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039-200-082
039-200-0k;r PERMIT#94-2553 JONES, RICHARD & BARBARA 2000 CROUCH AVE., CHICO jplj��� MOBILEHOME UTILITIES ELECTRIC 100 A IM N A/o GAS LINE &A -r COMPACTION TEST RE o LO WRIGHT SUPPORT STRUCT RE / , 200.0 Cr Avenue, Chico Permit#3561 (demolish/SF) 039-200-0< PERMIT#94-2554 � �'wuC JONES, RIC ARD & BARBARA rmit#3562-,46A,;ESuii? �-7 2000 CROUCH AVE. ,'CHICO`r�� ELEC i0VA- I INSTALLATION a t3 � MOBILEHOME INSTA O I � GAS /-/317 SUPPORT STRUC E EEQ/-"b COMPACTIO EST REQ A.40 �11,5111- �a- Co Frank Amell 39-36 P mit#90-87MHI ssued--/--/ 039-200-9 PERMIT#94-1831 PHILLIPS, ROBERT D. 1 �. CROUCH AVE . , CHICO8 )9 y CONT: MOBILE HOME CENTER / MOBILEHOME INSTALLATION EXIST SITE 039-200-®4<7- PERMIT#94=2059 ONES, RICHARD & BARBARA �0 CROUCH AVE. , CHICO g / UPGRADE MH UTILITIES 039-200- PERMIT#94-2058 JONES, RICHARD & BARBARA 2000 CROUCH AVE., CHICO ELE FOR FUTURE SF 1h MO., z000 Ave cj�tc 0 CA q.s 9 2- 0.67 r --700 GPr4 Po z V41 C) A K -7r, EE. ---P, 4-01 Mo LT7'- tA� (0. V, eco i f L F' ASN z 000 C p -o v c i -i R V . Cj�tCO CA G. ®SEX rs��0 W ptTE� Woo P Nc. / mo ! Lr- 14ok o 1. Z (� Y_ dao D loft. ( �S lLg-:ACH 1 � i fv DA K LOT- Flo 2-(o u lao 12.00 GAL Lr -ACR i L r N ES 1 � cctAAe� vJra������ J. JorvEs 2000 CR0vC+-1 AVE Cj_�tCO CA qs9 2S' APN * 0 3,q - 200 - 0(7 of EX (s —tl,.tj e, i w RESIDENTIAL q 039-200-067 PERMIT#94-2553 JONES, RICHARD & BARBARA 2000 CROUCH AVE., CHICO MOBILEHOME UTILITIES C` 1 /1 o i h i i OFFICE COPY i Address f GAS Dak/ Ic 4 I Meter By ' ELECTRIC D�P�/ Meter By i P JOB FINALED (Date l __ Signature —� J=OK O = Not OK =NotReeaadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s L,�Copie Requirements -Setbacks -Easements Soils; Special MH Support Sketch er; Location -Test -Fall -C/O Concrete ater cation -Test -Easement Needed ( ketch) tricity; Local ion-learence Grnd- Amp -Concrete j Gas; Location- Wrap: / 'L" ft. /t /"Nat. or/ /' "ft./ /"LPG 7. Well Clearance & Disconnect kldflfity Clearance Date t Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks Easements . Footi s; Size -Spacing -Marriage Line as; MH Test-Demand-Valve—Connector 4. ctricity; MH Test -Crossovers -Breakers -Clearances . Drain; MH Test -Fall -Flex Connector at ; MH Test -Regulator -Connector 7 a r and Sewer Connected -C/O to Grade -HD Approval �t as and Electricity Taaaed 9. 6y , nsp.-Sketch Cert. of Occupancy Dat / ` Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i MISCELLANEOUS Date 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.-Rfg.-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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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.; Fall -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. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air-Baffie - --------------------- 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 - - ------ - -------------------- - --------------- -------------- Oate- -- Card B_1 ---- - Date - Card B_1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ------------------- -------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --- ---------------------------------------- 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water -------------------------------------------------------------- -------------- ----- 27. -------- -------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFl ----------------------------------------------------------------------------------- 28. -------------------- 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size r / ga. Cu or AI ----------- ----------------------------------------- 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------ --------------------------------------------------------------- --------------- 31. -Equip.-Clearances---Equip Equip. - ------- ----------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ---------- -- ------- --- - ---- ------------------------------ - 33. Smoke Detector ----------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------- - --- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'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 Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4'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 Walls (rat proof) ----------------------------------------------------------------- -------------- -------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- -- - - - -- - ---- -------- ----------------------------- ------ 44. Headers & Beam -Size & Bearing r >ingle &Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Head room -Rise-Run- Landing Fire Protection 54. plywood on Root 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 _ _ Card B-1 _ _ Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings ' 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector- ------- In Garage; Above Floor-Ducts-Mech. Protection --- 64 Bedroom Exiting - - 65. G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- ---------------- 67. Stags 68. Fireplace or Stove: Clearances -Hearth ------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. - ---------------------------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -- ---- --- --- -- 71. 71. Elec. Outlets & Receptacles at Kit. Counter -------------- 72.- Garage - -Door: Door: Swing -Landing -Closer -------------------- - 73. A.C. Duct in Garage -Damper 74. Wlr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. ----------------In-Garage:-Above Floor-Mech. Protection ------------------- - 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -- ----- ---- -------------------------------------------- 7-,.-Insulation-Foam-Looked in -Attic- ❑ Yes ------------------------------- 78. Guard Rails & Deck--- Construction -Post Caps -- --- ----------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ---------------------- --------- 80. Followinginstld.: 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. -.Ext - e - rior Elec. Trim: G.F.I. Receptacle -Underground 86. Vetlation 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 - - ...------------------------ --- De Card B-1 Date Card B-1 --at ----- --- - - --- - -------------------------- - Date Card B-1 Date Card B-1 ------- ---------------------------------- Date Card B-1 Date Card B-1 Comments at Final: 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 g ' 035: 7 ONUMBER ASSESSfl PARCEL O DO— D ZONING . 4b BUILDING PERMIT DRICHARD &BARBARA JONES 14V1/666 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2000 CROUCH AVENUE, CHICO 95928 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ } Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2000 CROUCH AVE CHICO PERMIT FEE $ 23.00. PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO SUBDIVISION'S NAME PARC L A Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome DOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 60-:04 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities '�{ Installation ❑ Other ❑ Describe Work: MH UTILITIES PERMIT FEE $ 80.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 OR LIE Main Service ( 200A0RLESS ) 23.00 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. S0, OR ADDNS. ( & ACC.Bi ) 3.50 FT• CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 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 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) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NiUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPWS. Ofl ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 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. �Q I 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 $ 63,00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood E65 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. 1 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. 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 County i onseq ence of gra of this permit. g X Date 9 �a� Sig natu a of Applicant - ?"ynei Contractor ❑ 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 $ 166.0 MA Z. I D. FEES I IMP r F100 CDF PARCEL H ISS 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. By Date PERMIT EXPIRES ON__ Q� / tel �s- Receipt No. 167490 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT wnvi4�-iH+�,��r,yy;,rp;,.