HomeMy WebLinkAbout030-101-079^
. '30-101-79Ray Pierson1608 18th St., Thermalitocontr: Foothill Construction, Palermo
& utility room) led30-101-79�private garage ^Permit #4977-77P,E(ut MH)
�SUPPO STRUCTURE REQ.
u �COMPACTION TEST REQ
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�Contr: 30-101-79Gene Schmitt MH Ser, VinaPermit#2788-80MHI (exist-
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. '30 101-'79
�030-101-079PIERSON TRUST, 05 -2798160118TH STREET, OROVILLF;:�4ont: SIERRA MOBILE SERV
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OroviIIe, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PEFMT N
./i
ASSESSOR PARCEL NUMBER -
..
ZONING
BUILDING PE RMI
o E
TELEPHONE
SQ. FT. OCC. BUILDING VAL ION
OWNE AI ES
1
CON R CTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
UNKNOWN
Fireplace
-Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$ zlo
ARCHITECT OR ENGINEER
SS
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ i -
BUIL ING oQD ESS
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each gas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New [Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. / DWELLING OCCUR.&
OR ADDNS. , ` ACC. BLDGS.
22 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONSTR LTI-OUTLET 2.50 ea
NON -REBID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR,
Ex. Occu 50@230
P�o OR FIXTURES ggL�10Q
XED
A
FIXED APP LNS. OR
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 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.
fsrf I shall not employ any person in any manner so as to become subject
'tel to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
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 authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains Cou I cor�sequence of the granting of this4�Iml_�
X Date d
Signature of pplicant — Owner Contractor EJAgent❑
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 $
Land Development Fee $
TOTAL PERMIT' FEE $
"cc U1* GROUP
TYPE oP CONST.
V
PARCEL
v
PD
HD
r I
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
gy Date
P MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Zo 4%
-��
Receipt No. ��Q�' a
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Com.
A setback of 5 ft. `from h®
property lines and a set oack
of 50ft. from the road
centerline shall be clear of
structures or equipment excel
for a 2 ft. eave overhan .
03 4.
1 This set of plans and specificatioeis. MUST bt
kept on .}he job at all tifnes and it is unlawful
make any chaneofsame.withDu
written permission from the Department of Pub
lic Works, County of Butte.
% '.
Utility con W . ... ;.
nectibe
ons shall
:4 ft. oft withinjdr
.. �d e
.V•
he mobileho
directly behind or within either �: .3 •
half oft thin the oL
he roadside real•.. i
Mobilehor (left) of the
CCA
i
>f�
Tc
IA
! %i�G1IC l{O�he
.079
i=------"- A00.
= y BUTT COUNTY
WdTcr oBUILDINGDEPARTMF=Nl
nctar `� PPRO C D.'
a ul%�Y
. _.. - .✓Q�;..... a?zt x•.i �.zsa tz: �,.W e.:�v.44..� .... _.. .i 1 V?''D<x(c�atC%.')�•_.-:6 Y�+�.r�+.1 S .-_ � ._.. ..
s
E
1
\1
:1,PERMITNO. 2983-80B
\1
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&;E
JOB
FIN/�LED�
V(Date)
(Signature)
:1,PERMITNO. 2983-80B
PERMIT EXPIRES
• c�
OWNER
Ray Pjarson
'�CONTR.
Anderson Awning & MH Serv., Chico
30-1.01-79
F' `LOCATION
(A.P. )
1608 18th St., Thermalito
t
r
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&;E
JOB
FIN/�LED�
V(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
-BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwal I
Siding
Topout
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
StemwaI I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final r
Sanitation
Patio f -P, n
FIREPLACE
Final
ELECTRICAL
Reinf. Steel [ Final I Fixtures
FIRE
Stucco Final Sub anels
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. Service Elec. Pedestal
Water Piping Sewer Gas Piping
E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
in
9
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you vislt the job site.)
w
COUNTY OF BUTTE - DEPAR MENT OF PUBLIC WORKS
7 CGunty Center Drive - Oroville, C,alifol 95965 - Telephone 916/534-4541
AP`PLICATION PERMIT
PERMIT L; NO.
o
Alli'
ASSESSOR PARCEL NUMBER
_ 16
10 _ / 0 %
ZON 5iG
%
- -
BUILDING PERWI
OWNER
55'`4�__-
TELEPHONE
S0.' FT. OCC-. BUILDING VALUATION
t
N E � I L IvN GA D.R E
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADD ESS
o 130-Y
CONSTRUCTION LENDER
� O
UNKNOWN
Fireplace I
.Total Valuation � $ '
LENDER'S MAILING ADDRES
Permit Fee "
$ ,00
ARCHITECT OR ENGINEER!� -
;�-
LICENSE NO.
Plan Checking Fee
$
Penalty
$ `
ARCHITECT OR ENGINEE S AIL( GDRESS
G1�
Permit fee
$ ron
BUILDING ADDRESS -
PLUMBING PERMIT
Filing Fee 3.00
O 1 /
Each Trap
2.00
Repair drainage or vent piping
2.00
4
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomeg Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
r
���,� TYPE OF WORK
Newq�+ Addition ❑ RemodelUtiliti s ❑ Installation ❑ Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 10ov OR LESS
100 AMP OR LESS
5•00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. / DWELLING OCCUP.&\
OR ADONS. `ACC. BLDGS.
/ 2�sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury •(check one):
�l am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in ff 11 force and effect.
License No. 3991f4? t_6 /
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)
F1 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
UT(-OUTLCET ITS 2,50 ea
NEW CONSTR. LNC
NON.R.SI D, BRAH CR
NEw CONSTR. (POWER APPARATUS &
NON -RES,C. (SINGLE OUTLET CIR, )
Ex. OCcup(OUTLETS OR FIXTURES
BAL011
BAL@10¢
Ex. Occup.�0UT ETS FIXED P(RESID.)LNS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 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
FiIingFee 3.00
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again s said County in conrs,/re�quence of the granting of this per it. r;�f
X ���=��-�- D to G X40 so
Signature of Applicant — Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3Lsstories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $ CC
occuP. GaouP
Tr PE GF CONST.
PARCEL
PD
HD
v
ssuE
ci
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 6 -I
vf���'
Receipt No. J / ZZ
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
f'
PERMIT NO. 3103-80B
PERMIT EXPIRES
t
OWNER Ray Pierson
CONTR. Owner
30-101-79
LOCATION (A.P. )
1608 18th St., Oroville
e
r.
Temp. Power Pole
Called PG&E
Temp. Elec. Serv/
Called PG/&E
Temp. Gas SIrv.
Called &E
JOB JOB
FINALED
COUNTY OF BUTTE — DEPARTMENT_OF'PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING .
setback
Firewall
Soil Piping.
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa l l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sically
handica edy
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
F
Footing
ELECTRICAL
Masodry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
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. Service Elec. Pedestal
Water Piping Sewer Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
r � a
(NOTE: An entry must be made on this form each time you visit the job site.)
`*PER' NG'
952-76B,P
PERMIT EXPIRES �/W-/ /
OWNER Ray Pierson
I
' CONTR. I Foothill Construction, Palrmo
LOCATION (A.P. 30-101-79 )
1608 18th St., Thermalito
u
2
cwt
r
.t
l
L�
Temp. Power Pole
Called PG&E
Temp. EI c. Serv.
Cl;led PG&E
Temp'�Gas Serv.
a Called PG&E
I
JOB
FINALED�
(Date)
E (Signature)
i
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
(NOTE: An entry must be made on this form each time you visit the job site.)
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1 st Floor
Main Bldg.
Restroom Finis
2nd Floor
Footings
Windows 4///
3rd Floor
Stemwall
Siding /
To out ga
Y
Slab
Roof SheathingWater
Pinang
Piers
Roofing a
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
��, ' o
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex
structure If oeTemp.
