HomeMy WebLinkAbout030-191-005•t
NOTE: Se u
r dime sio
1
•i' K
t'
AIR
8 SMS @
_
.36'_o
100
1
l
.
QOGu 00
• _L� _
. O. /oe Typ
- 'FJJD FACIA
(6063-T5
Alum)
' �.. _ �
� �. � x•62
SIDE L,4P
r
.t
Q
<
i\
r
i.
-
30-191-5'
Rusi-M. Guiver "�ll
NIS BcNaRie Ln.,app.250'W.of 13hkSt., Oro
Permit ��33N-81P, util. ,MH)
Q� ,
#� it
GAS /0-/-g/
F , SUPPORT STRUCTU� k REQ ,,� /j"
COMPACTION TEST REQ.
• r -191-5 IO/� 4 � . � 1
rT contr- S & H Serv. Oroville '^ `
Permit #337 -K1NHI
o
S.S.
41
00
*Y. ' r 3379-81P,E
PERMIT -NO..
PERMIT EXPIRES `
r OWNER Russell GUiver
: i CONTR. owner
;
ASSESSOR PARCEL 30-191-5
N/S-Bonnie Ln.,app.250 W:of.
LOCATION
. 12th ,St. Oroville
4.1
. � � - ";#fid. • ,
Temp. Power Pole
Called PG&E
Temp. Elec. Service
9t
Z'y y Called PG&E�
r ( Temp. Gas Servi c� `
r
4 Called PG&E
JOB FI. ALED (Date)di
_��'-
Ir Signature
3 .I'. 1 4 1K t 1
1
'S
'
1
I r
r•' • 7
Not OK
41
–'_ Not Applicable MO.BILEHO S MISCELLANEOUS
*.=' .Not Ready
G
Date MOBIL E UTILITIE P except Ws..
t
.I '�. - • v III,.
Date.
D CKS, C -OVERS, CARPORTS, ETC except q's
oning Requirements–Setbacks–Easements
oriing. Requirements–Setbacks-Easements_Ze.
I s; Special MH Support–Sketch i
-2.� Footings; Size–Depth–Spacing–Connectors
j�-3. Sewer; Location-Test–Fall-C/O-Concrete -
3. Decks; Girders and /orJoists-Decking– Bracing–Stairs–Rails
e Location–Test–Easement Needed (Sketch)
•4• Wood Awn.; Posts–Beams–Rftrs.–Connec.–Shthg.–Rig.–Bracing
{.
Electricity; Loc n–Clearances-Grnd.–/ p–Concrete
5. Alum. Awn.; Columns–Connections–Splice–Decal–Enclosures
ocatio p:/ /"L"ft./ /"Nat.or/./"L" fL/ /"LPG
6. Carports;"Windows–Doors
"ity Clearance
7. Elec. _
36 4A L- _TA0& Q _i Q}
—
Card
ate A ' Card -BI DateC5"
ri
Card -BI
Date -Card-BI - Date__.. .
Card -B
�� t/��, Card -BI Date
Card -BI r Date Card -BI Date
Date
MOBILEHOME'INSTALLATION (Plans) OK except N's "
Date
_
POOLS (Plans) OK except H's
.� 1 - ing Requirements—Setbacks—Easements
1. Setbacks -Easements J I .
T
Q. F otings; Size—Spacing— arri a Line
2. Soils; Compaction—Structure Stability
MH—Dem��d-V a—Co • ctor /..
Electricity; lvl� S(– ross�s–BrVa s–Cle ances.
3. Pool Structure; Sieel—Connect ions— Thickness—Dead Men—Lining
4. Elec.; Receptacles and Lighting; Distances-GF1
'
i5 rain; MH . t -F –FI onnector •'
.5. Elec.; Pool Lighting; 15 volts–GF.I
{ater;
M est–Reg I r–Con o
-6. Elec.; Enclosures; Conduit Entries–Terminals–Listed
W er and Sewer Connected–C/ • o Grade–H pproval
1•7. Elec.; Bonding; Metal w/5'–Circulating Equipment–Heater
d s and Electricity Tagged -
8: Elec.; Grounding; Equip. w/5' -Circulating Equip.–Pool Lghtg.
