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039-090-009
A.P. 39-09-9 REY NYS TROM pz -1615-2 Bu-fte-Aven -ic Permit 283-7.-7 _1E for AP 39-09-9 "RhY NYS TROM Butt, Ave., Chico contr: .No h State Alum, kj.'co Permit8- 2A9-2.2-74 .(2 awnings,MH) 4 A.P. 39-09-9 REY NYSTROM /gaiiitt e -Ave . 2001 W. of Miller ,Ave! Chico 10-19-73 - I Permit '3390-73PIE(utilities for MH) A.P. 39-Q SREYLN;YSTRROW (Georgia)- ' 6 1615 Butte Ave '�� Chico CO I _ Hum. , , hico CONTR: North State P rraji Permit 3707-73B (2 awnings for MH NEW owum .39-09-9 DAN JUANA—RENA 1615 Butte -Ave, Chico Contr: Elemons Davis S I'Sol Ch.-, Permit #260-,79MMHI,(exi .-.-e Issued 39-09-9 Permit #326-79P(inst. ga ii PA nn contr--Northstate Aluminum, Chico Permit 4co' 79B(new awnings/MH) 039-09-0-009 93-3022 MHI JUANARENA, DAN 161521 BUTTE AVE, CHICO MHI/EXISTING SITE -01 RESIDENTIAI-----93-3022 MHI 039-09-0-009 JUANARENA, DAN 16152 BUYING SITE RICO MHI/EXIS - OFFICE COPY Address I GAS � Meter By Date r o ELECTRIC Meter By ' Date �Z21/s JOB, FINALED %(pate) Signature�- V= OK O=Not OK =NotReady'ablMOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement. Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L" ft. / _ /"Nat. or/ ,P'L"ft./ P'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOB HOME INSTALLATION Plana OK except #'a . Zo g Requirements -Setbacks Easements 2. ootings; Size -Spacing -Marriage Line 3: Gas;.MH Test-Demand-Valve—Connector ectricity; MH Teat -Crossovers -Breakers -Clearances b. 'Drain; MH Test -Fall -Flex Connector 6-Wgter; MH Test -Regulator -Connector 7k4V#ter and Sewer Connected -C/O to Grade -HD Approval and Electricity Tagged x Insp.-Sketch 1Q,49rt. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-ft.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials 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, Distances-GFI 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-Panelboa rds-Ins. to Main in Conduit 9. Health Department Approval - 10. Plumb.; Cir. Test -Water Supply Test "e V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd. / P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except k's 16. 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/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ' 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except k's 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except N's 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Puri In -roof Brec-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles 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 Garage -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 -Drip Screed -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/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protectlon-Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Pib., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg -Appliance-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 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: MOBILEHOME INSTALLATM ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address or location of mobilehome Owner's name r ' Owner's address Insignia or hud number—C "4 Manufacturer's name r Serial number of V.I.N. tial ing Installation) PERMIT NO. Year of manufacture / (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. ?9�039- 09-0-oo9 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVI ES -/RVILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Teleph 1 ) 538-7541 PERMIT No. APPLICADOMAND PERMI g33� ASSESSOR PARCEL NUMBER 39-n9-9 ZONINGA10 v T BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 11154 LONE PINE AVE CHICO CA 95928 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1615 1/2 BUTTE AVE PERMIT FEE $ CHICO CA PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition O Remodel O Utilities ❑ Installations Other ❑ EXISTING MOBILEHOME SITE Describe Work: . PERMIT FEE $ contractor ELECTRICAL PERMIT Filing Fee 1 20.00 (NONE) 1 BDRM Main Service I 211011" LESS OOAORLESS ) 23.00 Main Service I 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. BLOS. ) S0, 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. �LicenseNo. Classification "13 I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI -OUTLET NON -REBID. ( BRANCH CIRCUITS ) @7.50 I POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occu FIXED APPWS. OR Occup. I OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a _certificate of Consent to Self -insure. shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all li lities, judgments, costs, and expenses which may in any way accrue against said KUY in co Pquence of the granting of this permit. r;+✓ ��.�sZZcti_ Date 9, Sig a re of &Pflcantwner ❑ Contractor ID—Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of Structures over 3 stories in height. Mobile Home Installation Fee$ Energy Inspection Fee $ ' occ CONST. TYPE TOTAL FEE 166.00 ,,$ HAZ. I D. FEES IMP r-120o4z PAR PD H I E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By U Dateo� PERMIT EXPIRES ON lDa el 6 Receipt No. / / 148460 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V COUNTY OF BUTTE - DEPA►RTMENTOF DEVELOPMENT SE I E -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE AF IFORNIA95965 - E HONE (916) 538-7541 PERMIT APPLICATION DATA SHEET JI i OWNER [�/�� ✓fd 9,r;?R A. P. No. Cy Proposed Building Use &/% /1CA!Z Building Inspector C- Date �! / S o U,4 ,'r' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED 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 . ... ................... . 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. ....................... . ((��. Z Flood elevation letter (100 year flood) b California Engineer . ................. . U�\14�'Sanitation and plot plan approval y� Health Department . ............ 