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035-224-015
_.._-+.---•^•--fir-- - ._.. .- L, 35-224-Igj `,•i ORLAND BELOWA'fkO.j �jjl6-/7 71976 Summers Sr., Orove Permit #802-76P E (util MH - exis. �. ".q'X„-- CERTIFICATE'�OF'MERGER. j-4... � site) R E LE C . ,::'A P.#035-224- GAS /11,4 7' ; + " A. SUPP RT STRUCTURE REQ. • 035-22-4-N2996-1739 BP BELOW, Dorothy 1976 Summers; Oroville 5149 (mobilehome/perm 'fdn) Al Carli�a existing site 035-224- PERMIT#96-2054 7 BELOW, Dorothy - 197Q,Summer St., Oroville Cont:' Br6ce Broderick New Pri Det Garage10 4 i , 1 � L C*q NIct' 5-x•3:-7--�� RESIDENTIAL < 035-22-4-012 96-1739 BPE BELOW, Dorothy 1976 Summers, Oroville (mobilehome/perm fdn) Al Carl existing site t� Y l C) Nc. � 1149 &/(t z6 D f OFFICE COPY Address GAS Meter By Date ELECTRIC G Meeterter By Date l JOB FINALED (Date) 7 Signature i \[= OK' O = Not OK '=Nott ReadApply MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 0 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.;Sils-AnchorsStuds-Rtrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10: ' Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / NL'ft. / /Nat. or/ /"L°ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand Valve Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 0 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.;Sils-AnchorsStuds-Rtrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10: ' Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J ::SOK O = Not OK ' = Not Applicable Not Beady RESIDENTIAL (Single = Date IJNVEiFLOOR (Plans) OK except If s Z ng -Setbacks -Easements -Flood -S e Ftg., Main; Soils-Elec. Grnd.-/ . tg. Depth J. rty., V4rdyc, JVIIJ-.7l1iCl-CICU. VI IIu., / rlly. 1JCPL11 I 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth oemwans, Marll, I 6. Stemwalls, Gaareer-Diocnvurs-vvinppau rage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors I 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftq.-Steel / 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer 10. UF. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service es �-- 12. Electric; Underground 13. Pie 's & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except a's t6. Water Htr.: Vent -Access -Combustion Air -Baffle - - ---------------------- 17. Water Pipe: Test & Anchor -Nail Protection -------- ------------- ------ 18. D.W.V : Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors --------------------------------------------------------------------------------- Date Card B-1 DateCard B-1 ------------ ----------------- -- --- ------- -------- --------------- -- ------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's ---- 22. Fixture -& Transformer Clearance-Ins.----Protection------------------------------------------------ ---------- - - 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------ - ------------------------------ ------- ------- -- 24. Size Boxes & No. of Conductors -Stapled ------------------------------------------------ --- --- - 25. Romex Installed Close to Edge of Studs & C J. ------ - ---------------`---------------------------------- .. 26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water --- -----------------------------------------__............ ... ... .. 27. 2 Appliance Circuts in Kitchen & Conductor Sze/GFI .----------------------------------------------------- --- --- -- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Sze ga Cu or At ------- -------------- ----------- ----------- .. 29. Range Circ r , ga. Cu or AI -Oven Circ. I ' ga Cu or Al. Insulated Neutral ❑ Yes ❑ No ----- --- --------------------------- -- ........ .... .. 30. Service -Riser Conductors & Ground -Main Disconnect ------- ----............... ........ ... . ... 31. Equip. Clearances Panels-Motors-Mech. Equip. ------ - - - - . . ... .-----.----------- - ---- . . 32 Clothes Closet Light -Shower Light -Spa Light --------- --------------- - - ------... ------- 33, Smoke Detector ------------------------------- - -----...--- ..... . - . .1..... . Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. A.C. Ducts Insulation & Support - - - . - ... ... ... .......... 35. Vent Fan: Exhaust above insulation ----------- ------ --- ... .... .. ..... 36. CondenFate Drain & Overflow. Size & Grade ------ ._ _...... .... 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -------- ...-... ----- .. .-- -- ... .. 38 Att c Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a s 39 S Is. Proper Material & Anchors 40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound - - ....... ... ... .. 41 Bearing Walls over Girders & Floor Nailing 42 Draft Stop in Walls (rat proof) 43 Fire Stops. Furred Ceilings -Stairs -Chases -Tub --------------- ..... . .. . .. ._... 44 Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 45. -Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49.-Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ----------- - 50. Garage Fire Protection Framing 51. Property Line -Firewall & Openings - -- _ 52. Ext. Doors -One 3' -Check Garaae-3rd Story. 