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030-240-048
A.P. 30-2L7�G''T8 Y & LELAND �ALOTTEw/s Wi .-pp. 8001 so. Tres Vias Rd., Orov Permit 1517-73PIE _(util� f or mobile ho S_ ' _- 30-24-36 port. o E. Hensle W S llbur Rd., 865'S.of Tres Vias, Oroville , Permit #25`K-80P,E(util. ,MH) , ate i ELEC. 1�� L� GAS — s� SUPPORT STRUCTURE Q. COMPACTION TEST REQ. � _ U - - - - 30-24-36 .� . contr: Hutchinson hjlarn, Permit. ��2890-$ONIH'I Issued t 1 1 { t 0ckq RION COUNTY OF BUTTE — DE ;ARTMENT OF PUBLIC WORKS 7 County Center Drive "— Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT `+ BUILDING Owner "' SO. FT. OCC. BUILDING VALUATION Mailing Address _ G Telephone No. Fireplace Contractor Total Valuation t Mai ling Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. . Permit Fee Building Address ` PLUIJIBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 ~ Repair drainage or vent piping 1.50 Water piping i 1.50 Each gas water heater or vent 1.50 _ A. P. No. r � '- Zoning & Planning Gas piping syste`n 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation FireDept. Fire Zone Use Pehnit Building sewer 5.00 ti EGA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im provements Lawn sprinkler s'ystem 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ —ELECTRICAL, ; No. @ FEE PERMIT FILING`�FEE • $3.00 Main service incl. 1 meter Additional meters, each 1.00 - Single Family ❑ Duplex ❑ Mobil Home ❑ .Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven * . _ "1.00 Water Heater or Space Heater 1.00 Light fixtures k all aio Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp.or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 ; - Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ 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 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 - t $ (, •• -• •�r��•••••�•" ' , .,.c vv '.iy vi vinic iu cnici Upuii Lnc above-mentioned property for inspection purposes. X Date S143p-aZtre of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS r r By Date - ' F, l,()-.'CJ•-� �NJ--� .ice.-�-o�-C�_ O COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 1,6717 %7 County Center Drive - droviIle, California 95965 ! l Telephone: 534-4541 APPLICATION AND PERMIT above-mentioned property for inspection purposes. X ,Y -2,P �f Date S-1-2.1 Signoturd6f Permitee or Agent y Receipt No. -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. DIRECTOR OF PUBLIC WORKS Building permit expires W6 BUILDING Owner ` �L SQ. FT. OCC. BUILDING VALUATION Mailing Address Ol Oar / �! ;le hone No. Fireplace Contractor Total Valuation Mai l ing Address o Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address S �� PLUMBING No. @ FEE PERMIT FILING FEE $2.001 O Ge-- .P Each Trap 1.50 C ` c ef- Repair drainage or vent piping 1.50 Water piping 1.50 f Each gas water heater or vent 1.50 A. P. No. 3�—a 3 �j A-1- Zoni Gas piping system 1 - 5 outlets 1.50 JI Each additional outlet .30 1`1116'e -s I W. San itati Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin Plans Declaration I��' Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Boo Plans Recd Parcel�proval P4wr6r�praval Permit Fee $ /G NEW❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2 I Bio Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump O Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.Misc. Classification wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Id DO is OG 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. 1 �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 $3.00 Heating Cooling Ventilation �( Hood 1 2.00 Permit Fee t$ $ 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 $ 2,2-106 above-mentioned property for inspection purposes. X ,Y -2,P �f Date S-1-2.1 Signoturd6f Permitee or Agent y Receipt No. -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. DIRECTOR OF PUBLIC WORKS Building permit expires W6 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 3-f'S'/a-5f-✓7) for the following location: �..,_., Owner - Ownec's Address '% Y'�2 � f r � Mobilehome Mfg, �'r' -%+� � � Model 'x �u "� ' 'Year �_%' Insignia No. 1 �s?rl�°� �'"� 1 1, - ! i-ecial No./ ' It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works f� �_ B Date y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. f. - ' A COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 3-f'S'/a-5f-✓7) for the following location: �..,_., Owner - Ownec's Address '% Y'�2 � f r � Mobilehome Mfg, �'r' -%+� � � Model 'x �u "� ' 'Year �_%' Insignia