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 (constructs n approval required prior to occupancy). .. ,. °i 2 20. Pre -inspection forP� (qf -5 �P required. .. oBuilding nspection dor (Date) 21. Contractor's license informatio . (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 . ...................................... r 32. Plan check list. ...................................................... 33. 34. / When you issue the permit, process as follows: L/Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation 4 Acreage Applicant ate �- /0 - 93 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: isrsuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _phone _mail Co nter by _Date Contractor, designer, owner, was advised of above required data by _ phone _ mail ` C nter 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 t TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance G.H. USF ONLY Hot ri.„ Atuched -T Floor Han Auachrd Soni w IS.I�� I�.d1 a g Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for �— bedroom mobile ome. ONr�or, /n15D��co(D, Z didVl�r 7 l�C ��► >Q a� �h�� � � n� .� �,�o rr.� ra`�1, `�_�(� x )Z n,,nhln � to Asia C��e-� n�e Hold final for: Final clearance O.K. for: NOTE Env ronmentaY Health Specialist 8/92 X93 Date (� COUNTY OF BUTTE t BUILDING DIVISION - DEPARTMENT OF DEVELOPMENT SERVICES �..� 469 Humboldt Road, Chico, CA - (916) 891-275.1 1 (Y County Center Drive, Orovil e, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE" J Uxft41V,0- 73- ;3Z 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. c 011ie o N C� C r C4- G,,:� P c�i1 � �..► c �r� v( _ 5) nne,>.1, Gd: /Ie?4r^ �/-- A0'ac de -te',— c0,-F4(r - ^5 4 1 {2A— X51 — 2�S�1 Date 1 v L l Inspector r REV 10192 r _ COUNTY OF BUTTE . BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroyille, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICEir" S4AUAF1F/Ja 93- 3oz OWNER PERMIT Aroutinie 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 iscovpleted. tfyou have any questions pertaining to this matter, or need additional explanation, please cant pct this office immediately. 0:34S LJ�-nle- . Date Idl Inspector REV 1o►s¢ }_.'....y:."^w*"v--+v'4-`r.a.....t..y.ry°C•tcgi'�`'p"�'�'tai+.r'.�f4+'S'+r"�+ F�..'1'�i,.'x..-,7�^�'�+trv-,"r�vvy COUNTY OF BUTTE` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES -- - --- •• 1.469 -Humboldt Road, Chico, CA - (916) 891-2751 -. 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872=6307 :•>.r CORRECTION NOTICE OWNER — sr 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 eiiplanation,'--r please contact this office immediately.: Ir i L„ � � C CP^"' Or B - Deja=-- a^_ o c '•_o _c ':a xs i CJun c f Cenca= Or :•.re , Orov _lLe , CA 941-36i Phone . 9 Li - i �ON "nc_on Owner. An "owne=-builder" bui'_diag pe=3ic has been apo Lied for in ?our name and beari«g siasacure. - . Please ccmPLeca and return chis iafcrmacioa at ?aur earLiasc Occcr_uctC7 tc avoid "Cass a=y delay is processing acd issuing ?aur building pe=mi_. No building terr__ be- issued until th- is ve=i=icacioa is received. --I. I persanally pLaa ca 'prov_de the majarbar and materials for ccnsc_::c__ca of the proposed property arovexeac (pe or ao) —2. I (have/have acc)JL_,<,aA_signed as apoL= acioa for a building perm:: for the prcposed work. 3. I have caac=ac_ad with the !aLlaw:ng person (f:=m) to provide the proposed ccasc==tion. Name Address City Phone Czaz=acccrs LIcanse Na. (^ I pLaa to provide portions of chis wvrit, but I have homed the faLlavcg person to ccordinata, suoervise, and provide the major work: Nate Add=ass Cicl ?hcne CJa==2c==rs L:cacse '611C. pr_v a seine of the wart but :have coac_ac_:d (ai.ed) c.':e foL_cw_:.a persaas t3 prcv-ae c he work, is dic3tad : Na=e Address Phone Type of r,;orc r Signed : ?r-cer_y Owner Social Sec:tr t7 Yuaber - 2� Dace :pis is sent cc ?ou as required by Secciaas 19S-211 and 19821- of c.he California F-ealch and Saracl C --de. This verification must be ccmoLecad and recurned.cz. our osf:ce be=are we are per- micced to issue the perms. �c&x L J Prdp orTy � I r►c� �• — -This 90 of plans and 'specif6tioi MUST ba kept on the job at all times and it is unlawful to make any changes or alterations on some wW out written permission from the DeparhnW of Nblic*Works, County of Butte. NOTEa-� Materials & Workfmnshlp Simi Be ih Accordance with Recognized Good Praefees and • of' -q, quality prescribed for the Sppecified case in f6 !laiFofrn 80&4, Plumbing do Mee6aniuii codaNMI 1 16 hWioml Electrical Code. J � / ALL MUCTURE0 AND EQUIPMENT INCUfbfN01 OVERHANGS SHALL BE CLEAR OFALL EASEMENTS. SME COUNTY ; A SET BACK OF 0 FT. FROM THE SIDE AND BUILDING DEPARTMENT 10Fr. MOM THE REAR PROPERTY LINES AND O STRUCTURES AND D EFROM 7W ROAD QR LINE SHALL BE APPROVED IPMENT EXCEPT � �� ' FOR A 2 FT. EAVE OVERHANG. eo- i o c � � J � I `SIT t . J TR���EQ oT� 3 i• ' b `SIT t . J TR���EQ oT� 3 i• ,it Si, clol :`,`t tm8a no if) -All rnoll lt.. V V jjj 11 j.1 MOBILEHOME SUPPORT DATA If other than single wide, Ms,bilehome Mfr. M Fi N -re -e furnish -Setup Model No. Width (ft.) Box Length_L_(ft.) Tagalong or Expando Size Year ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)Wood-pressure treated or foundation grade. ❑ 2. Other (specify) SUPPORTS (check one) 1. Concrete block . 2. Other (specify) - Pier Footing Sizes and Locations SINGLE -WIDE Line 1 LlIIP 2-� Main Beams — — — �0 2 — —- - Maio Beams — — — — — — — Tag or Triple Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size-Min------------------- Spacing-Max - -----•-----------Spacing-Max. --------- k Each Side of Openings From Ends -Max - ------- With Width Over --------- Line 2 Piers: Size-Min-------------EN Spacing-Max. -_-.'