Boxes–Enclosures–Panel boards– Ins. .to.Main in Conduit
S 0' E <s; Insp.–Sketch
. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test–Water Supply Test,
Card B- Dat Card -BI Date
Card -BI
Date Card -BI Date
Card B -I Date' Card -BI Date
.Card -BI
Date Card -BI Date
M? r-
t
.I '�. - • v III,.
J = OK
0 = Not OK
Not Applicable
SIE = Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except N's
Date
FRAMING (Continued) �.-
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall; & Openings x_
,2.
Ftg., Main; Soils=Steel-Elea Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Fig., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection'
4.
Ftg., Porches & Decks; Soils -Steel- / - /" Ftg. Depth
51.
Plywood on Roof Overfiang-Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
'Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access*
7.
Piers -Fireplace Ftg.-Steel -
54.
Glazing'Area-Glass Protect ion-Skylights-Plast ic__
8.
D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
i
11.
Electric; Underground
I -,•
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts=Joists-Vents-Cripples
Card -BI
Date, Card -BI Date -
Card -BI
Date Card -BI Date '
Card -BI
Card -BI
Date
Date Card -BI Date.
Date Card -BI Date
1
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's,
57.
Smoke Detector I
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor.-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting =I
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F:I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel Breaker Sizes -Labels•
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails I
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except JI's - --
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor'; Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec, Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24:
.Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
Insulation -Foam -Looked in Attic ❑Yes
73.
Guard Rails &Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
- 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes ONO
75.
Following instld.: Drive [I Yes ❑ No; Walks ❑ Yes [I NO;
Planters ❑Yes ❑JNo
_
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
77,
Stucco; Brown -Finish
A.C. Unit; Disconnect Clrnces-Brkr. & Cond. Size -115V Outlet
29. Equip. Clearances; Panels-Motors-Mech. Equip.
30.•
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect! Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B-1
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection 1_
Date
MECHANICAL (Permit) OK except k's
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/0 to Grade -HD Approval
_
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
_
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
j
_
35.
Attic Access & Platform if.Furnace in Attic
Card -BI
Date Card -BI Date
-
Card -BI
-__Date
Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date
FRAMING(Plans)
36.
OK except p's
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
j
39.
Draft Stop in Walls (rat proof)
I
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
I
41.
Header & Beam -Size & Bearing
_
42.
43.
44.
Hangers -Post Caps -Anchors -Connectors
Cln_g. Joist-Rftr. Ties-Purlin - Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
j
_
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
I
__4_5.
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
I
47.
Garage Fire Protection Framing
I
(NOTE:Anentrymust be made each time youvisit jobsite)
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 C -if n^iadministrative Code, Title 25, Chapter��,5, under permit
number for the following location:4�nm
Owner -.T: P Y- I jy-Y }..
Owner's Address 4:D YNr I ,e
Mobilehome Mfg. _S,6h1 P Model • _ ^Yeari*
Insignia No. IT *CJ ' .Serial.No. � l fnc�-7 .d 4-Y
It is hereby certified for occupancy at the above-described Jocation and
may be occupied. — ` , .
t%� Q ,
Director of )?ublic Works
Date Jo / ,i,1I p-) 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, Oroville — Phone: 534-4541
Skyway and Elliott
t Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A/
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. It you have any question pertaining'to this
matter, or need additional explanation, please contact this office immediately.