No. 1 �s?rl�°� �'"� 1 1, - ! i-ecial No./ ' It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works f� �_ B Date y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. f. - R. BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH Division of Sanitation 695 Oleander Avenue s P. 0. Box 1100, Chico 343-4211, Ext. 51 MOBILE HOME SITE PROPERTY USE AUTHORIZATION To: Butte County Health Department 2430 Bird Street* Oroville 533-1230, Ext. 297 Date:— I am the legal owner or person in charge of the following property: (Property description, location, or address) and have the authority to give and hereby do give my permission to: it,.,�,� �� / y 4LJI- to camp ( ) , live in (Name) a mobile home (i-) on the above mentioned property, and to construct, main- tain and use such sanitary facilities as the Butte County Health Department deems necessary. This permission extends from ���!' �/ 1� to v (Date) f (Date) I understand that under the provisions of the California Health and Safety Code, it is illegal to charge rent for a mobile home on the above mentioned property unless I hold a valid permit from the State Division of Housing to operate a mobile home park. I will not charge rent for the placement or occupancy of a mobile home on this property. Signature f �J .. ;�,, - � ,. .,�: (� J } BUTTE COUNTY DEPARTMENT OF,PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: C -/,a S S 1 ^� ,C ,'�/ -"*5 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR 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 setbacks and easements? Yes iz . No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- z D Amps 6. What is the mobilehome site service rating? ------------------=-- d d Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load.to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (:Load) ,' (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the length from \meter tank to the ft.) gas pipe - or mobilehome? 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.) , OBILEHOME SUPPORT DATA atkj , If other than single wide,. Mobilehdme Mfr. furnish Setup' del No. �� Year Width (ft.)' Box Length 60 (ft.) Tagalong or Expando Size/0 ft. x � y ft. (SHOW SUPPORT DETAILS BELOW). On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. (ft.)(in.) Center support locations* l3• D (ft.)(in.) 77 (ft.)t (in.) .,Ax310 (in.) (in.) Center support footing sizes (in.) (in.) (in.) zy 3a (in.) (in.) 0 (in.) (in.) `Z'x3a (in.)l (in.) Footings (check one) Single 1. Wood either Apressure treated of foundation grade. 2. Other (specify) Supports (check one) 1. Concrete block. 460 2. Other (specify) Tagalong or Expando, show support details. J A x 3 a -- Typical Support in.) (in.) Footing Size (ft.)(in.) (ft.)(in.) BUTTE COUN f Y BUILDING DEPARTM�N APPROVE[ *If center piers are other than drawn above, draw in locations, spacing, and dimensions. -- Max. Pier Spacing -- Max. Overhang %2� 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal raking of .- mobilehome with a minimum V,00 amp)—and other facilities on lot, i.e., water pumps, garage, cabana," etc.? 'Yes _ No B. Is there proper clearances around panels? Yes v No� C. Is power supply cord or feeder assembly properly fused? Yes_/wo D. Is continuity test satisfactory as per the following procedure? -Yes -JZ 1. De -energize electrical wiring system of -the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. S. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6: Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A'further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of -the electrical tests; the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off+card and tag services. D l v D MOBILEHOME DATA Manufacturer and/or Namestyle C / Length i7a/ Width Vehicle Serial No. State Identification No, i �°'�' CO � S Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1.