2 Exits ---- ------------------- --------------------- 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------ -------------- ----------------- 55. Siding -Nailing Veneer 56. Stucco Mesh-DripScreed-Fd. Vents-Underflr. Access -------------------------------- - 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: -Nailing -Bolts ------------ - - 59. Insulation -Walls -Ceilings --------------------------- 60. Infiltration -Walls -Windows -------------------------------------------------- -- Date Card B-1 Date Card B-1 .. ----------- ---- ----------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except P's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection .. -------------------------- 64. Bedroom Exiting 65 G.F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels .. -- .................... ------------------- 67. Stairs & Rails . - - ---------------------------- ---------------------------------- 68. Fireplace or Stove: Clearances -Hearth ...---------------------------------- - 69 Elec. Outlets at Wood Panel: Int. & Ext. .. -------------------------- -- ----------- 70. Kit.Fixl. & Appliance: Grnd.-Air Gap -Cooking Clearance ------------------------------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter - - - - - - - -- - - - -- - ---- -- - -- ------------------------ 72. Garage Fire Door: Swing -Landing -Closer ...... --- .._ .....----------- --------- ----- -- 73. A.C. Duct in Garage -Damper __.........--------------------------- ------------ 74. Wtr Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ............. ------------- ----------------- --- ----- 75. Plb.. Elec. & Mech. Equip. Listed for Location .- ..------------------------------------------ - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection .. ... ...------------------------------------------------ 7 Insulation -Foam -Looked in Attic ❑ Yes ----------------------------------------- 78. Guard Rails & Deck Construction -Post Caps .. -------------------------------------------- 79 ----------------------------------------79 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes . ... . _ . --------------- 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No . . - ------------- - ------------------------------------------ 81. Stucco. Brown -Finish . _ ... ... . ------------------------ ---- -------- ------- 82 A C Unit. Disconnect. Electrical. Plumbing . .. ... .. -_ --- -------------------------- -- ----- 83. Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to Openings --- - .....------------------------------- 84 Water Well: Disconnect. Electrical, Plumbing 85 Exterior Elec Trim. G.F I. Receptacle -Underground - - -------------------------------- 86 Ventilation Throughout House 87 Glass Protection ....... - ------------- - -- --------- 8a Corrections from Previous Inspections ... .---------- ----------- --------------- 89 Gas Test -Meters Tagged. Gas -Electric 90 Water & Sewer Connected -C'0 to Grade -HD Approval ------------------------------- 91 ---------- ------------------91 Energy Compliance Certificate -Other Certificates Date Card B-1 .--- --- Date ----------------------------- ------------------------------- Card B -1 --------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 0a), ------------------------ COUNTY OF BUTTE �� BUILDING DIVISION )10 DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 R 7 County Center Drive, Oroville, CA - (916) 538-7541 747 -Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE B -'r. 10'.) 9/,-1-73F OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date A 0 7 Inspector REV 10192 Z COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE e'l 173 F OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at e the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately.f J 41 41 4-'a d'0Lwj ai 'D—/ /Jylui/6./f Y bf /,c9a // I.SjAarey ima i�L e�PC -�• 'SQ/cl C- W— �1Ati ct. b.0 rem rx,rcr, f e c_ ; Gy e _ ani tQ rt 9 -z 4- }4^•r n rr Y r %' IP j .tom g m,fe 1 / v,6/ `�' Nrj i�11n w Date:?i Q; Inspector �(y1 See .. +1 REV 10/92 �" COUNTY OF BUTTE r t;1 :BUILDING DIVISION = ; :.; ;1 , I DEPARTMENT OF DEVELOPMENT SERV}ICE9 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 a CORRECTION NOTICE - 1,731 PEF(MIT NO. A routine inspection indicates that the following violations' of Butte County Ordinances exist at the above address and should be corrected. Please notify this *office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1 ' ..'fG F 41 Date 71.1 U 47,&_Inspector _4/ // REV 1019 COUNTY OF BUTTE'`' n BUILDING DIVISION '' W DEPARTMENT OF DEVELOPMENT SERVICES P 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 ,. rz CORRECTION NOTICE ;a OWN rR- PERMIT NO'. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please ontact this office immediately.45 2� e � +N y: Date InspectorAM REV 10/ -1 r COUNTY OF BUTTE- DEPARTMENT OF�DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754�� -ley ► ? NO APPLICATION AND PERMIT / / '�� ASSESSOR PARCEL NUMBER 35-224-012 ZONING N BUILDING PERMIT OWNER DOROTHY BELOW TEME7970 TEI�P�I�NE7970 SQ. FT. OCC. BUILDING VALUAT N OWNERS MAILING ADDRESS 1970 SUMMERS CONTRACTORS NAME AL CARL TELEPHONE CONTRACTORS MAILING ADDREt0 DEERSPRINGS RD BERRY CREEK, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 177 1 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1976 SUMMERS PERMITFEE $ 469.63 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 70 Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PERM. FOUNDATION — Mobile Home S G W 920.00 PERMITFEE $ 65.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 93.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full /force and effect. License Class G Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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.23.