'REAL"
77
�U
f�A
Inspector—
�U
f�A
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile - Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NRTICE
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.
r
COUNTY OF,BUTTE - DEPARTMENT OF PUBLIC WORKS „ PERMIT N0.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541to,
y APPLICATION AND PERMIT ` . '
ZON
ASSESS0 P RCEL NU BER
BUILDING_ PERMIT '
OWN ,
kJ ss V 047
TELEPHONE
SQ:.FT. OCC. BUIL•DING'VALUATION
OWN `S MA G ADDRESS
"•CONT�CTOR•S NA �� �� � e� �
( (A,;.-
[TELEPHONE
r .•
,
.CONTRAC
.CONTRACTOR'S MAILING ADDRESS
" v �a •
Fireplace ....
-
CONSTRUCTION; LENDER -
•ADDRESS
N.KNOWN
Total Valuation '$iv
..
' '
Filing Fee - -
Z 10.00r
$
LENDER'S MAILING ..
Permit Fee'
;$
ARCHITECT OR ENGINEER
qp
f'V
LICENSE NO.
". ,'
Plan Checking.Fee +.
$ rQ(�
Penalty _
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
-
Permit fee '
$�,�'
BUILDING DDRE
_
PLUMBING PERMIT
Filing Fee •10.00
r ' 1
W
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping''
LOT NO.
. V'
SUBDIVISIONNAME -
- • `
PARCEL MAP
Each -gas water.heater•or vent
5.00
Gas piping -system 1 - 5 outlets
-' USE�•TRUCTURE
SF ❑ -Duplex❑ Mobil Other
SPECIFY-
Building .sewer
-
Lawn sprinkler system'' �,
5.00
' TYPE OF WORK
New ❑i Addition.❑ Remodel ❑ Utilities ❑ - Installation Other'❑
.De`scribe work: '
r
• �� _ � '� �/
•
.Permit Fee 4'
$ -
Contractor
ELECTRICAL PERMIT
Fill; iigFee 10.00.
Main service.100 AMP LESS
5.00
° - - - -
Main service EA. ADD•L e100 AMP
2;50
-NEW CONST --,DWELLING OCCUP. d\,
OR ADDNS. ACC.,BLDGS.
22 sq ft -
_
' CONTRACTORS (CENSE LAW
declare under penalty of perjury '(check one): S •
i� licensed under provisions of Chapt. 9, Div. 3' of the Business"
and Profes Co n y license is in full orc nd 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 TI -OUTLET 2;50 ea
NON-RESID BRANCH CIRC TS
NEW CONSTR. (POWER APPARATUS S1 -
. NON-RESID• SINGLE OUTLET CIR...
. 50@25t
Ex. Occup(OUTLETS OR FIXTURES BAL@100
(FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID•) EA.) 2.00 '
Temporary service
10.00 ,
Mobile Home Facilities i 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor., '
` WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):.
❑ The permit is for $100.00 (valuation) or less.
lave 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
FiIing•Fee 10.00
Heating
• Cooling, '
Hood - } .'
3.00•
Ventilation
,
Permit Fee
$ y
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, Lhereby thorize representatives of the'CountyofButte toenter upon a abd property for inspection purposes.
al agree to savIndeep harmless the County of Butte against
iabilities, judg ntsexpenses which may in any way accrue1.�agai t said County in cothe granting of this er t.
�( D,'r g '
Si nate re of A licant — Owner
9 - PP ❑ 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 $ Q,
;'
+
TOTAL PERMIT FEE $I
OCCUP..GROUP
'
TYPE OF CONST.
PARCEL
PD HD
(SSUalI;
This permit ,is hereby issued under
sions•of'the Butte County Code and/or
Work indicated 'above. for which
DIRE TOA OF, ELIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
-
Date
`D
Receipt No. .� �C�°) r
WHITE-O.P.W..,TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -
` MOB ILEHOME SUPPORT 'DATA
--�-� If other than single wide, j Y
Mobilehome Mf r. furnish Setup Model No. tQ Year A
Width (ft.) Box Length ' (ft.) - Tagalong or -Expando• Size ft. _x ft.
r; .(SHOW SUPPORT DETAILS BELOW) '
On,all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on 'file' with .the=County of Butte),"*
.All center supports measured from front of
mobilehome' unless otherwise specified. 7
Footings (check one)
S.inglel--�`� `�;-��. ' -PI e - 4W+a, + '
- ood either
pressure .treated, or
' f oth dat ion grade.