- Is the mobilehome located wit 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) Yesk/No 3. Are footings and supports properly sized, spaced, and braced as p r approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes ZNo_ 5. Ifthan a single unit, are crossover connections properly installed? (Sec. 5088) . Yesmor No 6. Water A. Is fle41e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes— No_ B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backflow - If coach is not Stat of California approved, does station have backflow device and pressure -relief valve? Yes o_ 7. Wastes and Drains � A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes f/No_ B. Does it have minimum 4" per foot slope and is it properly supported? Yes--Y-/-No C. Are any leaks detected in drainage system after running 3 gallons of water through each fixture including washing machine standpipe? Yes_ No D. If c ch is not State of California approved, does station have required trap and vent? Yes No 8. Gas Pip ng and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved -3/4'; minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be At`least as large as the mobil ome gas line inlet without reductions -other than the mobilehome connector. Yeso� B. Test OK as per following procedure? Yes _/No_ 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive«- Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER d ,- 'Z� - 3 (, ZO NG _ BUILDING PERM OWNER 1 v K /Y4 ct r- TELEPHONE s� 3 SQ. FT. OCC. BUILDING VALUATION OX'S MAILING ADDRESS Z 0d�j /,{— '\ It / <,& cv -d CT3 NT CT- R'S NAME 111C11q 4C_1 TELEPHONE CONTRACTOR • 1LING�AD R SS r �. 4 �/[ Q ✓ , a ( (O 0 _ CONSTRUCTION LENDER D u `P UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER U Ct `-Q LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGIN ER's MAILING ADDRESS Permit fee $ BUILDING ADDRESS WC G PLUMBING PERMIT Filin Fee 3.00 O S i Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] MobilehomeZ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition Remoddel ❑ Uti lit- s ❑ Installation g Other ❑ Describe work: v fInYtf47 Z x'77 -190 _ Permit Fee $ Contractor ELECTRICAL PERMIT F-lingFee 3.00 Main service 8000V OR 0 AMP ORLESS5.00 Main service EA. AOD'L 100 AMP 2.50 NEW CONS. DWELING O OR ADDNST ( ACCLBLDGS.CCUP,&) 20sgft 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. � 6 S Classification C'`�� ❑ 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 MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS &) NON.RESID. ( SINGLE OUTLET CIR. EX. QCCUp(OUTLETS OR FIXTURES 50@29¢ BAL@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 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. rsf I have placed on file with the County of Butte Building Department �l 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. 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�in y -n copse ce of the granting of this permit. �JJThis X��i Date 6 — 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 height. Mobile Home Installation Fee $ 00 Land Development Fee $ TOTAL PERMIT FEE $ G. ou OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PE T XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date t;. ?�L(—� 0 / 9 (�- `/�O� did,q '� Receipt No. ` WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO ASSESSOR PARCE N`UM R ZO IN .•A.d 3 BUILDING PERM OWN R TEfLEPHONE t SO. FT. OCC. BUILDING VALU ON RER'S MAILING ZRESS - CN ACTOR'S NAM a TELEPHONE CONTRACTOR'S MAILING ADDRESS , CONSTRUCTION LENDER • �� UNKNOWN Fireplace , Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ALI LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING DDRESS Permit fee $ BUILD NG ADDRESS f PLUMBING PERMIT Filing Fee 3.00 S V Each Trap 2.00 Repair drainage or vent piping 2.00 V M V) •Q., Water piping ILI 11) LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets a b USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome p ---Other SPECIFY Building sewer a Lawn sprinkler system 2.00 TYPE OF WORK �� New ❑ Addition ❑ Remodel ❑ Utilities 4� Installation❑ Other ❑ Describe work: — Permit Fee $ _ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR11V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. 20 sq it _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044))10-0 ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS &) NON.RESID, SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 50 @25t BAL@10¢ FIXED APPLES. OR Ex. Occu p•(OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �,� i) Misc. Wiring 6.25 Permit Fee 00 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. ❑ 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. 1 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, indemnify and keep harmless the County of Butte against all 1'. litie judgments, costs, and expenses which may in any way accrue ag nst ai Coun in c sequen a of the granting of this permit. Date /,4610 Sig lure of Applicant — Owner ontroctor ❑ Agent F-1 A OSHA permit is required for excavations over 5'0" deep and demolition or construct- i of structures ove('r',�3 sss ories in height. Mobile Home Installation Fee $ Land Development Fee $ ,o TOTAL PERMIT FEE $ OCCUP, GROUP I TYPE OF CONST, PARC 111171 ISSUE Y This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �-• Date�� �� (y�� Receipt NO. �S O _3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I N TE: All M iferi Is V or',cri-ci ism hall Be in Ac of ord q nce alit with Prescribed ccs nice for „le t.