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BLDS. ) SO. 3.S¢ FT. NEW CADDNS. CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS 8 SINGLE OUTLET C R. / Ex. Occup. ( OUTLET OR FIXTURES) 20@ 1.00 Ex. Occup. (OFIXED APLNS. UTLETS (RES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensate insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number / Q9 Z a (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ElI 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall a provisions. forthwith comply with 41, X Date _ / /� / �_ Signature Of Ap Ican - Owner ❑ Contractor' Agent - An OSHA permit is required for excavations over 50" deep and demolition or constructionA?CAY of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCCCONST. TYPE TOTAL FEE $ 577.63 HAZ. I D.FEW; I;V FLOOD I !DF PARC PD HD ISSUE This permit is here y issued under of the Butte County Code and!or indicated above for which fees have BY PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. .d (S` Date /y / (Date) Receipt No. .262- %�� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . !T r .T.«. -.n. r• —7.r.. ;. k..q�r...- --+"Ti (�7�sa:--•, f.• COUNTYOF BUTTE - DEPARTMENTOF`DEVE�MENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER L,�I. W Proposed Building Use I)'% // IV Building Inspector A. P. No. -5s-- Z2—�Z— (2, Date % Z4 /7- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans .......... . 3 'Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior o plan check). .... Mobilehome data and manufacturer's installation-wstructioos,!2.� ........... 1 n Fees of $ .......................................... Impact fees as shown on attached schedule. .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit .......................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for to Buil Building lns �q°�— regUlred. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). .............. . 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... r 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . .....................:.................•. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to ov�ner. Mail to contractor. Telephones j3 and hold for pickup at 4 U office. Deliver with inspector. Other e-Od,,0�, Parcel Creation�� Acreage Applicant r 4- Date _� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution' Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: it issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by 20 phone —mail Counter by Date ontractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by rB ilw5 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER Z2, A.P. # PROPOSED BUILDING USE /4 am DATE ; /1--? 6- REQ. # DATE REC SCHOOL DISTRICT FEES (paid at District Office) 2. SHERIFF FEES (paid at Building Division) Residential...... x =$ ��r^ unit amt. Commercial (sq. ft. ). x =$ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq. ft.) .. x = $ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) - 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) . { 6. SRA FIRE INSPECTION AND PLAN CHECK r $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District //qt Building Department No. A.P. Number 2 Z, Y- O /Z- Jurisdiction: 0 City [ County Property Owner, Property Location/Address 9 %iii Subdivison r f Residential Development No. of Living MHH#;� of Ot' Units X �'epla Commercial/Industrial 0 New N _Lot No. Sq. Footage 41S�6 Addition (Group R) Sq. Footage Addition (Floor Plans reviewed by School District Personnel) District Identification No. -7 /.:;,? Ar Dae (Including Exterior Roofed Areas) Ore ,J �f l e vr, School District certifies that h 1 pplicant)\\ T.,Jy t o -i �� ,.�. J4- _ S 3 3.-44 0 3) ress) (Phone Number) T)rC-A R51 L6 (City) (State) (Zip Code) has complied with the requirements of Resolution No. 9 5 - q b . o by payment of $ -- representing (* 5 b square feet. As 2926 $ PULL MITIGATION $ N resentative Date Paid by Check # n) G Remarks: Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. R0A.- White (applicant), Yellow (building department), Pink (school district) feeformmkt (11/94)dmm RECORDING REa.UESTED BY: AND WHEN RECORDED MAIL TO: ' NAME BUILDING DIVISION STREET 7 COUNTY CENTER DRIVE ADDRESS OROVILLE CA 95965 CITY, .STATE. and ZIP 97-00520 Recorded Official Record County,,of Bute Candace ,J. Grvlbbs Recorder,' 1:54Qm 10 -Feb -97 �I Rec Fee .00. t Total .00 s 1 I I I � I C014S XX 1 SPACE ABOVE THIS UNE 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 ail persons thereafter dealing with the real property. DOROTHY C. BELOW BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 1976 SUMMERS STREET 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE, BUTTE, CA 95966 -OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP SAME 96-1739 (916) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDI PE �., PHONE NUMBER 'I+MI% �� 1/23/97 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AG OFFICIAL DATE SAME NONE UNIT OWNER (If also property owner, write 'SAME'l DEALER NAME (If not o dealer sale, write "NONE' MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION CHAMPION HOME BUILDERS 7/25/96 SW673-2 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 0997-673-7321A/B 56'X26 ' TRA 325289/325290 SERIAL NUMBERS) LENGTH % WIDTH INSIGNIA/LABEL NUMBER(S) A.P. #035-224-012 REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A T A AIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOTS 46 AND 47, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF THE BAGGETT TRACT, NEAR OROVILLE, BUTTE CO.", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JUNE 14, 1909 IN BOOK 6 OF MAPS, AT PAGE 83. SNEIAT ^ORk ,��f HCD FORM 433(A) Rev. 8/91 o v J TM �EWHITE—County Recorder CANARY—HCD PINK—Applicant GOLDENR00—Building Dept. +\ ' ::.ON :.