('n'vcr�•N+f�4ya,4'4'S0"'�zr����=x�rr�fy.�•�rn.-r '..ori y.Sy,.1KY'^``r�;.�•f�„�.•�'k;erf••-•tr./�"".r.+v+fv^71•rr�'v^rfe•.,i'i..+``�'cr ��`r�•�...r�,(�•F«-^wi+.,;;,�✓+i�.,...�,.+-'^-- 1 .7 COUNTYOF BUTTE -DEPARTMENT OFD ELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIF�ORNIA95965 - TELEPHONE (916) 538-7541 /� PERMIT APPLICATION DATA SHEET OWNER l%2%/��� �,J/�� S P. No. �- ZyD - 06 7 Proposed Building Use /%/�� /� 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 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. ....................... . al Flood elevation letter (100 year floo by California Engineer. .. ............. ' 14. Sanitation and plot plan approval lc e2 Health Department . ............ 15. City of Chico plumbing permit . ......................................... 6. Plot plan and business license approval from City of Biggs/Gridley. 7. Planning approval for (A) Use: lX (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. . 19. Driveway permit (construction approval required prior tooccupancy). .. .P�4ne on �quest �e 20. Pre -inspection for required. .. to Building Inspector r (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner _). . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When yg� issue the permit, process as follows: Mail to ow er. Mail to contractor. l Telephone 1.� 7 and hold for pickup at �� office. Deliver with inspector. Other Parcel Creation Acreage Applican &6_�Date 913- 9�- Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Co ter by _ Date Plans checked by Date Plans approved by Date lD Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works A 6-)tia)4 Owner Location Plan Approved for: Scwage Disposal 1/ Water Supply: I'ublic Clearance for bedroon n2ilc come. Other Hold final for: Final clearance O.K. for'. NOTE ((\n&f Environmental Heald Specialist 8/92 vloor Plan mord ,•d _ loot to 11, U. AP# Private Well +� Date TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance A 6-)tia)4 Owner Location Plan Approved for: Scwage Disposal 1/ Water Supply: I'ublic Clearance for bedroon n2ilc come. Other Hold final for: Final clearance O.K. for'. NOTE ((\n&f Environmental Heald Specialist 8/92 vloor Plan mord ,•d _ loot to 11, U. AP# Private Well +� Date `( �1 AP 66; oZ 4/ OWNER PERMIT'# MH UT IL . CLEARANCE DATE INSPECTOR ELECTRIC 'GAS Support Struc. Compaction Test Re . Service 'Size Other Load Type I Pipe Size Length YESI NO YES NO /r. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - OrV V V, Califolnia 95 65 Telephone (916) 538-754 s sPERMIT C/ No. / APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0 - - ZONING A40 BUILDING PERMIT OWNER CHARD 9 BARBARA JONES TELEPHONE 345-7666 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 23.013 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS CROUCH AVENUE, CHICO PERMIT FEE $ 43.0C1 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 }Ll Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel 1:1 Utilities El Installation (I Other O / Describe Work: MHT MH11# PERMIT FEE g 4 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( SOOV OR LESS ) 20OA OR LESS 23.00 Main Service ( 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLOS. ) 3.50 SD, 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. License No. Classification 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) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) I & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ► 20 @ 1.00 BAL. .50 Ex. Occu FIXED APPWS. OR p (OUTLETS IRESID.1 EA. ► 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I 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. I 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. 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 County it nseq nce of t ran - g f this permit. X Date — /: - 94 Signa ure of Applicant - O er ❑ ontractor ❑ Agents An OSHA permit is /equire for e)avations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.0 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.0 HAZ. I D. FEES I IMP I F100D CDF PARCEL PD HO 1 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. By Dat PERMITEXPIRESON IDa tel Receipt No. th7�r� WHITE-D.D.S.-Bro'.-''tANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT MOBILEHOME INSTALLATION ACCEPTANCE - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 t�"PERMIT N0. 5 Address or location of `J Cmob��ilehome Owner's name PIC / f ..� .�5 Owner's address Insignia or hud number y`�� r� o 3 Manufacturer's name 79 K C _ Serial numberlof V.I.N.Ly Year of manufacture nsic llation) f — (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. ty �\13g White - Owner, Yellow - Installer, Pink - D.P.W. .%. �1a,Kw' . ,_,..-, y,;. ''Y,.+... .,,.-art. ...�• r.'--vtir-�"'`'r'ir.i%'-'^Sr�. �rycaYW:'-�7,'�-.rv,yen...+�^!t'�1i"v;:�w35�.�tie+s•.ssn'fx�^r�.,�.a.:th-..-.r^�«.:-.'�+,wNtf..r..�'j�j•'r;w: ���.;.+«'�.r).:.,: car h:t �.t . ' . COUNTYOF BUTTE -DEPARTMENT OF DE „oOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 RMIT APPLICATIONrDATA SHEET ,O� --- OWNER A. No. Proposed Building Use i Building Inspector Date At time of permit application, I was aa&ized4he 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 . ...................... Engineered truss details and layout in duplicate (required prior to plan check). . 9! Mobilehome data and manufacturer's installation instructions, 2 sets. ........... X10. Fees of $ .......................................... 'V 1 Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .Fre4;spec11onreGuest 2Q. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ....................................... '0 28. Mobilehome utility clearance . ........................................ %. Documentation of legal access . ..................... :................ . . 30. Documentation of 50% subdivision developed or (A) Rdad improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. .......... f.a......................... 32. Plan check list . ..................... .&C............................ 33. 34. When ou issue the permit, process as follows: t t J Mail tojbwner. Mail to contractor. Telephone3� and hold fo fp'ickup at �'� office. Deliver with inspector. Other �' Parcel Creation (� ' Acreage Applicant �� Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter y _ Date Plans checked by Date Plans approved byDate Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 1. ,. COUNTY OF BUTTE - DEPARTMENT OF DiiE RA EiT SERVICES - BUILDING DIVISION 7 OUNTY Cr_,= DRIVE, OROVILLE CA 95963 - T.,.LEPHONE (916) 538-7541 OWNER �Gi¢ oties PROPOSED BUILDING USE..,_ 1. SCHOOL DISTRICT FEES �� P (paid at District Office ......................... SHERIFF FEES (paid at Building Department) Residential...... 36a x unit amt. - Commercial (sqf x =� ,sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) X__ ,# -units amt. _CoG7 DATE REC. DATE REC Commercial (per sq.ft) x sq.ft. amt. 4. REC3EATI0N DISTRICT FEES• /�` 0 (paid at District Office)..... . . 5. DRAINAGE DISTRICT FEES (Contac Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECg = 589.00...... (paid'at Building Department? 7. OTER 8 . OTEM .t time of permit application, 1 was advised the above fees are required to be paid rior to issuance of the permit. PPLICANT DATE UJ 1 �w vcc i This set of plans and specifications MUST be ,:. _ 2 �� vE kept on the job at all times and it is unlawful tr - C- ez vc H, make any changes or alterations on same with- �h`iCG CA ys9-28 out written permission from the Department / public Works, County of Butte. loop rx C� NOTE. --All Materials & Workmanship Shall Be it- �� I Accordance with Recognized Good Prcctices and C,y p�' of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. ALL STRUCTURES AND EQUfPMENT INOWDI10 / OVERHANGS SHALL BE .CLEAR OF ALL EASEMENTS. (oa J ( A SET BACK OF � FT. FROM THE SIDE AND r 'LS FT. FROM THE REAR PROPERTY LINES AND FU t, J S� FT. FROM THE ROAD CENTERLINE SHALL BE I+or�e R OF STRUCTURES AND EQUIPMENT ®(CEP'' A 2 Fr. EAVE OVERHANG. Ex (sem rJ a EU- �,G F0 n^P 2� O0 G P µ ;OW 4 V/ A permif will be vWulfea for Tie installation of the;mo6ilehorne. r Pn _ 1 �.00 lar�L A JS c. ,,a► ' m EX\(6+1hG / � �( ,a �! v c 0 � 131 J46rrie-(Z,+1 . r �A, C� r lJ� >• BU'�E CO ��i , BUILDING DF-PARTM 0, P����ED MOBILEROME SUPPORT DATA --"If .pthai'-than single wide, Mobilehome Mfr. Y4&-7-7 C__ furnish Setup Model No. Width 4 (Lt.) Box Length (ft.) Tagalong or Expando Size Year II)o 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)'' a 1. Wood -pressure treated or foundation grade. 