�d ne Pr ;ied ices and use im the c� :'.'=c chis icv! ss�nd the Naflonal ElectricalGod-el i C f tion 1 be v✓ it .the An Ut►1 4 { � o{ nne be be ob end eh r w e hen \e{t he �� t ear e � r it ct1 ,{ o bil'Ah, the road e" Ide D 7r- jea o� �o O p r 2a `fib req Ce o�p 1 Q o% A etback cf in 5 ft. es and from alsetblack the j�l b P ��C- I I a fro'tn roaa ( _ r= ce terl�ine !hall a clear �# St ctures or t ecl oprnent verrancr. except 6 IL i2O> Thi se of plans t e job at anti all Mmes spe ific and Mons it-islunlc�wful M UST be to - BV BUTTE CQU I I TY pt alce . or n any hariges *d,rmlssion y- unt from of Qr al Bu eeaiions the e. Dep n s rtmen me t o¢ with out Public�itt . n f LDI .G DEPARTMENT ` V • / I Ll C,' `l 41 i) .J / • ar o» » �.:a fiJ'....Y.Y=�V�Y�tS3ii9::ii.�•e�ie+i _ DECLARATION, REGAIZDItdC tPOT'S OIt PARCELS .I certify that as owner of the property acquired by deed.in Volume �, Page �, Official Records of . Butte County, (AP. ��a•- �� o _a 36 - p ), I am requesting permission to build -or install an additional living unit on this property,:i I will not divide the afore- mention..ed property for sale, lease, rent, ori financing unless all •� —applicable. -land -division--laws-and--map--requirements-are--complied -with. I am conversant with the present zoning regulations affecting the :• aforementioned property, and declare that I .shall not violate same. I :-represent that the proposed use of the additional living unit is { - ..and -that- further I -shall• -not -•change -this -pro;�osed- use -of -the--additional living unit unless and until'I receive writtln approval therefor from the County of Butte. I fully understand that pursuant to Cha]ker 20 of the Butte•County Code and §11535 et seq of the Business and Pi:ofessions Code that if I, in the future, sell, lease, or finance the area on or adjacent to said __improvement without fully complying with theiapplicable laws ;and-- • - - ,� ordinances, that I shall be -guilty of a mis& eanor and therefore, subject r , to the aforesaid penalties and imprisonment pursuant to law. Further, ' --this statement • shall -be-•properly -acknowledged; and -recorded at -the request _. ---of.-the.-•County-of...Butte. .: Owner :OF kC(:iL T fT0J114i-r-CIA L11 LOUISE WIEN[ E , COUNTY r(ECORDFf 29175 / CI{/1lNIIIpU{IIIpOY/tlltYti:1111/lNlfl IIYI111!♦ • •' - - "' - •. .. .. •• -. i' w -W-M01A ONDSEY'- _ NO TARP PUBLIC - CALIFORNIA% .� STATS Or CALIFORNIA ) i PR!NC,IPAL OFFICE IN — - - - _--- ) s s . Ii:I1'I'E COUNTY COUI;TY Or _—.-SLittIP Aly Cor.: miss ion Expires July 1, 1975 ►,tau �c.::a.:,2Ssa_s:;QHitt:LLiiC►?alQl7t3/SG-••a�t��..iac; On this 8th day of May 197.2:,L, before me, the underSi�ned , a rdotary Public in and .for the .County of Butte State of California, residing therein, duly comfiis51oned ands sworn, personally appeared ;lVirAil B. Downer and ' • _Olga C. Howell known to me to beLtlie persons whose Wane s F ez�Uoscri� to t e wit in instrument and'''acknowledge3 to .me that"' -_ execuCed the same. , I." WITt123S W11:JZE0F I have hereunto set m}, hand •.and affixed my _ ---official seal in the -County or .Butte-. the -day and yea i his . certificate first above written. _fFo tory 1' t 1i c ulllver Tecnnoiogiles iiuu --v-- beries An *xeei ruunuaciun system Installation Instructions for California for CA -3 All Steel Foundation System Model 1100 ICV Bir, 1100 IV M.H. Permanent Foundation System INTRODUCTION: The All Steel Foundation 1100 'V' series is designed for both dirt and concrete foundation applications. Where noted the 'ICV' indicates wet or dry concrete set, and the 'IV' indicates the ground pan dirt set. These drawings show foundations details which are applicable to HUD code houses and California HCD code manufactured homes. The foundation plan shown is general and is to be adjusted to meet the specific house being installed. These design drawings are supplemental to the home installation manual. Refer to the installation manual for mating line and main rail pier locations and for specific support and anchoring requirements for special architectural features. Pier spacings shall be based on soil conditions and roof loads for the site where the house is installed. This system meets the requirements of California Code of Regulations, Title 25, Chapter 2, Article 7, Section 1333. This system complies with the wind and seismic requirements of the California Building Code 2010. GENERAL NOTES: 1. All work shall conform to the requirements of this design and of the building code adopted by the agency having jurisdiction. 