<� •:. • , ::' `?tai'.:: '?:: ::::.< + '�: �3''.': # ..:.:. ... <.:'<::; ::.::<:2:�:::8 < •': ' BUILDING PERMIT NUMBER: 96-1739 Address or location of unit: - 1976 SUMMERS STREET, OROVILLE Legal Description of Real Property: A.P. #035-224-012 All that certain real property situate in the County of Butte, State of (ali%rnia, described as follows: Lots 46 and 47, as shown on that certain man entitled, "Official Mav,of the Baggett Tract. near Oroville. ,Butte `Co. ", which map was recorded in the office of the Recorder of the County of. Butte, State of California, ` June 14, 1909 in Book 6 of Maps,' at page 83.' - , [X]Mobilehome/Manufactured Home [' ]Commercial Coach t Has been affixed to thereal property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: DOROTHY C. BELOW Owner's address: , 1976 SUMMERS STREET, OROVILLE, CA 95966 INSIGNIA OF HUD NUMBER: TRA 325289/325290 - ` SERIAL NUMBER OR V.I.N. 0997-673-7321A/13 t :`.1,Al`:UFACTURER'S N A:::E: CHAMPION HOME BUI A)06S. 7/25/96 OFFICIAL•APPROVING INSTALLATION: 1/23/97 ' DATE: - PHONE: (916) 538-7541. H.C.D. 513C STATE OF.CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 1%DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a: a Mobileho'me [] Commercial Coach [] Floating Home Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) CHAMPION HOME 0997-__673-7321A + B BUILDERS I/We, the undersigned, hereby state that the unit described above: BE PLACED ON A PERMANENT FOUNDATION ON AP# 035-224-012, 1976 SUMMERS STREET, OROVILLE, CALIFORNIA, COUNTY OF BUTTE, BY AUTHORIZATION OF INTEGRITY HOMES, INC. I Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on . 9/24/96 at OROVILLE , ° CA (Date) (City) (State) Signatur/eeoo ant I Printed name of each affiant BOB COOPER / INTEGRITY HOMES, INC. Address 1740 FEATHER RIVER BOULEVARD City OROVILLE , State CA HCD 476.6 (Rev 11/86) AFTER RECORDING RETURN TO: County of Butte LAND DEVELOPMENT.DIVISION 7 County Center Drive Oroville, CA 95965 CERTIFICATE OF MERGER 96-0304721' Rec Fee+ ' 12.00 1 Check 12.00 Recorded I Official Records 1 County of Butte I Candace J. Grubbs I Recorder I 12:10pm 19 -Aug -96 I PUBL XX 3 LANDS 'BEING MERGED: --.- AP NUMBER (S)oZ- SUBDIVISION/PARCEL MAP: BOOK PAGE! -3 - BLOCK LOT (S) -4& qT7 As of the S day of Ao G V s r , 19 9 t!o , those lands noted above are merged to create one single parcel of land as described on exhibit "A" attached hereto. { WILL FARREL Director of Development Services DATE OWNERS' CONSENT TO MERGER as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into one single parcel as described on Exhibit "A" attached hereto. ALL SIGNATURES MUST.BE NOTARIZED: SIGNATURE SIGNATURE SIGNATURE LD 1530 (7/93) DATE SPATE OF C=4TY OF on (C% ' l0 — ip , before me, L. Y/L i74/'-/' f14' d rS 7-;� DATE NAME OF NOTARY PUBLIC `D' jocv?-�-V C NAME(S) OF SIGNER(S) personally known to me- OR.- -7Z proved to me on the basis of satisfactory evidence to be the peiscn(s) whose nam(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity (ies) , and that by ice: his/her/their�,, signature(s) on the y1a instrument l.person(s), or the entity NpTAPY =� ��� is •• ,_..�, =e ,•,+ :�1 upon behalf of which the persons) acted r,executed c.rtrc� nm. = C1ms 0c; C°6 the instrument. WITNESS my ham and official seal. SIGNATURE OF NOTARY / i EXHIBIT "A" LEGAL DESCRIPTION FOR MERGER LANDS OF DOROTHY BELOW atfatasa•s;aa�ffsttt;;aaaa.a•t•tsssaaaataf;++af++af+f;fattas++ttaasa All that real property described as Lots 46 and 47, and that portion of abandoned ALLEY "B" lying northerly of and adjacent to said lots and that portion of abandoned Pacific Alley lying easterly of and adjacent totot 47, according to that certain map entitled "BAGGET TRACT , near Oroville, California" as filed for record in the Office of the Recorder on June 14, 1909, in Book 6 of Maps, at Page 83, being a portion of Butte County, California. The above described lands are hereby combined into one parcel of land. (END OF DESCRIPTION) tstftttfsf•ss+aaa•atfaiaaataiatasasftsa•t+•a++satfasfs•a+a+a+s;t+faft Prepared by: AND SUS ?ohn. Christofferson, P w��So cHRisTOF�FGF`o G.D.A. Engineering & Surveying file 960251d.1 z -�c No. 4208 d>1 rFOF CAI-�F� RESIDENTIAL 035-224-012 PERMIT#96-2054 . BELOW, Dorothy 1970 Summem&St., Oroville Cont: Bruce Broderick New Pri Det Garage • ,cam �; A, -Fier � a�4� e LjZL ( � J y1 1 q JOB FINALED (Det �-j- Signature �' V=OK O = Not OK NotReadyb� 'MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements i 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete C-1 MISCELLANEOUS Date DEC S, COVERS, CARPORTS, GARAGES lans OK except #'s 41 Zo ' g Requirements -Setbacks -Easements 21111 tings; SoilsSize-Dep"pacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water, Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete Shthg: Rfg.