping Stucco Forms Parapets 1st Floor MECHANICAL Main Bldg. Restroom Finish 2nd Floor Service Footings Windows 3rd Floor Finish Stemwall Siding To out Ventilation Slab Roof Sheathing Water Piping Final Piers Roofing Sewer ® 7 Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final7-15- Footin s Footings Footing ELECTRICAL / Reinf. Steel Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS TO: Building Department FROM: Environmental Health RE: ..Sewage and/orWater'Clearance 04NER LOCATIN A .P;j Has been approved for: Si dAWE DISPOSAL bIATER SUP'LY O Sanitarian c i Date S95-775 1� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT C: �� •--mss v _ BUILDING Owner -" / .3 f' --} ,:' '1 - - SQ. FT. OCC. BUILDING VALUATION Mailino Address ,,) Telephone No. i] _ -F ii re p :1a ::c:e - � Contractor ,�v--,c�y� Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty - Telephone No. Permit Fee Building Address_ r- % � PLUMBING No. @ FEE PERMIT FILING FEE $3.00 7 (_��✓? � � ,L-��r�c� . Yli « Each Trap 1.50 '- - — I Repair drainage or vent piping 1.50 Water piping 1.50 jG,GCr Each gas water heater or vent 1.50 A P No _ — ^� -- �- - zoni ia..i Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fjz Ni: Sri io Fire Dept. Fire Zone Use Pemnit Building sewer 5.00 /d e5l�7 F_ClA I Parking s Plans I Parcel Declaration parcel Ma P 60 R; W ' Im P rovem nts Lawn sprinkler system 2.00 Plate R-'ec'd I Parcel A�./. of !Q Plans pproval Permit Fee $ � _Bldg. NEW❑ ADDITION ❑ UTILITIES�f OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 S� cU Main service incl. 1 meter _ Additional meters, each 1.00 ----'� _�— — Single Family ❑ Duplex ❑ Mobil Home �/ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures Sa1(C, �— Receps., switches & fix outlets � alraClO CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the. name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump __HE/100 Mobil Home Facilities 5.00 1/S,G✓ Temp. Power Pole 5.00 License No. Classification Misc. wiring Y \ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. It I certify that in the performance of the work for which this l {permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee TOTAL PERMIT FEE fiS UCS authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. y /,iii 1.3 �.•. Date c r gnoture o. Permitee or Agent , ,f SReceipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR04 UUBLIC WORKS. V ti;lg permit COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 / • Telephone: 5344541 ,� APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Permit Fee Mailing AddressZ— Telephone No. Fireplape Contractor Total Valuation • Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address �s �,m / JCD� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 JIe,�Q Each gas water heater or vent 1.50 A. P. No. — 30 —�� Zai I Gas piping system 1 - 5 outlets 1.50 �Q pp Each additional outlet 30 F S r;i io' Fire Dept. Fire Zone Use Permit Building sewer 5.00 Q QQ _LOA Parking Plans Parcel Declaration parcel Ma p 60' R/W Im provem nts Lawn sprinkler system 2.00 Bldg. Pla s Recd Parcel AVoval P ' Plans pproval Permit Fee $ I. NEW ❑ ADDITION ❑ UTILITIES � OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 13, 0a Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) _ Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 �-®O SQ � f� — � L� Water Heater or Space Heater 20 000 Light fixtures 25 b d 10 Receps., switches & fix outlets 20 P 25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the. name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 /✓r.4t% Temp. Power Pole 5.00 License No. Classification Misc. wiring YX I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating CA h' h I b' d 1' b' 1' U e w is requires every emp oyer to a insure against is i ity for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. Cooling Ventilation Hood Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XJ Date A �5iignature o Perrmmi'tee or Agent Receipt No. 3C`'���� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant o2.Z DO @ FEE $3.00 2.00 $ TOTAL PERMIT FEE $ S V This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By -2Z9 -=f I — Date !F- -3 — 7J_ Ziding permit expires Date 1' 7-7 -7 .COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 5344541 O APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XA S, 4 J G "�- Date ��7_%S gCighature of Permitee or Agent White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF AUBLIC WORKS By -� Date %'9 % J^ Bilding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. 