-__-From Ends -Max.------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ Spacing -Max.- From Eods-Max.------------- •_ „ Size -Min------------- Spacing -Max---------- From Ends -Max .------- Line 5 Roof loads: Size -Min ------------- Location (From Front) V . Line 5 Piers• Size -Min------------------- 'k Spacing -Max---------------- From Ends -Max.------------- .BUILD � E GoUNry DEPgRTI�E, A PpFq -0 it� j�. fix �x BUTTE COUNTY <DEPA'RTMENT tOF'iPIUI LIC. -WORKS 7 County Cie?rater_• Drive., ;0"r`ov. lle, CA PHONE':_'- t538 --a7541' MOBILEHOME INSTALLATION SHEET 1. Owner's Name: MA A i 'e� /a ION 2. Installer's Name: 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 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 w 5. What is the mobilehome electrical rating? --------------- Amps 6. What is'phe mobilehome site service rating? ------------- �L,TO Amps 7. What is the mobilehome site circuit breaker rating? ----- S C7 Amps 8. Is there any other electric load to be served by the E mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- ��SC(in.) YP ?------------ ---- 10. What is the type of gas service --- Natural � LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- '/ * 12. What is the mobilehome gas demand? ---------------------- 7' 00 6) (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) �rdp y�y L f r►t� �. — - v .6o V. q�0 i doo J ' / "1v b° ('S t 3 is O rsw% p e'1 ot f �a -- ---- -- <<f— — — — -- "Tro A we . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County -Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER O ZONING /.�./1_ - G %� ' Y BUILDING PERMIT OWNER A /K E IVZ- TELEPHONE SQ. FT. OCC. BUILDING VALUATION dL/I v/1 C(•' ///S_ M ILINC ADDRESS % A V�e, /) / , C CONTRACTOR'S NAME TELEPHONE6� CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ Z '3 ARCHITECT OR ENGINEER UCFNSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS / v A V PERMIT FEE $ — PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBOIVISION'S NAMEPAR CEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome 8' Other Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 _SPECIFY TYPE OF WORK New ❑ Addition C1 Remodel ❑ Utilities ❑ Installation ❑� Other Cl Cescnk:1 C�/�� ,�<PiGc�ryiQiL.Q, AV- 12 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( "OR LESS ) 23.00 2WA OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC UP. OR ADDNS. ( A ACC. BLDS. ) SO. 3.5C FT. •NEW CONST. MULTI -OUTLET NON•R SID. ( BRANCHCIRCUITS ) @7.50 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason POWER APPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 00 BAS @ I.50 Ex. Occu FIXED APPwOR.) p ( OUTLETS 1REsID.t EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to I building construction, and hereby authorize representatives of the County of 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 against said C my in consequence of the granting of this permit. X _QkAa,.,t.6�'iX��`— Date 9— 7 — 93 Signature of A icant-FY6wner O Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee $ /00- Q0 - Energy Inspection Fee $ occ CONST. TYPE / TOTAL FEES HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON fDe tel Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ..� �..,w„�jM,;n.+•.�w'u Y'+"sTaF'+«mF"i..-m..s<<y'v9"irt'�'.�,ad+'"�T'y�{ lraj(�.+�r�p%�'yyW�4�[_4��n��'�,���'.��H��"'�'1��fi1trx�i+.mt';.,�'y"�p�r". L h.n BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District C/// e, ev A.P. Number 215. 00``9 Jurisdiction Property Owner �'e^i J `zAr4l Property Location/Address W �Z Subdivison Residential Development No. o- Living Xe-t*1%14W-J Units Commercial/Industrial M Building Department No. City 0� County 10519- NJ vow 2✓---" d MHI L4 r �6 New Lot No. COUNTY OF BUTTE BUILDING DEPT SEP 1 7 1993 Sq. FootageZ- Addition (Group R) 0 Sq. Footage Addition e Building,tee Ortment Representative Date (Floor Plans reviewed by School District Personnel) (Including Exterior Roofed Areas) District Identification Oo. s J V school District certifies that CA th G n(2 iLOJY1(,f=� (Applicant) 11 y<� h Q P� C� `3ya- 796 (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. �o� 5ad%53 representing �J 2 square feet. School District Representative Paid by Check Number /V Bank Number _ Paid by Cash Remarks-.- by emarks. by payment of $ .r Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School Disteict 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. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) PERMIT NO. 586-79B PERMIT EXPIRES OWNER nAN mtANARF.NA CONTR. NarthState Aluminum LOCATION (A.P. 19-09-9 ) 1615 Butte Ave, Chico a' Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Tem -fGas Serv. Called PG&E joe FINALED (Date i ature) a Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPEC-UON RECORD BUILDING.. BUILDING (Cont'd) -PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (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 ephonw.- 5344911 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection putposes. X e igno ure of rmiitee 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 which fees have been paid. OF PU C WORKS BDate Building permit expires Date BUILDING / Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address T, le hone No. Contractor Mailing Address Qol Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee � l PLUMBING No. @ FEE 1 PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 ��--1� ,,. A. P. NO. — O C) — — Q -QZanikg g.