HomeMy WebLinkAbout039-200-08339-20-X 64F B3
LowenTright
SW/S priz dirt rd. ,app.'k mi. SE of
inters.of Cro�.uch Ave. & Lone Pine,
Chico \
Permit �k5465-80P,Etuti1. ,r0) �L\
ELEC. //-Z/- SD j��
GAS //- Z/ - 80 25 3 GAL, „�„1/ j
SUPPORT STRUCTUE REQ. -4 IJILI- -W
COMPACTION :TEST REQ,.",--.- leu rA
39-20-^4�'y� d.
Permit �k.5346-80MHI
Is std%
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OWNER
Addre
Compl
Rts1�D r2T-
mplaint Date
ther Date 2:ZZ2 Z
BUTTE COUNTY COMPLAINT FORM
A.P.# U 7 -c�D r
Zoning 4` v
Taken By:
VIOLATION TYPE 'BUILL/D]ING Q /HEALTH PLANNING Q OTHER
COMPLAINT: W C- CC-
PERMIT HISTORY ON FILE Q NONE
Lily, 01;S� s�f Pnct,
l AS FOLLOWS: AW a na)
FIELD INFORMATION
TENANT: Name L, vi v, p LY,- Address o c. c /9(,,k
� 0-40A
Description of Violation e1- I rQ� �02fta 0- 4 „o
,[��Cc c- ke Cr
OTHER COMMENTS:
Approx. Bldg./MH Size Approx. Bldg./MH Age
(Q Under Construction Built By./For-QlPresent Owner Q Previous Owner Q Occupied
Q Has Power Q Has Gas Q Has Sanitation Facilities
QWritten Notice Given ;& Attached ;_� Person Contacted_ 0
Describe Action Taken: it c') uR_ 1, Loc I mt 3 d� �. 17 r + trz UA n S
O H 0.b prw S '[ U IXQ kA -e— t" c r Q.e w�arit
ACTION RECOMMENDED:
Information only, file 10 Day Letter
Letter Hold for Days
-Other
BY • / 49 rle A-) DATE__S-
COMPLAINANT
ADDRESS:
PHONE NUMBER:
OTHER COMMENTS:
0
i
r
CDF/BCFD DAILY INCIDENT LOS �J / �f
Day/Date from fib®RL__--/ _1 --to B8�8/li_-/,�_ Pagef�of
•+*aa•+1a++mit+t3++++t♦++4bf++++++f4t4+i+ii++++9�ia+'Ya�tF+adaliia94fi ++a+ta+++s�taa+aa+a*♦
Inc07.�o _Fire0_ ___--ttaar T e__ �=1 %L�
Report time y� tart time Control time _R.0._0liST� N Staff
Location
--_I �v?_ rt ------- ------ �------ 3
--------------------------
--- ----- Batt11 _
--
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-
Cause-____ ___--__--___ En inec:CDF bCFD f;o6 Officer
Saved £q/4tk - _WT Doz_ Cre0s AA AT HC
------------------------------------ - ---
Damage-------------------Othei CG•._..t� 11/j 3- - 6GS0
---------------- Land use---ACrr/-fype--------------------- -iota!