02. Other (specify) SUPPORTS (check one)U1. Concrete block.0 2. Other (specify) Pier Footing Sizes and Locations Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ------------------ Spacing-Max - -----------------Spacing-Max. --------- Each Side of Openings From Ends -Max.------- '_ " With Width Over --------- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------ >�„x 0, Size-Min------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- - „ Spacing -Max .--------------- , From Ends -Max -------- From Ends -Max .------------- Line 3 Roof Loads: 2 Size -Min.------------ 2„x „ z o .. 4, „ 2 k �U„ „x „ .k .1 „x „ „ I. C.,tnc(eX-ea eG. c�,x 3 Q ,Location (From Front) Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only Size -Min.------------ k Size -Min ------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- „ Spacing -Max ---------------- From Ends -Max.------- „ From Ends -Max -------------- Line 5 Roof Loads: Size -Min. ------------ "x "r. "x ” "x 'k "x "x 11 'k " location (From Front)I BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS S'U1QG�t�t �P� �o MQue-d 7 County Center Drive, Oroville, CA PHONE: 538=7541. _`'rn via 0/9f MOBILEHOME INSTALLATION SHEET 1. Owner's Name: I ��Q r -d /IV/1)70-39- 200-67 2. Installer's Name: in-O.LS leo bl Ie i'InUVL C't/7 C1L 3. Is the site currently under permit? Yes F-1 No I� (If yes, furnish permit number mobilehome electrical rating? --------------- ) OR Is the site an existing site? Yes �U No 6. (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 F . (If no, clarify 5. What is the mobilehome electrical rating? --------------- OC) Amps �U 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the n mobilehome site service? -------------------------------- Yes L..�i No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3/�' (in.) 10. What is the type of gas service? ------------------- Natural Q LPG C 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.) S" � �i5nis �1 .0 r�..• r't K"rr^vr-'..�-.ff�'"`t""-r'-.i,,••,.,,r��rrs�SFiC"'u�('rRl+'�^"�`PI`+r'Micf'��r.rw�e4;f{T.��yy�+'7hi�.'r�r�"�'��`f7 i{�..�'f''�1.�y"'r1i'tilY���"L_'�`1�r�'y. �1w[r •�`�•�,w. i'r`•• :y„.. :•d r' BUTTE COUNTY PARKS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARR DISTRICT Assessor Parcel Number(s) joSj- Property Owner Project Locati Subdivision Lot Number(s) Residential Development: (check one) 1zNew Development 'Alteration/Addition Mobilehome(s) _Non -Residential to Residential Total Number of Dwelling Units + F Comment: p��� P_ th e_ e Oaq a i t Building epartme t Repre entative tDate ", �kylr�Ir�AnAr�Ink�k�k�k�Ank�k�k��k�Ink�k�k,fnk�k�k�rylnk�lr�Irrink,Ank�rY�r�k,�nk�k�k�t�k��k,r�k�kyt,r�k�k�ryryrik�kyr.��Ar�Ir�InkylnlcYr�kYt�k�In�nkMryt�Ar 'Chico Area Recreation and Park District(CARD) certifies that #&Pu 10 J4),e-s (Applicant Name) (Phone Number) P (Street Address) . C_77- '(City) ;(State) (Zip Code) has complied with the requirements of Butte Co. Resolution No. 90-140 payment for-"- dwelling units @ $1,189 for total payment of $ CARD RI PAID BY CHECK NO. BANK NO. PAID BY CASH RECEIPT NO. :esentative 10 Date REMARKS: 9a)J - by Distribution: White --Applicant Pink --CARD park.fee (form revised 11/90) Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. ..`y TY. 3 Mi�SK" u�ef ,ri. w Yt. i. t a rte• i,M'i3 Ma iW'��iR,'i+ . 'e. sjnwwRa«ref9Je �ua,•..r f.rt •r r� fJ,om' ��'�.% ♦ Iii �..�:. � �.,py n1 � . BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District—a, Building Department No. A.P. Number dSf —ZOO -46 % Jurisdiction ❑ City County Property Owner Property Location/Address ?600 G/Ld tdUe= ... c' Subdivison — Lot No. Residential Development ❑ } ❑ V ' ' ` No. of Living A�II� Addition Units Commercial/Industrial ❑ Sq. Footage 7&4 (Group R) Sq. Footage (Including Exterior Ro fed Areas) �y Dat (Floor Plans reviewed by School District Personnel) District Identification No. School District certifies that &A GL � ,� Cl,-Q� (Applicant) aOr)a Vic' ,� Y,5-- 766 � (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 7%_ y by payment of $ X�r� representing. / (p _ square feet ❑ Check here if fee received represents "Full Mitigation". Ca ( School District Representative Paid by Check # ti4 `i Bank Number Paid by Cash Date Remarks: If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed.under. the California Environmental Quality Act (CEQA), this project may be subject to additional school -fees -to -fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) reeformmk, (4/94) AGRICULTURAL AFFIDAVIT EMPLOYER/EMPLOYEE Please read the following carefully before signing: Section 24-21.020 Agriculture Employer/Employee (Applicable only in zones A-5, A-10, A-15, A-20, A-40 and A-160) An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per, year, or that his primary source of annual income is, or is anticipated to be, derived from any of the following described occupations: (a) The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agriculture purposes, plowing, discing and fertilizing the soil; (b) ; The sowing and planting of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural commodity. As used in this subdivision, care includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning or tieing, fumigating, spraying and dust.ng; (d The harvesting of any agricultural or horticultural commodity including, but not limited to, picking, cutting, threshing, field packing and placing in field containers or in the vehicle in which the commodity will be hauled on the farm or to the place of first processing; CDThe assembly and storage of any agricultural or horticultural commodity including but not limited to, loading, roadsiding, banking, stacking, binning and piling; (f) The raising, feeding and management of livestock, fur -bearing animals, bees, fish, frogs and other aquatic animals, including but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; W.4. (g) The operation, conservation, improvement or maintenance of such farm and its tools and equipment. 02 a�V-0 V-0 9 � This affidavit is valid only for the named employee. Any change of employee requires a new affidavit to be filed: 40 Employer tax records may be requested as proof of employment status. Signed: �1P�1� Dated: — 0- AGRICULTURAL AFFIDAVIT EMPLOYEE -Po h e,., --I ) Employee Pa nVy ka 6 nada `j, Phone ,?V 9-%ff i6$ q 7928 Employee's Address (Present) 1-2,goo �r-n CGS t co Name of Property Owner'_P/ �ti rxx_n( J on ,e� <_� rkt r(l_ o S Property Owner's Address IWA 9572 ? (PQM f o 36z.) Owner's Assessor's Parcel Number o q- 200- 7 Parcel Size 4-() Ac. /Vl cz. r g a.v- , -I-o �. b M.do_ (a,kqd I,G b:�rfi �, -h do declare, subject to the penalty of perjury, that I am the employee of i C /► F)ct rhalll`e,_ 1") on e.. 5 address (present) 2000 CroLke� Av-e_, CA ick 9S_9 ZS' and that I will be employee under Section 24-21.020a bode for at least thirty-two (32) hours per (a) to ( week for at least sixteen (16) weeks per year on AP# _�O - ?,O0 - 06v Signed Dated: <�Z_ 02 9- 9Y .Environmental Health Approval: Permit Description and Numbers-� Date Issued By--- Planning y Planning Approval: Date 4z9 /,�); 4 Zone � —�O Dwelling on AP# �W, &BY�I�- o 6&,Crop/Commodity Produced 04 W U -4-o" kll I !r" AGRICULTURAL AFFIDAVIT EMPLOYER Employer /C�j - 5 Phone ¢ S- 76 Employer's Address 2-000 C'( -6u C CA Go Sy z F Name of Property Owner Sa M -e - Property Owner's Address Owner's Assessor's Parcel Number X00-,"7 Parcel Size �d Ac. I, �Ed rba,r� �c)re- S , do dec are subject to the penalty of perjury, that I am the employer of"� ` aQ 6 ��{ �1, �� P S address (present) 1492- S/ e react.., and that I will be employer under Sectio_ n 24-21.020 6 bGG%L for at least thirty-two (32) hours per (a) to (g week for at least sixteen (16) weeks per year on AP# 03'? --2d0.-4,-7 .A_ / it Signed: Dated: Environmental Health Approval: Permit Description and Numbers MC\,_�-\- Date Issued % ' up-Q(� By Planning Approval: Date 9f 2-9 /94 Zone h-40 Dwelling on AP# 0,59- Z00 - 0(,5,-7 Tr - h ole-7t't� By , aoa u IN 00� PC -L El op/Commodity Produced A-t_,t-�t5 mo Q O W V r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Claliforfiia 95965 - Telephone (916) 538-7541 _ �PF,!