Gas Piping & Te
Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final `j
Footings
Footing
ffLFCTRJJZAI&
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SP LERS
Motors
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
(NOTE: An entry must be made on this form each time you visit the job site.)
i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
9 7 County Center Drive'' — G-iroviIle, California 95965 �} /
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date'
Signature of Perrmitee or / AgeQ
Receipt No. V �"
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 Al BLIC WORKS
BY Date �S,
0 �ingper=tex�piresDate rte' i 7
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
cT o
Mailing Addre s
Telephone No.
Fireplace
Contractor
Total Valuation -3, k 10
Mailing Address 75-934
Permit Fee cp
Plan Checking Fee &/or Penalty
'
Te.3— 4No.
3_
3Si7 y
Permit Fee $
Building Address -rh
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 3,OV
Each Trap 1.50 00
Repair drainage or vent piping 1.50
Water piping ✓ 1.50 )15-0
Each gas water heater or vent 1.50
A.`P�No. .30 — O %
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
FVs
on
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im proveme
Lawn sprinkler system 2.00
��
1316 Plans Rec'd
Parcel Approval
Plans Approval
Permit Fee $ /0.6-0$
o
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600v OR LESS 5.00
100 AMP OR LESS
Main service EA. ADO'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service R 600V
1100EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING OCCOR ADDNS. UP. &
A ) 22sq ft
NEW CONSTR. (MULTI -OUTLET
NON•RESID. (BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS&
NON •R ESID. (SINGLE OUTLET CIR.
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
le of,
style
�x [
Ex. Occup(OUTLETS OR FIXTURES)BaPSC
L�t
FIXED APPLNS, OR
EX . Occup.(OUTLETS ( REBID.) EA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Q Classification
Misc. Wiring 46.25
❑ 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 Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
y_► Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not em
P employ y an y person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ 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
TOTAL PERMIT FEE
$ O
.S'f S
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date'
Signature of Perrmitee or / AgeQ
Receipt No. V �"
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 Al BLIC WORKS
BY Date �S,
0 �ingper=tex�piresDate rte' i 7
j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
' i 7 County Center DrivIp - yroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
,J7Weol -76
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date /1 % 7
—S i Lure of Permitee or Agent
Receipt No. <2- __2
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.
DIRER F PUBLIC WORKS
BY Date
�/0-277 - 7�
-permit expires Date
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing Address 3a 319 S'/ .
/�/`�^
6//y1 1✓ !T Z 7J
Tel phone No. /
-0 2� �
Fireplace
Contractor
Total Valuation
Mailing Address Q(/1//IiG',�
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address & O 5 -
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 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. O �" /� / %
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fekl
W
$ertite+HN:6
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
--:Ldg PI pia
Parcel Approval
Plans Approval
Permit Fee $ ZXSO
I $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER'Z
- ELECTRICAL No. @FEE
PERMIT FILING FEE $3.00 .�
L nI13. L,FC. 600_ /nT" 7.5--Z ^7 C v
Main service 6001 OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
ER 600V
Main service 10 0 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
������
NEW CONST. DWELLING OCCU
OR ADDNS. ACC. BLDGS. � 20syft
NEW CONSTR. (MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &)
NON.RESI D. (SINGLE OUTLET CIR.
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
$t le of:
Y _
Ex. Occup(OUTLETs OR FIXTURES) BAL 21
x. ccu // FIXED APPLNS. OR
EOP•( OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee $
$ C
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 $
$
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
TOTAL PERMIT FEE
$Z
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date /1 % 7
—S i Lure of Permitee or Agent
Receipt No. <2- __2
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.
DIRER F PUBLIC WORKS
BY Date
�/0-277 - 7�
-permit expires Date
RccorclirfR ,Rcqucstcd by:
ANtI-RICAN PROVIDERS
and when recorded nlail to:
AMERICAN PROVIDERS
5433 El Camino Avenue, Suite 200
Carmichael, California 95608
ll-'�28ub
94-0324081
I
Recorded I
Official Records I
County of I
Butte I
Candace J. Grubbs I
Recorder I
8:02am 3 -Aug -94 I
Rec Fee 6.00
Check 6.00
PUBL JR 1
hull Tax Statements To:
The Undersigned declares:
Transfer Tax: None
BESSIE H. PIERSON'
No consideration.
1608 18th Street
Transfer to Revocable
Oroville, California 95965
Living Trust for Benefit
of Grantor(s).
Exempt: R&T 11911
QUITCLAIM DEE-1)
A.P.N.: 030-101-079-000
I, BESSIE H. PIERSON, hereby remise, release, and quitclaim to BESSIE H.
PIERSON, TRUSTI:l: of tic BESSIE H. PIERSON LIVING TRUST DATED July 7, 1994,
any and all of my right, title and interest in and to that certain real property situated in the
Count" of Butte, S! Itc of California, described as follows:
COMMENCING at the point of intersection of the centerline of Thernlalito
Avenue with the East line of Eighteenth Street, as shown oil that certain Map
entitled, "NI -AF OF THERMALITO, BUTTE COUNTY, CALIFORNIA," which
Map was recorded in the office of the County Recorder of the County of Butte,
State of California, June 8, 1887, as Wail Maps 4 and 6; thence along the East
line of said Eighteenth Street, North 72.03 feet to the true point of beginning for
the parcel of land described herein; thence from said true pjint of beginning,
leaving said l=ast line, North 88° 21' East, 150.6 feet; thence parallel with the
Last line ol' said Eighteenth Street, North 92.5 feet to a point; thence South 88°
21' West, 1 0.6 feet to the'. E1st lisle of said Eighteenth Street; thence along said
East line, SOUtll 92.5 fcct to the true noint of beolmililn.
Datcd: July 7, 19Q -I
STATI, OF. CALIFOR\I:\ }
l
i
COUNTY OF BUTTF, }
BESSIE H. PIERSON
On .lute: 7, 100-1, hel'ore me, C.M.H. II1GM-, Nulary Public, personally appeared
[11:SSll II. I'li:l:tic)\, personally known to me (or proved to in on ilie basis of satisfactory
evidence) to he Ihr i; rSorl Whotie ilamL' is subsc•rihed to the wilhin instrument incl acknowledged
to 1111: thal she exri Turd Ihr same in her nuthol- i.ed c•;Iparity, and That by her si__nalure on the
instrument the per'.on, or the entity upon hehail of which tilt: person ;tcled, executed the
instrument.
\\'I1T'I:SS my hand and ol'licial seal.
Si,naturr ��/,�l"'�-__ � • ,�::c,;�: ; ��.,.�:• ra.,�o�N��
A,. N70 COU;iTY
MY COMM. F.XP, SEPT. 1?.199.
END Cg: DOCUMENT
J
Recording Requested by:
AN'iERICAN PROVIDERS
and when recorded mail to:
AMERICAN PROVIDERS
5433 El Camino Avenuc, Suitc 200
Carmichael, California 95608
Mail Tax Statements To:
BESSIE H. PIERSON
1608 18th Street .
Oroville, California 95965
QUITCI,AIN-1 DEED
1
ill jZ8U8
94-032130,9I
t
Recorded I
Official Records .I
County of I
Butte I
Candace J. Grubbs I
Recorder I
8:02am 3 -Aug -94 I
Rec Fee 6.00
Check 6.00
PUBL JR 1
The Undersigned declares:
Transfer Tax: None
No consideration.
Transfer to Revocable
Living Trust for Bencfit
of Grantor(s).
Exempt: R&T.11911
A.P.N.: 030-101-079-000
I, BESSIE H. PIERSON; hereby. remise, release, and quitclaim to BESSIE H.