2. The 'V' brace of the All Steel Foundation System has an approved design load as a pier of 4000 lbs. Support piers other than the'V' brace shall be in accordance with the home manufacturer's installation instructions and shall be approved designs of CMU or steel support stands. 3. Design Criteria: Wind Pressures - 90 MPH Exposure C & 110 Mph Exposure C Roof Live Load - 40 psf Max per House Design / 100 psf Max per House Design Seismic - Design Category D Roof Pitch - 6:12 Max Eave Width - 16' Max Sidewall Height - 102' Max 4. Determine the appropriate design wind pressure for this site (90 Mph or 110 Mph). Enter the appropriate section of Table 1 or Table -2 (see page 3) to determine the number of all steel foundation brace systems and/or tiedowns require i fA SPECIAL CIRCUMSTANCE: 10 7� 7 k, For eave width between 16' to 24': use additional transverse system (noted by T, see dray i J' •PE"! COUNTY tfthe Following Conditions Occur: BUILDING DIVISION��`) STOPI Contact Oliver Technologies at 1-800-284-7437 for further instruction: A. Pier height exceeds 48' (From top of footer to bottom of I -Beam). APPROVED' B. Roof eaves exceed 24'. C. CMA Ilk height exceed 102'. D. Roof Pitch greater than 6/12. k E. Location is within 1500 feet of coastline. F. Footing to surface area exceeds 3 square feet. G. Main rail spacing exceeds 102'. ti NO 990:0 CIVIL FGF CAL��, ENGINEER APPROVAL Rev. 12.12.10 By SPJ Thi SUBJECT TO CORRECTIONS NOTED PROVAL DOES NOT AUTHORIZE OR APPROVE ANY ISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California Department of Housing and Community DevelopmeM AND STANDARD! (signature) STATE APPROVAL Page 114 INSTALLATION USING CONCRETE ("ICV") The concrete footer, runner or slab may be any shape, that has a minimum of 2900 cu. in., with a minimum depth of 3 1/2" (dry set) or 6" (wet set), at each system location. The surface of the footing must be large enough to support the pier load and allow at least 4" from the concrete bolt to the edge of the concrete (example: 22" X 22" X 6"). The concrete shall be minimum 2500 psi mix (pre -blended sacked concrete mix is acceptable). Special Inspection of footing is not required. $Special Design - When FOUR ICV's are installed on concrete runners or a full slab, no anchors are needed on single section homes except where required by manufacturer. If the 1100 ITC transverse system, (D(W or D) bracket only) is to be installed without using the 1100 ILC (V) longitudinal system (J(W or D) bracket), it MUST be installed within 18" of a pier. LONGITUDINAL (-V"): When using the 1100 wet set J(W) bracket, simply install the bracket in runner/footer OR when installing in cured concrete, use the 1100 dry set J(D) bracket. The 1100 dry set J(D) bracket is attached to the concrete using (2) 112" X 3" concrete wedge bolts. Place the bracket in desired location. Mark bolt hole locations, then using a 1/2" masonry bit, drill a hole to a minimum depth of 3". Be sure all dust is blown out of the holes. Place wedge bolts into drilled holes, then place 1100 J(D) bracket onto wedge bolts and start wedge bolt nuts. Take a hammer and lightly drive the wedge bolts down by hitting the nut (Do not hit the top of threads on bolt). Complete by tightening the nuts. LATERAL (Transverse Arm): For wet set installation set the transverse connector bracket D(W) into runner/footer at desired location. For dry set installations, the transverse connector bracket D(D) is attached to the concrete using (2) 1/2" X 3" concrete wedge bolts. Mark bolt hole locations, then using a 1/2' masonry bit, drill a hole to a minimum depth of 3". Be sure all dust is blown out of the holes. Place wedge bolts into drilled holes,then place transverse connector bracket J(D) bracket onto wedge bolts and start wedge bolt nuts. Take a hammer and lightly drive the wedge bolts down by hitting the nut (Do not hit the top of threads on bolt.) Complete by tightening the nuts.. SPECIAL NOTE: The longitudinal "V" brace system serves as a pier under the home and should be loaded as any other pier would be. To do this, it is recommended that after leveling all piers, add 1/4" to 1/2" of height to the home at system location, set up the longitudinal "V' brace system completely and then lower the'home onto the piers.To begin setup, complete items 1 through 5 below. INSTALLATION OF GROUND PAN FOR DIRT SET("IV") 1. Remove weeds and debris in an approximate three foot square to expose firm, level undisturbed soil or controlled fill for each ground pan (B). 