� IT NO. APPLICATION AND PERMIT (� ASSESSOR PARCEL NUMBER 019-200-067 ZONING A10 BUILDING PERMIT OWNER RICHARD W. & BARBARA J. JONES TELEPHONE 345-7666 SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESHS AVENUE CHICO 95928 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2 CROUCH AVENUE CHICO PERMIT FEE $ 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 D Duplex ❑ Mobilehome ElOther ELEC SERV. SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 'P.T F.C. 4F.RVTICE FOR FUTURE 11.(;F. (HOUSE) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 211*V OR LESS OOAORLESS I 23.00 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. SO, OR ADDNS. ( a ACC. BLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 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. cense No. Classification 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 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 0 .50 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 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 $ 66.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certify tt I have read this application and state that the above information is correct. I agree tc co ply to all Butte County Ordinances and California State Laws relating to building ons ruction, and hereby authorize representatives of the County of Butte to enter u on t e above mentioned rty for inspection purposes. I also agre to save, indem - y and ep harmless the County of Butte against all liabili ' sg!dgments o ts, and expen es which may in any way accrue against said :�Ovucons ue ce f gr, ntin of th' permit. Date 7—' l l Signature of Applicant - ❑ Owne Contractor ❑ Agent An OSHA permit is required r 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 $ 66.00 HAZ- D. FEES IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte 0unty Code and/or Resolutions to do work indicated ov for whic ees have been paid. By Date PERMIT EXPIRES ON 71P S (Da tel Receipt No. 167000 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD•APPLICANT M' I 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL UMBER_ O ZONING 2Q0BUILDING PERMIT OWNERTELEPHO%E r 5' / �o SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRE vc 4 vc e c 9s z s CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS �- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS ' , �+a✓Qr- G VeK16 r LOT NO. - _-,,.,,VISION'S NAME PARCEL MAP �— PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE /�)4 SFO Duplex Cl Mobilehome ❑ Other y(� y SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition -0 Remodel O Utilities ❑ Installation Cl Other ❑ Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT F' ' g Fee 20.00 Main Service"200A OR LESS ( OR LESS ) 23.00 Z Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC U OR ADONS. ( a ACC. BLDS. ) 3.50 FT. STI. , CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 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 O 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O 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. O I 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. NEW CONST. MULTI.OUTLET NON-RESIO. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPAflATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. SO Ex. Occu FI%ED APPWS. OR p' ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 :Q Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $o (� Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. 1 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. 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 County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner O Contractor ❑ 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 FEES I HAZ. 0. FEES IMP Flo 00 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 indicated above for which fees have been paid. By Date PERMIT EXPIRES ON !Dere/ Receipt No. 7DD�j�t:,/ WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - Devartmdnt of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) CS 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City -Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Date "^TE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. sd COUNTY OF BUTTE - DEPARTMENTOFDEVELOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A. P. No. Proposed Building Use Building Inspector aZE> Date /r 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. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. Pre InsPe'dion req�es� 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... ` 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on bis-. Elm , srltvi. c. !/5 4 ................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter 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 0 I OF39-200-067 .-PERMIT#94-2059' JONES, RICHARD & BARBARA 2000 CROUCH AVE. C HICO UPGRADE MH UTILITIES � �, Y� '11f � ed, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califyornia 95965 - Telephone (916) 538-7541 PERMIT APPLICATION AND PERMIT " �[ A35ESSOR PARCE_ L '� V 03�MVJ1WG067 7 ZONING A40 BUILDING PERMIT OWNER RICHARD W. &BARBARA J. J0:4ES TELEPHONE 345-7666 SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2000 CROUCH AVENUE CHICO 95928 CONTRACTOR'S NAME t OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MA16NG ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2000 CROUCH 4VENUE, CHICO 95928 PERMIT FEE $ 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 C3 Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 60.00 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities )h Installation ❑ Other O Describework: UPGRADE EXISTING MH SITF — PERMIT FEE $ 80.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 (_3 fl �� lgrGt kMfeQ Main Service ( 20000 LESS ) 2000 OR LESS 23.00 23.00 Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUP.S0. OR ADDNS. ( & ACC. BLDS. ) 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.Ex. _,License No. Classification lY 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) El am exemptjgr Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Occu FIXED APPWS. OR p (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23 00 Z' WORKER'S COMPENSATION INSURANCE I 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, WCBuilding Division a Certificate of Workmen's Compensation Insurance or a ertifica�t,e�oof Consent to Self -insure. Vi shall notlffmploy 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 $ 63.00 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 uponithe above rnenti6;eJ property for inspection purposes. I also agree to save„indemnify and keep harmless the County of Butte against all liabilities, judgment1lbosts, and expenses which may in any way accrue against said County )n'conse enc of the ,granting of this permit. X/ +, , +�s�J� l , Date 7”' 1'D —51 dr— Signature of Applicant - ❑��bwner ❑Contractor ❑ Agent An OSHA permit is regLiired for excavations over 5"0" deep and demolition or construction of structures over 3 stories in hei6ht. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 143.00 I HA2- I D. FEES IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which tees have been By PERMIT EXPIRES ON&/ (Da rel provisions to do work paid. Date % Receipt No. 167000 �`� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 - PERMIT W. APPLICATION AND PERMIT •> ASSESSOR PARCEL NUMBER 039-200-067 ZONING A40 BUILDING PERMIT OWNER RICHARD W. & BARBARA J. JONES TELEPHONE 345-7666 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2000 CROUCH AVENUE CHICO 95928 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2000 CROUCH AVENUE CHICO 95928 PERMIT FEE $ 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 El Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 S G Mobile Home W @20.00 60,00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities P Installation O Other O Describework: UPGRADE EXISTING MH SITE PERMIT FEE $ 80.