V4 1
(ft.)(in:)i (in.) (in.) r .0 2: Other:'(specify)
Center support Center.support
* t Supporta (check :one`)
locations footing sizes .�„rF r ,
r 4 r (in.) • ; .Concrete block.
�j .2. Other, (specify)
;._ +
(ft-Mn.) in. (in.)
or Expand
*--Tagalong o,'
I' show support details.
(in.) (in.)
x3 -- •Typical Support .: t
(in.)-(in.) Footing Size-
. ' - �.,. - -- • .. .� •. �f ,
in.) �.,,(i.n.) (in.) � -- Max.' Pier Spacing,
' �.. (ft.) (in.)
'.. X 3o -- Max. Overhangs :
(ft,)j (in. ,in; in.
V�
BUTTE COUNTY
\�S BUILDING DEPARTMENT
If center piers are other than drawn above, P O V E D
draw in locations;.._ spacing,. and dimensions. .
;. ,
F
BUTTE COUNTY. DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: �� �'1A �. 00)ehe A-wS , -TN•C
2. Installer's name: S „QVC VV_a_ su1.y-Z ,
3. Is the site currently under permit? Yes / / No
(If yes, furnish permit number ) ORI
Is the site an existing site? Yes / / 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 set backs,and easements? Yes No / / ( e S)
( If no, clarify )
•. :e���r - .oi—wily
5. What is the mobilehome electrical rating? ----------------------- 0 Amps
6. What is the mobilehome site service rating? 1 0 Amps
7.• What is the mobilehome site circuit breaker rating? ----------- D D Amps
8. Is there any other electric load to be served by the mobilehome
siteservice? --------------------------------------------------- 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 / / LPG
11. What is the gas pipe length from meter or tank to the mobilehome? (.f t.)
12. What is the mobilehome gas demand? ------------------------------ (BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
• — COUNTY OF BUTTE DEPARTMENT, OF PUBLIC, IN KS' PERMIT 0. j
' - 7 County Center Drive - Oroville, California 95965•- Telephone 91 /534-4541
f ' • I 7
APPLICATION AND PERMIT_
ASSESSOR PARCEL NUMBER-" /,(J� _- 's
0 / –` V -
ZO ING-.-
—
.-
BUILDING PERMIT,
owN 4
!Rk)gS-eJJ_
TELEPHONE
SQ. FT.. OCC.- BUILDING VALUATION
OWNER'S MAILIN A b DRESS
•NAME
CONTRACTOR'S
TELEPHONE,
1
CONTRACTOR'S MAILING ADDRESS
t
Fireplace
CONSTRUCTION LENDER
Wyk r
UNKNOWN
Total Valuation $
Filing Fee
g $
LENDERS MAILING -ADDRESS - -
_
! •
Permit Fee $
ARCHITECT OR ENGINEER -
_ ,,,
�� �-
LICENSE NO.
- -
Plan Checking Fee' :$ 'ea 06
:'
Penalty $
ARCHITECT OR ENGINEER'S MAILING ADDRESS - „1
y
Permit fee $
BUILDI G ADDR
f C'PL'UMBING
PERMIT FiIingFee 10.00 .
Each Trap 2.00
Repair drainage or vent piping ; - •,5.00
i --D
Water piping
LOT NO.