2. Place ground pan (B) centered directly below chassis I-beam. Press or drive pan firmly into soil until flush with or below soil surface. INSTALLATION OF LONGITUDINAL "V" BRACE SYSTEM 1. Select the correct square tube brace (E) length for set-up (pier) height at support location. PIER HEIGHT 1.5" (Approx, 40.60 degrees Max) Tube Length PIER HEIGHT the dimension from the top of the pan to the bottom of the I -Beam 14' to 1.8". 20" 18" to 25" 28" 240 to 35".. 390- 30" to 40" 44" '36"4o.48" 54" NOTE: a) Installation of the longitudinal system eliminates the need for the longitudinal anchors. b) Installation of the transverse system eliminates the need for most of the diagonal frame ties and stabilization plates. (see note e) c) All other home manufacturer's Installation Instructions of stabilizing devices must be followed, Including Installation of sidewell tie down anchors, shear wall or centerline tie down anchors. d) If the home manufacturer's Installation instructions are not available, the home must be installed In accordance with any state promulgated rules, or as required by the authority having Jurisdiction. e) Installation of this system on single wide homes requires the Installation of 4 ground anchors (rated min. 3150 lbs.) 1 at each corner not more than 10 ft. from the end of the home. (Except: SpacDsg) 2. Place both 1.5" square tubes (E) into the "V" bracket (J). Insert 1 - 3", Grade 5 carriage bolt and leave nut loose for final adjustment. 3. Place I-beam connector (F) loosely on the bottom flange of the I-beam. Figure (1) 4. Attach the selected 1.5" tubes (E) to the I-beam connectors (F) and fasten loosely with 2 - 3", grade 5 bolts and nuts. NOTE: The footer must be level in both directions to ensure the angle markings on the centerpoint connector are correct from the horizontal plane of the footer. The angle is not to exceed 60 degrees and not less than 40 degrees. The "V" bracket (J) is stamped with the angles to verify correct degree. Use proper length tube or cut and drill tube to achieve proper length. (The tube may be cut using any appropriate steel cutting method such as steel saw, cutting torch, etc. New holes must be drilled to the dimension and at the location as shown for Figure (1). 5. Using standard hand tools, tighten all nuts and bolts. When connecting the brace tube to the I-beam connector (F), tighten at least one and a half to two tum ast hand tight. Rev. 12.12. 10 V Page 2 / 4 INSTALLATION OF (LATERAL) TRANSVERSE TELESCOPING ARM SYSTEM (1100 ITV) 6. Select the correct transverse arm (H). The 60" sections are standard. The 72' sections are used on frame widths greater than 99.5". 7. Install the 1.5" transverse arm (H) to the transverse connector bracket(D) with a 2.5", grade 5 bolt and nut. 8. Slide the 1.25" transverse arm (H2) into the 1.5" transverse arm (H). Attach the 1.25" transverse arm (1-12) to the I-beam connector (1) with a 2.5", grade 5 bolt and nut. Connect the 1 -beam connector (1) to the I-beam using the flat clamp, a 1", Grade 2 bolt and nut. 9. Secure the 1.5" transverse arm (H) to the 1.25' transverse arm (H2) using the four (4) 1/4" - #14 x 3/4" self -tapping screws the in pre -drilled pilot holes. 10. System Placement - SEE DRAWINGS: A) Place two (2) systems at second pier from the end at the opposite sides. B) In addition to A, add third system placed at center pier, outside rail, either side. Q Second pier from end, all four corners. D) In addition to A or C, place 5th system at center pier, outside rail, either side. (Except: When placing systems under (A,B&D) place B & D on opposite sides as shown) 11. Strap & Anchor Placement - SEE DRAWINGS: Tiedowns with strap and anchor are required on single section houses and homes. (excludes special design criteria) Strap and anchor shall have a working load capacity of 3150 lbs. with a minimum ultimate capacity of 4725 lbs. Strap shall meet ASTM D3953-91. Strap and anchor shall be installed In accordance with the home manufacturer's installation instructions. PIER ON FOOTER PER HOUSE MANUFACTURER INSTALLATION INSTRUCTIONS E OF NOMEl MAIN RAILS1 WMIN. IGMAX 101'MAX M : I - I : _: M LM L__j 1111111 00 1111111 4C ar C