Owner/Tenant --------------------------------------------------
___-________________ NRA: �(v
R.P. ------------------------- - -------------------BI:_-
-----
Mi sc. Info__LB--L�-4-e \JJIZ�W.-
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s a s a a + Inc >•�� Firei Fi a w e -Report ti$a _Start tieeZJ,3''(Z R.0, _'==__=-_----- Sta9' -
-- �-¢-c� - - - -
--- -
-
Location - - - -------------- --------------------------- --- -- Batt#Y
---------- ---
Causr__Cc-ECr____(7_ ____--.__Engines:CDF---BClU�_;Co&'____Officer�;f1t--
--------
�' Saved-- iOGG Sq/;ltk- WT_ -Doz__ Crew_ AA_--AT--_HC_--
Daaage__�%:�l�UD `y7�,cO1101ST1�'1 Z��L�Oio_GJI'�Other Eq_ CI.O_ vIQjG,-----------------
Land
--- -
-----------
Land Acrr/TypeTotal---------------- _______-
_________•________D_Owner/Tenant
--------------
R.P _ z---- _
Misc.InfoN10 \?I -I _
_
—5-F
•s+++s+++ss++4sa+a••+ee■st;stgstfeasst+eaa4�t4aast+tsaaga+gststa+es= x•/�++�C�,stststssastststaasststst++st•
Incf�5Z _Fire #----------Name--------------------TYPe----` '__/J _ ______
Report time Start time _Control tineR,O, �C
Location______�I�GQ/�/� �------- -fitaa
------ --------------------------- --------_-----Ratti
Cause-_____-_--__-__--_Engines:CDF___B'CFD_jlCoi___ Officer -
Saved--------------------------Sq/Atk___WT Doz___Crea___AA-__AT HC___
Damage------------------------------------ Other Eq---- ----
---------------- Land us* --------------- Acro/Type ----__ Total
Owner/Te a t _ --
-- - -- -- ----------------------------------==MRA: I�1LZ
v s ---
Misc.Info QDOjC 1"f :a---- �! /�l`1 _- �0C1t.Jfi----
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Inc• Z53--Firei_!�}_!� Gl%
Report timeLya_Start ti aa Control time R.O. G6R- _ fitai_ /
-�- -
Locatian�z� _�1t0�1�1/�=_G��v�j _� r�lni I�T_S. ___-- Batt:
-----
Cause--------------Enginez:COF 9CFU_ _fCo9 T Officer - -
------
aved____ fsfdA£k_ WT_-_Doz Creee___AA---AT--_HC
-------------------------------
amage_____ -----Other Eq__-_- _ _
---------------- Land use ------- -------- Acra/Type------------ ----------TotaI----
nOwner/Tenant= --------.------ ---- -...------------- -
- - ✓-�-� -rte i__ �'j_Zi�
Micc.Info
--------•--------•---------------------------•---
saa++mess++a+++a+*sttsra+retaastsso-st++e++•s+mei+stssst+�tt�rs-astmar+staststst,��a+�rees.asttt,trt+sttsstssst
Incl First Baine -------Type
___--
Report time ------- start time_______ Controltime ti. O. Sta•
Location ---
----------------------
Batti
us:Enq nastCDF__ 8CF® ;Co4__ Officer
-------------------------------------
- --- -- Saved c4lAtkMT ---
---
------------------------------------- ------___sHC
Damage .............- nthzr --- A--- A--- ---
__ Eq ........................
use Acre/Type _ Total --
----------- --------------
1 � Owner/Tenant------------------------------------ -------------------tdRA:-------
R.P, III: Misc.Info
--•---- ----------------
�rev,(7/16/86)--------
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13
P MIT NO. 5465-80P
PERMIT EXPIRES
OWNER Lowell NXM Wright
CONTR. Owner
ASSESSOR PARCEL 39-20-"r
LOCATION SW/S pri.dirt rd.,app.2 mi.SE of
inters.of Crouch Ave. & Lone Pine, Chico
Temp. Power Pole
Called PG&E
Temp. Elec. Servicer=��� U
Called PG&E
Te . Gras Service
Z-
��1
CaWedlllu r
JOB FIN LED (Date) lJ
ignature
J = OK
O Not OK
Not Applicable MOBILEHOMES
Not Ready
% • :a
MISCELLANEOUS
Date
MOBILE ME UTILITIES (Plans) OK except #'s
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
0 oni g Requirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—Easements
oils; Special MH Suppor^Sketch
_
2. Footings; Size—Depth—Spacing—Connectors
ewer; Loc on—T —F —CgaG ete- ;
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
ater; Lo on—T9et=E d ketch) '�
v
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
EI icity; Localtie — Ieaag es .-47,-W Amp— nc to 1
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
Gas T rQ47"L" ft./ ' LPG
6. Carports; Windows—Doors
tiIityClearance l-
7. Elec.
Card -BI
Date Card -BI Date /0?
Card -BI
Date Card -BI Date
Card -BI
Dat :�7- Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INiTALLATION (Plans) OK except #'s
Date
POOLS (Plans) OK except #'s
Zolo-Zoning Requirements—Setbacks—Easements
1. Setbacks—Easements
Fangs; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
600'Gas; MH Test—Demand—Valve—Connector
lectricity; MH Test—Crossovers—Breakers—Clearances
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4, Elec.; Receptacles and Lighting; Distances—GFI
rain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
WOIWaJer: MH Test—Regctaw—Connector
6. -Elec.; Enclosures; Conduit Entries—Terminals—Listed
ter and Sewer Connected—C/0 to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
Gas and Electricity Tagged
B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
io�E ' s; Insp.—Sketch
1 Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
C B -I
Date and -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
V = OK
O = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
71: = Not Ready
Date
UNDERFLOOR Plans OK except#'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regulator-Seryice Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except q's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
69.