� �Planning Water piping 1.50 Each gas water heater or vent 1.50 Ft/ W.C. S .' tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA I Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Each additional outlet .30 uilding sewer 5.00 Bldg. PI s Recd Parcel A r al Plans royal Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ .$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS loo AMP LESS 5.00 Single Famil ❑ Duplex ❑ Mobil Home Others g y ❑ -L Main service EA. ADD'L 100 AMP 2.50 !� 1/�� X qNEW Y / yr. -3 OVER Main service OVER P O 25.00 AMP OR LESS Main service EA. AOD'L 100 AMP 1.00 CONS. ( DWELING OR ADDNST ACCLBLDGS.CCUP. 7) 20sgft CONTRACTOR (CENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of Y `�'� •••�—.� NON CO -ST- MULTI.OUTL T NON-RESID ( BRANCH CIRCUITS 12.50ea NEW CONSTR. POWER APPARATUS&J NON.RESID. SINGLE OUTLET CIR. Ex. Occup {OUTLETS OR FIXTI'RES 5 L� FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID•) EA) 2.00 Temporary service 110.001 Mobile Home Facilities 15.00 License No.vZ%4�l>OK_ Classification T- r/� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wo en'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. FEEPERMIT FILING FEE J$3.00 Heating Cooling 1- • - Ventilation j , 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 Land Development Fee $ TOTAL PERMIT FEE $ a�0 authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection putposes. X e igno ure of rmiitee 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 which fees have been paid. OF PU C WORKS BDate Building permit expires Date -181Z Fid INV T NVQ' r Li �, i; IIJ) -��] :Nvom 0110MA 40 lidga COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of 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 By Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. E Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 BLd.g,. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bo �o Receps., switches & fix outlets n 10 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. FanorF.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 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 �w rr 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 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature 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 By Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center b'rive 1� Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. P., X), Z r �: 7- XI - $i nature o _rmAgent Date 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 By Date= Building permit expires DateG.q.L .2� , BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Tele�jhone No. �r 5^� Fireplace Contractor t- Total Valuation Mai I i ng Address Permit Fee PI an Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building AddressPLUMBING L..-* No. @ FEE PERMIT FILING FEE $2.00 "t. Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 3-0 Each gas water heater or vent 1.50 A. P. No. �j — / r 3 s Gas piping system 1 - 5 outlets 1.50 j ,570 Each additional outlet .30 Fees C. S ylj i FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans ParcelParcel Declaration Ma P 60' R/W Improvements p Lawn sprinkler system 2.00 Pans Recd Parcel Approval Plans Approval Permit Fee $ $ O( NEW ❑ ADDITION ❑ UTILITIES ga— OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 �O Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) 01— Single Family E]Duplex❑ Mobil Home �J Others ❑ Range, Cook -top or Oven 1.00 5� C� JLight Water Heater or Space Heater 1.00 fixtures bal dlo Receps., switches & fix'outlets ba 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 ;UO 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 $ $ L 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 ;5permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. P., X), Z r �: 7- XI - $i nature o _rmAgent Date 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 By Date= Building permit expires DateG.q.L .2� , _�...>••T-•r•• ,-_r- �TT �- I �—I— - —}— -� i_'_��—_�.� T. ! _�...� i � r !_ +`•t i. T.. —I..�- �.__ — --- -}^� 1-1 �.-1,7�_.I_ _-J.1Ti .+ I I ,I {, 1., _I ! I I , ti '.J_ _j • r r 1 _�.;_.-' Cd �'urv:G�l I ;—i -I 4 . _ �.,- I+.j- r L r + �. L _ .Iu�_ {t 1 ._�_i•_' ' I ! _ I ! ,.- d►i �i .i t,-putslde?-.Yh;err a ::!.. .1.-;- - --� -->•-�-;-- --;--�I-r_.. �. .�-j•�ll�'3. ! -i I -�—�-�---!_.� _t J J F...I_ ' I � �J.�.. • r- - � l: L # • I-- - -!--+-- _!J.J. .i I I 1_#tri-rd{--� �ctlla�t-b�._!t �#`�i._�9f� - e_ rano' ill�_i�io�rn r -i --t- J..__...� L..i_t_t- -Sf.�/���I__(✓�/ir��! _ I._ _ :; .�. .!---�Fir/i� . v:i� : f! �ir�-L-..� ! - _1_{... -{-1--�-- i I---{- --�-- I•- � 1 1 ��`_' �.._L_I ' ;.--'--'-� _J _.1-'�--�---.-�-jLCP4•S�L-:.,m_i 1 1 t. -I" (� -i-l�i-1--I_�._i �• f4 I. i ._; ! ! �.I ! ! ! � ' _I_I-' _1.;. !_.,_!,r_! _ � � 17- ff !._ � - � i ,-�-k-J- ' �` _f t{l ..a_J_ .a..?_.;._-C.;.�_.-•._• �.I_�_•L-.I_�-,— .. 1_._��.�_ ..�_ ; 1 _L_�a__•_:_.� �i __!_. _�.L.J_.�.1___.i.J....L_�_.�,{_ I_�I 4 -I L.1.' ! __.I ' I ' ! I ! I !T• (_a. I r...�� 1_.,_}-�-;' L.•- I-- -f _. -- -:L�-_ ..l_!'...J--1-- . I"� � _ :-�f _! � i--• l __! _I_...- -- ---'_ I - -!. I I ' - - -- - - _.. ! I _! �-' ..�j — �Thfs tO�f",pt' -in — 1- s' e ijfr o !t -L�'i I� � -dr- � � •e � s. - n! Fri �-- r itis bers� ryr t - ea r { ' .� j o -8 .I / !-- I --{----I-�-'-�- --,-I ! T-_��- _J-I�•-1-r- ---•t:!-�-- --!-r 11 J--1-_I_.._._l._;. 1 �_ : _.! ' --� —` I ; _ ,-I—�-�-'i--;•-'*-�--!•-I-ti _i._I--- I _.•._. � ..__�_ _.1__i_.`r. ..J:_L�l._ .� �--- I _. .._�.. - I--r----f-'--k-�_.i._:_i _ ..� _'_ r..!._L_ t_. _1. 1 ! ! _ ._ �:;...I. _c-L_I_. _•t.LJ_.L�1__i,_t_1. �_t._.._�.._..�_L_t....L_G-- _l�..!,_1_l-.!r.•!•:..1:_.�--a,.�.��!_l,.•;r�._. ��_..J. _.�IGi_L��r,.�...1._�.�.J_l...i...l_A. t , L1....L!a_.i... 1 ; Ittt I [3 ! , s�� 330-73 PERMIT NUMBER - B 3707-73B P E PERMIT EXPIRES +'OWNER Georgia Nystrom yCONTR: North State Alum., Chico LOCATION (A.P. 39-09-9. 