-Bracing 6. Gas; Location -Test -Wrap; / 112ft. / /Nat. or/ /"L°ft./ /LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements Date C7,, j Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 3. Gas; MH Test -Demand Valve -Connector 1 Date POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector , 3. Pool Structure; Steel -Connections -Thickness 7. Water and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and lighting. Distance -GR 9. Tie Downs -Type -Installation Cert. 5. Elec.; Pool Lighting; 15 Volts-GFI 10. Exits; Insp.-Sketch 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 11. Cert of Occupancy 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 9. Health Department Approval Date Card B-1 Date Card B-1 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ OK r ei O = Not OK RESIDENTIAL (Single'& Duplex) Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning-Setbacks-Easments-Flood-Slope Cling. Joist-Rftr. Ties-Pullin-roff Brac.-Truss-Shting.-Ring. 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat clearance 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P' Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg. Porches & Decks; Soils -Steel-/ PFtg. Depth Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Pienums & Ducts; Clearance-Mater:al-Support-Ins. Brace Wall Panels 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s Ext Steps -Door & Sidelight Protection -Landings 17. Water Htc; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance -Ins. Protection 74. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 78. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al _ 80. 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes 0 No 81. 31. Service -Riser Conductors & Ground -Main Disconect 82. 32. Equip. Clearances Panels-Motors-Mech. Epuip. 83. 33. Clothes Closet Light -Shower Light -Spa Light 84. 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date Ventilation Throught House MECHANICAL (Permit) OK except #'s 89. 35. A.C. Ducts Insulation & Support 90. 36. Vent Fan, Exhaust above insulation 91. 37. Condensate Drain & Overflow, Size & Grade 92. 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 93. 39. Attic Access & Platform if Furnace in Attic Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Pullin-roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic _ 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive-, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307.. ? CORRECTION NOTICE PERMIT IN A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. _/rQ 1-10 A f L Date 9--a ,--0'(o Inspector REV 10/92 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PER IT NQ. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 035-224-012 ZONING RPI BUILDING PERMIT OWNER DOROTHY BELOW TEIE HONE SQ. FT. OCC. BUILDING VAL IQN OWNER'S MAILING ADDRESS 1970 SUT'14ERS STOROVILLE CONTRACTOR'S NAME BRUCE BRODERICX NE TE877i7-6432 88 �� CONTRACTORS MAILING ADORES 0 BOX 2231 PARADISE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 5,760.00 Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 52.65 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 1970 SUI`�i4ER ST PERMITFEE S OROVILL$ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 16 X 20 GARAGE Mobile Home SG W 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service / EOOV OR LESS 20 A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect. ��t� 3 Gam+ License Class I E EC OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BIDS. } SO. 11. 3.5¢ FT. T1 . 20 NEW CONST.MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS } 97.50 ( POWER APPARATUS } & SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES } 20 0 1.00 94L 50 Ex. Occup. ( OUTLEETS RES1o.)EEA } 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 31.20 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 4j 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with }hose pr visions. X �Z,��� Date _=_ Signature of A plicant - ❑ Owner CrContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction[� of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ qc cGN�` TOTAL FEE $ 184.85 HAZY D. FEES I IMP I FLOOD CDF PARC PD HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. �y 7 Dae 7 l (Dare) Receipt No. 206058 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ..�: ten..-n-:-r:ky.,�'Ff'�'L.."y.«.14�+.y-r':Ki.4��`'rn�rtiSy1N.F4`��"SA+'�'���T'*�A+�'t-'ti .. �- �c+- 111..*^'"7`".�'.Y"'""'-."'lw.•+T.+'�aaw..t.,hw'..fi��-"i.rai....-"`,�".:'�--�- r> COUNTYOF BUTTE - DEPARTMENTOF,.DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use �L4 , No. O3S--oma ;��'oZ Building Ins Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY ,-� 1. All itemsbeen submitted . ........................................ -- � 2. Plot plan , 4 s,e-ts, signed by preparer of plans . .......................... 3. Complete plansosets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer .................. x 14. Sanitation and plot plan approval SeuJe4" Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. . . dest 20. Pre -inspection for to Building ins re for p required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ...................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... 33. 34. W>4 Wh,er ou issue the r,�it,,pr ess as follows: M I to owner. Mail to,contractor. 