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service I BOOV OR LESS OR LESS ) 2001 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. OLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Pro essions Code and my license is in full force and effect. cense No. Classification 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) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POW ER APPARATUS ) ( 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 200 1.00 BAL. 1@ .50 Ex. Occup. ( FIXED APPWS. OR ) OUTLETS IRESID.I EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 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 ,2ertificate of Consent to Self -insure. ISI 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 $ 63.00 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 o struction, and hereby authorize representatives of the County of Butte to enter u on the above m Ione property for inspection purposes. I also agr a to save, 'ndemnif and keep harmless the County of Butte against all liabili 'es, dgme ost an expenses which may in any way accrue against said Cou y i co en of he ranting of this permit. X ! Date /` V_l A-- Signature of Applicant - ❑ Wner ❑ Contractor El 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 is Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 143.00 HAZ. O. 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 indicated o for whic es ha—Date been paid. Q BY 6 PERMIT EXPIRES ON /Date/ Receipt No. 167000 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ^ /!)_^ co ^ e ZONING _ © BUILDING PERMIT OWNER `Q TELEPHONE SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS R I C -O ^ f_,�, - CONTRACTOR'S NAMES j TELEPHONE CONTRACTOR'S MAILING ADDRESS \L L\ Fireplace CONSTRUCTION LENDER NdN= UNKNOWN Total Valuation $ LENDER'S MAIUNG A DRESS 1f % Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER , _ LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERR`'1S3`M-VAILING ADDRESS Q E Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS` G� 1Cp C� PERMIT FEE $ 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 US OF STRUCTURE SF O Duplex ❑ Mobilehom Other Z SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile HomeMew @20.00 TYPE OF WORK New C3 Addition -13 Remodel O Utilities Installation O Other O , 11 —�— Describe Work: n �BOOV Lf� ��/� Q6 '/ (O v PERMIT FEE $ � Contractor ELECTRICAL PERMIT Fili Fee 20.00 R LESS 00"R Main Service ( z00AORLESS ) 23.00 Main Service ( 200ATOI000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( A ACC. BLDS. ) S 3.50 ST'. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 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 O 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) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 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. O 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. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup. ( FIXED APPLNS. OR OUTLETS IRESIO.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ I certify that I have read this application and state that the above information is correct. 1 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. 1 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 County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE / OD TOTAL FEE $ �� IIAZ. D. FEES IMP FLOOD COF PARCEL I PO HD ISSUE 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. BY —Date— ateWHITE-D.O.S.-B.D. PERMIT EXPIRES ON lOerel % Receipt No. l 70(%[/00 WHITE-D.O.S.-B.D.CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE-.Depar,.tmedt of Public Works 7 County Center.Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) W4,oi� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City -Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name IAddress . Phone Type of Work Signed: _ Property Owner Social Security Number Date -7— "^TE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. .... ,. ,. �;� r t -.:;«� ,y.^. ••-sem F. -777, (H. l►SE O\ i.Y • Plot Plaut Altachtxl —� Floor Plan At j. t S., to B.U. � TO: Building 1�epartme_nt FROM: Environmental Health SUBJECT.: Sanitation CIea ance Owner Location' - Plan 'A proved for: Sewage Disposal— `Water Supply Public Private WeII +t---r CIearance fore bedroon �obileonTe. Other�GCl n iYlo Hold final for: Final clearance 0'Kfor: NOTE: Env' onmental . AeaK Specialist Date.. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION`NOTICE 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. Am rAa-- .N'l S y Dated %g Inspector REV 10192 V COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER�^ ��� 06PERMIT 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. i8 e v✓ 1 or� �SS��i%►? Of FA L�l 1.4 1/ cids //'V c �•✓ -C O,,,i.� t? z /1 iso v � ...n �%, Date y Inspector REV 10/92 ( , Vv ' RESIDENTIAL ` 039-200-067 PERMIT#94-1831 PHILLIPS, ROBERT D. = 1996 CROUCH AVE., CHICO CONT: MOBILE HOME CENTER MOBILEHOME�jINSTALLATION EXIST SITE OFFICE COPY Address GAS D ate Meter BY I ELECTRIC Date Meter BY _ JOB FINALED (Date) Signature V=OK O=Not OK Not Not Ready MOBILE MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a oils; Special MH Support Sketch . Sewer; Location -Test -Fall -C/O Concrete ter; Location -Teat -Easement Needed (Sketch) Electricity; Location-Clearences-Grnd-/ /Amo -Concrete V Gas; Location -Teat -Wrap: / P11t. /f,//"Nat. or/ P'L"ft./ /"LPG ell Clearance & Disconnect jy Utility Clearance HOME A1:Aoning Requirements -Setbacks Easements Fgdtfings; Size -Spacing -Marriage Line lis; MH Test-Demand-Valve—Connector 4 I tricity; MH Test-Crossovers-Breakere-Clearances ra r(, MH Test -Fall -Flex Connector eter; MH Test -Regulator -Connector titer and Sewer Connected -C/O to Grade -HD Approval ;eas and Electricity Taaaed 40. Cert. of Occupancy A MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists-Decking-Bracing-Stairs-Ralls 4. Wood Awn.; Posta-Beams-Rftrs: Connectors Shthg.-Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 8. 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 8. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ina. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2: Ftg., Main; Soils-Elec. Grnd.-/ P' Fig. 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.; Fall -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. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii 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/Mach. Fastners-Bond Gas & Water r 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 -Main 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 #'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 #'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 Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing , Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Puri in -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check 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 #'s 61. Ext. Steps -Door & Sidelight Protection -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. Plb., 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 INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT O P_U¢LIC.WORKS,., �-4«7 COUNTY CENTER DRIVE OROVILLE, CALVF'bANIA"9596V�-*` tLEPHONE: (916) 538-7541 PERMIT N.O. Address dr location of mobilehome rv�JG,-OJLht Owner's name/�Rr�' SST Cr`ea� Owner's address Insignia or hud number /OZA -ZIW4� If Manufacturer's name elA>lPC7A = Serial neer of V.I.N.�Year of manufacture- " i`OfFicial eVroving Installation) (Dat r IF THE MOBJLEHOME 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. �j 039-o2D0 7- 513B .5138 White - Owner, Yellow - Installer, Pink - D.P.W. JCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P MIT NO. APPLICATION' AND PERMIT ASSESSOR PARCEL NUMBER 039-200-067 , ZONINGA40BUILDING PERMIT OWNER ROBERT D. PHILLIPS TEJZ`3 -7666 L� SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1996 CROUCH AVE CHICO, 95928 CONTRACTOR'S NAME MH CTR 3+3-5611 CONTRACTOR'S MAILING ADDRE 130 ESPLANADE CHICO, 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING DRESS) CROUCH AVE PERMIT FEE S 43.00 CHICO, 95928 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat ftp water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water hea r or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome Other SPECIFY Gas piping system 1 -75 outfqts 15.00 Building sewer 15.00 Mobile Home S G W 20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: MH 3 BEDROOM EXIST. SITE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 (#3567-86) Main Service ( '00A """ ) 23.00 Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCC UP. OR ADONS. ( & ACC. BLDS. ) SO. 