SUBDIVISION NAME - -
I.PARCEL!MAP
Each gas.water heater or vent ' 5.00•
Gas piping system 1 - 5 outlet's,•
- - USE OF STRUCTURE '
SF ❑ Duplex❑ MobilehomewOther
SPECIFY
Building sewer
Lawn`sprinkler.system • 5.00
_ t -
:, ,TYPE OF WORK��/
New ❑ Addition ❑ - Remodel[:]-. Utilities � Installation ❑ yOther ❑
Describe work:
-
Permit Fee ;. $
-Contractor
ELECTRICAL PERMIT Filing Fee 90.00
Main SefVICe 1 00V OR S 5.00
00 AMP OR LESS
'
Main service EA.•AOD'L 100 AMP '' 2.50. 'r
NEW CONST.- ( DWELLING OCCUP. y\ y 2c sq ft
OR ADDNS. ACC. BLDGS. I '
CONTRACTORS LICENSE LAW
'
I declare under penalty of perjury (check one): �-
•
❑ I am licensed under provisions of.Chapt. 9, Div. 3 of the Business50@ze¢_
and' Professions Code and my license is in full 'force and effect.
License No: Classification "'
FV 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-
'II�' ' ors. (Sec. 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason •
r '
NEW CONSTR (MULTI -OUTLET 2.50ea
NON-RESID BRANCH CIRCUITS)
NEW CONSTR l POWER APPARATUS 6) r
NON-RESID• SINGLE:OUTLET CIR,
Ex. OCCUp 'OUTLETS OR FIXTURES BAL@1
EX. OCCUp.�OUTLETS P(RESID )REA.� '2.00
Temporary, service' , 10.00
, Mobile Home Facilities '15.00
Misc. Wiring t 7.50
t
Permit Fee'
Contractor •
1 WORKMEN'S COMPENSATION INSURANCE ' -
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less. -
(v/ I have placed on file with the County of Butte Building Department
L11" a °Certificate 'of Workmen's. Compensation •Insurance'or a Certificate
of Consent to Self -Insure.
an, I shall not employ. any person in any manner so.as to become subject.
^•to the W. C.'laws of•California. t t`v
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. Filing Fee 10.00
'Heating -
Cooling
Hood 1 - 300
.'
Ventilation
r
Permit Fee $ '
Contractor '
I certify that l have read -this application and state that the above jnformation
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
alI'IiabiI ' judgments, costs;, and expenses which may, in any way accrue
agai County in cons uence of the granting of this permit..
X Date
Signature of Applicant - Owner Contractor ❑ Agent ❑ r
An OSHA permit isl req Ired for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee - $ • • r .
^
.TOTAL PERMIT FEE $ t
OCCUR. GROUP
-TYPE OF CONST,
PARC
PD
ND
ISsu
This permit is hereby -issued under the applicable provi-
sions of the Butte ounty Code and/or 'resolutions,.to do'
C
work indicated above for, which, fees have been paid_.
DIRECTOR OF PABLIC WORKS
By Date / J/
,PERMIT EXPIRES 'Date 7 -` '
Receipt No. , —0 ��
WNITE-O.P.W., YELLOW -ASSESSOR; PINK -INSPECTOR, GOLDENROD -APPLICANT
• 1 , 1
TO 449 C
(Corporation)
' STATE OF CALIFORN
F 1 SS.
COUNTY 0
On before me, the un signed, a Notary Public in and for said
-State, personally appeared-'"F l
W known to. me to'be the President, and f
m known to me to be Secretary of the corporation that executed the within Instrument,
= known to me to be the persons who executed the within
Instrument on behalf Q the' corporation therein named, and
a , acknowledged to me that such corporation executed the within
m instrument pursuant to its by-laws.or a resolution of its board BETTY BIGGS
of directors.
0NOTARY PUBLIC . P
WITNESS my" hand and official seal.
& 1 1 Butte County
11 State of California
i nature
g .� My Commission Eicpires Feb. 10,'1984
� l .� ' � !P4"!"P!!'!O!!'p� � !!'0O!'.1JlNW��H� O+O J � O°IO�O•MSOM
t �
{ 3 ,Nam (Typed or P in ed)
ENIDTQFare4gr�((liRfc````,,
taEnotarrial seal) ).