4 Telephone 11'649 and hold for pickup at office. Deliver with inspector. Other Parcel Creation 2 Acreage Applicant Z52 Date T _ Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Co ter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBt)-3 S _ ZONING BUILDING PERMIT OWN A__7 �� TELEPHONE SO. Fr. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1 44 C n . CTOR'3 NAME f `moi' NE -..( CQfC LINO ADDR S ^ Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation $ Filing Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ SUnoINGADDRESS PERMITFEE $ Fe > PLUMBING PERMIT Fling 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARC MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Rem//0o--del ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �Y,2 Q � Q�J ( Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( 8 ACC. ) SO. 3.5¢ Fr. MULTI.OUTLENS. NEW CONS. TLET NON•RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER SINGLE APOPARATUS ) 8 UTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 ®1.00 SAL 50 Ex. Occup. (oFIXEEDrs PLNS. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 3 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $, HA2. D. FEES IMP FLOOD CDF PARCEL Po HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. Cab WUITc.n n c .R n T:ANARY-ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT (�`7o suwfzS ST e ofSCALL SO' ol CV vol Mt r' r i I L ' 1 70 I . 1 i 1 !�� 3 ! �,EOI�o►K 2(.Xs(o wiA�luFAcrUpFp HOME P&'tM0 r FOJNJOA -i9FA (REPJACfS EXISTING YL wV Sa i,. kS 7—tvtli. ,VH a. 802-76Pj�� ARMIT NO. PERMIT EXPIRES Lw <OWNER Orland Below ,,,CONTR. oumer -j,LQCATION (A.P 35-224-12 4,1976 Summers St., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB L. FOIN ED (Date) (Signature) - l — COUNTY.OF BUTTE — DEPARTMENT'OF PUBLIC WORKS, BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping t Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers 4: \ Cooling Roofing Sewer ✓� pZ`7� i Garage Fdn. Vents Fixtures i Footings / Garage Vents Water Htr. Stemwall Slab ' Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test �j Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL ,Reinf. Steel / Final I\ Fixtures Bond Beam A FIRE SPRIN LERS , Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHAN CAL Grd. Fault Pro .(' Scratch Heating Service ✓ —' Brown Cooling ``t Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final /J DATE+ REMARKS OR CORRECTIONS 'r aoe (NOTE: An entry must be made on this form each time you visit the job site.) Owner Owner's Address!": Mobilehome Mfg.—-���s:�isv Model _ �� Year/V76 Insignia No. �g�—� �9 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Direct, of Public Works Date _ ` � /'! 7, By�.dc/ f THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 9. Electrical A. Is - service large . enough to provide adeVti z'Ete''amp erage to mobilehome (must equal rating of mobilehome with a minimum of 100 ami) and other facilities•on lot, i.e., water pumps, garage, cabana, etc.? Yes_x No �/ B. Is there proper clearances around panels? .Yes /� No C. Is power supply cord or feeder assembly properly fused? YesK No .D. Is continuity test satisfactory as per the following procedure? YesrNo 1. De -energize electrical wiring system of the mobilehome at the pe estal. 2. Make 'sure that the power supply cord, or feeder assembly conductors, including neutral coiiductbr, 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. 5> 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 sanitation9 4 11. If everything okay,sign off card and tag .services. MOBILEHOME DATA Manufacturer and/or Namestyle ' Length Width Vehicle Serial No. f rp /� State Identification No. Additional.Information or Comments: ' t .. 0 s r -MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome 1Qcated xit required `se— a!k at bon from lot lines and buildings and generally conform to plot plan? Ye's No ` 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes}`_ No 3. Are footings and supports properly sized, spaced, and braced as`Vr approved plans? (Note possible variation at:spring shackles.) (Sec. 5082 & 5083) Yes X,No 4. Is the mobilehome level? (Sec. 5088) Ye sX No+ 77�� 5. I,f rq�r�e than a single unit, are crossover connections properly installed? (Sec. 5088) Yes 4 No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes4. No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coState of California approved, does station have backflow device and pressure -r' 's ,not ief val Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? YesX No B. Does it have minimum k" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system afte un ing 3-gallo,s of wate t�irou ch fixture including washing machine standpipe? Y s� o �L�� D. I ''c ach is not State of California approved, does station have required trap and vent? Y No 8. Ga Piping 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 mo i ehome gas line inlet without reductions other than the mobilehome connector. YesAi No B. Test OK as per following procedure? YesNo 1. Open all appliance connector valves. -A 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/Y No. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephonet, 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ' Date r_ � / Sign lure 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 id. DIRECTOR OF BLIC WORKS By ate 3--z-f' %C ft. (ding permit expires Date _ -Z-1 — % BUILDI '� Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor.J'Alj e S b;1e_ o ut e. 711'AWS' oc- T Total Valuation Mailing Address S'76,FQA7-b-e, 'Pty"� QLv� Permit Fee Checking Fee&/or Penalty P r s, G L. �_ NPlan lep one No. a 3 - 77 7 Permit Fee $ Building Address Z?