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HomeMy WebLinkAbout028-460-0250 ZiW- ops PERMIT NO. 2 ho /?o � PERMIT EXPIRES 3 OWNER PATRICIA LIPCHAK CONTR. Owner 1' ASSESSOR PARCEL 28-17-143 lV LOCATION 77'Stoney Oaks Blvd, Oroville i 4. �s 0 Temp. Power Pole Called PG&E 1 Temp. Elec. Service Called PG&E t' Temp. Gas Service ' Called PG&E JOB FINALED (Date) P l i Signature ,, -, .� ,..._. � ..��� , , ., � r -•. � � T y., � .. ,� ; 'MOBILEHOME"INSTALL`ATION ACCEPTANCE-4..r " COUNfY,OF BUTTE' rr + DEPARTMENTIOF'PUaBLIC WORKS 7 COUNTY CENTERDRIVE s �5 4w ri OROVILLE ,CALIFORNIA 534 4541` t . PERMIT NO:"'� k f; 1 ''� r* 'Address or locat: of.mobilehomej ?+saw r 'Owner, s, name .qtr Y-'. .r /<•t'- ./f ` -•� �ri tai 4� ,� o A y1 y Jj` h• � c i� j•r owner's address Insignia or hud number* " C•+ +j ^SManufacturer's.,name'—* Serial number 6!,"V-�.I.N f "n `X fes-- Year of manufacture " (Off iciaVAppiaving Installation)' „-) J1 (Date)'- a �� 9'.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. 5138, White - Owner, "Yellow - Installer, Pink �D.P.W, '.�` COUNTY OF BUTTE +' r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. S ldwlCg /,-vro(;?2PCZ, orb1)fL/J �U .SQi�iG $ Dhl ��/zl/lou,S %'D�ZFII4��C��.i No'l!ceL t li Inspector- \r2''6hl J Date�/ (� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. Inspector/ Date /� J T �� v 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 41 OWNER 6T1< PERMIT NO.7 ' 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 Her, or need additional explanation, please contact this office immediately. K up Inspector. Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 ,__ ,.,.__CORRECTION NOTICE zl�_R ERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector. i� Date 7— 1 r ,'COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE - L I 't� C �ii a k OWNER T — "PERMIT N0: Zoe A routine inspectionindicatesthat 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 pffice immediately. L . r .. n Inspector. Oj Date_ 2 = OK 0 =*Ndt OK - = Not Applicable .■ww.11 r un.e111210 3t ...�.�.r.. ��rn� �c► Not Ready MVDILC nVMQ0 I IUII.7VCLLf+11VCVV7 Date MOBILE HOME UTILITIES Plans OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s jerSing Requirements -Setbacks -Easements _ 1. Zoning Requirements -Setbacks -Easements If Soli • Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel . ewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails . Water; Location -Test -Easement Needed (Sketch)•, 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing I ricity; Location-Clearances-Grnd-d90 Amp -Concrete 7 6 Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. o1 /" L" ft./ i;KPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 g.14p Date - , Card -B1 Date7- 10. Roof; Shthg-Roofing Card -1211 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date OBI OME I TALLATION Plans OK except #'s ' t-loning Requirements -Setbacks -Easements Card -B1 Date Card -Bt Date left-otings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date Tett-B maalve-Co or ctricity; st-Crossovers-Breakers-Clearances 1 Date POOLS (Plans) OK except #'s H(n; MH Test -Fall -Flex Connector 1 1. Setbacks -Easements W er; MH Test -Regulator -Connector ' 2. Soils; Compaction -Structure Stability er and Sewer Connected -C/O to Grade -HD Approval ( 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining s and Electricity Tagged s. Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 0. Cert. of Occupancy j 5. Elec.; Pool Lighting; 15 volts-GFI 1 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 1 8. Elec.;Groundin Equip. w/5'-circulatingEquip.-Pool L ht g' q p' g g' Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date I Card -81 ate Card -81 Date I 9. Health Department Approval 1 ' 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date _UK I 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued)' , 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. -3. Ftg., Garage; Soils -Steel-/' P' Fig. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. jDoors-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. 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers" 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-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 -B1 Date Card -B1 Date Card -B1 Date- Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20.'Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water, 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -81 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - 16' Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65.G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails . ` 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -131 Date Card -81 Date Card -131 Date Card -131 Date Card -81 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) f� r � I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION ANDVERMIT ASSES O//ARG.E NUM7E4 !2 ZONI BUILDING PERMIT 0WN ` \ n C- 7TELEPHON SQ. FT. OCC. BUILDING VALUATION OW R' AI LI ADDRE p, go" C N RA OR'S NAME ki 110 W fl TELEPHONE C N RACTOR'S MAILING ADDRESS Fireplace CON T UCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ AR 1 ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCIHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS -7L— c I \ I Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCIfL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New❑ Addition Rem el❑ utilities❑ Instal a ionJ4 Other El �t Describe work: �t !� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification FJ 1, as the owner, or my employees with wages as their sole compen- sation, will do the workand and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW OR ADDNS. 1 CONST. ( ACC. BLDGS. DWELLING OCCUP.e,) , �20sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH RANC CIRC I S /POWER APPARATUS 6 (SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES EALO 30 FIXED EX. Occup. OUTLETS PLNS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 . Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I alse-Ag�ee to liabi it es j dgmen se c st anandeexp nseharmless s which maynin anyy wayof Butte aaccrue ainst against i County in e o the ranting of this permit. .1���., $� Date Signature of Applicant — 6/n eral Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ O , TOTAL PERMIT FEE $ Occup, co1lsT.rracJ SCrL PLO O{) V/ PARCEL jD ND ssue This permit is hereby issued under sions of the Butte County Code and/or work indic ted a ove for which IR TO F PUBLIC BY PERMIT XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ryZ� �! L./ Receipt No. WHITE-D.P.W.. YELLOW-ASSE35011. PINK-INePECTOR. GOLDENROD -APPLICANT 1 COUNTY OF BUTTE - DEPARTMENT OF F;�UsBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAL*0RNl 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER \ A. P. No. — 1 Proposed Building Use Building Inspecto� Date — I- m 11 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 .............. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. I 18. Driveway permit (construction approval required prior to occupancy) ... 19Pre-Insg In request to . Pre -Inspection for required .... • Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ +' 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ...................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for ickup at office. Deliver w/inspector. Other ,n Date —a 0 C? Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: "� Contractor, designer, owner, was advised of above required data by_phone---nall—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 by5 Date 4L" Sets of plans on hold in Copy—DPW File cabinet AP folder lt/osa- V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Galifornid 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PE M T NO. A111 ASSE S R PAR.c NUME. z°" BUILDING PERMIT OWN < 0 / 'TE ELEPHO SO. FT. OCC. BUILDING VALUATION O ER'S MAIL I AD RE S CO TELEPHONE COITTRACTORIS MAILING ADDRESS • Fireplace CON T CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 14 LENDER'S MAILING ADDRESS Permit Fee $ ARCH1JrEJCT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AODRES ed V , Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 0l/1( L)1 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home G 0.00ea TYPE OF WORK New❑ Addition[— Remodel[:) UtIlities_XJ Installation❑ Other ❑ i Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OCCUP.8i) yz¢sgft NEW CONST. / DWELLING OR AODNS. ACC. BLDGS. I 1 NEW CONSTR U TI -OUTLET 2.50 ea NON-RESID BRANCH CIRC TS POWER APPARATUS &) (SINGLE OUTLET CIR. 20950t - EX, Occup(OUTLETS OR FIXTURES 5AL@AL930 FIXED APPLNS. OR EX.