Return to DPW
� • � - 8'1=299_ Sly •
AGRICULTURALSTATEMENT OF 'ACKNOWLEDGEMENT
` FOR RESIDENTIAL DEVELOPMENT
fy. 8UT'TFCOUNTY -(J
'Section 26-8.1 of the Butte County Code requires this acknowledgement g f2r. u �: 4 '- '
.be recorded prior. -to issuance of a building peYinit.
' SSP 15 8 57 MA;
The property described -herein -is adjacent to land or included
within an area zoned for agricultural -purposes, and residents ofCLARK A,•NELSON
+f this property may be subject'to inconveniences or discomfort arising i CLERK-REO'ORD'ERE
,from the use of agricultural chemicals, including, but not limited to herbicides, FEE
t pesticides, and fertilizers; and from the pursuit of agricultural operations including,
. but not limited to cultivation, plowing, spraying, pruning, and harvesting which.occa-
1t •sionally generate dust,.smoke,=noise, and odor. Butte County has established agricul-
tural -zones which have'as a priority use'for.productive. agricultural purposes, and.
. residents within said zones'and on adjacent property should be prepared to accept such
• inconvenience or discomfort from'normal; necessary farm operations.
`. All that real property situate'in the County of Butte, State of'California,'
described as follows: '.
'Parcel 1 as shown on Parcel Map .of a Boundary line Modification of Lots'
;t '23 through 27 ofthe Dodge Tract No: 2, which Parcel Map was filed' `
t June '8, .1978 -in Book 67. of Parcel Maps, at page - 2l. -
A
Date: 9ppfemh6y 14.-1,981 PROPERTY OWNERS:
a
Loans
Bv
• ussell' Guiv_ er Pr'esident =
4e St3to of Cali fOrn i a ) On this the- .14th day of September,
)'SS, before me, the undersigned Notary Public, personally t
, County ' of Butte ') appeared
cm
.+.known to me -to be the persons) whose name(s).-
subscribed `to the within.instrument and acknowledged �y
that executed the same for:the purposes -J
�therein contained.
IN WITNESS,WHEREOF,, I hereunto set my-hand'and official'r 'r
seal.
``/ i Notary Public,
Present`A.P. N0.
WMYT cj muriz)3I
tr
JOE
aW PsAupm stao "junS5 gijul oil Own?
c 2o vwwwal 01 IMIg hubloasa 04
H
LDIUMUZ on ball so lmnytbs ny nInTsd byQUAW vnqclq P&I,
id mshhol US nneopvc jammilm"Inge an, Smax mass on WORW
pulems 3101manalb 70 01 wastime no
Reshysid7nn at hOMMIS jOq in! ;s:5u%yf VYWOKO 01MUS71.0 ac g wdl wool,
MOW? noMploy ASIN11... 24gn to 17 h a ::.1 1
UAW "IZINK
,PU jI.A Wsaw,7
i
0839NOWn ban luBMUINM
SAW adj
no bqQ±-wdu:.-:
%O?uqInq 0A
US sma ON
- — -----
GUAM &Z said
vm in, Ojnvalsd
L MONA
ROANIAW
41 -
UAW "IZINK
,PU jI.A Wsaw,7
i
, +' xeturn to : Dpw r
it:,'v tfrx'
• r .Y '•'.,ii .1
AGRICULTURAL STATFMENT OF ACIQkOWLEDGEMENT �M('
FOR RESIDENTIAL DEVELOPMENT,,
f r
Section 268.1 of the Butte County Code re ur.res this acknowledgement QLJiTE ,,C?f)Ir� e �J t st
be recorded prior to issuance of a building permit. `'
The property described herein is adjacent to land or included .� �� �• i` ,r,
within an area zoned for agricultural purposes, and residents of L�:,(}t�'~_ ' ,.f ':.V
�L ARK A. `
this property may be subject to inconveniences or discomfort arising CLEK-RECODER
�'r, ,w
from the use of agricultural chemicals, including, but not-1imite to herbicides
pesticides, and fertilizers; and from the pursuit of agricultural'operaiions includirig;a•'., -
,.• ;but not limited to cultivation, plowing, spraying, pruning, and harvesting which occam.•''t ,,44+
isionally generate dust, smoke, noise' and odor. Butte Count has established a ricul=
Y g
tural zones which have as 4 priority use for productive agriculturalpurposes, and
;residents within said zones and on adjacent property should be prepared'to accept such`''
inconvenience or discomfort from normal, necessary farm operations,
A!