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. License No. Classification ❑ 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) X—I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) EII am exempt under Sec. Business and Professions Code forthis reason NEW.CONST. MULTI -OUTLET NON RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B2A0 @ 1.00 FIXED APPS. OR Ex. Occup' (OW UTLETS IRESID.) 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): Cl 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. I 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, an xpenses which may in any way accrue against said County in se ence f anting of this permit. / X Date (�— Signature of Applicant Owner ❑ Contractor ❑ 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 $ 100-00 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143.00 HAZ• D. FEES IMP Fl_oo COF CEL PD - HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for hich fees have been DIR OR F PUBLIC WORKS By PERMIT EXPIRES ON �^ �� /Date! provisions -to do work paid. Dateg Receipt _ 167046 .D. WHIT E-O.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �I 'gVrrt/ ,� v COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION j 7COUNTY CENTER DRIVE -OROVILL%JGA'�FORNIA95965-TELEPHONE(916)538-7541 PERMIT APPLICATION DATA SHEET OWNER ��! ��'` �f' A. P. o. 67 Proposed Building Use 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 BY All items have been submitted . ............................. .......... . 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 . ...................... ngineered truss details and layout in duplicate (required prior to plan check). .... pill.Impact,fees obilehome data and manufacturer's installation instructions, 2 sets. ........... �. ees of $ ......................................... . as shown on attached schedulel;e_ 12. California Department of Forestry plan approval/fees. .......L,/�G�:r... . 1 -o --Flood elevation letter (100 year floqqLbj California Engineer. ... + Sanitation and plot plan approval Health Department. ( r� 5. City of Chico plumbing permit. .... i.G-o................................ 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. .......... . Driveway permit (construction approval required prior to occupancy). .. .. —� Pre4nspedion requ� 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner �24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. ........... ......... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28, Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ......... ' ./.... .- 'Al Existing violations/expired permits . ................................• ..... . an check list. ...... . When you issue the permit, process as follows: (,-" Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other I ' Parcel Creation NI. - Acreage Applicant • r. Date 46 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. -=,-= Fir ept. , ., / Other Date By The following data must be submitted 1. Index permit for above items No. < 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by phone _ mail �>ute by Contractor, designer, owner, was advised of above required data by _phone _mail er by Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works W Date Date Date =ti TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance F.H. USE ONLY I9,a Han Aluch,l ri,,;,� i�Lm n, acid t/ scnl <„ B.D. Owner Location AP# Plan Approved for: Sewage Disposal tom— Water Supply: Public Private Well Clearance for bedroon .mobile ome. Other- %Ytnh ir Hold final for: Final clearance O.K. for: NOTE: rt Envi onmental Hea , Specialist Date 8/92 SOS.c "Q 1 lei _n G� o t r,3 3 '7 O J: CT y 29 _ - ---z ''IIU o �n t ' N N00 o g f- lM 'I:!f�l µ 4 �t "pry�73 "" �+?f?; F gsict= `' im •F x wi q+ tt4yr:1`t: T *�"rs «` �fK '��r Fln:�a t. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District G asp Building Department No. A.P. NumberJurisdiction ❑ City County Property.Owner Property Location/Address Subdivison Residential Development Commercial/Industrial R District Identification No. e6K . � Lot No. ❑ [:[] I., 0 Sq. Footage / S(o No. of Living MHI Addition (Group R) Units le6l2i9 C 6--s- F-1 S New ❑ Sq. Footage Addition (Including Exterior J (Floor Plans reviewed by School District Personnel) Roofed Areas) . 2 -;/, 7 V Date School District certifies that (Applica (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. kA q by payment of $`�n1 representing 1570 square feet. School District ❑ Check here if fee received represents "Full Mitigation". Date Paid by Check # Remarks: Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under. the California Environmental Quality Act (CEQA), this project may be subject to _additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (a/ea) 1. Owner's Name: 2. Installer's Na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET MIL - 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? . Yes No 7 (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 F, S. What is the mobilehome electrical rating? --------------- % Amps 6. What is the mobilehome site service rating? ------------- / v Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the - mobilehome site service? ------------------------------- Yes El No ISI (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas -pipe size? -------------- (in.) type g ?---------- ----- 10. What is the t e of as service ---- Natural �' LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas -or less than 50 ft. on LPG.) ®Qp�T bt to Q (ft. ) (BTU) MOBILEHOME SUPPORT DATA l If other than single wide, Mobilehome Mfr. i vA) furnish Setup Model No. lG 7 �2_ Year Widths? C�' (ft.) Box Lengt A6 _(ft.) Tagalong or Expando Size 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) 21. Wood-pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) L 1. Concrete block. a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -HIDE YULT'-WIDE Line 1 Line Main Beams Line 2 — — — I_ Maio Beams —Line v Tag or Triple Line 1 Line 1 Piers: Line 1 Openings: Size-Min-------------ffl Spacing-Max. --------- From Ends -Max- ------- Line 2 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max---------- r_ From Ends -Max .------- " Line 3 Roof Loads: size-Min------------- Wcacion (From Front) Size -Min- ------------------ "x Each Side of Openings with Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min - ------------------ Spacing -Max ---------------- From Ends-Max-------------- �t.,x3o., iZ ,,x 30., iL'k3o^ /L' 3o" iL^x3o" /L"x3o„ k „ k Line 4 Piers: Size -Min.------------ k Spacing -Max ---------- From Ends-Max. ------- Size-Min------------- Locacion (From Front) e i tiers: (Under Bearing '.falls Oaly) Size -Min .------------------ 'k Spacing -Max---------------- - From Ends -Max -------------- " V. 99 c0,>Z: n oQafl 3 0 4 =-< M Cal X., w O Q a. �0 .o o Re Z -0-0- ;m �NO3 N p �A� P n TZl -� mak= a :z 73 7 • ����� FG IT IYL Q P � aKmD.��` to 0 713 4 rn �-1)g =� c0,>Z: n oQafl 3 0 4 =-< M Cal X., w O Q a. �0 .o o Re Z -0-0- ;m �NO3 N p �A� P n in ac TZl -� mak= a :z 73 7 • ����� FG IT IYL Q in ac TZl a N po 73 7 • ����� FG IT in ac N�y go 0'�� 473. m rrn V "" NO.� `A z m vo ,s i OR a N po 73 7 • ����� FG IT IYL Q P � 713 4 N \p �-1)g =� N�y go 0'�� 473. m rrn V "" NO.� `A z m vo ,s i OR 7/Z 71�� 0 39 - 0617 - 0 67 (gjC)q,#-120 JoAv5-s) [7�q-UE -PE2 Woe SES'• 24"O� �6 J !�✓I�EN E.Z` � Zo C17oov SDG a jpH HHf t HHf F-� lbWNG S -AM : Jades 3iJE:`Ti :AvC L C: REQ=DE: 17 AL REC"_VIED BY: DA= 2LIif �0/ / T_.E: R_CQUIRED ?VT OR TO ?ERCT ISSUANCr FROM DATA -D BY PLAN C::EC.' r.