%ro it N M �p S PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 YO U L L Each gas water heater or vent 1.50 A. P. No. �j - 2 — y Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S FireDept. Fire Zone Use Permit Building sewer 5.00 EQA�/PPlan arkins Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 BI�. Plans Recd Parcel A roval Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3,00 Main service 800°V OR o AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 00 AMP OR LESS 25.00 Main service EA. A.DD'L 100 AMP 1,00 NEW CONST DWELLING 1 OR ADDNS. ( ACC. B_LDGS.CCUP. &) 2¢sgft NEWCONSTNON. RESID R. ( BRANCH CIRCUITS) '2.50ea NEW CONSTR. (POWER APPARATUS & NON -RES,D. 1 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 style of: Y � N l Ex. Occup(OUTLETS OR FIXTURES) 101 FIXED APPLNS, OR Ex. Occup.(OUT LETS (RESID.) EA) =•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 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 /V% ZV '3O mp TOTAL PERMIT FEE $ .0 a0 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ' Date r_ � / Sign lure 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 id. DIRECTOR OF BLIC WORKS By ate 3--z-f' %C ft. (ding permit expires Date _ -Z-1 — % (If yes, identify the load and size: (Load) 1 9. What tis the mobilehome site gas pipe size? ----------------------- ' 10. What is the type of gas service? --------------- -:-- Natural ' C/ 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 ft. on LPG.) (Amps) • 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: 3. Is the site currently under permit? Yes 75U No _L ( If yes, furnish permit number �� —%�0 �^} 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 No ( If no, clarify ' ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- / 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) 1 9. What tis the mobilehome site gas pipe size? ----------------------- ' 10. What is the type of gas service? --------------- -:-- Natural ' C/ 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 ft. on LPG.) (Amps) MOBILEHOME SUPPORT DATA Mobilehome Mfr.. 171 1'7y� �l � 0)99 Setup Model No. C Year Width (ft.) Length .. (ft:)_ -Expando `Size -ft.x ft. . -(Draw 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). Single . - Footing6--(check.one) Wood :either 1W a 7-- pressure treated or Center Center Support fdn.`grade.:: Support Footing Sizes Locations (in.) ....... /.2.:Concrete pad. 3. Other, :specify in. in.kin.) — — — 41 Supports (check one) 1: Concrete block r- ��� 2. Concrete piers (f7 Int 17 3. Steel piers :T :...:.... Other, specify -•j ............ �-� G oee ke .................... Typical Support in. Footing Size . � (ff. in. ...... .. .. : Max. Pier. Se Spacing .. .. - (in.) (in.) f Max Overhang `If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED 4 COUNTY OF BUTTE — D15-PARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT dulnur[Lu rupresentaxives OT the t;ounty or tsutte to enter upon the above-mentioned property for inspection purposes. ie32 =u Date " Signature of Pe mitee or Agent Receipt No. lug c7c White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant i 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 OFoPUBLIC WORKS By ate y.. 2-46 , 4ilding permit expires Date 2 —7 og 7% BUILDING Owner (Z4 A N W SQ. FT. OCC. BUILDING VALUATION Mailing Address Q D O Y, L533 Telephone No. — Q Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address cc' PLUMING No. @ FEE PERMIT FILING FEE $3.00 3 �m Each Trap 1.50 /Z® SJ E Repair drainage or vent piping 1.50 Water piping v 4-�50 Each gas water heater or vent 1.50 A. P. No. 3,S -- �/ Zoning & Planning Gas piping system 1 - 5 outlets 1-543 p , Q p Each additional outlet .30 Fie—sl 4,K '-$ I Fire Dept. Fire Zone Use Permit Building sewer 5-190 .00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 PIa ec'd Parcel/05roval Pla pproval Permit Fee $ ID $ 3 C9 NEW ❑ ADDITION ❑ UTILITIES [A, OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100OR 00 AMP ESS v 5.00 S', &p Main service EA. ADD'L 100 AMP 2.50 S Single Family ❑ Duplex ❑ Mobil Home t�° Others ❑ Main service 10 0 AMP VER OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 r 1 'T NEW CONST. ( OR ADDNS. ACCLBLDGOCCUP. &) 2¢sgft NEW CONSTR MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea _ ,. `7r 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 style of: 50 @� Ex. Occup(OUTLETS OR FIXTURES)BAL@1 (FIXED APPLESOR Ex. Occup. OUTLETS(RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 �� pp License No. Classification Misc. Wiring 6.25 FT 1AJI am exempt from the Contractors License Laws of the State of California. Permit Fee $ a s ..5o $ 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 ❑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 $ $ 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 $ . �( dulnur[Lu rupresentaxives OT the t;ounty or tsutte to enter upon the above-mentioned property for inspection purposes. ie32 =u Date " Signature of Pe mitee or Agent Receipt No. lug c7c White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant i 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 OFoPUBLIC WORKS By ate y.. 2-46 , 4ilding permit expires Date 2 —7 og 7% .. NOTE: II Materials. & W ` Y4cCorda ce - wi+h qrs. in;, orkmanship ShaIC"Be n - uAli+ ed Good Preic+ices � .