All that real property situate in the County of Butte, State of California, „•,' ,,
is
described as follows:
J p.
Parcel 1 as s1"town on Parcel Mapr o-f a boundary lin.ca Modification of Lots
23 through 27 of the Dodge Tract No. 2, which Parcel. `•1ap was filed
4�M1
June 8, 1978 in Book 67 of Parcel.Maps, at pa* ge 21.
4,.T'
+°.
V ,
I" p .
eypT COMpARCOMO
f . Al
}1�
Date: �,PFt:amhr�r 1 Ct,r 1 c)81 PROPERTY OWNERS: '` �,�•
Laans- Inc.
', • rr�t,
— � fit•--moi .._ . ,
usse11 Guiver_ Er•-esidant
TO 449 C
St s.
� (Corporation) j,__9,
'Co STATE: OF CAHFORNj
r SS.
COUNTY 0' ..cam — --} '';rf,=
' Aa•
On Z nf/ before me, the and signed; a Notary Public in and for said , =
State, personally appeared
' W ,. known to me to be the _
— Presidrnt� and
W known .1n me to be serretju'y of the corporation that executed the within Instrument,
W known to me to be the persons who executed tlu: within t s ' t%
Instrwnent on bchnlf of the corporation ihcrr,in nvned, and
1 .�•,••4••�•3•: •<••3� €• k•fi•w��tiv,.,p {.q.a;.�.�.gk 4a�F4•�•• ti., ti :•° r,
a eu;k nowlc� ttHd to me that su:.h corporntion cxcr.ulryl the within /wp@ •q 2
irfstniment tiursoant to its by-laws or a resolulinn of its hovel .� BETTS( AIGGS 'g ial
o directors. "•
NOTARY PUBLIC
WITNESS my hand and official seal. `� P
Butte County s"
It State of Californiar�'
Si nature .. .. ~
g i✓ My Commission.Expires Feb. 10, 1984
IV
�
• -- Narn ('(Typed ur f'f�v
in�cd) ---'— • � ',
T)
i ] '.,,,i,. a �, r � .. %t �/ � 3 r•a ' ii.4' • . � r 1 A w
7t �.I a� t �• a t U N I G(_s N/1.
•.f� �' r `u �{ �� '�''' � ray �: • �� � �,
,Utility connections "shell
f4he mobilehome, efe ither
dkec%. behind'or w,ithi ` the, r }
�.ti/hem 'e
half of the roadside'(lef�`
et ,a' ,. •. '� t ' ` brei b&iehornerta:7,'f
r� � C t � � .f � � I �>y� ,-- `\{ '� ', i o � i , r<4 ! \ � , 'r E� •' t i. X^,3'' �' n
� S.t�ti i� � trim v � .�• r j �f a .t .. .i , � Si �N t t " � ,i- , Ax +'L�• k tr ' + i�r
j' .)�+a t �,�y� a''� , r •t• ` t) �'` t
# t.r :1, rt y,w .�• e s !. .E'rb " 5�et{Init �# t�:
`' ��✓ a •t ^ x° � >` t., 'W � ', I, 3. 7 t a . •�t, :•�a r .� Z`.i q,.c t t";a:"" � ;
P ' �' ° r - i {' >}.•,f �t' ,..Ya .'y+`` c : I , - r� •',i � C5� � n -
r: ;h„ �., } � ' I ,, �' ,�o ' "i Y,� <}� Y ` p +, t' �ikt�• � �r� yyi?�� }
., r:^•1.�.•t.'l' , 1 is 'P .fr; Ness Iia•r rPY� ,rv)n� ,t,:,9't:k�;tA,�WV t 'x 4'
ii r t 1 + ? ff�' .t rr .r�+S h i �� ♦k In r • '.