PIERSON, TRUS"I FF of the BESSIE H. PIERSON LIVING TRUST DATED July 7, 1994,
any. and all of my 1-1211t, title and interest in and to that certain real property situated in the
Count- of Butte; State of California, described as follows:
COMMENCING at the point' of intersection of the centerline of Thermalito
Avenue with the East line of Eighteenth Street, as shown on that certain Map
entitled, "NIAI' OF THERNIALITO, BUTTE COUNTY, CALIFORNIA," which
Map was recorded in the office of the County Recorder of the County of Butte,
State of California, June 8,'1887, as Wall Maps 4 and 6; thence along the East
line of said Eighteenth Street, North 72.03 feet to,the true point of beginning. for
the parcel of land described herein; thence from said trite point of beginning,
leaving said l=ast line, North 88° 21' East, 150.6 feet;. thence parallel with the
East lint of said Eighteenth Street, North 92.5 feet to a point; thence South 99'
21' West. i�0.6 feet to the lest line of said Eighteenth Street; thence along said
East line, Smith 92.5 feet to the true point of beginnin;.
Dated: July 7, 1904
STATI; O'F CAI IFOR\i:k
COUNTY OI' IiU'1'TE }
BESSIE 11. PH RSON
On July: 7, 1904, before. me, C'.1\1.11. 111G)BEI, Notary Public, personally appeared
BESSIE If. P11'R`HN, personally knoxii to nu (or proved to me on the hasis of satisfactory
evidence) to he Ihr l rscui \vhosc name is suhscrihed to the within instrument and acknowledged
to me thal She Cxrrut d the s:urn in hc!- ',ru(horii.ed i-,ipacily. and (lint by her signature on the
instrument lhc.prr.��n., or the cn►ity upon helmll til which the person acted, executed the
Instrument.
WITNESS my hand and oflicial seal.
V. "07
Signature �� - _ /"
-t-'/ ,�/ :hRt'-MF illi C�UiITY
MY COMM. FX'P.'SEPT. 11.1994
END Qr: DOCUMENT
STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor
DEPORTMENT OF HOUSING AND COMMUNITY DEVELOPMENT o�s1Nc qti
Division of Codes and Standards
Oa ru �u Z
Title Search �.°¢
1, DEv
Decal #: ABC7533
Manufacturer:
Tradename: DUALWIDE
Model:
Manufactured Date: 00/00/1980
Registration Exp: 06/30/2006
First Sold On: 00/00/1980
Serial Number
A7172
B7172
Record Conditions
Registered Owner:
Date Printed; 09/13/2005
HUD Label / Insignia
Unknown
Unknown
PPF Exempt
BESSIE H PIERSON Trustee
1608 18TH ST
OROVILLE, CA 95965
Last Title Date: 12/02/1994
Last Reg Card: 06/07/2005
Sale/Transfer Info: Unknown
Situs Address:
Use Code:
Original Price Code
Rating Year:
Tax Type:
Last ILT Amount:
Date ILT Fee Paid:
ILT Exemption:
SFD
ANP
1980
ILT
$49.00
06/03/2005
NONE
Length Width
64' 12'
64' 12'
1608 18TH ST
OROVILLE, CA 95965
Situs County: BUTTE
Inactive DecaUDMV:
DMV ST6369
* * * END OF TITLE SEARCH
FO iNc, T�I'®N SYSTEM
CERTIFyI'CATEOF OCCUPANCY
nr 7T
BUILDING PERMITS NUMBER: 05-2798
Address or location of unit: 160818th STREET, OROVILLE, CA 95965
Legal Description of Real Property: 030-101-079
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() 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: BESSIE H PIERSON LIVING TRUST
Owner's address: 1608 18th STREET, OROVILLE, CA 95965
INSIGNIA OR HUD NUMBER: UNKNOWN
SERIAL NUMBER OR V.I.N.: A/B7172
MANUFACTURER'S NAME: UNKNOWN YEAR: 1980
OFFICIAL APPROVING INSTALLATION:
DATE: 10-21- � /
PHONE: (530) 538-7541
H.C.D. 513C
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
ro �
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.
BESSIE H. PIERSON LIVING TRUST
REAL PROPERTY OWNER/LESSOR
1608 18TH STREET
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
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
DUALWIDE
MAILING ADDRESS
DATE OF MANUFACTURE
24X64
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
05-2798 (530)
538-7541
B DING PERM T NO. TELEPHONE NUMBER
�
an�u
SIG ATURE OF LOCAL A49NCk OFFICIAL
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO
UNKNOWN
1980
DUALWIDE
MANUFACTURER'S NAME
A/B7172
DATE OF MANUFACTURE
24X64
MODEL NAME/NUMBER
UNKNOWN
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNLVLABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER 030-101-079
HCD FORM 433(A) REV. 8/91
orurrn . r.,.,...,. o..,..,t.. rAMA RV. Ilrn PINK - Annlicant GOLDENROD - BuildinR Deot.
eft--' 12bub
� a I
94-032 1 Rec Fee 6.00
Recording Requested by: I Check 6.00
AME -RICAN PROVIDERS Recorded I
Official Records I
and when recorded mall to: County of I
Butte I
AMERICAN PROVIDERS Candace J. Grubbs 1
5433 El Camino Avenue, SIIItC 200 Recorder I
Carmichael, California 95608 8:02am 3 -Aug -94 I PUBL ?R 1
Mail "Tax Statements .To:
The Undersigned declares:
Transfer Tax: None
BESSIE H. PIERSON
No consideration.
1608 18th Street
Transfer to Revocable
Oroville, California 95965
Living Trust for Benefit
of Grantor(s).
Exempt: R&T 11911
QUITCLAIM DEED
A.P.N.: 030-101-079-000
I, BESSIE II. PIERSON, hereby remise, release, and gUitClallll to BESSIE H.
PIi;RSON, TRUSfI I: of the BESSIE H. PIERSON LIVING TRUST DATED July 7, 1994,
any and all of my right, title and interest in and to that certain real property situated in the
Count,, of Butte, State of California, described as follows:
COMMENCING at the, point of intersection of the centerline of Thernlalito
Avenue with the East line of Eighteenth Street, as shown on that certain Map
entitled, OF THERMALITO, BUTTE COUNTY, CALIFORNIA," which
Map was recorded in the office of the County Recorder of the County of Butte,
State of California, June 8, 1887, as Wall \\-laps 4 and 6; thence along the East
line of said Eighteenth Street, North 72.03 feet to the true point of beginning for
the parcel of land described herein; thence from said true pint of beginning,
leaving said Fast line. North 88° 21' East, 150.6 feet; thence parallel with the
East line of' said I:mOhteenth Street, North 92.5 feet to a point; thence South 88°
1' Nest. 1X0.6 Deet, to the East line of said Eighteenth Street; thence along said
East line, Solith 92.5 I'm to the true taunt of beginning
Dated: July 7, 1991
BESSIE FI: 1'ILRSON
STATE OF CALIFORNL,1 }
COUNTY OI' BU'T'TE
On .lily 7, 100-1, I)cl•orc. me. C'. 111.11. 1116131:, Nouiry Puhlic, personally appeared
i31:SS1f: II. PII:I\'tiON, pci-sonally known to me (or proved to me on the hasis of satisfactory
cv1dence) to he the lvi-son whosc mule Is subscribed to the \\•1111111 instrument and acknowledged
to nle that she exrrulCtl the in her authorized cillmCily, anti that by Illi SI,_nattrre on the
Instrt1111C111 the her`iin, or the cntity Motu hchall, til, which the person acted, executed the
instrumenk
WITNI:SS my hand and ol'licial seal.