1615 Butte Ave., Chico. F v 0 A COUNTY OF BUTTE Department of Public Works BUILDING INSPkCTIO.N. RECORD Zoning Setback Forms Foundation Piers & Girders Fireplace Rgh: Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS 0 4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 11,11 7 County Center Drive — OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnunte representatives of the County of butte to enter upon the above-mentioned property for i spection purposes. x- Date -- Signature ofPermiitee or nt 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 0 PUBLIC WORKS BY Date It-. B r ding permit expires Date ...... ..... '�. BUILDING Owner -SQ. FT. OCC. BUILDING VALUATION Mailing Address �GG �� �� U 0 D !� Fireplace Contractor G,� f'� Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ 6G Building Address J��"� �1—E PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 _ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 r J�� A. P. No. v Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sa i ion FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Rec d Parcel Ap ova Plans Appr al 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 baIm i 1610 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: ,�//�� / lVU�'T ��/��[� ��/e�%C/C/� 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. -�Q� 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 re uires every employer to be insured against liability for Work Compensation. 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 $ G% autnunte representatives of the County of butte to enter upon the above-mentioned property for i spection purposes. x- Date -- Signature ofPermiitee or nt 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 0 PUBLIC WORKS BY Date It-. B r ding permit expires Date ...... ..... '�. PERMIT NO. 2932-74R P E 6 M MH7� �^ PERMIT NO. G PERMIT EXPIRES OWNER Rty Nystrom CONTR. North State Alum, Chico LOCATION (A.P. 39-09-9 ) j, } 16152- Butte Ave., Chico i Temp. Pov Called Temp. Ele Called Temp. Gas Called JOB // FINALc ED o (Date) (Signature COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS A�7 Co.tnty Center Drive - Orovi Ile, California 95965 ''�, �`• i (((( Telephone: 534-4541 ,'APPLICATION 'AND PERMIT BUILDING Owner /j SQ. FT. OCC. BUILDING VALUATION Mailing Address r j � r. ,r Telephone No. Fireplace Contractor_ .� i/t �..-• � .rte!/A-lf::.�-� Total Valuation _ Mailing Address � 3! Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $�L Building Address J PLUMBING No. @ FEE PERMIT FILING FEE $2.00 //"z j- / r Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 C CG A. P. No. / / Zoning & Planning Gas piping system 1- 5 outlets 1.50 Each additional outlet .30 sees V�. Saa tion Fire Dept. FireZone f Use Pen -nit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 6C�' R/W ImprovementsLawn sprinkler system 2.00 V Bldg. Plans Recd Parce Alr ppro-val, Plans Approval Permit Fee NEW ❑ ADDITION 20'" UTILITIEaELECTRICAL ❑ OTHER ❑ No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Hom3 0/ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Ar_ ' Water Heater or Space Heater 1.00 Light fixtures b00 5 0. 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.--'1f.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Misc. wiring License No.a;V e24) Classification e i ❑ I am exempt from the Contractors License Law.- of the State of Cal Ifomia. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 cf the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ��ilwh a 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 23 authorize representatives of the County of Eutte to enter upon the above-mentioned property for inspection purposes. X / /! �1.�a�.�.� Date 1 1l.ck Signature of Permitee�r`eAgent Receipt No. Z. Z �_ White-D.P.W. — Yellow -Assessor — Pink -Inspector— Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By -. Date Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT, OF PUBLIC WORKS . BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidinq To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas - Final Sanitation FIREPLACE Final Footing EL FIRE SPRINKLEF Test Final MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS Rough Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final L 4 PERMIT NO. P E r M MH UTIL. PERMIT NO. 2837-74P, E PERMIT EXPIRES }OWNER Rey Nystrom I jCONTR- Owner x 4LOCATION (A.P. 39-09-9- 16153-2 9-09-9"16152 Butte Ave., Chico i r� j f 5 r f - Temp. Power•Pole Called PG&E TVW—Elec. Serv. Called PG&E �. Temp. Gas Serv. Called PG&E JOB l FINALED ` 7¢ (Date (Signature COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Flodr Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping 6 % Piers Roofing Sewer / 2 — - 7 Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonr .Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service — -- Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS u d'p I✓ 0 � �r-G/ /a - 75/ Lae) 44, 0 �� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS , 7 Cointy Center Drive — Orovi Ile, California 95965 Tel ephonp: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. Signature of Permitee or A t Receipt No. 17- LTJ 13 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS / By Date7_2,3 Y B ' ding permit expires Date ............. ......................... iJ� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address CJ Telephone No.^� Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 44 4 Repair drainage or vent piping 1.50 Water piping 1.50 / Each gas water heater or vent 1.50 A. P. No. �6 �ZO Gas piping system 1 - 5 outlets 1.50 , 'c7 Each additional outlet .30 F S it ipn Fire Dept. Fire Zone Use Permit Building sewer 5.00 �'Vd EQA I Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im prove ents Lawn sprinkler system 2.00 Bldg. PI Re00'cd Parcel proval Plans Approval Permit Fee t G( NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 CCS 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 So©Sc,Z l/`i C-000� S Water Heater or Space Heater 1.00 Light fixtures 20 X025 0. kn «� S Receps., switches & fix outlets 8i1@1 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 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ 100 WORKMEN'S COMPENSATION INSURANCE I 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood ''2.00 Permit Fee $ $ TOTAL PERMIT FEE $ 2 authorize representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. Signature of Permitee or A t Receipt No. 17- LTJ 13 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS / By Date7_2,3 Y B ' ding permit expires Date ............. ......................... iJ� BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH Division of Sanitation 695 Oleander Avenue P. 0. Box 1100, Chico 313-14211, Ext . 51 MOBITE, HOME SITE PROPERTY USE AUTHORIZATION 2430 Bird Street Oroville 533-1230, Ext. 297 To: Butte County Health Department 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: to camp ( ) ; live in (Name)' a mobile home (�}; on the above mentioned property;. and to construct, main - twin and use such sanitary facilities as the Butte County Health Department deems necessary. This permission extends from 0-tyl .to ' (Date) (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 S26 -1167R BUTTE COUNTY DEPAR'T'MENT OF PUBLIC HEALTH Division : of Sanitaaion 695 Oleander Avenue P. 0. Box 1100, Chico Ext. 51 APPLICATION FOR PERMIT TO CUSP OR LIVE IN MOBILE HOME 2430 Bird Street. Oroville 533-1230, Ext. 297 Date: Applicant..'.s-Name : - MARK A H i ariaom _._ r ApZ�licant s Home Address: License Number of: Mobile home: Registered owner:'aft bescription: Length b�� Color Makesl� Date first placed on site:.7 '4142 d 70 Number of Bedrooms:- Number edroomsr Number of people to reside in camp -area or mobile home: Location of proposed site: (Address or detailed description in addition to route and box no.) Name of Property Owner: Address of Property Owner: a cCcp Size of Property: __ acres, or._ _ ft. wide x ft. deep Proposed - Length of Stay: MY'Y Proposed. Water Supply: Proposed.. Sewage Disposal: e� , 42 o Proposed Garbage Disposal Method : Does Trailer have:. Sink ; Shower Toilet , This application is made pursuant to provisions of County Ordinance No. 632 and the above information is complete. and true to the best of my knowledge. No rent will be charged or paid for occupancy of this mobile home. For Planning Department Approval Where Necessary. Approved By: - - --- — Signature Date: S17 -1167P rate ..?F; •�._�-�:;e ,: 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—'," %' 79 for the following ocation: '. i Z -V/- Owner �' " ' /r - Owner's r -Owner's Address 3J I �- Mobilehome Mfg. Model Year Insignia No.0 V7 �.'Jf' 7 ' 9 5- Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works - Date/ 7,t By G,_-;7" "/,l-lf f THIS CERTIFICATE IS VOID WHEN MOBILEHOME=IS RELOCATED White -Owner, Yellow - Iastaller, Pink - D.P.W. �D PERMIT NO. 260-79MHI (existing site )j r PERMIT EXPIRES 1/18/80 OWNER DAN JUANARENA ' CONTR. Clemons Davis MH Sales LOCATION'(A.P. 39-09-9 ) 1615 Butte Ave, Chico i V • lc. .T v • t IX 1' 1' Temp. Power Pole Called PG&E Temp. Elec. Serv. QAiled PG&E — SO Called PG&E��—�D��„ �S JOB FINALED (Date) (Signature) Dj ,Electrical A. Is service large enough to_provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum ofJ00 amp) and other facilities on lot, i.e:, water pumps, garage, cabana, etc.? Yes ` No B. Is there proper clearances around panels? Yes �No C. Is power 'supply cord or feeder assemblyiproperly fused? Yeses No D.. Is continuity test satisfactory as per the following procedure? Yes o 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. .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,,'r test shall then be made between the,grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? A/O 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle /rl' Length Width Vehicle Serial No. State Identificatic Additional Information or Comments: %aD si�,2 liiGc / .4 /DD ce 6Z n4 MOBILEHOME INSTALLATION INSPECTION CHECK LIST s.the mobilehome located with equired separation from lot lines and buildings and generally conform to plot plan? Yes No Ems-- Does the mobilehome have required clearances above ground? (Sec.5085) Yeses No ( Are footings and supports properly sized, spaced, and braced as pe pproved plans? (Note possible variation at spring shackles.) (Sec.5082 & 5083) Yes No Is the mobilehome level? (Sec. 5088) Yea 6- No OIf mor than a single unit, are crossover connections properly installed? (Sec. 5088) Yeso_ Water A. Is flex' le 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 ! IBanw - If coach is not State of California approved, does station have backflow device anssure-relief valve? Yes_ No Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes // No B. Does it have minimum" per foot slope and is it properly supported? Yes C. Are any leaks detected in drainage system after running 3-ga ons of water through each fixture including washing machine standpipe?..Yes No 1 If tqis not State of California approved; does station have required trap and vent? Yeso— M,/Gas 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 mobileh •e gas line inlet without reductions other than the mobilehome connector. Yeso / B. Test OK as per following procedure? Yes Y 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 a COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORDS BUILDING INSPECTION RECORD , ' BUILDING Setback Forms Main Bldg. Footinos Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walli Reinf. Sloe Bond Beam . Framing Stucco Mesh Scratch Brown Finish BUILDING (Cont'd) Firewall Parapets Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Insulation Prov, for physically handicapped Conformance of ex. structure Final FIREPLACE Footing Throat Final FIRE SPRINKLERS Test Final MECHANICAL Heating Coollna PLUMBING Soil Piping 1st Floor 2nd Flooi 3rd Floor Topout Water Pipin Sewer Fixtures Water Htr. Heaters Appliances Gas Piping Tema. Gas Final ELECTRICAL Rough Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole interior Lath I Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ...--.-:p,9!±%4- - Elec. Service -L� -79 /0a4.Pedestal i G Water Piping Sewer — Gas Piping I y Support - Elec. Continuity WaMONter Piping _ 9 Drainage _ Gas Piping o� 0 a./ z X iS'i 52 72. ATE RE ARKS OR CORRECTIONS ll -79 1arc%/ W4sd�il,,; T I �f as o� �u��/c� �L Ila 11J,J,'9 r114 r x ,sem. A4 c/ © �.�s� //�,� �'Jo �Ta� � �• i -us � //47o.v �o����o� D/L / - W,5 =7 7" T O,L� A s�/1al / ��i�� - �.S` � �S� NO�� SGS �i�� i us Illd % � IoM coo C/4 �G09all£l %a•z! 'q��ira . (NOTE: An entry must be made on this form each time you visit the job site.�&j-7- 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 for the following location: Owner 0 1.• �/; Owner's Address f a Mobilehome Mfg. - Model �� �" Year Insignia No.% F7 95 le Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works " Date /r i— By r THIS CERTIFICATE IS VOID WHEN MOBILEHOME-IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT X J� �yL*� o .���C$Date '1 E TbR`OF PUBLIC WORKS Signature of Permi tee or Agpnt /Al/ i Q/ /3 i /_ Y Dat Receipt No. (Q (p! `�" White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date BUILDING Owner A.l�j t15L_ vP,-NaV,�oiPr- SQ. FT. OCC. BUILDING VALUATION Mailing Addddr�e�sssR-r- I $©x -A4-7 I_ rTIT��/' CSI pj�o�j netlo. O `5 O Contractor ®� IN e- Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address gv AvE - Planng Fee&/or Penalty Permit t Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 s00 Each Trap 1.50 �a Repair drainage or vent piping 1.50 A. P. No. �R— 1 '� 1 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets wi•.5(L �Q�QQ EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 B ec Parcel AEproyal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ prER permit Fee $ /3r Od .$ / 3 Ol .10 STACL.L, fJ p(Z ' � M FF ELECTRICAL No. @ FEE ( L n gs. PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L loo AMP 2.50 Main service OVER a O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLBLDGS.LING CCUP. Y) 2¢sgft 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 sle of: NEW CONSTR BRANCHCIR-OUTLET NON-RESID (MULTI BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES BAL@102 Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of 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. 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. FEEPERMIT 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 property for inspection purposes. Land Development Fee $ TOTAL PERMIT FEE $ 3 DC This permit is hereby issued under the applicable provisions of t0eVNte County Code and/or resolutions to do work indicated bove or whr,�pes/have been paid. X J� �yL*� o .���C$Date '1 E TbR`OF PUBLIC WORKS Signature of Permi tee or Agpnt /Al/ i Q/ /3 i /_ Y Dat Receipt No. (Q (p! `�" White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date I COUNTY OF BUTTE DEPANITMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541-7? Telephone: APPLICATION AND PERMIT QUUIVIILW IOtJIWJVI1la1IVC0 UI Ule 1rOUllty UI DUtLU N VIILUI UPUn tree above-mentioned property for inspection purposes. X ( , l/£..,� dGC-11_ 4], Date G Signature Qof,tP-ermi-teee or Agent '7T� 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 which fees have been paid. EC O*PULIC WORKS Q' Building per 't expires Date BUILDING Owner O&V "T"AAWCAJ,9 SQ. FT. OCC. BUILDING VALUATION Mailing Address 0 1 (30Y 1,PY-9 fj EF &N,040 64AI epi- 5 58 Contractor Cl- EM oN5— 4MV,(S #.1 6el, 4' Mai I ing Address 2/r' 3 3 E SFLAa/.q low i4 V L' Fireplace Total Valuation 04'G4 C&Li, Zelephone No. -q'4q Permit Fee Building Address PlanCheckingFee &/or Penalty Permit Fee 1615 6 r -r c A vE G%l iGo Cfi Z, IT. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 03q -09G _00,/ — d QQ Zan P nnin g Water piping 1.50 Each gas water heater or vent 1.50 F ion Fire Dept. I Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EDA [P arking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans eed Parcel A oval I PI s Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ if / G SI ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Q Others ❑ Main service EA. ADD -L 100 AMP 2.50 Main service OVER eooV 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OR ADDNS. \ ACC. BLDGS.CCUP. Y)22sgft 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 st le of: %� GFLEMoNs_ O/JtJIS Mo%31�L /-loNt� S,f�L�S NEW CONSTR -OUTLET NON-RESID � BRANCH CIRCUITS)L 12.50ea NEW CON STR (POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRES SALE; Ex. Occup. FIXED APPLNS. OR O p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 3S�OL�i C License No. Classification r Ei � Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of 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 N0.1 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 Land Development Fee $ TOTAL PERMIT FEEIt3O O QUUIVIILW IOtJIWJVI1la1IVC0 UI Ule 1rOUllty UI DUtLU N VIILUI UPUn tree above-mentioned property for inspection