70.
71.
A.C. Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
20. Fixture & Transformer Clearance -Ins. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22. Size Boxes & No. of Conductors -Stapled
23.
Romex Installed Close to Edge of Studs & C.J.
72.
73.
Insulation -Foam -Looked in Attic ❑Yes
Guard Rails &Deck Construction -Post Caps
24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
_
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ED No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except H's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
_
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Fuinace in Attic
-
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
-
Card -BI Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
_
37.
38.
_
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
_
_
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
_40.
41.
42.
43.
44.
45.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors i
Cl ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
r
COUNTY OF BUTTE
DEPAR iMENTIOF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
A — 44V-4 7'
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
mat r, or need additional explanation, please contact this office immediately.
.ems T.z rr c1 •,
Old 4 CGt -V"'o e,
s � a
6l,�
L t •
Inspector i Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
/ r BUILDINU� OR PROPERTY ADDRESS
- U(,
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matte or need additional explanation, please contact this office immediately.
61
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I Ale
InspectoDate r
COUNTY OF BUTTE
DEPARTMENTOF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter"ANheed additional explanation, please contact this office immediately.
�G- /rte>�a6 i 7 �o� /' .�� T •� % "T ,��rT
i� r of cc 7i'v•v /�
,�/�% _Sfu/E.G �'./>�t/G 'G✓17Ls l.� G �dt /osf �S�
a
Inspector iG%C Date�0-
.47
COUNTY OF BUTTE
DEPAI4TMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
mai
irrection of work is completed. If you have any question pertaining to this
ma er, or need additional explanation, please contact this office immediately.
0
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
685 Oleander Avenue, Chico — Phone 343-4211 , Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
I -.4r /PVF --
Inspector
H2O Y�,gvs
e-WM 7-5
DateL_,
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 51 under permit
number -2 - �� y l for the following location:
Owner
Owner's Address
Mobilehome Mfg. r Model Year
Insignia No. ' "`— Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date
By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
ra
/ MOBILEHOME INSTALLATION INSPECTION CHECK LIST
& /(,Is the mobilehome located with quired separation from lot lines and buildings and generally
conform to plot plan? Yes o_
6/1' Does the mobilehome have required clearances above ground? (Sec.5085) Yes' No
C2,44 -re footings and supports properly sized, spaced, and braced aspe�proved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes._ N�✓ o
J91L Is the mobilehome level? (Sec. 5088) Yes_ No=
��If more han a single unit, are crossover connections properly installed? (Sec. 5088)
Yesj_
C916 Water
A. Is flex' e connector of adequate size and -properly installed (1/2" ID min.)? (Sec. 5566)
Yes No %
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes i. No
Backf * If coach is not State of California approved, does station have backflow device
and pr re -relief valve? Yes No
VW-Vastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No
—
N
_
N
B. Does it have minimum 4' per foot slope and is it properly supported? Yes
C. Are any leaks detected in drainage system after running 3-g llons of water through each
fixture including washing machine standpipe? Yes_ No�
1 If� ch is not State of California approved, does station have required trap and vent?
Yes No
�(4as ping and Gas Vents
Connector - Is mobilehome"connected to the gas supply with an approved 3/4" minim=
mobilehome connector not more than 6 ft. long? Note: All piping is to beat least as
large as the mobilehome gas line inlet without reductions other than the mobilehoins
con or. Yes No
Test OK as per following procedure? Yes No
1. Open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14'-' water column', 'or test with 'Slope' gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter to mobilehome with connector, turn on gas, test connections with
soapy water.
O�L Are all appliance vents properly installed? Yesv No
9 , ectrical - - -_ ---_ ---- ..
A. Is service large enough to provide ade4uate amperage -to mobilehome (must.equal"rating of
mobilehome with a minimum of 1 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 assembly properly fused? Yes 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
apg•ly 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. 1.
.0. Is job card signed by Health Department for water and sanitation?
Ll. If everything okay, sign off card and tag services.
iOBILEHOME DATA
4anufacturer and/or Namestyle ���,� Guea(rl
,ength Width
(ehicle Serial No.