�OCCup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 -� Mobile Home Facilities 15.00 Misc. firing 15.00 Py m 9, (% Permit Fee $ _ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I al a ree to save, indemnify an keep harmless the County of Butte against Iiabl 'ties, judgments, costs, d expenses which may in any way accrue gainst id County inc qu a of jth gr tin of this permit. Date C„ Signature of Applicant — w er Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ oeeuP. CONST.TYPc ISCNOOLIFLOO➢ JPA7LJ PD ND, Is30 This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which DIRECTOR OF PUBLIC 13 Ch�-Date MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 73-1,3— � l� ✓� �^ `� Receipt No. WHITE-D.P.W.. YELLOW-A389350M. PINK -INSPECTOR. GOLDENROD -APPLICANT T I COUNTY OF BUTTE - DEPARTMENt,01F. OBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA,95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �}- Permit No. Q OWNER r ✓� CZL A. P. No. v" Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 All items have been submitted . .................................... 2. Plot plans in duplicate/t 'pfr ate, igned by preparer of plans........ 3. Complete plans in du .i.ca a triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... /`2. School Dist ict fees paid ................ 13. Sanitation approval from 01'`0-,1;,27X Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17.ments may be required. 18. �y permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ...... B� ldingeInspe tort t� (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ........ �23. Recorded copy of Agricultural Acknowledgment Statement ............ 2, 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: 41 V Mail to owner. - Telephone and hold for pickup at office. Other ---, Mail to contractor. _Deliver w/inspector. ate 2 a ,?,g49 Copy of plans sent Health Dept., Fire Dept,, Other` r Date The following data must be submitted prior toper it i suance: (Circle new item not checked above). I 1. Index permit for above items No. - 2. Additional items required:{� Contractor, designer, owner, was advised of above required data by_phone---nall—counter by date Contractor, designer, owner, was advised of above required data by—phone —mai l—counter by date Plans checked by Date Plans approved by 6-Y15— Date Sets of plans on hold in File cabinet AP folder Copy—DPW I TO Buildinq Department ' FROM: Environmental Health SUBJECT: Sanitation Clearance Oviner, Location AP# Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Final clearance O.R. for: Clearance for bedroommobil home. Other NOTE *** Sanitarian Water Supply Water Supply Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at'your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and aterials for construction of the proposed property improvement (yes or no) �S 2. I (have/have not) k Ipr V15 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: n Name N Al Address City Phone Contractors nse No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, ervise, and provide the major work: Name Address City Phone Contract License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: �, Property Owne Social Se urity umber Date QI I / �9 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 'n i.o DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL D?"VELOPMENT Sect'i.on 26-8.1 of the Butte County Code - requires Lhis acknowledgement be recorded 1+ljT(.OMPAREDtMf1-i prior to issuance of a building permit. ,,;,�rw-_-%lAA13kfT FEB 2.3 198 ' The property described herein is adjacent 4P, -(..>:r ' to land or included within an area zoned for agricultural purposes, and residents -.�)U this property may be subject to incon- , 89-0058 '-v.eniences or discomfort arising from the 52 .r '.use of agricultural chemicals, including, ` but not limited to herbicides, pesticides, and fertilizers; and from, the pursuit of agricultural operations including, t;- but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has establ.ished agric•Ul- +' tural zones which have as a priority use for productive agriculLural purposes, and re sidenis "` r ,•.jxithin said ;zones and 'on adjacent property should be prepared to accept such i nuonve'n i enrr !' :or,disconf-orm from normal, necessary .farm operations. it ... , r;. -All that real property situate in the County of Butte. State of. California, d(.srribcrd a.,; PARCEL I follows: i PARCEL 2, AS SHOWN ON 97UiT CERTAIN PARCEL MAP, BEING A PORTION OF Tf1E SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 2, .� TOWNSHIP 18 NORTH, RANG$ 5 EAST, M.D.B. 6 M., WHICH PARCEL MAP �Y.,t: WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF '•A ' •_ '} - BUTTE, STATE OF CALIFORNIA, ON APRIL 25, 1984, IN BOOR 94 OF MAPS, AT PAGE (S) 86. t t, +• P ` .)A .- PARCEL II: /• ,. 1 t d - • _ .� `.` A 60 FOOT EASEMENT FOR ROAD AND UTILITY PURPOSES LOCATED IN „ t a SECTIONS 2 AND 11, TOWNSHIP 18 NORTH, RANGE 5 EAST, M.D.B. 6 M., , 1.+ r•) BUTTE COUNTY, CALIFORNIA, MORE PARTICULARLY DESCRIBED AS FOLLOWS: A STRIP OF LAND 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF 0s+ THE 'FOLLOWING DESCRIBED CENTERLINE: i 6 'P BEGINNING AT A POINT IN THE .CENTERLINE OF SWEDE'S FLAT ROAD 1 (COUNTY ROAD) THAT BEARS SOUTH 3 DEG. 50' 27" EAST, 688.68 FEET r ? C ' r:.- • �'�,� � •- :� FROM THE CENTER OF SAID SECTION 2; THENCE FROM SAID POINT, THE -;V ' �• FOLLOWING COURSES: SOUTH 19 DEG. 40' 49" EAST, 172.61 FEET; „• , 1 SOUTH 32 DEC. 23' 53" WEST, 206.42 FEET; SOUTH 5 DEG. 41' 50" i• P (�.„� EAST, 325.51 FEET; SOUTH 1 DEG. 05' 22” EAST, 1348.46 FEET; SOUTH 0 DEG. 36' -•' .'.� 'r 19" WEST, 1323.87 FEET TO A POINT HEREINAFTER KNOWN AS 'A". + ►` +.` POINT ,.� - ' - EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF�•,� .,PARCEL I, DESCRIBED ABOVE. i.'• .';, 15ate: �= �' _.-PKDPEKq'Y OWNER: ror,{ ( x + State of. )' Qn4'>~his, the day of 19 hc}fUr 1 • ,, , . `;`, d )` 5S. the undersigned Notary Public, y County o f personall appeared 3 .•i} , t, 4' rx r 4'I (/I('�/_ (n' / �,(/Jy4: 1�7.r:L� / / / • L4•r.,.,, ,. • 141 .} � t• t,• , � .. r1I � 1 { , , f 4 +•', ^I! I• • QyPersonally known to me. � ' P rovd'tO, me�one 't + �{ a 4� 'thehay1 '� `' ,4" � of satisfactory epid8cO ' �1,,S `toAd- the person(s) whose name(s) -��s f;tro�rrir�ie�ri�.- fi osv�a000 , .. w bscribgd to the within instrument and adknowled�ed, ANNE S.WILEY., executed: the same for thepurposes, �= a therein corrt'al�i�d �� �1N W1;. 1'+5Si ,�o "'c��'• NOTARYPL1ki "ALIFQRNIA• W#EREOl ; I hereunto set my hand s, Owe County and, offic pl te a}' # . My COMrnisiAn AXPIM S6_ pt.' 5,1892 to ��i oo+sand®©�oa4aeoanoa�eyl,.�os® t:�� - r. •+ ry,r �- �`•+�•; .��p1 .�+W' �, � g,� :r A.P No: ��Q '3 ; f ,Present ,, 'TJoti3ry Pub' ,ic .ter t�' rC � �.' . R s i+' � +•N+ � I , t` • 7i rl .:V. �� ' / .., fs 1 /i'•T'I R, � r i � � 4.IeC *,f i „ ♦.r '. 5:.�f.L113a M ,��}M 5� }'� , ' j 1. is j' I.�..} 'y' f. '! v 70 4 AP# y3 OWNER I a PERMTT`�l9�R MH UT IL. CLEARANCE DATE 9 INSPECTOR ELECTRIC GAS Support Struc. Compaction Test -Req. Service Size Other Load Typ e Pipe Size Length YES NO YES NO coo A �J w� P G 3/y l i j i s sed d e s . t icc rice s� MILY � �' P'v�s Word ®sl �EaP�� BeB as�d sept cap e �^'� ��� �:J1 times and iY is nns ec cc's c chs -in fife � • r %sc u, Y� w �e�Y�cdr�iCG� �Od@S aid �r�d pn porrrt'1�.lzlz', `u:��l fide ����� V`a 3,- G9fii0nal dlectric%N� EL�c,T, :� 7�a T Lcr5 /� S t � Gas • ( I w R 1.o Ac:, ID r W �1Y PERMIT SSC 0,/004 r i fir a X C3 AV- cL Qgtbac sem �Oa Le e�` o,�i°m EOC :a t rev s. \ors �^ 6Vt % ar - _.come. I ,1, 0 , t`ne `e 4 v�\\qty Abe Cn�% ,� .� Olk the y ,fie. mobs\e�`O .. p� y qq I r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville; CA . PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes ® No (If yes, furnish permit number'���!_J_) 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 F1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- D Amps 6. What is the mobilehome site service rating? ------------- o?d0 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 No (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 F LPG [j] 11. What is the gas pipe length from meter or tank to the mobilehome?-------------------------- 112, (ft.) * 12. What is the mobilehome gas demand? ---------------------- /V A (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) f MOBILEHOME SUPPORT DATA L If other than single wide, Mobilehome Mfr., of furnish Setup Model No. Year. Width_ k!:�_(ft.) Box Length__4fU (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)R l. Concrete block. a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams Line 2 Main Beams — — — — — — — — -- Line'l n. Tag or Triple Line 1 Piers: Size-Min.------------- Spacing-Max - -----=----- Spacing-Max. --------- From Ends -Max. ------- Line 2 Piers: Size -Min ------------- Spacing-Max - ------------Spacing-Max.--------- From Ends -Max.------- �- Line 1 Openings: Size -Min- ------ Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall only) Size -Min ------------------- k Spacing -Max.--------------- From Ends -Max -------------- L�iqe 3 Roof Loads: Size -Min.------------ nx a „x n ,k 11 x x. nx a ux a Location (From Front) _ '_11_ " '- �' '- -- "'- Line 4 Piers: pLine 5 Piers: Under Bearing Calte UnIly Size -Min.------------ ,k „ Size -Min ------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- , „ Spacing -Max.------- -------- From Ends -Max.------- „ From Ends -Max .------------- - Line S Roof Loads: Size -Min .------------ Location (From Front) 1 7