`tGINEERING REQUEST"")i BY CORREC �'ZONY::S NO ITS LOCATION IN BUILDING WM---R CHANGZ OCCURS: 'WIMN APPROV'c.D , PROCZSS AS r OLLOWS : Ma=_ to owner Mail to coatrac=or Ca:_ and 'hold :or pickup at the of:ice. -.Del--;ver with nex= inspec=ion. R«V_sED PLAN F.kID c EJ.JON l . A, '.00 kddi__onai -ees Not Repui: ed .5'Jammu ■■u-■■■■■ W■■PR pU■■■ ■■■L J■■■ ■■■Mk, CMN■■ ME,, i iii V- ■ . -■ &�dLJ■LAb-A Materials EXPANSION'INDEX TEST U.B.C. STANDARD 29-2 / ASTM 4829 bubo File No: 94319 Test Date: 07-24-94 Client: Richard Jones Cohasset Road 1158 0.0022 1238 Chico, CA Project: Ranch Modular Home Pad 1310 0.0352 95926 0.0353 0700 0.0354 Material Source: Native 0900 0.0354 Depth of Sample: Zero to Ten Inches Sampled By: R. Sprinkle Test By: R. Sprinkle DENSITY CALCULATION MOISTURE CALCULATION Gross Wt. (gm) 586.5 Gross Wet Wt. 330.5 Tare of Ring (gm) 200.7 Gross Dry Wt. 304.9 Net Soil Wt. (gm) 385.8 Container Tare 72.3 Wet Density (gcf) 53067.4 Net Dry Wt. 232.6 Wet Density (pcf) 117.0 Moisture Loss 25.6 Dry Density (pcf) 105.4 Moisture Content 11.0 TIME AND DIAL READINGS Time Reading Time Reading 1155 0.0000 1158 0.0022 1238 0.0298 1310 0.0352 1600 0.0353 0700 0.0354 0800 0.0354 0900 0.0354 SATURATION CALCULATION Vs .625 VW .186 Va .190 Saturation .495 INITIAL THICKNESS (H1)= 1.0000 FINAL THICKNESS (H2)= 1.0354 FINAL MOISTURE CONTENT= % FINAL RING WEIGHT (gm)= EXPANSION INDEX (EI)= 35 UBC CLASSIFICATION Low ■ENNE^■EEME ■t■■■ ■KOMO ■■■PM PME■■ WOOL J■■■ \\�Y�E ■■ low NNS A 14ME ■- .i A , 'a 5. dLJMLAh-A Materials Engineering Testing and Inspection Crane Certification 5050 Cohasset Road Chico, CA 95926 (916) 891-6625 File No. 94319 01 August 1994 Butte County Building Department #7 County Center Drive Oroville, CA 95965 Attn: Mr. John Henry Gentlemen: We have performed an Expansion Index Test (UBC Std. 29-2) on a sample of soil obtained from the site of a mobile home installation at 2000 Crouch Avenue in Chico. The A.P. No. at this address is P47fdo-067. This test resulted in an Expansion Index of 35, which is assigned a potential expansion value of "Low" by Table 29-C of the UBC. In accordance with Paragraph 2904(b) of the UBC, it is our judgement that no special design considerations are necessary to mitigate soil expansion for this installation. This judgement is based'on the following: a. We estimate that 75% of the total expansion will occur in the upper two feet of soil. Under the worst conditions (completely dry to 100% saturated), total expansion will be in the range of one inch, computed as follows: (.035 in./in. x 24 in.) / .75 = 1.1". b. Mobile homes are necessarily constructed to withstand moderate flexure. It is our judgement that differential movements of 1" in the support system for a mobile home are well within the design tolerances for flexure. Please call if you have questions concerning the analysis outlined above. We will be happy to discuss it with you and, if necessary, to contact the manufacturer to verify acceptable limits of differential movement and allowable flexure in the frame system. Very truly yours, APP IED TESTING CONSULTANTS, INC. Joh G.ears, PE cc: Bob and Cindy Phillips G. SEARS NO. 23199 ; CIVIL �'�• r t' COUNTY OF BUTTE ►/Z-31-97 . _�'r' BUILDING DEPT kNMOF �A��r-- -= - AUG 0 3 19 � BUILDUNIG DEPARTMENT A P P R O V E D X39--ZoD_=_o�7� (gCy,#-12V JOA/ES) �E2 �I��' SEC'• 2�0� �6 � wXEN E� � Zo Sj�EC/H C OES /G1J S'O� a 7 JqH , I di ■■n q B ■■►A 1■■ M�d►J■LAbZfi Materials Engineering Testing and EXPANSION INDEX TEST U.B.C. STANDARD 29-2 / ASTM 4829 5050 File No: 94319 Test Date: 07-24-94 Client: Richard Jones Cohasset Road Chico, CA Project: Ranch Modular Home Pad 95926 Material Source: Native Depth of Sample: Zero to Ten Inches Sampled By: R. Sprinkle Test By: R. Sprinkle DENSITY CALCULATION Gross Wt. (gm) Tare of Ring (gm) Net Soil Wt. (gm) Wet Density (gcf) Wet Density (pcf) Dry Density (pcf) TIME AND DIAL READINGS Time MOISTURE CALCULATION 1155 586.5 Gross Wet Wt. 330.5 200.7 Gross Dry Wt. 304.9 385.8 Container Tare 72.3 53067.4 Net Dry Wt. 232.6 117.0 Moisture Loss 25.6 105.4 Moisture Content 11.0 TIME AND DIAL READINGS Time Reading Time Reading 1155 0.0000 1158 0.0022 1238 0.0298 1310 0.0352 1600 0.0353 0700 0.0354 0800 0.0354 0900 0.0354 EXPANSION INDEX (EI)= 35 (916) SATURATION CALCULATION Vs .625 Vw .186 Va .190 Saturation .495 INITIAL THICKNESS (H1)= 1.0000 FINAL THICKNESS (H2)= 1.0354 FINAL MOISTURE CONTENT= % FINAL RING WEIGHT (gm)= UBC CLASSIFICATION Low 1991 UNIFORM BUILDING CODE 29-C, 29-D, 29-1 TABLE NO.29-C—CLASSIFICATION OF EXPANSIVE SOIL EXPANSION INDEX POTENTIAL EXPANSION 0-20 Very low 21-50 Low 51-90 Medium 91-130 High Above 130 Very high TABLE NO.29-D—WEIGHTED EXPANSION INDEXI DEPTH INTERVAL' WEIGHT FACTOR 0-1 0.4 1-2 0.3 2-3 0.2 3-4 0.1 Below 4 fl 'The weighted expansion index for nonuniform soils is determined by multiplying me expansion index for each depth interval by the weight factor for that interval and summing . the products. 2Depth in feet below the ground surface. ivice of footing 'lisp of slope Face of structure ` H Toe of slope 413 but need not exceed 40' max. H/2 but need nal exceed 15' mux. FIGURE NO. 29-1 ,� 591 356186 3562-86P,E(MH) PERMIT NO. PERMIT EXPIRES 59A3 OWNER LOWELL WRIGHT CONTR. owner t ASSESSOR PARCEL 39-20$^ LOCATION 2000 Crouch Avenue, Chico l/ v' OFFICE COPY AddressZ1 tTi�C� j GAS Meter By Date/ ELECTRIC Meter By Date Z7 Temp. Power Pole_ Called PG&E _ Temp. Elec..Service w Called PG&E Temp. Gas Service Call JOB FIN Sign VOK O = Not OK — o Not Applicable MOBILEHOMES - Not Ready MISCELLANEOUS Date MOB EHOME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's oning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements _ ils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors— Se er; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails a r; Location—Test—Easement Needed (Sketch) _ 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing le c 'city; Location—Clear nces—Grnd.— / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures - Location—Test—Wrap: /3 /"L" ft. "Nat. or/ /"L"ft./ /"LPG - — 6. Carports; Windows—Doors Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date/J,4/,Card-BI Date Card -BI Date Card -BI Date Date MOBI O I STALLATION (Plans) OK except #'s Date POOLS (Plans) OK except N's 14'0'Z_QqPrg Requirements—Setbacks—Easements 1. Setbacks—Easements otings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Gas• es Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining le ricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5' r ; Mt-est—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI at H Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminal's—Listed 7 er d eGer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater G Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes —Enclosures—Panelboards—Ins. to Main in Conduit ts; Insp.—Sketch Cert. of Occupancy 9. Health Department Approval 10: Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Dat Card -BI Date Card -BI Date Card -BI Date V = OK ' 0 = Not OK - = Notyakle Read = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except#'s 1. Zoning requirements -Setbacks -Easements 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Dept 3. Ftg., Garage; Soils -Steel- / /" Fig. Depth 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel -Blackouts -Wrapped -Slab 6. Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test _ 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI DateCard-BI Date Gard -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Card -BI Card -BI Date Card B -I Card B-1 Date Date FRAMING (Continued) 63. 48. Property Line Firewall & Openings Elec. Outlets at Wood Panel; Int. & Ext. 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 66. 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 67. 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers A.C. Duct in Garage -Damper 52. Siding -Nailing -Veneer 69. 53. 54. 55. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access _ Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. - Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Card -BI Following instld.: Drive F_,Yes EJ No: Walks ❑ Yes ❑ No; Planters ❑Yes JNo Date Card -BI Date Card -BI Card -BI 77, Date Card -BI Date Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 79. 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting Exterior Elec. Trim; G.F.I. Receptacle -Underground 60. G.F.I. & Bath Fixtures & Tub Access 82. 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 83. 