;tate Identification No.
additional Information or Comments:
FL
44
ev. lei
D
� e
COUNTY OF BUTTE - DEPARTMENT OF PlJ.B�_IC;WORKS PER
` 7 County Center Drive - Orovillet California 95965 - Telephone 916/534-4 1
.,, ��tCCv// CJ
•. APPLICATION AND PERMIT
ASS SS PARCEL NUM
ZO ING
BUILDING PERMIT
o E
ELEPHONE
�Q�
SQ. FT. OCC. BUILDING VALUAT ON
0
Q
CO AC OI'S E
TELEPHONE
CONTRACT R'S MAILING ADDRESS
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee M 14
$ Z ,
nalty'
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
ermit fee
$
BUILDIN ADDRESS
e i r 1- a rb
57JEach
PLUMBING PERMIT
Filing Fee 3.00
Trap
2.00
Repair drainage or vent piping
2.00
v E' �'Y1 1'lqi�- �V
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
TRUCTURE
USE[_1;,�
SF Duplex❑ MobilehomeOther
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK �/
Remodel ❑ ti lities [:1 Installation L? Other ❑
New ❑ AdditionW14-
Describe work: V --X IS (h Q �1 P r—
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
6001 OR LESS
Main service 100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OC CUP.&
OR ADDNS. ACC. BLDGS.
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
y� I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEw CONSTR U TI -OUTLET 2,50 ea
NON-RESID, BRANCH -CIRCUITS)
NEW CONSTR. / POWER APPARATUS &)
T
NON-RESID. %SINGLE OUTLECIR,
Ex. OccUp(OUTLETS OR FIXTURES e @ ,
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 3.00
Heating
Cooling
Hood
2.00
Ventilation
_+
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnif and keep harmless the County of Butte against
all liabilities, judgments, co ts, d expenses which may in any way accrue
t said County in cons enc f the granting of this permit.
,Ol�3�len
Mgna of Applicant — Owner�l Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $ 6 100
Land Development Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
TYPE OF CONST,
PARCEL
PD HD
IssNE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO PUBLIC
By
PE I X IRES Date
the applicable provivvv���Date
resolutions to do
fees have been paid.
WORKS
Date//—
Receipt No. — ',
WHITE-D.P.W., YELLOW -ASSES OR, PINK -INSPECTOR, GOLDENROD -APPLICANT
//- 2S -go
1V
❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation.
(5) Condensate drain.
F final
Heating: (1) Accessibility. (2 -)—Combustion air. (3). Safety controls.
❑
(4) Electrical connection. (5) Fuel shut-off.
❑ Cooling: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure relief
valves. (5) Class 2 refrigerant.
5/79
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION --
7 County Center Drive — Oroville, California 95965 — Telephone 534-4541
V'
PERMIT APPLICATION DATA SHEET
"ir ■ er
• Permit No.
OWNER A.P. No. 9
Proposed Building Use
Permit fee based upon: Complete Contract Price DPW Valuation
Other (explain)
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or
issuance: DATE RECEIVED APPROVED
1. All items have been submitted...................................................................
� Plot plans in duplicate/triplicate................�............r,.......
.../.�....../ -�
Complete plans i duplic triplicate..l�!/.1. .�......(....�....0 -J
4. Complete engineered plans and calcs.....................................................
5. Plans with Energy Design Compliance Statement ............................
6. State Energy Forms No. ....................
7. Statement of Intent for Non -Heated & AC Buildings ...................
8. Fees of $ .............. .
O0.
� Letter of signature authorizat'.0 ..............�.�.� :Ka i.Il — 1 Sanitation approval from Health Dept.... z%
11. Planning approval for
12. Certificate of Workmen's Compensation Insurance ........................
13. Contractors License Information (no., name style,
classification) ...............................
14. Improvements may be required. Contact Land
Development Section of Dept. Public Works (see -
addressbelow).................................................................................................
Pre-inspre,ti for 1 i @'Aired. Pre-inepe°. repo sfjo
bldg. ins for
6. Other
When you issu A
jermi , oce a ollows:ailoai 'tocontractor.
%Telephone and hold for pickup at �L�� office. Deliver w/inspection.
Other
Applicants p, �, Y11I.e,� .�u� !Date Cl �cG� ri
Copy of plans sent Health Dept., Fire Dept., Other Date—
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of ap li cle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer,wner was advised of above required data b elephone / —
ail
Other 1,W
By Date —ZZ2 ao—A I
Flans checked by_
Plans approved by
OTHER
Copy/DPW
)ate
Date
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. owner's name: (�
2. In tal:leer's name: •J• (/ VJ /0-
3.
scurrently under permit Yet No
(If yes, furnish permit number R ) OR
Is the site an existing site? Yes M/ 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. -W hat 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
siteservice? --------------------------------------------------- Yes No
(I£ yes, identify the load and size: °'C', I (Load) / (Amps)
9. What is the mobilehome site gas pipe size? ----------------------
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? -------------------------=---- (BTU)
(This information not required if pipe length less than 6 ft. on natural gas .
or less than 50 ft. on LPG.) 4�_(�53 9� —0
BUTTE COUNTY
BUILDING DEPARTM.M
AP PROVEDr
MOBILEHOME SUPPORT DATA
�//�� If other than single wide; q /
Mobilehome Mfr.�� p4 l IC furnish Setup Model No. Year 6 6
Width !" (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of a
mobilehome unless otherwise specified.
Footings (check one)
SingleLN 1. Wood either,
pressure treated or
foundation grade.
x� 2. Other (specify)
(ft.)(in:) (in.) (1 .) ❑
Center support Center support
locations* footing sizes Supporta (check one)
l: Concrete block.'
� x ❑ 2: Other (specify) .
(in.) (in.).
*If center piers are other than drawn above,
__draw in locations,_spacing, and dimensions.
E Tagalong or Expando,'
show support details.
Typical Support
.) (in.) Footing Size
(ft.)(in.)
(ft.)(in.)
-- Max. Pier Spacing
-- Max. Overhang
C
Be 1
(ft.)(in.)
(in.) (in.)
x----
(ft.)(in.)
(in.) (in.)
(ft.) (in.)
(in.) (in.)
*If center piers are other than drawn above,
__draw in locations,_spacing, and dimensions.
E Tagalong or Expando,'
show support details.
Typical Support
.) (in.) Footing Size
(ft.)(in.)
(ft.)(in.)
-- Max. Pier Spacing
-- Max. Overhang
COUNTY OF BUTTE - D,EPAFTME�T OF PUBLIC WORKS�� PMIT NO.
7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 ��
• APPLICATION AND PERMIT
ASSESSOR ARCEL NUMBER
ZO ING
BUILDING PERMIT
OWNER
ELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNE'R'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION ENDER
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
!K� E
LICENSE NO.
I
Plan Checking Fee 1
$ Z!52, C20
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
Bu
tt. ING ADDRESS 1 / S
J
PLUMBING PERMIT
Filing Fee x.00
D d ¢ ilt�E
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
0,00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
2,00
Gas piping system 1 - 5 outlets
O. O
USE OF STRUCTURE
SF ❑ Duplex[]Mobilehome Other
SPECIFY
Building sewer
0
Lawn sprinkler system
2.00
_
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities lUi' Installation❑ Other ❑
Describe work:�C�G %C_ boll T/ES _
Y. / )
Permit Fee
$ 0 00
Contractor
ELECTRICAL PERMIT
Filing Fee (/(9.00
Main service 1000V OR 0 AMP ORLESS5.00
700
Main service EA. ADD'L 100 AMP
2.50
NEW CONS. DWELING O
OR ADDNST ( ACCLBLDGS.CCUP.&)
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1NON-RESID.
I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTRULTI-OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR ( POWER APPARATUS 8)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 90@2`
BAL@10c
Ex. Occup.FIXED TS (RESAPPLNS. OR
(DUTLEESID.) EA,) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00_
Misc. Wiring 6.25
E _e� 1400
Pe mit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHA ICAL PERMIT
Filing Fee 3.00
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
againsl said County in o_nsequence of the granting of this permit.
X �)_ ;2 4 �_ �®
((�NUy 7 Date v
Signature of Applicant — Owner ❑ Contractor ❑ Agent fV
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in/height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $ O�iS�
OccuP. GROUP
I TYPE of CONST.
PARCE
PD
HD ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC R OF PUBLIC
ByF—
PE T EXPIRES Date _ _
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date ���/ Z� �o
/z / Z� ��
Receipt NO. U
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
November 12, 1980
Rt. 3, Box 179K
Chico, CA 95926
_1
To Whom It May Concern:
As the property owner I have given my permission to have
the mobilehome placed, upon my property and have also given
my permission to Ann M. Hicks and. Barbara M.Hicks to sign
application forms for installation permits.for the
mobilehome.
Permit Application No. 5346-80, A.P. # 39-20-48.
Sincerely,
Lowell A. Wright
l d va-ttivp �� .
nIa
I ID
COUNTY OF BUTTE — DEPARTMEaT QRPUBLIC WORKS — BUILDING DIVISION
7 County Center. Drive — Oroville, California 95965 —Telephone: 534-4541 „ A
PERMIT APPLICATION DATA SHEET
OWNER
Proposed Building Use
Permit fee based upon: Complete
Other (explalrn)�
Buildina Inspector
issuance:
permit application, I was_advised,the 1
1.
2.
3.
4.
5.
6.
14.
Contract Price
Permit No.
A.P. No.
�'- DPW Valuation
Date
owing data must be submitted prior to permit processing and/or
DATE RECEIVED APPROVED
All items have been submitted...................................................................
Plot plans in duplicate/triplicate...............................................................
Complete plans in duplicate/triplicate...................................................
Complete engineered plans and calcs.....................................................
Plans with Energy Design Compliance Statement ............................
State Energy Forms No. ....................
Statement of Intent for Non -Heated & AC Buildings ...................
Fees of $ -�
Letter of signature authorizatiQ,r,...,........yL... y(.Z ...........
Sanitation approval from Health Dept....
Planning approval for .............
Cer#f6cate of Workmen's Compensation Insurance
Contractors License Information (no., name style,
� , /, ,r � classification)
...............................
Improvements maybe required. Contact Land
Development Section of Dept. Public Works (see
addressbelow).................................................................................................
15. Pre -in sp tion for required. Pre-inspec. i
16 Other dg
When:you issue the permit, process as oll s: Mail to owner
Telephone %��`' �� `C�r` and hold for pickup at���`�> office. Deliver w/inspection.
Other
Applicant - Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application _circle item.)
1. Index permit for above Items No. 9/ /3
2. Additional items required:
(Contractor, Design s
Owner) wa
Plans checked bk
Plans approved by
OTHER:
Copy/DPW
Mall i%/�'c v
Other
Date q- rr J
D
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'ERIOD 09 DATE PERIOD ENDED 11/15/67
EMPLOYEE NAME DEP. PER. GROSS
C. C., CRAYNE 2 08 10104.1.50
R. M. SCHWAB
W. E. DAUSEY
515.00
3 08 8.898.50
437.50
2 08 2.296.50
113.00
Cl
County of Butte
DEPARTMENT OF PUBLIC WORKS
695 Oleander Ave., Chico — 343-4211, Ext. 70
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd., Paradise — 877-3435
CORRECTION NOTICE
J�
.,.et �y. h.... ..r.:. .. Irl% .;i .................................
Building or Property Address
-A routine inspection indicates that the following
violations of County Ordinance exist at the above
address and should be corrected. Please notify this
office when correction of work is completed. If you
have any question pertaining to this matter, or need
additional explanation, please contact this office
immediately.
...a::....... .ci .. r':�...... .1 r'...�`"r:fn� r .:'.^...:.�.
/J . ... ,
�!/...✓...lY.1� .,.�.�� ...... ......i
..•............. 1 ..:1 -:.:......................:....�...._............� :c....
...'%:`.......................................
.................'?'x.: ............................................
Date/e:n-A-2-- J nspe for
Do Not Remove This Tag
400-41
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
rim
7 County Center -Drive - Orovii.le, Calit'ornia 95965 - Telephone 91,3/534-4541
-APPLICATION A14D PERMIT
PERMIT NO.
ASSES50 PARCeL NUMBE Z041 N G
LID
T E L E P 110 t J E
p A Lid _64;, i?"
0 'S MAILING ADDRESS
rz? Cz
CO *3ACTOR'S E R." E C1
2 r
CONTRACTC7R-S MAILING ADDRESS
CONSTRUCTION LENDER UNKNOWN
BUILDING PERNIIIT-/,
SQ. FT. OCC. BUILDING VALUATION
Fi
Total Valuation
LENDER'S W.AILING ADDRESS
Permit Fee
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee 4A 14 1_ $ 0
Penalty $
ARCHITECT OR ENGINEER'S MAI LING ADDRESS
Permit fee $ milk
BUILDINADDRESS11
'5 W 571c) 12 0 'rJ C11 r Yd -7a ),-b
J
PLUMBING PERMIT Filing F&.1 3.00
L Cil
Each Trap 2.00 _4010'
Repair drainage or vent piping2.00
`*nmr
Water piping
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas water heater or veno 2y,
Gas piping system 1 - 5q$,ttnt
USE OF STRUCTURE
SFO Duplexr-1 MobilehomeZ Other
SPECIFY
sevier
—Building
Lawn sprinkler sype M _ ""12XO
-
Ar it 1 Jw-
TYPE OF WORK
New❑ Addition Remodel[J tilitiesD Installation Other❑
t1-,,_ork_Q
Descri,b7,1_"1�l t_"I 19 ��p
.4,
Permit Fee $
contrac1pr
EI RICANA#--ekMITJJ ,Filing Fee
T —3.00
LES
Mair
10 0 5S%�. E S S 1 5.00
j�fflrvice V P
LOr*r
aservIC ADD -L I o 2.50
N�V
%'
EW CWT. f DWE'—LIA
'S A9 . yu P. 2(t sq ft
R t.D ACC. BL DI
CONTRACTORS LICENSE LA
C
I decl under penalty of perjury (check one):
under
,c ��,w
El I a licensed under provisions of Chapt. 9, iv. c business
and Pr ssions Code and my license is in fu f
I , P N"_
License No. Classificatinn
F-1 1, as the owner, or my emp o - ith wages as eir so;e compen-
sation, will do the work,and the structu intended or offered
for sale. (Sec. 7044.)
-A
XJ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec.—, Business and Professions CodeUe:r:mit
for this reason
NEVI C TR ( MULT1-OU-i.,#
N . P W6. :C) C�T 2.50 ea
ON BRANCH ITS
14FW TFL ( P!,jj,'NER, APPAF�ATUS ft I
N $� A1 1 -11"O. SI P I-- OUTLET CIR.
I
50 ts Mo
!4,Etl ccup(ou;QW OR FIXTURES BALCIC,
. .0 _q
(FIXELT APPLNS. OR
. OccqP. OUTLETS (RESIC.) EA.) 2.00
TemporAp,,service 10.00
pme Facilities 15-00
kltb i 1j_A,1
it ring 6.25
Vg
ER
Fee
Contractor
MECHANICAL PERMIT Fi I ing Fee 3.00
WORKMEN'S COMPENSATION INSURANCE
I dpclare under penalty of perjury (check one):
5 The permit is for $100.00 (valuation) or less.
E] I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self-111SUro.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you beco-ne subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood 2.00
Ventilation
Permit Fee $
Contractor
I certify that I have read this applicalion and state that the above information
is cc-rect. I agree to comply to all County Ordinances and State La%vs relating
to building construction, and hFreby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnif and keep harmless the County of Bute against
all 'iabilities, judgments, co ts, d expenses which may in any .:'ay accrue
,41q]�n s u -enc I the granting of this permit.
_It said County in
Date 10
S i of
ignatu 0 Applicant OwnerK Contractor ❑ Agent I
An OSHA permit is reovired for excavotions over 5*0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $ A —
Land Development Fee $
—
TOTAL PERMIT FEE $ '11701ND I
OCCUP. GP.OUP
I TYPE OF CONST.
PARCEL
P—OT !In
ssuE
This permit is hereby issued under the appi;cable provi-
sions of the Butte County Code and, resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
ByDate
PERMIT EXPIRES Date-.---
`:3ecqiPt No.
WHIT L-L.P.W.. YE P'N'K-INSPECTOR. GOLDENROD -APPLICANT
November 4, 1980.
To Whom it May Concern,
My nephew Craig Hicks has my permission to set up his mobile
home on my property.
Lowell Wright
G
To: Building Department
From: Environmental Health
Subject: Sanitation Clearance
�2,i I
�Sf2IXTJ
aner
laoca T'Icra Arff S�v�
Plan a W
approved for: €ewa�e Disposal � Water Supply
Hold Final for: Water Supply
Final Clearance O.K. for: Water Supply
Clearance for bedro o ile home. Other
Clearance fot addition of
Sanitarian Date
BUTTE COUNTY DEPARTMENT OF FUBLIC HEALTH
Division of Sanitation
695 Oleander Ave., Chico
2430 Bird St . , Oroville
TRAILER LIVING PERMIT FOR ONE TRAILER
P O S T I N T R A H E R W I N D O W r A C I N G R O A D W A Y
Issued to: M1W Ricko
For trailer (describe): Mro?j Lengt$t 4612 Colors Pink and white, Malwl Pa3A*o
Located: 1,
ht Landspropert
:est of D
un Rd., waits of Elk Avenuo
For period
of time:
t :•�i��X'e.�
This permit is revocable if unsanitary conditions are found in or around the trailer.
This permit is issued for the person, trailer and location shown hereon, and is not
transferable.
Date: JO=mr7 27.1971 `
S9 -965R Registered Sanitarian
Aaaress or rroperty owner:. \' \-
,917e
Size of Property: 1 C. ar.r�.a _ nr fl+
License Number of:
Mobile home:
Registered owner:
Description: Len
11 �
Color
Make
Date first placed on sit�_S
Number of Bedrooms:
-�L
.Number of people to reside in camp area or mobile home:- Cj, h
Location of proposed site: Uri r- o'�� f vel r\ � R - J ��C`
(Address or detailed description in addition to route and box no.)
Name of Property Owner:
Address of Property Owner:
Size of Property: U, 0 -acres, or._._ ft. wide x ft. deep
Proposed Length of Stay:. Tw YEA R<, -
Proposed Water Supply: x.14 l h
Proposed Sewage Disposal:'S�,.P I i.C-. 1.1/lig
Proposed Garbage Disposal Method: ^ -7,-) L� ry\
Does Trailer have: Sink X .; 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:
Date:
S17 -1167R
Signature
(Signature of Applicant)
!ti
l
BUT` COUNTY DEPARTMENT OF PUBLIC HEH
695 Oleander Avenue
Division of Sanitation
P. 0. Box 1100, Ciii.co
2430 Bird Street
343-X4211, Ext . 51
oroville
533 -lz3o, Ext. 297
APPLICATION FOR PERMIT
TO
CAMP OR LIVE IN MOBILE HOME
Date:
—7(
Applicant's Name: N i
�j i C-
Applicant ' s Home Address:
License Number of:
Mobile home:
Registered owner:
Description: Len
11 �
Color
Make
Date first placed on sit�_S
Number of Bedrooms:
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.Number of people to reside in camp area or mobile home:- Cj, h
Location of proposed site: Uri r- o'�� f vel r\ � R - J ��C`
(Address or detailed description in addition to route and box no.)
Name of Property Owner:
Address of Property Owner:
Size of Property: U, 0 -acres, or._._ ft. wide x ft. deep
Proposed Length of Stay:. Tw YEA R<, -
Proposed Water Supply: x.14 l h
Proposed Sewage Disposal:'S�,.P I i.C-. 1.1/lig
Proposed Garbage Disposal Method: ^ -7,-) L� ry\
Does Trailer have: Sink X .; 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:
Date:
S17 -1167R
Signature
(Signature of Applicant)
!ti
BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH
Division of Sanitation
695 Oleander Avenue
P. 0. Box 1100, Chico
343-4211, Ext. 51
YDB ILE . HOME SITE
PROPERTY USE AUTHORIZATION
To: Butte County Health Department
2430 Bird Street
Oroville
533-1230, Ext. 297
Date: 1-27-71
I am the legal owner or person in charge of the following property:
Wright Lands property - west of Dayton Road, south of Elk Avenue
(Property description, location, or address)
and have the authority to give and hereby do give my permission to:
Mike Hicks
( Name )
to camp ( ); live in
a mobile home (x); on the above mentioned property, and to construct, main-
tain and use such sanitary facilities as the Butte County Health Department
-71 until revoked
deems necessary. This per1-27
mission extends from 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 ont hi prop!y.,,
Ile -
Signature
7/i 9/7-V
S26 -1167R
yS- e7.-
/
x:
R11
A'P;f FOR HEALTH DEPARTMENT USE Vd
.,DATE:
SEWAGE DISPOSAL
.Type (describe) :
0. K. (� NOT O.K. ( ) MARGINAL -
WATER SUPPLY �j ,,
Source: vv k�
ZONING: A-3
RECOMMENDATIONS:
Recommend permit be: Issued (ilyl Denied ( )
ae.
(Sanitarian's ignature)