- of a 9 Y prescribed for the Specified use in 'fl e Uniform Building, Plumbing & Macho nical Codes a d Nati nal Electrical Code, I'his sot of pia the N • a UST e kept on the job t all times and it is unlawful to make any changes r alterations on same without written permisson Irag the Department of Public Works, County of -7G i All utility locate t con d necf ions within 4 ft. shall be third section of outside the rear on the left (road) the mobile hom orne. side of the Mo NIT e �l bile Z J `C o nn% !`40, o t 9 �� I � S�6t o _-� o 03ti os w W Qsd fl t Th e, :Seth �' _L 3 �l BUTT CO�J ITY . WDc 1 . the , side 'rope 'h I be 5 ft. from e centerline of s{. t and 50 ft. {ro m ' , �vI.I�DIN DEPIkf.MENT Q max"r'u►n of , ad. permitting ave overhang. V P :R'O V 1 ' PERMIT NO. 2914-76B 1` PERMIT EXPIRES OWNEROrland RPlnw CONTR. Acro -Lune, Orovll.le LOCATION (A.P. '35-224-12 1976 Summers St., Orovine E f i Temp. Power Pole j Called PG&E Temp. Elea Sery Called PG Temp. Gas erv. t /ALED PG&E ` JO (Date) . (Signature) Framing Stucco Mesh Scratch Brown Finish Interior Latt Door Closer DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY'OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION REZORD BUILDING BUILDING (Cont'd) PLU Setback Firewall Soil PI i Forms Y Parapets 1st Flo r Main Bldg. Restroom Finish 2nd Flo r Footings Windows 3rd Floo Stemwall Siding To out Slab Roof Sheathing Water PI In Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance o e structure Appliances Gas PI in 8� T st Tem .Gas iczr- Slab Final .'�• / Santtatlon Framing Stucco Mesh Scratch Brown Finish Interior Latt Door Closer DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive — Oroville, California 95965 Tel ephor;iu,:534-;4541 � APPLICATION AND PERMIT Signature � ermiree or Agent / ��B Date Receipt No. �j White-D.P.W. — Yellow -Assessor —Pink -Inspector — Goldenrod -Applicant wilding permit �expi�resDate , BUILDIN Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace _ Contractor G)Z0 — Total Valuation 3 j I Mai I i ng Address (j 3 ®�U Yj 1 l_ v 1J Permit Fee Plan Checking Fee &/or Penalty Telephone No. (�>;e�C.i1LL )`.• _� 1 Permit Fee �, `�� z g,{ Building Address �� S—' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 p O, L) I LL 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. J — a� ) Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. ire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel a P 60' R/W Im r p ov ments Lawn sprinkler system 2.00 d� Bldg. Plans Recd Par Approval P s Approval Permit Fee $ $ NEW M ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethonl2) — Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Range, Cook -top or Oven 1.00 i /Z — / �� 4"��'v� Water Heater or Space Heater 1.00 Light fixtures bD �2 10 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: u A-4 • 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. 0�-7 4 94 7 Classification Misc. wiring ❑ 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 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 authorize representatives of the County of Butte to enter upon the above-mentioned pr erty for inspection purposes. X Date TOTAL PERMIT FEE $ 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 bee aid. DIRECTOR OUBLIC WORKS Signature � ermiree or Agent / ��B Date Receipt No. �j White-D.P.W. — Yellow -Assessor —Pink -Inspector — Goldenrod -Applicant wilding permit �expi�resDate , AL'S MOBILir; HOME SERVICE 50 DEER SPRINGS LANE BERRY CREEK CALIFORNIA 95916 BUILDING DEPARTMENT I give m ermis Y � sl�n for -- - -------to pick up any permits I,have taken out for INTEGRITY HOMES, ALBERT CARL •�ecO.cs th. ��Od G$,r �6•��S,e�o'�- �i thecY P.'° � Zed prp'�8t1 eaY a� . 0� 9 `orz.:. �b7� tete gFec� ��.5 and 04 Ua ago .. s e '°fid s P2 use ' �e 6 �, �b ' 9 9X12 f E,4DFRS � 0 w 'e OV ,Zp0�,477N� ZV Sf s46f7�R'gF�S2��Z ' C40r��o 101,�-- �`FPF f r . 2X*FR,4AlIN16' NAILING 3/8 "CDX ` D. C. 7yP. Sfl£AR 6 DOE,1Z " 4NFL 40h ALL �ORN�RS OC r2' of j °hs t - 1/2X10 ;4. S 06D C. £- n " — — — — -- Provide approved ila skiing at all ems° - t3►plc�i, 2- � R68AR CONT ; 12 "X12 "FM612 " INrD t uNDIS7 REED SDIL 20 YR. CDT �X9S i�l'�i�y' OltS� •. 10X7. '.S CT740AML IDIA 6 rO AMrc# TO VOWE "CLADk/DOD _ y ,4L7rRN,4rIW L,47tRAL - suppmr DN L•-lrwv sivE Z `f' U OF6AR,41F DOM- 2-ffD4 f ON FIMER SIDE OF 64Rr4 • DDDR N/Irf,E 3/8 CDX Sff1AR Frq -1 ' f -0.0, A/AILED 6"ON EM SAND 12 -1k 7WE FILL?? Z (& • DR4k/N FOR DOROM), BAD GI" 1970 SuAIMR s,r 1/1#�1 -0 R 9 (i( OROi�ILLE7 CA. A P. A35 2241 -12 SffFf r 1 OFF! EXIS7YNo9 �oU (}FCIe in kitchen, bathrooms, garage, and prior Outlets per Art. 210-5 IE( ELECTRICAL, MECHANICAL, AND PLUMBING CONSTRUCTION ( NOT PLAN CHECKED ) SHALL COMPLY WITH CURRENT EDITION, OF NEC, UMC AND UPC. 2/6X6/8 6/8 divide one-hour protection On garage side of common wall together with self-closing 13% L thiek solid -core door F'(ogN ` t2 X 5/8 "sffEFrROcx IIRE7II/4L L 64RA6F FL OORPLAN 2O' -O " 2—ffD* FOR LAT. Suppwr 1/2 "X 10 1 W. S &V12 "FRON EN17S 4-6'& C. 12 "X12 "FOOTINkj 6 "r480VE 2-4v# R£8AR CoNr provide je X 1 U" Thor bolts @ 6, C C mac, and within i2,. of imynts_ 10�. 2-MV4 FOR LAT SUPPORr FOUND4rIONRLAA! stillrt.." C. �� ov'R,i