purposes. X ( , l/£..,� dGC-11_ 4], Date G Signature Qof,tP-ermi-teee or Agent '7T� 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 which fees have been paid. EC O*PULIC WORKS Q' Building per 't expires Date This set of plans and specifications MUST be " imes and it is unlawful to kept on tlhe job at all t changes or al'`erations on same without male U"`� than writ°rten permission from the Department of Pub- ic Works, County, of Butte. The4Setback sh side property line a centerline_ of the roac `Ium of a 2 ft. eave o out of all edSpma.4. (,A r Shall Be is aterials & W orkrnansl,ip MGood Practices and NOTE: Recognized ecified use in -the Accordance wh for the SP rescribed echanicol Codes an o{ a quality P plumbing M Unifo a onad,�eCtrical Code`. the Motional tions shall be `All utility Got," o' #lido the rear d within 4 • mobilo home locate third section of the f11e mob►1% 1f on the le{t trood) side o 1 �f dome, aurrE COUNTy. BUILDING DEPARTEN7 APPROVE ID I II be eft, from the 1 50 ft, from the permitting a maxi- �rhong but entirely FXq 1W t�C 671 AJ6) Q /6/5- 1947_r� ��E BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville; CA. PHONE: -534-4541 MOBILEHOME INSTALLATION SHEET o 1 Owner's name: ,O/#N J U IVAkC-N%l 2. Installer's name: Cl- CAA -,a A S (i/ S 3. Is the site currently under permit? Yes / '/ No/ 4 (If yes, furnish permit number ) OR Is the site an existing site? Yes /pC/ 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? ----------------------- 6. What is the mobilehome site service rating?--------------------- %� ° Amp s / d Amps 7. What is the mobilehome site circuitbreaker rating? ------------- / 6 4 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No /x / (If yes, identify the load and size: (Load). (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- - ' 31V- (in.) 10. What is the type of gas service? ------------------------------ Natural / X/ 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.) MOB ILEHOME�SUWORT DATA - If other thaA single wide Mobilehome Mfr. /)© YA14 7-011/ furnish Setup Model No. �o� � o� Year / �/ '740 Width- 2q- (ft.) Box Length (ft.) Tagalong or Expando Size ft. x- ft. (SHOW SUPPORT DETAILS BELOW) T On all mobilehomes manufactured aA er October 7, 1973, furnish manufacturer's installaplon manual and structural setup sheets I(if not on file with the County of Butte). All center supports measured from -front of mobilehome unless othe ise specified. Footings (check one) Sing e 1. Wood either td <---Tagalong or Expando, show support details. (ft.)(in.) (in.) (ill.) Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) s ' & " -- Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.)I (in.) (in.) (in.) (ft.)(in.) BUTTE COUNTIY BUILDING DEPARTMEN1 APPROVED a - *If center piers are other than drawn above, draw in locations, spacing, and dimensions. e e pressurrate or foundation grade. (ft.)(in:) (in.) (in.) ❑ 2. Other (specify) Center support Center support Supports (check one) locations* footing sizes (in.) ❑ 1. Concrete block. ,4 67_ 76- �� 2. Other (specify) (ft.)(in.) (in.) (in.) �-4 Z <---Tagalong or Expando, show support details. (ft.)(in.) (in.) (ill.) Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) s ' & " -- Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.)I (in.) (in.) (in.) (ft.)(in.) BUTTE COUNTIY BUILDING DEPARTMEN1 APPROVED a - *If center piers are other than drawn above, draw in locations, spacing, and dimensions. •. �, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WOR S 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned prope y for inspection purposes. XDate z Z Signature of Permitee Agent t Receipt No. 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hdr• by 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'PUBLI-C WORKS By Date g Building permit expires Date-- BUILDING Owner SO. FT. OCC. BUILDINGi VALUATION O Mai I i ng Address 3 Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 L Each Trap 1.50 e5 9 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent j 1.50 A. P. No. % d Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 ed s Sant 'on Fire Dept. Fire Zone Use Permit Building sewer 5.00 E A Parking Plans I Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Recd I Por�OvafaPf'np—proval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE, 1 $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 bal�010 Receps., switches & fix outlets �2�Ujai 22!5 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:� gihe! 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 Mobil Home Facilities 5.00 /� 307/ �s/�L��L�I. �!`jG'U Temp. Power Pole 5.00 � License No��Y—OD„� Classification /-rp l 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 Workme 's Compensation. ave 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 ;qty' $ $ 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 $ authorize representatives of the county of Butte to enter upon the above-mentioned prope y for inspection purposes. XDate z Z Signature of Permitee Agent t Receipt No. 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hdr• by 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'PUBLI-C WORKS By Date g Building permit expires Date-- COUNTY OF BUTTE DEPT. OFPUBLIC WORKS P�G 1(iF f D (� JUL 2 4 1974 AM tjt1 7�8i9il0ill�12�1�2�3�4�5ty SL I►1. E 1—Ioo'� PrdPerTr �i�.oi .. -1// /oc, 4t! 4-01 ea O e too h 1 ec met /. of �to to°hs the 'Its sha/j 6 0,the 6e Of //, e horedr o6i ' e :Sept; a.. to O. as f Pet e_ rb,q -r-•4f eke 4'd Serb eent Ar°Aer d ok /ftj/7?e Of of.47 (9, 9{ �C`/> O Z��' X00 001C 1% i 00 000� � hd�� j�/ S, • t SO f fro � ft f� ed Q% Aer Om �► — ve O �/.Hr�n �erh . d n9. l Y" r� i 1 i Trig top 8�.�t Ave.. t