f+ )BMAX X- STRAP &AN04ORTIEDOWN TYPICAL SEE/I(e)&II/ PIER ON FOOTER PER HOUSE MANUFACTURER INSTALLATION INSTRUCTIONS Rev. 12.1; AC 32' MAX MATING LINE PIERS PER MANUFACRIAWNWALLAIM INSTRUCTIONs if /4— 001 Page 3 14 i MATING LINE PIERS PER MANUFACRIAWNWALLAIM INSTRUCTIONs if /4— 001 Page 3 14 a rams List CALL OUT PART # NAME MATERIAL FINISH SEE KEY A COMMENT SEE KEY B B 1100 -1A -G GROUND PAN ASTM # A-36 •' .C. . CONCRETE - CONCRETE 13ASE.0e: fo6tet runner, etc.) ••• D 1100-3-G GROUND PAN TRANSVERSE CONNECTOR BRACKET ASTM # A-36 •' ••• p 1100-W.TACA CONCRETE INET SET TRANSVERSE. CONNECTOR BRACKET ASTM # A-36 • I" '•' D(D) 1100-D-TACA CONCRETE DRY SET TRANSVERSE CONNECTOR BRACKET ASTM # A-36 ' / " ••• E 1.50.20=P / G "V" :BRACE 1.5" SQ. TUBE 20" LONG. ASTM # A513 ' I.. 1.50-28-P 1 G •V' BRACE 1.5" SQ. TUBE 28" LONG ASTM # A513 • P. 1.50.39-P./ G.' "V" BRACE 1:5": SQ: TUBE"3'9". LONG ASTM.# A513 '. / •• 1.50.44-P / G 'V" BRACE 1.5' SQ. TUBE 44" LONG ASTM # A513 ' I'• 1.50.54=P t G. "V".`BRACE 1.5' SQ. TUBE S4" LONG. ASTM # A513 -.06 F 1100-10-P / G "V" BRACE I -BEAM CONNECTOR ASTM # A-36 ' I " "• H' 1.50-60-P,/ G TE LESCOPING TRANSVERSE ARM+1.5'"SQ. TUBE 60' LONG. ASTM * A513 H 1.50-72-P / G TELESCOPING TRANSVERSE ARM 1.5" SQ. TUBE 72" LONG ASTM # A513 H2 1;25=60-P I G TELESCOPING TRANSVERSE ARM. 1.25. SQ,.TUBE.60".LONG ..:. ASTM'# A51.3 .1. H2 1.25-72-P / G TELESCOPING TRANSVERSE ARM 1.25" SQ, TUBE 72" LONG ASTM # A513 .1100.9-P I G TRANSVERSE- ARM: I -BEAM. CONNECTOR. ASTM # A-36., ' I " '•• J 1100-11-G GROUND PAN 'V" BRACKET ASTM # A-36 •"• JW 1100=W-CPCA. ` CONCRETE. WET"V".'BRACKET ASTM # A-36 " I "• •'• LJ :(D): 1100-D-CPCA CONCRETE DRY "V" BRACKET ASTM # A-36 ' / " •"• KEY A ' Rust Resistant Black Paint KEY B "' Hardware Required - Refer to Installation Instructions for Specifications •' Zinc on Steel of .30 oz/ft I -Transverse Arm I -Beam Connector F - "V"Brace I -Beam o H -Transverse Arm Connectors �Top/ Inside (1.25") ottom /Outside (1.5`) D - Pan Transverse Connector Bracket E -"V"Brace Tube or D(W) or D(D) Concrete (1.5") Transverse Connector Bracket o o � - B - Ground Pan or 1- Pan "V" Bracket or C - Concrete Base J(W) or J(D) Concrete ) " (ie:footer, runner, etc.) "V" Bracket Rev. 12.12. 10 H C p HI 11 07111 Page 4/4 SITE PLAN ................... ------ ........... z ........ ........ ..............................--- ------------ * ..................... ........... . ...... Assessoes Parcel Number Fol 5 no o1-01 � DI - 1:01 IT 9 scale: v- Ohnlerhlame _LoLv-en - � g r7 �tj Addr-e0s / Phone No- 53q- 593.0 Sipe Location ------ ..... ...... ..... ............. .......................... &2� L -o75-7 CDFII: BUTTE CO- UNTY BUILDING DIVISION 'APPRQVED Cl� (00 /it ............. : ...... ...... ------------ .... . ..... ------ ...... ...... ------- ----- ------------------- ... . ........... . ..... ...... ------------ - - ----------- - ----- - ----------- . ..... ..... ... . ..... . ..... ...... ..... ..... ..... .................. . ..... - ----- ..... ONLY LY FOR OFFIC.E Y8E ON Zoning: Geroeial Plan% Desig: Size, Acms PROVIDE FOR ALL - ADJACENT PARCELS SIZE to ZONING: GEN PLAN: f ............. : ...... ...... *.............. ..... - -----. ..... ..... ...... ------ ...... .................... ------ ....... ------ .............. --------------- ------ - ----------- - ----- - ----------- - --------------------------------- - ----- - ---------- ------ - ---- ------- Assessoes Parcel Number Fol 5 no o1-01 � DI - 1:01 IT 9 scale: v- Ohnlerhlame _LoLv-en - � g r7 �tj Addr-e0s / Phone No- 53q- 593.0 Sipe Location ------ ..... ...... ..... ............. .......................... &2� L -o75-7 CDFII: BUTTE CO- UNTY BUILDING DIVISION 'APPRQVED Cl� (00 /it ............. : ...... ...... ------------ .... . ..... ------ ...... ...... ------- ----- ------------------- ... . ........... . ..... ...... ------------ - - ----------- - ----- - ----------- . ..... ..... ... . ..... . ..... ...... ..... ..... ..... .................. . ..... - ----- ..... ONLY LY FOR OFFIC.E Y8E ON Zoning: Geroeial Plan% Desig: Size, Acms PROVIDE FOR ALL - ADJACENT PARCELS SIZE to ZONING: GEN PLAN: f MI4 i zt2CI5 vMN-ffw1. YYNM:1=4%68- -Awl y_Jj/LGJ1L_V_G.I_y �.('G�`_.__--l- TIM ____TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTORi 0wct�oyl 0 00 7 County Center Drive 00 Oroville, CA 95965 0(530) 538-7601 Telephone (530) 538-2140 Facsimile www.buttecounty.net/dds B www.butteaeneralplan.net COi N y OCT 21 2011 ADMINISTRATION * BUILDING * PLANNING DEVELOP11IENT SERVICES REQUEST FOR COPIES Please furnish me with copies of the building file documents I have indicated for the assessor's parcel number(s) and address(s) I have listed below. I understand there will be a copy fee of $.25 for the first page and $.06 for each additional page thereafter payable at the time the copies are picked up. I further understand that Butte County hast up to 10 days to respond to this request based on the Public Records Act. Assessor's Parcel Number �,w Y00�7yno Address, // �) I& gplqp �9-&Vllle- Name of document(s) requested �, Qe���D �o� Assessor's Parcel Number Name of document(s) requested Assessor's Parcel Number Name of document(s) requested Assessor's Parcel Number Name of document(s) requested Assessor's Parcel Number Name of document(s) requested Address Address Address Address Please Note: Conies of building plans are not covered by the Public Records Act but instead are under California Health and Safety Code Section 19851-19853 and require written authorization from the Property owner and the Registered Design Professional before being duplicated and a separate fee of $127.00 is required Printed NameSi a e Date Contact PhoneN mber/Email Address *When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. 3-1-10J:\2010 Handouts and Policies for approvahApproved Handouts and Website forms\Request For Copies 3 3 10.doc 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue,` Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville Phone 634-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 1� CORRECTION NOTICE AA I -f 7 t© / ?9"LDING OR PROPERTY ADDRESS A routine inspection indicates that the"following violations of County Ordinance exist at the above address and should);Nbe 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. `,1 yr .i• SII ' '-� .. "` PERMIT '. NO. 2577-ROP F. ' PERMIT EXPIRES 4 OWNER John E. Hensley owner .C6NTR. V 30-24-36 port . LOCATION (A.P. C W/S Wilbur Rd., 865'S.of Tres Vias, Oro. 3� • S �I f„1 SII •.'f Temp. Power Pole ' Called.PG&E Temp. Elea Serv: Called PG&E ir eemp. Gas Serv. 7—/ — 8 Called PG&E .; JOB I t FINAL ED .--_rjg ` i ature) {f . 4 Mesh /I MECHANICAL Grd. Fadit Prot. Zch Heati Servi n I Coo ng TAO. Pole nish COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - ' - BUILDING INSPECTION RECORD D is I BUILDING BUILDING-(Cont'd) & PLUMBING Se\back FI wall Solk Piping Forks Parakets 7 IL Floor Ma Bldg. Restr m Finish 2nd loor F tins Window 3rd Nor Ste all Siding To out Slab Roof Sheat%ng Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sicall handicap ed Conformance of ex. V structure Appliances Gas Piping &Test i Temp. Gas .Slab A Final Sanitation Patio F EP CE Final Footings Footing ECTRIC L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea IRE SPRINKLE Motors Framing I Aest Water Htr_ Mesh /I MECHANICAL Grd. Fadit Prot. Zch Heati Servi n I Coo ng TAO. Pole nish D is I nder round erior Lath ntilation - Permanent oor Closer Inal anal MOBILEHOME UTILITIES - - - -= Elec. Service . ElecPedestal Water Piping Seweripin 29 4' �" BI E ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping 7—/Drainage Gas Piping DATE �;_/W_��MARKS OR CORRECTIONS h i (NOTE: An entry must be made on this form each time you visit the job site.) r BUTTE COUNTY BUILDING DEPARTMENT 7 County Center Drive sj Oroville, CA. 95965 PHONE: 916-534-4541 AGRICULTURAL BUILDING Exemption Form owner of the property located at (please print) �tf .2 Z3 o x :�;-x 17 Assessor Parcel # 30-2��,3� �pOeT� intend to' onstruct a 6 ' 'xtZ' agricultural building on this property. (specify type of construction & s'ding) I declare the building will be used to house u � v� , f-eC,l�-- �SSf,�AG& (specify use from definition below) which conforms to the Ag. building definition. Agricultural'building is defined as follows: Agricultural building:is a structure designed and constructed to house farm implements, hay, grain, poultry, r livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agticultural products are processed, treated, or packaged, nor shall it be a place used by the public. I understand if I change the use or occupancy of this building I will be sub- ject to the necessary permits, inspections, and approvals from the Butte County Building Department. Signature of Property Owner Date+v Building Inspector receiving form Comments: i Duplicate•to field inspector - Date �� �® ) J .. F.. : , :,:, ... ,.. , :, ,. ',: who"" , I .: ':' .': ,:. ,: :.'. �. : 4. 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