y,��
��yf r ` f, t'Jj' .5.• I Y`lt'
y i j Y y �+ ' S E lae req
Viaaeho��
jj rm►' a 00 ,
f, r _+fP�]] i X i.. >�'S r. r 1 nF , y. ntt1:4 09. _ .l • t .. �t t hi + I F, `
,
A setback of 5- ft frxomzthe,a�
r r` .ii�c . i ,�,.;+7t.;�r ,property lines,anda�setback,i
, `��,4 M1 �' 4 ", of 50ff:`from,the Woad
cerifdrline shall b clear oft
structures or equibment: except
f': for a.2 ft. eave overhang. a
w
a krr j p , C
1kt\"t`i\
p.`[r YY¢fiti Fuk {
"ttl r 5 sr N,:•yS
r �!•`"'"i kf s f `tr{ '�P * t. t •' h 1�,'ru, r .t. �. N i 'i .,`, ' a i" ,y,.'< 74.f, Y:� I S(riJr ..
- � r,t A ey'r 4
-x P
�� (All +'Materials & Wor'km ship Srl1 Be itl .. 3r r
r G o
Pr' ,ices an
rdance ;with Resc9nized • i A"I" e in the;.
alio' prescibe.d for & iiea S edcifi, ,• .. , ,,'t r +sits is . �,t•,
Y `Nla anical Godes and;
3 Plumbio -� tt I A .y fes• • Rr,.W d(
}Uniform, "Building,
,v�•r tional'`Electncal Code'
i• � the s Na y C ;ia 7 .k 'r • . f t .. 1 ". , E i` »'1 "iv
;",
1 Y ` F'�i•t
:"wt
L
t t O• '
�Ip� , `���1a .1 ,-,ty' F. ,a `+c.. y .t...;i �"�N��•'II
LTJ,F.�.L
a
y r� �, �,:►_" ., U E COUNTY
k MUST e
f t �!f t 'and pecifications l i BUILDING bE'ARTM
.j� This se a• pblans all s d it u+, awful to
> trues an it t
+kept on to �' , n sortie
withou „ f ®t
ra i ns o [ ® V'°
s'or o'Ite t o am
' YrrialCe'any�cang� rtmen# of Public . .� °r �' e ' }"� P; P ¢ '®=► ?4Fxrr,`hi
'written Rennissr from the De
r F . t, P r:,P,s�frY��„�,',Ei
Y+ k t tt r,
p 4Works .'un
f. Butte.ty " "" `
�{ r
P,� i
Y x '1 •i�',{i•i•S //rY LIAr .,,,,n•;, t t ina<'�t'�.h lyf' r:.'i } ,`r•t: •S' v: i yy� �S, fF et
t l`' 4 , °t+z is' r•�'f'-�'^''"�''''�^ , r �,+ `P 4j t, , M � T v � w
a '.}rS r+� �'ti�`>rt, �jy, r k• {,�Y� r6 �� ''t, yh n ! t, ,e ith .;'t t r 1 ° r v> ,%}t`*,
i'^%9•+s .;ty "w.r't 'hG.. K St ..� F \ —r r. , � V r ®' ...c • ' � .r ,.. . �fi � ,
�'i.
••^ ti �:
t
I
�I
,!
r.:.
'�
M1,
;�
,i,
t
�
��
',.
I�.
.�-
'�
�
_ �:
��.
4
�'i.
••^ ti �:
I
�I
,!
M1,
;�
�
., ti
�'i.
••^ ti �: