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Home My WebLink About028-300-045a Q � � "� �� :� � � �� E 3 3 -2- PERMIT PERMIT NO. c� PERMIT EXPIRES �z / OWNER ALONZO WORLEY r CONTR. 28-30-45 ASSESSOR PARCEL Donald Blkke LOCATION 9351 LaPorte Rd, Bangor 4 Temp. Power Pole Called PG&E Temp. Elec. ServiceY'Aft dOL- Called PG&E Temp. Gas Service Called PG&E nn JOB FINALED (Date) lV Signature = OK 0=Not OK = Not Readyable MOBILE HOMES Date hllq L• E HOME UTILITIES (Plans) OK except #'s Zenina Rea ui rements-Setbacks-Easements R.'So' s; Special MH Support -Sketch e er; Location- -F 1 6 / -Co ,./ r, Locatio T Eas n _N F� lectricity; Location-Clearances-Grn �—e-ess, I: cation -Test -Wrap: / P1 ft. / /"Nat. or/ /"L"ft./ /"LPG �0 ?_ ility Clearance Card-B1t_� DateC-oul-" Card -B1 Date/Q---- Card -B1 Date . Card -B1 F Date Date \"O§JLEHOME INSTALLATION (Plans OK except #'s Z ing Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line crete L✓ ectricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector titer; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval bee-aad Electricity Tagged xits; Insp.-Sketch Cert. of Occupancy Card -B /ri- Dater and -B1 Date Card -B1 Date Card -B1 Date • %- MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test ICard -B1 Date Card -B1 Date Card -B1 Date Card -81 Date _ -o = NotRESIDENTIAL (Single and Duplex) - =Not Applicable R• = Not Roady Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 1 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt: & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing j 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection J 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 1 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -81 Date Card -131 Date Card -131 Date Card -131 Date Card -81 Date Card -131 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s J 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector ? 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 1 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 � Date Card -81 Date Stairs & Rails Card -131 Date Card -13167. Date 68. Fireplace or Stove; Clearances -Hearth i 69. Elec. Outlets at Wood Panel; Int. &Ext. Date ELECTRICAL (Permit) OK except #'s i 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76, Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic D Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor D Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instld.; Drive '❑Yes ❑ No; Walks- ❑Yes D No; I Planters 1:1 Yes El No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Si. Stucco; Brown -Finish j Card -B1 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date 92. Roofing Certificate Card -81 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 39. Sills, Proper Material & Anchors Comments at Final: 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearinq (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE }} r COUNTY OF BUTTE PARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. PERMIT N0. Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE WJ0//le- v 07 - g)l ERMIT N A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector /�r"G1.G� Date Y COUNTY OF BUTTE t DEPARTMENT OF PUBLIC WORKS . 196'Meniorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone:.538-7541 _ 747 Elliott Road, �Parad'- Phone 872-6307 CO RR ECT.I.OwN=N 0T I C E A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �� N0. 7 Count Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSE OR PARCEL N M �,$ ' `l�f ZO INq_ BUILDING PERMIT OWNER IELIPIONE 3 SQ. FT. OCC, BUILDING VALUATI OW R'S M LING DD SS -(� 1 , q CON ACTOR'S NA EELEPHONE T 3y—_33f CONTRACTOR'S MAILINQUAD RESS _ 5'�- �• Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /S.0-0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r Permit fee $ 9S, 0o PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 1167 a3 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 00 515.00 Building sewer Mobile Home S G W 0e TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation.K Other ❑ Describe work: X_5_,Y _ ('3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Cod and my license is in full force a d effect. S License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El I, as the owner, am exclusively contracting with licensed contract -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason DWELLING OCCUP.DI\ NEW CONST.OR ADDNS. ( ACC. SLOGS. / yzQsgft NEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea (POWER APPARATUS IN SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20®50C AL(!? 30C Ex. Occup. OUTLETS (ED PRESID )REA.) 2.00 Temporary service 10.00 Home Facilities Ho 15.00 Misc. 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. .A I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation. permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against a I s, judgments, costs, and expenses which may in any way accrue 01 against said ounty in c equ a granting of this per t. X Date 6a Signature of Applicant — Owner❑ Contractor r7 Agent An OSHA permit is requl d for excavations over 5'0" dee and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 0-0 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ . HAZ CUA _ PARK _ SCHL FLD PAR PD HD 'ssu This permit is hereby issued under Tions of the Butte County. Code and/or work indicated ab ov for which fees IR OR PUBLIC BY /�41Date PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Receipt No. l y 'y(% . OU CJ4f / % 3 Z WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOL NROD-APPLICANT Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle Xfijjemdchecked above). Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mai l_countereby date x Plans checked by Date Plans approved by v � Date� 0 Sets of plans on hold in . File cabinet AP folder Copy—DPW V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC,'WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLE, CALI60RNA,9,�965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET 1 Permit No. � r _ ag - 3 o--cl S OWNER �� A. P. No. Proposed Building Use QAA Building Inspector 0 is Date /V-�� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: �1. DATE RECEIVED APPROVED All items have been submitted . ...................................: 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ................................... . 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................. . 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. X_ Telephone 53q-9 33Co and hold for pickup at nk-o office. Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle Xfijjemdchecked above). Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mai l_countereby date x Plans checked by Date Plans approved by v � Date� 0 Sets of plans on hold in . File cabinet AP folder Copy—DPW IS COUNTY OF BUTTE - DE! ARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION. AND. PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER —7 0 -- � ZONING N BUILDING PERMIT O WNE -1 y TE HONE e. n z o 73 IS -Z SQ. FT. OCC. BUILDIN ALUATION OWN E 'S MAI IbLG ADDRE y iwl v`j r CONT CTOR'SN ME TELEPHONE CONTRACTOR'S MAILING AQJWESS / Z % -'5-- �— k- Fireplace CONSTRUCTION LENDE ,^ [' UNKNOWN v Total Valuation $ LENDER'S MAILING ADDRESS Flung Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS r Permit fee $ PLUMBING PERMIT Filing Fee in on Each Trap 1 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 /1:1-7- 2 Each gas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF❑ Duplex[] MobilehomeEf Other Building sewer 5.00 SPECIFY Mobile Home S G JW V 0.00ea 'ZO TYPE OF WORK �,( New Addition ❑ Remodel[] Utilities UCJ Installation❑ Other [_1 Permit Fee $ Describe work: Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS10010.00 10AMP OR LESS (� Main service EA. ADD'L 100 AMP 2.50 Z CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.a OR AODNS. ( 1/20Sg ft I declare under penalty of perjury (check one): ACC. BLDGS. NEW CONSTR MULTI -OUTLET 2.50 ea I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRC ITS POWER APPARATUS a and Professions Code and y license is in full force` fect. �"� (SINGLE OUTLET CIR. License No. Classification Ex. Occup(OUTLETS OR FIXTURES DAL@30 eAL030 ❑ as the owner, or my employees with wages as their sole' compen- \\ Ex. DCCUp. OUTLETS FIXED PRESID.IREA./ 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, the licensed Home Facilities Mobile Ho 15.00 CS as owner, am exclusively contracting with contract- ors. (Sec. 7044) Misc. 9 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ 3 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL VERMIT Filing Fee 10.00 f-1 The permit is for $100.00 (valuation) or less. Heating, E]I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling g I shall not employ any person in any manner so as to become subject Hood 3.00 14 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee ; Z provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot , Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE I also agree to save, indemnify and keep harmless the County of Butte against all ties, occ"' CONST.TYPEJ SCHOOL FLOOD ARCEL PD ND ISSUE judgments, costs, and expenses which may in any way accrue ' ainst sa d Cou ty in o e oft granting of this per . This permit is hereby issued under the applicable provi- Date sions of the Butte County Code and/or resolutions to do �y Signature of Applicant Owner ❑ Contractor N Agent work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- OF PUBLIC WORKS ion of structures over Tuiin height. =C, Receipt No. O BY�/ Date%�( WHITE-D.P.W.. YE LO -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT PER EXPIRES Date ! L �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAUFORN.IA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. ' 3 Q Proposed Building Use Building Inspector Date :2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation in'structions< ...................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 1.2, School District fees paid ............ ... . 3. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City. of (see City for other requirements) 1.6. Planning approval for (A) Use: (B) Parking: ......... _1_/117. Improvements may be required. ' _18. Driveway permit (construction approval required prior to occupancy) ... ,o 19. Pre -Ins ection for ulre.. , Pre-Inspen rest r to re d p - q ' ' Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 2 Certificate of Workmans Compensation Insurance .................... 610 Ow uilder Verification (Given to owner ❑, Mail to owner ❑) ....... ecorded copy of Agricultural Acknowledgment Statement ...... 24. Letter of signature. authorization.•.�...,.,................................26. lim F1 f - When you issue the permit, process Telephone as follows: % , Mai I to owner. —Mail to contractor. and hold for pickup at e-) office. Deliver w/inspector. The following data must be submitted prior to permit issuance: (Circ) w item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date — L Sets of plans on hold in File cabinet AP folder Copy—DPW TO. Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance a -P, 4 PA Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Bold final for: Final clearance O.R. for: Clearance for -� bedroom mobile ome Other Water Supply Water Supply NOTE *** Sanitarian Date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance � ® �� l ®r �e 3 LQ elf- �a owner location Driveway permit ® 7 3 si ature 20 - 3 o- -�, AP # jv') has been issued for the above property. date Return to DPW ACRICUI_runAL_STAT1•:PLNT u4,.ACKN0WI.V1)GM-1*Pdr Futt tttis'lularl':Lnl. ut;vt:).utt•u:i•rr Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 8q_0�5 J39 The property described herein is adjacent to land or lucluded ` within an area zoned for agrtcultLtral purposes, and residents of this JULV - 7 1989. property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit. -of agricultural operations including, but not limited to cultivation, plowing, spraying, p.rtining, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept stAch incot►venience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described, as follows: A PORTION OF THE SOUTHEAST QUARTER OF SECTION 28 AND THE SOUTHWEST QUARTER OF SECTION 27, TOWNSHIP 18 NORTH, RANGE 5 EAST, M.D.B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: PARCEL 2, AS SHOWN ON PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, MAY 7, 1987, IN BOOK 107 OF MAPS AT PAGE 23. Date: July 7, 1989 PROPEIT Y OWN ERS State of California County of Butte On this the 7th day of July , 198_, before SS. me, the undersigned Notary Public, personally appeared ) �wmewAtseswwwwtoeewtswaetdeaow� CYNTHIA A. COLLIER � p m� NOTARY PUBLIC -CALIFORNIA Suite County w My Commission Expires Oct. 30,1992 �wswweeowwtow>.mtaswwwwtswaws�@ -------ALONZO L. WORLEY--------------------------- ----- pj�/,V9,V"19(yyy14ployltypM. 7W Proved to me on the basis of satisfactory evidence. to be the personfVy whose name�Vy/ is subscribed the within instrument and acknowledged that he t d tl same for the purposes therein contained. to execu a to IN WITNESS WHERrOF, I hereunto set my hand and official seal. Notary Public A. QOLI�� Present A.P. No. Z-0 " 30''�J AP�� 7� - OWNER U��Y PERMIT'�k Mi UT IL. CLEARANCE DATE / b —2 INSPECTOR t .ELECTRIC GAS I Support Struc. Compaction Test Re . Service Site Other. LoadT e Pipe Siie Length YES NO YES NO T C�IVIT s MUST q< 1"s sed' d! d the i�h cit a.1 ttme; and On 'sameaW }hour xept on .,r ai m -ration Hake any cnrsn.1,AcQ the Departmw* � ,tri}ten pelt n from I �4nT�Zz NOTE:—AN Materials & Workmanship Shall Be TN Accordance wl,h Recognized Good Practices and a. a qe�;, prescri'L.eJ for tl,e Specified use in the Uniform BuLding, Plumbing & Mechanical CoAU Ad Neation01 Utra ical Coda tt° , tr ack ad k t°ac SP ,she �° Great o �. et'c`I C°� \�be get t'' •� prop ��,�, � Sha J\Ptt�" °k �eIP\e S °< e�` o'er' cer \36\31e eo4e c t�pt �7i I F y5 1. M►NIM�M 1- ! ''� SQ. 1 FOR MOBILES , ). is�i N Ci— n I s a-ov/t�'�l rs • e4u�red tom r kid e2 er�t w.4 be he �obde P� o"tl}foo 0 1. Owner's Name: 2. Installer's Nam 3. Is the site cur BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET (If yes, furnish permit number d ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements?Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- �� Amps 6. What is the mobilehome site service rating? ------------- c9cf--7�. Amps 7. What is the mobilehome site circuit breaker rating? ----- ��i� Amps 8. Is there any other electric load to be served by the mobilehome site service?--------------------------------- Yes No .1 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- �� (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- * 12. What is the mobilehome gas demand? ----------------------- (BTU) *(This information not required if pipe length less than 6 ft. natural gas or less than 50 ft. on LPG.) PDX MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr furnish Setup Model No. Z t , Y e a r � Width_ L (f t. ) Box Length .�7 �(ft. ) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufactur'er's installation manual and structural setup sheets (if not on file with the County of Butte): FOOTINGS (check one)0 1. Wood -pressure treated or foundation grade. F1.2. Other (specify) SUPPORTS (check one) M1. Concrete block. F-1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams � Line 7. `.' — — — — — — — — — � Line 2 Main Beams -- -__ - - - _s__- _- Tag or Triple Line 1 Piers: - Line 1 Openings: Size-Min.------------ ,� „ Size -Kia. ------------------ Spacing-Max - ------^--------- Spacing-Max- Each Side of Openings From Ends -Max. ------- �_ With Width Over--------- Line 2 Piers: Size-Min.------------ Spacing-Max ---------- From Ends -Max .------- _ Line I Roof Loads: Size-Mio------------- Location (From Front) Line 4 Piers: Size-Min------------- Spacing-Max ----------- From ------------ Spacing-Max---------- From Ends -Max .------ _ Line 5 Roof Loads: Size -Min.----- - ------ Location (From Front) ,s t A Line 3 Piers: (Under Bearing Wall Only) Size -Min - ------------------ .'x u Spacing -Max .--------------- From Ends -Max ------------ e S Piers: (Under Bearing Walla Only) Size -Min.------------------ 'x Spacing -Max .--------------- From Ends -Max.------------- u r FSA HOMES INC. COLUMN SUPPORT SPEC. SHEET APPROVAL MODEL S 0 I 1) ROOF LIVE LOAD 3O ROOF DEAD LOAD LENGTH 4.S!-4' WIDTH 24! $I' v0-"kLF d9 4. 3710' ' 37-4" /7=3" BEAM tXkMSFEL .IMIVAG .' i" i • Footing or Pad size must be determined by dit,iding the soil bearing capacity intc'tlit:'"' 1 downward load, Ex: Soil bearing- 3200 LBS capacity -'1500 PSF, downward .1 3200'LBS'-" Foot �ng: til:e. -PST- .1500 -� 2.'1'3 SO. FT. - ice.'•-. I 1 .1 DOWNWARD CO LOAD (LBS SPECIAL INSTRUCTIONS OLDOWNWARD LOAD SPECIAL INSTRUCTIONS 3. yq L S 2 '(0 to C' 3 / 11REVISED 4 '" 50 480" 2 .O. . 5 2 9 '°` 3 6 5 892 o 4 m.: ` 7 2-33 'F MEiZ And Safe 'Standards $ 6 i" i • Footing or Pad size must be determined by dit,iding the soil bearing capacity intc'tlit:'"' 1 downward load, Ex: Soil bearing- 3200 LBS capacity -'1500 PSF, downward .1 3200'LBS'-" Foot �ng: til:e. -PST- .1500 -� 2.'1'3 SO. FT. - ice.'•-. I 1 .1 B LA►,KE7 HOUSING CONCEPTS Telephone 2175 FEATHER RIVER BOULEVARD (916) 534.8336 Orovllle, California 95965 To: Butte County Public Works Butte County Ilealth Dept. P. (1. & E. { This is to authorize lion or Jolene Blake to -obtain permits on my behalf. stns , Address AP � ? D Date