'Fireplace Contractor (,v/1/ Total Valuation Mailing Address D) C/12C'L L/J Permit Fee Plan Checking Fee &/or Penalty rl PA !� A 0 15 E Tele o=e No. ,�r IN Permit Fee Building Address s ' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �. Each Trap 1.50 " Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. i��% —3� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans I Parcel Declaration Parcel Ma 60' R/W p Im rove en to p Lawn sprinkler system 2.00 Bld Plans R Parcel Aproval I Plan Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) _ Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b fat Receps., switches & fix outlets 20 02b CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name stcyle�of- // Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 2Wf')'9_5_—�� Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. {� I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby M �OfiZ TOTAL PERMIT FEE is authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XA S, 4 J G "�- Date ��7_%S gCighature of Permitee or Agent White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF AUBLIC WORKS By -� Date %'9 % J^ Bilding permit expires Date COUNTY OF BUTTE -Department of Public Works 7 County Center Drive, Oroville, California - PHONE: 534-4541 w� • i i Utility. Connprf-i"7n 20' � n tD N• - ` tD rt 0 • N O 0 Fu F'• r _ si. Length = . z . - z MOBILEHOME'INSTALLATION INFORMATION Lot Facilities Piobilehome Data? H 1. plot plan. dimensioned, location of mobile 1. Length Widat r A,M, j� 23 z R � t, � -- cn and u��ility. connections? Manufacturer r c n r '1 x s Yes- No - 2od Vehicle Serial No. ,4`?__ n 2: Electrical.service equipment ampacity Insignia Control No. - r-� n,,� ►3 Circuit.breaker ampacity �4 2. Feeder- assembly ampacity,- Permanent Wiring.Connection Conduit size i Ampacity Power supply cord Receptacle'" """'- Ampacity - ' .' 3 Gas 'inlet' size 3_ Gas.:. Natural LN 1r Mobilehome connector size Gas riser size '% .� ,, Capacity 4. Drain inlet sizea4, i' 4. Drain connector: describe on reverse side �5..1- .1 -later- riser size:......_.�.........�. ,.._ ._. _ " � � '--"""''S. 4Jater'connector_ 'describe on'reverse side 6. Are utility connections located outside 6. Designed loads: p the rear 1/3 of the mobilehoW.within Roof live loa4, a psf. 4 feet of the left. wa'11? Yes No Wind load r_7 psf. If not, show dimensions.aboye. (only -for mobilehomes manufactured after 7. Is the mobilehom cleat: of"septic tank, - October 71, 1473) - leach fields and located&p tside public 7. Mar_ufacturer'�installation instructions? utility easements? Yes No Yes . No 8. Do you propose to do other work on the - t --' ' '-_' ----- . ....-.. property other than the mobilehome 8• Will the mobile home be in on a separate sup ort structure? installation Lwbich will require a permit.1 Yes No Yes No - If so, specify LOAD BEARING . SUPPORTS A-'1DDITIONAL CO'MM7,M Drain Connector, Describe._ 7 if ell WateY. Connector, Describe 4 LOAD BEARING SUPPORT AND 'OUTING INFOIRUAATION Pier Spacing Used A Maximum Pier Load �n Maximum Column Load (multi -units only) Soil Bearing Capacity. /�('_1,T Footing Dimension Used! x1z v zn TYPE OF PIER- USED Steel _ Concrete Coacrete Block/ Other TYPE OF FOOTING MATERIAL USED Pressure Treated Wood Concrete Redwood (Grade) Other Approved Type 14rowl eKa�s BUTTE COUNTY BUILDING DEPARTMENT APPROVED NOTE ---:All Materials & Workmanship Shall Be in Accordance with Rr-:nnni-eri r --A Practices and of a quality pre,c,*�,,d for the use in the Uniform Building, Piijm�,inq & Machanical Codes and the National Electrical Code. The zn• Setback stall be 5 ft. from the side property line a0 5q f+• from the centerline of the road, permitting a maximum of a 2 ft. eave overhang. A-Ao , of, o n of fher�'94i�ed n'Obi/rho°r tha. 41@. This set of plans cfiaarios MUST be kept on the job at all times and it is unlawful to make any changes or alterhtions on sane without written permission from the Department of Public Works, County of Butte. Septic system and location o to be as per Butte County Health Dept. Re. quirements. fi!t)h ` ` 'moi � / r ,.t %D -vs All utilitY connections shall located within 4 ft. outside the rear er third section of the mobile hone on the left (road) side of the mobile home. �J 1w� BUTTE COUNTY O BUILDING DEPARTMENT APPROVED pCTVA11 s/Z 9� Igo PCC 7. r too' Q Q J � 0 i 8 B y i 7• . G' i E I ? FrIANk DOES,yA = ��CNDA oprsHA 2y l IOANGoi2 1'HQK 1� P fyAp i!,A, 9 r9/ 0 2 - 3 coo - 033 r/ L v