/��i
Sienature.;:,f>:o,,.; ��;•�.:: o�N�n
MY COMM. FXP. SEPT. 1:1.1994
- :
END ar: DOCUMENT
Vector Dynamics
Foundation System
r
INSTALLATION INSTRUCTIONS
for the State of California
Version 9/2/2003
INDEX
SPA
FOOTER SIZES
WIND ZONE I - SINGLE
PAGE
RELEASE
SECTION
NUMBER
DATE
INTRODUCTION
2
9/2/03
GENERAL INSTALLATION
3
9/2/03
PARTS LIST
4 & 5
9/2/03
LONGITUDINAL DEVICES
6
9/2/03
PIER HEIGHTS
7
9/2/03
SET-UP INSTRUCTIONS
8
9/2/03
SPA
FOOTER SIZES
WIND ZONE I - SINGLE
9
9/2/03
- DOUBLE
10
9/2/03
- TRIPLE
11
9/2/03 .
- HIGH PIER
12
9/2/03
WIND ZONE II - SINGLE
13
9/2/03
- DOUBLE
14
9/2/03
- TRIPLE
15
9/2/03
V -DRIVE & PIER SYSTEMS
16
9/2/03
SOIL CLASSIFICATION
17
9/2/03
CONCRETE INSTALLATION
18 & 19
9/2/03
COMPONENT PARTS AVAILABLE UPON REQUEST
Approval
MANUFACTURED HOME/MOBILE HOME
FOUNDATION SYSTEM
HEALTH AND SAFETY CODE, SECTION 18551
APPROVED
SUBJECT TO CORRECTIONS NOTED
PROVAL DOES NOT AUTHORIZE OR APPROVE ANY
IISSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULATJONS
� �State of California
t PHousin 'and Community Doopnwd
N ODES AND STANDARDS
/ DATE� //X
(sipature)
Approval Expires
EUTTE COUNTY
BUILDING DIVISION
APPROVED
W
00
iLQ
co
O
(V
O
O
O
`'x09/16/2005 08:35 916-374-0150 WESTLAND
PAGE 01
G . � - �RaN.SPQRY`ATI�N ANB HOLI_cfA1p A . N .Y
A7rtele sclwiemane�na_ r�.++�
DMPARTM ENT CSI' HOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES SND STANDARDS
��}SING
•
NORTHERN AREA OFFICE
,
8911 Folsom Blvd.
��,
a m 0 n
W
SACRAMENTO, CA 95M
255-2501
z ® '
3� C�
FAX (918) 255.2535
FAX
G O
From T00 Phones: 1.800.735-2929
DEV�'V
From Voice Phones: 1.800-735.2922
September 16, 2005
Tiedwon Engineering
5901 Wheaton Drive
Atlanta, GA 30336
RE: Foundation Standard Plan Approval (SPA)
SPA 99-1.F
Dear Sir's:
The purpose of this notification is to issue you an expiration extension for the above noted foundation SPA.
Effective immediately for SPA 99-1F the expiration date has been extended:
Applicant:
Design Engineer:
SPA Number -
New Expiration lute:
Tiedown Engineering
5901 Wheaton Drive
Atlanta, GA 30336
Ray Tucker
3220 E. 59" Street
Yong Beach, CA 90805
SPA 99-1F
November 1, 2005
If you have any questions regarding this notification you may contact me at (916) 255-2501.
Sin ,
Dan Fit-Verald
Northern Califomia fleId Operations
Administrator 11
CC: File SPA 99-1F `
BUTTE COUNTY
BUILDING DIVISION
APPROVED
'?b Y 4-13 e ! lci-�;n
4einijh�`a [7�.si`rie7-
sr'
Oco/( 0-20
j6-4. p'/ .
Garde
X' v
I
r
'r
I
J
FE
r' . ........
lW ik 6On) e
1
pig 0- c h I- /? I )1�
wArer
lYcter �'S
�;'?�a :x�^ra!-.:.iicPtSl•1�Cs-:f.'r�r. _ �+x;5�.. �:Nl.�1Y�T�taYSin:aan�vie��cv.eu:mti�4��.1n1ianuli�fi��SAw.�+�i..-.,..__ - -- .t-.4 mow..
A..
.• i r r
Butte County Department of Development Services •
�r NOTES
T County Center Drive, Oroville, CA 95965
(530) 538-7601 www.buttecopnty neUdds earn°"t+•
RESIDENTIAL
APN: Permit No.
Owner. 030-101-079
I�PIERSON TRUST, -05=2798
Site Address: I,^1608.18TH STREET; OROVILLE
Contractor. Cont: SIERRA MOBILE SERV _
--M/H-PERM FND (EX) - -
T
Type of Permit:L
ooo
(y a Ool
SPECIAL CONDITIONS
CHECKED BY
❑ SRA
❑ FLOOD CERTIFICATE EQUIRED
❑ FIRE SPRINKLERS REQUIRED
❑ SPECIAL INSPECTION ITEMS
Q VERIFY
Q USE PERMIT CONDITIONS
Q SUB -STANDARD HOUSING LETTER
❑ ENCROACHMENT PERMIT
❑ REINSPECTION FEE PAID
❑ ENV HLTH CLEARANCE
El
T
DATE JOB FINALE
SIGNATURE:
+=OK
0 = Not 0;A-
MANUFACTURED HOMES
MISCELLANEOUS
DATE I Li PERMANENT FOUNDATION SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LPO
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
DATE D E C K S'C O V E R S'C A R P O R T S'G A R A G E S
1 Zoning -Setbacks -Easements
2 Ftgs; Soils Sz-DpthSpacing-CnnctrsStee1
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg
Frmg-Brcng
5 Alum Awn; Columns-Cnnctns-Splice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
DATE IPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Bokes-Enclsrs-pnlboards-Insultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr; Fencing -Alarms
13 Bonding, Diving board or Slide
Oa 0� Oa 0�
v' 0�
Pool Drawing
- =OK
0 = Not '6UK
RESIDENTIAL (Single & Duplex)
DATE JUNDERFLOOR
DATE PLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth.
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth '
56 Shwr Pan; Test, First fir -Tub Acc
5 Stemwalls Main; Steel-Blockouts-Wrapped
57 Test Tub & Shwr, 2nd fir - Tub Acc
6 Stemwalls Garage; Steel-Blockouts-Wrapped
58 Gas Pipe; Sz & Anchrs
6a Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
1.1 Wtr Pipe; Test-Anchrs-RgltrService Test
DATE M E C H A N I C A L
12 Elec Undrgrnd
61 AC Ducts Insultn & Support
13 Plenums & Ducts; Cirnc-MaterialSupport-insultn
_ 14 Girders-Sills-Anchr BoltsJoists-Vets-Cripples
62 Vent Fan, Exhaust abv Insultn
15 Acc & Vntltn
63 Condensate Drain & Ovrflw, Sz & Grade
16 Insulation
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pitfrm if Furnace in attic
O0 0�S
Oq A�`c O°•P 0,S`
DATE IFRAMING
17 Sills Proper Materials & Anchrs
DATE IFINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & fir Nailing
67 Smoke Detector
20 Draft Stop in Walls (rat proof)
68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
In Garage; abv-flr-Ducts-Mech Prtctn
22 Headers & Beams-Sz & Bearing
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnctns
70 GFI & Bath Fxtrs & Tub Acc-Spa
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
71 GFI Arc Fault
25 Frplc Ties or Type A Flue-Frplc Throat Cirnc
72 Elec Trim & Subpnl, Breaker Szs & Labels
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
73 Stairs, Guard/Handrails
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
74 Frplc or Stove, Clrnc-Hearth
28 Garage Fire Prtctn Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall & Opngs
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cirnc
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
77 Elec Outlets & Rcptcls at Ktchri Counter
31 Stairs; Width-Hdrm-Rise-Run-Landing=Fire Prtctn
78 Garage Fire Door; Swing -Landing -Closure
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
79 AC Duct in Garage -Damper
33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-Cirnc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrflr Acc
Mech Prtctn; LPG Appince Undr House 3" drain
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
81 Plmb; Elec & Mech Eqp Listed for Loctn
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
37 Brace InUExt Wall pnis
83 Insultn-Foam-Looked in Attic
38 Insultn-Walls-Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Cirnc Drnge Planters ❑Yes [_]No
87 Stucco Brown -Finish
�c
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Clrnc-Ins Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 Vntltn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Inspctns
44 Eqp Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
45 Grndng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
97 Energy Cmpinc Cert -Other Certs
47 Subfeed Wire Sz ga ❑CU or ❑AL
98 Address Posted
AC Wire Sz ga ❑ CU or DAL
99 Fire Sprinkler
48 Range Circ ga 0 c or ❑AL
Oven Circ ga ❑ CU or ❑ AL
Insulated Neutral ❑Yes ❑No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Cirncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
o'er a o'er
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 POUR INSPECTION#: OROVILLE: (530) 535-7636 • CHICO: (530) 591-2534
OFFICE #: (530) 535-7541
A FEE WILL BE REQUIRED .AT TIME OF,dPPLTCATION
**PLEASE PRINT CLEARLY**
APPLICANT SIGNATURE
I For office usa nnly
Zoning
OWNER
Last Name
F
_ .
;t�����
First
Namesotii
Address
t6os W4
s r tz : .T
City
Slate
Stale
Phone
Phone
Fax
Fax
E-mail
Lic. # , -• �.;
APPLICANT SIGNATURE
I For office usa nnly
Zoning
CONTRACTOR
Name
L.
Address
Address
City
�2, �.
Slate
Zi p
Phone
5-7 -1
Fax
E-mail
S 3 q uS•-G�l�
Lic. # , -• �.;
Class
APPLICANT SIGNATURE
I For office usa nnly
Zoning
ARCHITECTIENGINEER
Name
L.
Address
Address
City
Occ.
Slate
Zip
Phone
State ��
Fax
E-mail
S 3 q uS•-G�l�
State License Number
APPLICANT SIGNATURE
I For office usa nnly
Zoning
APPLICANT NAME
Name
L.
SRA
Address
Ido
Occ.
City
C J
Book
State ��
Zip
PhoneFax
S 3 q uS•-G�l�
E-mail
APPLICANT SIGNATURE
I For office usa nnly
Zoning
AP#
0.30
Flood Zone_
L.
SRA
Yes
Ido
Occ.
Type Const.
Subdivision Name Idap
Book
Page
Lot #
Planner
Date Approved:
vvI--r[ r U M JUtSIVII I I AL KtUUIKEMENTS
PERMIT
NO.
BPD S2 lq
BIN #
_ LOCATION
AP#
0.30
Property Address
1609 t� S: V_ F_ T
Cily
C
Cross Street
WORKER'S COMPENSATION
Policy Number
u? -7
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
I4ame
Address
Description or Scope of Work:
Ho-�-<-
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
E)FlRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the dale of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
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:K.6. Amount Z Bldg I
Receipt #: `i i M k_
%& Ig3CD
Date: (0-11-05
SRA
Sheriff
SMIP
_ Other
Total
y: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION;
cf 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: P, �� 30n ASSESSOR PARCEL NUMBER 030` j()1 -n79
Proposed Building Use: G X M R, LY SITE PERM 5 LPermit Technician: Date:
Its s required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
:V 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. 2
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or d Dela 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. Letter of intent for non-residential` tiuildirigs(
❑ 12. Hazardous Material Form
❑ 13. Acknowledgement of building permit application without required clearances.
❑ 14. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 16. Fire Sprinklers.............................................................................................
❑ 17. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by
❑ 18. Soils Report and/or Engineered Foundation required ...........................................
❑ 19. Erosion Control Plan Required ............................................ .,..........................
20. Fees as shown on the attached Schedule of Fees Due Sheet.....2;q,
❑ .. 21. City of Chico Plumbing permit........................................................................
. ❑ 22. Site plan and business license approval from the City of Biggs ..............................
❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: .............
❑ 24. Planning approval for (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. Contractor's license information. (Number, Name Style, Classification) ..............:..,
❑ 29. Worker's Compensation Carrier and Policy Number ...............................:..........
❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 31. Letter of Signature authorization.....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement ..................................
❑ 33. Existing violations and/or expired permits....................:.................................... r
0V
34. Deed Restriction......................................................::.......................:...... ,
�.( 35. SZ gel description, Ef .1��1`itle, tia slseearc registration or MCO .........................
❑ 36. Other: i
❑ 37. Other: /
When issued Telephone C_� -0590% and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: % Date: /GA /(
1. Index permit application for the above 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:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date:
Plans reviewed by: Date: tans approved by: Date: - .
Structural reviewed b . Date Structural approved b . � Date
Note transfer by: Date: --'
Yellow: Building Division
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530)891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BPO52798
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
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: 10/17/2005 APN: 030-101-079-000
the Business and Professions Code, and my license is in full force and
effect.
License Class :-6—License Number:/y o3b E� Site Address: 1608 18TH ST ORO
Date: 44 )' Contractor:C( �err(r� t//I�%�r �e, �P / �� Map Index:
OWNER -BUILDER DECLARATION Description: MH ON PERM FND RETRO FIT
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 city or county which requires a PIERSON BESSIE H LIVING TRUST
permit to construct, alter, improve, demolish, or repair any structure, prior Owner:
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of PIERSON BESSIE H TRUSTEE
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or 1608 18TH STREET
she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 95965
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).):
❑ 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' State License Law does not apply to an
owner of property who builds or improves thereon, and who does Applicant: SIERRA MOBILE SERVICE
such work himself or herself or through his or her own employees, BILL REID
provided that such improvements are not intended or offered for 466 CIRCLE DRIVE
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of OROVILLE, CA 95966
proving that he or she did not build or improve for the purpose of
sale.). 530-534-0599
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State 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 Contractor: SIERRA MOBILE SERVICE
pursuant to the Contractors' State License Law.). BILL REID
❑ I am Exempt under Article 3 of the Business and Professions Code 466 CIRCLE DRIVE
OROVILLE, CA 95966
Date: owner: 530-534-0599
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations: License #: 470386
❑ 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.
I have and will maintain workers' compensation insurance, as Architect:
required by Section 3700 the Labor Code, for the performance of Engineer:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: �/ A /e_ -
Policy M
e_-PolicyM % Total Square Ft: 0 S. F.
❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00
issued, I shall not employ any person in any manner so as to Census Code:
become subject to the workers' compensation laws of California, V O
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply wi those provisions.
Date:
Applicant: ��� lel D
WARNING: Failure to secure workers' compensation coverage is 1
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 is ereby issued er t app cable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the Resolution do work indi led ab ve r which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.) ll
Name: BY Date:
Address: PERMIT EXPIR SON: ��' lJ
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health 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.
❑ 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 the owner or the duly 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 Butte County to enter upon the above mentioned property for inspection 'purposes
/ Print Name: 7-0&l, Signature: l�
I
Date: Q
❑ Owner 13 Contractor 0 Agent for Owner Agent for Contractor
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
2005-0064756
Recorded I
Official Records I
County of I
Butte I
CANDACE 16RIMBS I
County Clerk—Recorder[
I
09:04AN 25—Oct-2005 I
REC FEE . 10.00
COPIES 2.50
CONFORMED COPY 1.00
LV
Page I 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
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.
BESSIE H. PIERSON LIVING TRUST
REAL PROPERTY OWNERILESSOR
1608 18TH STREET
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
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
05-2798 (530) 538-7541
BUII,D��ERMI NO.� A TELEPHONE 05
SIG ATURE OF LOCAL NCY OFFICIAL DATE
NONEA4 CY OFFICIAL DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
UNKNOWN 1980 DUALWIDE
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER
AIB7172 24X64 UNKNOWN
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) -
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 030-101-079
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept.
F
-2798
BUILDING PERMITS NUMBER: 05
Addressor location of unit: 160818`h STREET, OROVILLE, CA 95965
Legal Description of Real Property: 030-101-079
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: BESSIE. H PIERSON LIVING TRUST:
Owner's address: 160818`h STREET, OROVILLE, CA 95965
INSIGNIA OR HUD NUMBER: UNKNOWN
SERIAL NUMBER OR V.I.N.: A/B7172
MANUFACTURER'S NAME: UNKNOWN YEAR: 1980
OFFICIAL APPROVING INSTALLATION:
DATE:. 05'
PHONE: (530) 53877541 "
H.C.D. 513C
r
Itisis set of plans and specifications MUST 6% 9'Z • S
k
ake any changes or alterations on same withou';
Witten itrten permission from the Department of Pub.
lid Works, County of Butte,
NOTE:—All Materials & Workmanship Shall Be in
Accordance with Recognized Good practices and
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Codes and
th National Electrical Code.
The . Setback shall be 5 ft. from the
side property line and 50 ft. from the
centerline of the road, permitting a maxi-
mum of a 2 ft. eave overhang but entirely
out of all easements. '
� c
4 x
A permit will be required for the
installation of the mobilehome.
j erso a
9S''a-7�
ar' -
717-77
All utility connections shall be
located wi hin 4 ft. outside the r4ar
third sect n of the mobile h e
on the left(road) side of the mo Dile
home.
J
Y
BUTTE C
OUNTY
BUILDING
PARTMEN'
APPR
VED
PERMIT NO. 2788-80MHI (existing site)
t
PERMIT EXPIRES 6/41/81
OWNER RAY TIERSON
CONTR. Gene Schmitt MH Ser, Vina
OCATION (A.P. '30-101-79 )
�.6 08 18th S Oroville
t '
k
F
r .
Temp. Power Pole
Called PG&E
Temp. Elec. S
Called PZ E���
Temp. G Serv.
Cal d PG&E
F
F ALED �
(Date) en
(Signature
Setback
Forms
Main Bldg.
Footings
Stemwal I
Slab
Piers
Garage
Footings
Stemwal I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry. Wal Is
Relnf. Steel .
Bond Beam
COUNTY OF BUTTE — DEPARTMENT OF, PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING; BUILDING (Cont'd)
PLUMBING
Firewall
Soil Piping
Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Sidina
To out
RootSheathin
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Insulation
Water Htr.
Heaters
Prov. for physically
handicapped
Conformance of ex. .
structure
Appliances
Gas Piping &Test
Temp. Gas
Final
Sanitation
FIREPLACE
Final
Footing
ELECTRICAL
Throat
Rou h
Final
Fixtures
FIRE SPRINKLERS
Motors
Test
Water Htr.
Final
Subpanels
MECHANICAL
Grd. Fault Prot.
bcratcn
Heating
Service `
Brown
Cooling
Temp. Pole''.
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
" MOBILEHOME UTILITIES ------------------
Elec. Service
Elec. Pedestal
Water Piping
,WQ1 E ME INSTALLATION - - - - - - - - - - - - - -
Sewer
Support;7.1 el—Elec.
Gas Piping
Continuity
Water Pipingr
I, DATE
Drainage
REMARKS ,OR CORRECTIONS
Gas Piping
(NOTE: An entry must be made on this form each time you visit the job site.)
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1.- Is the mobilehome located with required 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 _i/ No
3. Are footings and supports properly sized, spaced, and braced as per pproved plans? (Note
possible variation at spring shackles.) (Sec. 5082.& 5083) Yes_ No
4. Is the mobilehome level? (Sec. 5088) Yes_ No_
5. If more an a single unit, are crossover connections properly installed? (Sec. 5088)
Yes o
6. Water
A. Is flex' e connector of adequate size and properly 'installed (1/2" ID min.)? (Sec. 5566)
Yes No
B. Test - Does water piping withstand wor ing pressure or 50 lbs. air test? Yes��
C. Backflow - If coach is not State f C rnia approved, does station have backflow device
and pressure -relief valve? Yes yc
7. Wastes and Drains /
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes v No
B. Does it have minimum " per foot slope and is it properly supported? Yes v No
C. Are any leaks detected in drainage system after.running�ns of water through each
fixture including washing machine standpipe? Yes_ No—
D. If coach is n State of California approved, does station have required trap and vent?
Yes
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4", minimum
mobilehome connector no more than 6 ft. long? Note: All piping is to be least as
large as the mobile etgas line inlet without reductions other than the mobilehome
connector. Yes No
. r
B. Test OK as per following procedure? Yes o_
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 connections with
soapy water.
C. Are all appliance vents properly installed? Yes No
.9. ElectricalY•
A. Is service large enough to provide adequate ampe.rage-to mobile�iome`(must equal .rating of
mobilehome with a minimum of"1Po
mp)-and other facilities oii`lot, i.e., water pumps,.
- garage, cabana, etc.? ;Yes. _
Y I � • B. Is there proper clearances around panels? Yes Z140
C. Is power supply cord or feeder assembly properly fused? 'Yes_Pd_
ity test-` atis
D. Is continufactory as per the following procedure? Yes1Vo
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 �eut"ral,,._�^
I\
All non: -current,, carrying metal parts.of the mobilehome (aluminum siding, gas line,
water line), including`fixtu`res and appliances,-shall be tested for continuity from
such equipment and the :grounding conductor.
F\
6. Upon completion oftheabove 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 Ifieelectrical tests, the lot ori 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.
j
MOBILEHOME DATA
Manufacturer and/or Namestyle°
• 'Length Width
.,��• ��
Vehicle Serial No.
State Identification No.
Additional Information or Comments: ,
• i
a _ J
r
COUNTY OF BUTTE _ ARTMENT OF PUBLIC WORKS P . IT
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONIN
.BUILDING PERMI
ow
74,4
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADD SS e
CONTRACTOR'S NAM / C✓ TELEPHONE
�e C( S V 3�3�Z 7S
,
CONTRACTOR'S MAILING ADDRESS /y
t' 0. 4br ZS1 I/L L(Q //yam L
CONSTRUCTION LENDER - UNKNOWN
Cl CL, ck -0v
Fireplace
Total Valuation is
LENDER'S MAILING ADDRESS ,
Permit Fee
$
ARCHITECT OR ENGINEER
9fJv `i
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
•
4"
Permit fee
$
BUILDING ADDRESS IC
`Cj
PLUMBING PERMIT
Filing Fee 3.00
go
Each Trap
2.00
Repair drainage or vent piping
2.00
4
%` Qvlewf p O'brr/1 (p
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each gas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehomea Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ /I Remodel ❑ Utilities ❑ lirtallationg Other ❑
Describe work: _li+/0o�" �xrc`'"[`.��, �'c%p
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 6001 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW OR ADDNSCONST ACCDWELBLDGS.LING CCUP.&)
20sgft
CONTRACTORS LICENSE LAW -
I declare rider 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. _.� %� 3 a 3 Classification C-�o
!❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with Iicensed.contract-
ors. (Sec. 7044) 2
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. ULTI-OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS 8
NON-RESID. (SINGLE OUTLET CIR.
50@25C
Ex. Occup(o rs OR FIXTURESBAL@1
FIXED PR
Ex. Occup.(OUTLETS (RESID )EA.)\\ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
6.25
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
Lf4 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.
Heating
Cooling
Hood
2.00
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.
1 also agree to save, i demnify and keep harmless the County of Butte against
all liabilities, judgm s, cos s, and xpenses which may in any way accrue
agains : id County in onse ence the granting of this permit.
%� Date 4C— 07' ��
Signature of Applicant — Owner F1 Contractor Agent ❑
An OSHA permit is required For excavations over 5'0" deep and demolition or construct-CT=;kORKS
ion of structures over 3 stories in height.
Mobile Home Installation Fee $ m
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
ND
ISSUE
This permit is hereby issued under
sionso the Butte County Code and/or
work n icated above for which
PER IT XPI S Date
the applicable provi-
resolutions to do
fees have been paid.
�%
to j v
Receipt No. c�a�� /
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
I
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oliander Avenue, Chico — Phone 343-4211, Ext. 70
7'County'Center Drive; Oroville = Phone'534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
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':immediatel�r.
inspector_ _. _ ii.ate
AM
inspector_ _. _ ii.ate
�7o
COUNTY OF,BUTTE `- PFP/3RTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovil'e California 95965 - Telephone 916/534-4541
APPLICATION AICD PERMIT
ASSESSOR PARCE.I. NUMBER
E
ZONIN
d�tr_2
BUILDING PERMIT
DW�0-�
y�
24,4
TELEPHONE
S0. FT. OCC. BUILDING
VALUATION
OWNER'S MAILING ADD 55
32 " v k, 67voi/ AU-7
CONTRACTOR'S NAM ,✓/ ``
cc w SCa 4 t /- G'�t vy
TELEPHONE
V 3✓f�_Z37S
CONTRACTOR'S MAILING ADDRESS
Fireplace
.
CONSTRUCTION LENDER
--EL
VNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
ocx, �� !f
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
'
Permit fee
$
BUILDING ADDRESS D& /�
L/
PL.UMBI" PERMIT
Filing Fee 3,00
-4 eoc
Each Trap
2.00
Repair drainage or vent piping
2.00
?` vo&O /t ye, pwtle A0
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each pas water heater or vent
2,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE /��
SF ❑ Duplex[] Mobilehome� Other 0
PECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WO ;
New [� Addition L] emodel i tiffs ❑ `In tallationR. Other ❑
Describ ork: ��' S� +�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELINGM
OR ADDNS. ( ACCL BLDGS.CCUP.&\
/ 20 sq ft
,CONTRACTORS LICENSE LAW
I decl er 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. � 3 Classification C�CQ
I, 'as the owner, or my employees with wages as their sola compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW NON-CONSTR RESID. BRANCH CIRCUITS) ULT' -OUTLET
2,50 ea
NEW CONSTR. POWER APPARATUS &
N O N.R ESI D. (SINGLE OUTLET CIR.
Ex. Occu / 50 @ 2.51CC
P\OUTLETS OR FIXTURES 9AL�1
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
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 3.00
Heating
e
Cooling
Hood
2.00
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.
1 also agree to save, iPdernnify and keep harmless the County of Butte against
all liabilities, Ju ts, cos s, and xpenses which may in any Ivey accrue
agalns id County in onse ence the granting of this permit.
��- Date �" 07'D
Signature of Applicant — Owner❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in heights
Mobile Home Installation Fee S �/ r0,
Land Development Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees. have been paid.
WORKS
Date
Receipt No. g 5�� /
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROO-APPLI CANT
�� �
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.^�a.
MOBILEHOI&*§UPPORT DATA
Mobilehome Mfr. Fl [1A 1, V I dA Setup Model No. Year 7000
Width I q, -(ft.) Length 6 (.ft.) �Ekpandb`.Size ft.x ft.
(Draw support details below.).
On all mobilehomes manufactured after October 7, 1973, furnish mahufa*cturer's installation
manual and structural setup sheets. .(if.not on file with .the. County of Butte).
A' Sinkle Footings- (check, one)
Center
Support
Locations i
Center Support
Footing Sizes
(in.)
=t.
ki r in
�tyyL
_f -ETT—in
G. A
X3 el,
ft
.(in.)(in.)
�4
IT
(in.) (in.)
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
7771 1. Wood. either
pressure treated or.
fdn-. grade.
2..Concrete pad.
3. Other,: specify
Supports (check one)
Le -1. Concrete block
2 Concrete piers
3. Steel piers
4. Other, specify
P Typical Support
Footing Size
3'0
) in.)
�!a_x
.y p3nv.
MaxSpa. cing Pier
in.)
�O�' —Max.
Overhang
bUTTF-i-COUN"
--.BUILDING DEPARTKN'
'AP'PROVPD
a/�
�tyyL
_f -ETT—in
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
7771 1. Wood. either
pressure treated or.
fdn-. grade.
2..Concrete pad.
3. Other,: specify
Supports (check one)
Le -1. Concrete block
2 Concrete piers
3. Steel piers
4. Other, specify
P Typical Support
Footing Size
3'0
) in.)
�!a_x
.y p3nv.
MaxSpa. cing Pier
in.)
�O�' —Max.
Overhang
bUTTF-i-COUN"
--.BUILDING DEPARTKN'
'AP'PROVPD
a/�
BUTTE :COUNTY . DEPARTMENT OF PUBLIC WORKS
; t
7,County Center Drive,,Oroville, CA.
PHONE: 534-4541'
;
MOBILEHOME :INSTALLATION SHEET
1.
Owner' s - name : P if 1 6.0 Ay
2.
Installer's name': �j,V¢ SCN�►/
3,
Is the site currently under permit? Yes 7 No
(If yes, furnish permit number ') OR
„
Is the site an existing site? Yes 7 L71 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 177 No
(If no, clarify
)
` 5.
What is the mobilehome electrical rating? -----------------------
,/'Qa
Amps
6.
What is the mobilehome site service rating? ---------------------
12 O 0
Amps
7.
What is the mobilehome site cir'cu�.it breaker rating? -------------
16.0
Amps
8..
Is there any other electric load to be served by the mobilehome
site service? ---------------------------------------------------
Yes / /
No /y/
.
(If yes, identify the load..and size: (Load)
(Amps)
9.
What is the mobilehome site pipe size? ----------------------in.
-_
j (' )
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'lft. i;on_LPG-:).
s o AO'
.3 •9 87 P" L A s r—
J4P1 o ,v CITY -170-IF
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC{WORKS a�
7 County -Center Drive, Oroville, California 95965 PHONE: 916-534-4541
DATE 9' 3 �•
(7 r •
9 N SS's RE: '(j u , t d , e iOe r " ' -r-
With reference to the above subject: y �� - 7
i
Attached is:
Application for permit Typical Plan Sheet
Building Plans Mobile Home Sheet
Engr. Calcs. List of Codes Enforced
OTHER
We need the following information:
Permit application signed and completed where indicated with all copies returned.
t Fees of $
Certificate of Workmen's Compensation Insurance, or check exemption statement.
Contractors License Law information, or check exemption statement.
Letter authorizing signature of
Complete plans, in duplicate, including plot & floor plans and complete structural
details.
Plot plans in duplicate.
Structural details in duplicate.
Complete plans, in duplicate, prepared by registered civil engineer or architect.
Engr. calcs.
Y
Two, -(2) -sets of.plans in accordance with changes marked in red.
Sanitation approval from Butte County Health Dept. 695 Oleander Ave., Chico -
7 County Center Dr., Oroville.
Skyway & Elliott Rd.,Paradise
Planning approval, i.e., use permit, variance, rezoning, etc., from Butte County
Planning Dept., 7 County Center Dr., Oroville.
Improvement Plans.
Parcel declaration recording data.
Verification of access or right of way by deed. (Recorded copy)
Verification of legally created parcel by deed. (Recorded copy)
+ Deed for right of way.
Parcel map recorded.
OTHER &L/ meed �ei-upLia ZNr� ata. (�i<7,-re7-
As soon as we receive the above data, we will process your application, or, should you have
any questions concerning the above, please contact this office.
Yours very truly, -
Clay Castleberry
i Director of Public Works
J.F. Glander
Assistant Director
E+' •' +i'y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORDS
4. �k 7 County Center Drive, Oroville, California 95965 PHONE: 916-534-4541
Ray 'Pie: son DATE October 3. 1977
32987 -Pulaski, Dr.
Union City•Ca, 94587 RE: Building permit application
#k4977-77. (AP 30-101-79)
With reference to the above subject:
Attached is:
Application for permit Typical Plan Sheet
Building Plans Mobile Home Sheet
Engr. Calcs. List of Codes Enforced
OTHER
We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $
Certificate of Workmen's Compensation Insurance, or check exemption statement.
Contractors License Law information. or check exemption statement.
Letter authorizing signature of
Complete plans, in duplicate, including plot &-floor plans and complete structural
details.
Plot plans in duplicate.
Structural details in duplicate.
Complete plans, in duplicate, prepared by registered civil engineer or architect.
Engr. calcs.
Two (2) sets of.plans in accordance with changes marked in red.
Sanitation approval from Butte County Health Dept. 695 Oleander Ave., Chico -
7 County Center Dr., Oroville.
Skyway & Elliott Rd.,Paradise
Planning approval, i.e., use permit, variance, rezoning, etc., from Butte County
Planning Dept., 7 County Center Dr., Oroville.
Improvement Plans.
Parcel declaration recording data.
Verification of access or right of way by deed. (Recorded copy)
Verification of legally created parcel by deed. (Recorded copy)
Deed for right of way.
Parcel map recorded.
kX)L QUER We need Th rmalito Irri ation'District approval for sewer hook up.
- •--�'- -i Al
As soon as we receive the above data, we will process your application, or, should you have
any questions concerning the above, please contact this office.
Yours very truly,
Clay Castleberry
Director of Public Works
J.F. Glande
JFG:dd o�& s
Assistant Director
c
r
i
1'r4-,QI 0 IRRIGATION DISI6ICT
410 GRAND AVENUE
OROVILLE, CALIFORNIA 95965
TELEPHONE 533.0740
N12 1208
CSA 26 SEWER SERVICE,APPLICATION AND CONNECTION PERMIT
Service Address: e57
Owner's Name:
Date:
Address: '� _ i c�
Acct. No: 776
A. P. N o.:
Phone: - �` -
No. Units:
Applicant/Agent:
Agents Proof:
Address:
Fees:
Phone:
Application $
Arrearage
Preliminary Review By:.,J�,Date:
CSA 26
Remarks: -/� �ic�ii ���-'�
SC-OR
L
1 st mo. S.C.
Other
Total Fees O
Collected By:
Date: Z L — a 7- 76
Field Review BDate:
Remarks:
' o
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY
UPON:
❑ Date of TID approval of completed building sewer (early connection).
❑ 30 days after date above, or on date of D.P.W: approval of completed building
sewer, which ever comes
first ("existing construction", prior to Mar. 5, 1974).
180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes
first ("new construction", after Mar. 5, 1974).
r'srp'eur/om w"/Ts r/o. ,sumw Arpuc^`., '.=^
----------------'
'
'
COUNTY OF BU TT�- -,4 DEPARTMENT OF PUBLIC WORKS
County Center Drive — Oroville, California 95965
rr Telephone: 534-4541
APPLICATION AND PERMIT .
77, 7 77
�z
auuwrice rep eserfLaL VCS of the Bounty of Butte to enter upon the
above-mentioned property for inspection purposes.
Date 9
17 ign e. f Permi/tee or Agent
Receipt No. L6�b 7
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 PUBLIC WORKS
BY
Building permit expires Date
BUILDING
Owner S oh
SQ. FT. OCC. BUILDING VALUATION
Mailing Address .3 V 7 P
u auki
r
T le one fS
Fireplace
Contractor 1JL JI A IR
Total Valuation
Mailing Address -
Permit Fee
Plan Checking Fee &/or Penalty
e
Tlephone No.
Permit Fee
Building Address 6 --�
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1:50 AD "Do
Zoning Verification Only
Each gas water heater or vent 1.50
A. P. No. —
/4Zon
Gas piping system 1 - 5 outlets 1.50
Each additional outlet 30
F
W n Fire Dept.
FireZone
Use Permit
Building sewer 5.00 ID,
EQA
I ParkinDePa
PlansBldg.
a ion
Parcel Map
60' R/W
Improvemen s
Lawn sprinkler system 2.00
Is s Recd
Parc v
Plan-A.proval
Permit Fee $
$ Q
NEW ❑ ADDITION UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 i
Main service 111V OR L
00 AMP ORSLESS 5.00 5
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP. &� 2¢sgft
NEW CONSTMULTI-OUTLET
NON-RESID R. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &)
NON.RESID. (SINGLE OUTLET CIR.
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:
Ex. Occup(OUTLETS OR FIXTURES) BAL�
Ex. Occup. ( OUTLETS P(RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.Classification
Misc. Wiring 6.25
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.
I certify that in the performance of the work for which this
permit is issued I shall not em
P to an employ y 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 J 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
e
TOTAL PERM0 FEE
sys
auuwrice rep eserfLaL VCS of the Bounty of Butte to enter upon the
above-mentioned property for inspection purposes.
Date 9
17 ign e. f Permi/tee or Agent
Receipt No. L6�b 7
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 PUBLIC WORKS
BY
Building permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
• BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
tback FI wall S I Piping
FdNms Par ets t Floor
M in Bldg. Restrapm Finish 2n Floor
otin s Windowk 3rd kloor
Slab),Roof
Sheathing
Water Pipkg
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwal I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for phsicall
handica edy
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. as
Slab
Final
Sanitation
Patio
REP ACE
Final
Footings
Footina
E LA CTRI hA L
teel
Motors
Stucco Final Subpanels/
Mesh I MECHANICAL Grd. Fa t Prot.
Scralth Heati Servic
Brg&n Coo ng T p. Pole
F nish D uits der round
rior Lath Yfitilation ermanent
oor Closer Inal final
MOBILEHOMEUTI ITIES -------------- Elec- Service
Q Elec. Pedestal 49
Water Piping Sewer ,/ Gas Piping / /Q 97
�Uail k Me INSTALLATION ........... .. . Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
de
z
33 — ,i'7- 7
(NOTE: An entry must be made on this form each time you visit the job site.)
's
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PERMIT NO. 4977-77P,E
1
' PERMIT EXPIRES
OWNER Ray Pierson
CONTR. owner
3 ,
LOCATION (A.P. 30-101-79 )
' 1608 18th St., Thermalito
i
I,
w
Y 1
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
+, FINALED
(Date)
(Signature)
l
4 �
ni
AX
. ._. .' . •! moi: � _. �.
s.3 .. cr .
c.^' pal
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Cl
F
t~
t
yt
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 Pal' qr is ¢Administrative Code, Title 25, Chapter 5, under permit
number, K fo t e fol o ''ng location:
Owner T
Owner's Address 1�
Mobilehome Mfg. 6o )/ W /,)(9- Model r1P,*T1 .I r Yeary
Insignia No. %4.20ai) 19-9044 Serial No. 7 % 7 :L A-tf-'B
It is hereby certified for occupancy at the above described location and
may be occupied.
/1 Director of Pfib"lic Works
Date By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
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, Orowille — PJione: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTIQN, NOTICE
BUILDING OR PROPERTY ADDRESS
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.
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