62. Stairs & Rails 33. Date _ _Card -BI _ Date Date Card -BI Date 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. - Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes _;No ___ _. Service -Riser Conductors & Ground -Main Disconnect_ _ Equip. Clearances. Panels-Motors-Mech. Equip. -_ _ Clothes Closet Light -Shower Light _ Date Card -BI _ Date _ _ Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70, Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. - Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75, Following instld.: Drive F_,Yes EJ No: Walks ❑ Yes ❑ No; Planters ❑Yes JNo 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 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 81. Ventilation throughout House 82. Glass Protection MECHANICAL (Permit) OK except #'s 83. _ Corrections from Previous Inspections 84. _ Gas Test -Meters Tagged: Gas -Electric 31. 32. A.G. Ducts. Insulation & Support - _ _ Vent Fan: Exhaust above Insulation 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow: Size_& Grade 34. _ Furnace -Vent. Access -Comb. Air -Return Air Vent- outlet 35. _115_V Attic Access & Platform if Furnace to Attic Card -BI Date Card -BI Date Card -Bl Date Card -BI Date Date FRAMING(Plans) OK except #'s 36. Sills, Proper Material & Anchors 37. Walls. Studs -Nailing, Spacing & Bracing -Plates -Sound 38. _ Bearing Walls over Girders & Floor Nailing _ 39. Draft Stop in Walls (rat proof) 40. Fire Stops:Furred Ceilings-Stairs_Chases-Tub_ -- _ 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rfli. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access. Size & Romex Protection -_Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Com tents at Final: (NOTE Anentry must be made each time you visit job site) TO: Building Department I FROM: Environmental Health, Chico ;t;' r krj • • ' .. ter' ��{� Z :iA }` .ma{•y ��. er t 3L.Y 4.r .. •. ny 11 It, • t�• f l .. J` tY th . .. . V{ 1 1� 't Y• r ' - TO: Building Department I FROM: Environmental Health, Chico ;t;' r krj • • ' .. ter' ��{� Z :iA }` ny 11 It, X V{ 1 1� 't Y• SUBJECT: Sanitation Clearance Owner Location a►'t•' Plan approved for: sewage disposal � water supply � Hold final for ter sup;>iv Final clearance O.K. for: water siwr y Clearance for bedrooobile home. Other Note*"* GlAz/ dL' ' +� �' Cc /<` Qin 617,(-_141111,1 22 Sanitarian Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 196 Memorial Way, Chico — Phone: 891-2751 • 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER —PERMIT NO. 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. 41 X LC. of Inspector Da Official Notice BUTTE COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH 7 COUNTY CENTER DR. 747 ELLIOTT ROAD OROVILLE 95965 PARADISE 95969 534-4281 872-2961, Ext. 58 TO: i rci Vy r SUBJECT: INSTRUCTIONS: i TIME ALLOWED DAYS RECEIVED COPY S41 -278R 196 MEMORIAL WAY CHICO 95926 891-2727 DATE ,r' G; -r�, SANITARIAN MOBILEHOME-INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 �+J PERMIT NO. 2'f �, Address or location of mobi lehome "-� ��- r �7 -4_ Owner's name f t 1 r �- Owner's address Insignia or hud number % 44 Manufacturer's name ! (JL A-� Serial number of V.I.N. ��'( t Year of manufacture ' �I (Official Approving Installation) J (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. L 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,.Califor6ia'95966 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO� ASSESSOR PARCEL NUMBER .� 40 _ < ZONING b BUILDING PERMIT OWNER TELEPHONE 3— ,SQA FT. OCC. BUILDING VALUATION OWNE AILING ADDRESS CONTRACTOR'S NAME C- W TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER /VO °`L' UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER U LICENSE NO. Plan Checking Fee $ Jsoo Energy Plan Checking Fee $ AR CHIT CT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT FIIingFee 10.00 Each Trap 2.00 4 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeZ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile HomeG W O.00ea 3O, 00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation❑ Other ❑ Describe work:_ M 1-i 0 r ei12J4, _ _`/ L& C_- �Pw•y SGG /.�i'rn•T # G/—d Permit Fee $ v. D� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 2• S -IC> 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) El 1, as the owner, am exclusively contracting with licensed contract -Mobile ors. (See. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N , A 1 h2sgft New CONSTR( U TBI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eALO 30 FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA.I 2.00 Temporary service 10.00 Home Facilities 15.00 bC3 , Misc. Wiring g 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 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 against sai County i conseque,,nce of the granting of this permit. X �/�r%! �/ �/� Date�„ �sions Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3rrstories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 7,3. OCCUP. CONST.TYPE vi �Loo1 ARCEL PD ND 139 This permit is hereby issued under of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC Bv__9 PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /1/7-? /�- a Z Receipt No. J WNITC•D.P.W.. YELLOW -ASSESSOR. PINK'INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARtMENT�OF P,UB�4F WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CpALIFORNIA 95965 - TELEPHONE: 916/534-4541 / PERMIT APPLICATION DATA SHEET t �/J Permit No. OWNER owaf' IAJ ��4 } A. P. No. 3 9 %O — 9 Proposed Building Use Building Inspector Date // 2G, g(. 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. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. 4L) 14 Z CUSD "Fees Paid" Stamp on Floor Plan . pr %,qr Yvl . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . Sanitation approval from CkI c Health Dept. 3 -19110 VM116 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. k- Pre-Inspec. request to ( te) Pre -Inspection for Required. Building Ins Recorded copy of Agricultural Acknowledgment Statement, lo'� ,V g( 19. Driveway Permit. F�t�,IwQ 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, Telephone and hold for pickup at office, Other Appl ica Mail to contractor. _Deliver w/inspector. Date of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior t erm 1. Index permit for above items No. 2. Additional items required: uance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked Copy—DPW 161712'71k Plans approved Sets of plans on hold in File cabinet AP folder e 1.2'j I V... — Flours: 10:00 a.m. - 3:00 p.m. TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance I Owner Location AP# Plan approved for: sewage disposal water supply Hold final for• er supply Final clearance O.K. for: water supply Clearance for Z— Note*** Gr��f� � h�h5e�s Sanitarian bedrooobile home. Other Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and aterials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed wo'XIC. 3. I have contracted with the following person (firm) to provide the roposed onstruction: Na e Addr ss City Phone Contractors License No. 4. I plan to\ to coordin Name Address _ Phone ovide portions of this work, but I hav fired the following person e, supervise, and provide the major rk: 5. I will provide som persons to provide Name City Contractors icense No. of the work but have contracted (hired) the following Aedess work i.ndi ted Phone Type of Work Signed: Property Owner y Social Security Number Date 1!�0 4.), �2 i f NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. `�tetu� to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT �6�.42955_. - BUTTE COUNTY, CA. RECORDER'S OFt ICE Section 26-8.1 of the Butte County Code requires this acknowledgement I� be recorded prior to issuance of a building permit. 86t429551986 DEC _3 PM 1: 52 The property described herein is adjacent to land or included, RECORDED AT REQUEST OF within an area zoned for agricultural purposes, and residents of this PARr� SHOWN property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbiciKi sticides and fertilizers; and from the pursuit of agricultural operations including, but not limitea to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal necessary farm operations. �°a9es All that real property situate in the County of Butte, State of California, described as follows: Date : f Z' r State of ) County of ) PROPERTY OWNERS: On this the day of 19_!!�L, before SS. me, the undersigned Notary Public, personally appeared / / Personally known to me. �% Proved to me on the basis of satisfactory evidence. to be the person(s) whose fiame(s) s bscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. - DONALD DRIVON NOTARY PUBLIC -CALIFORNIA Butte County MY Commission Expires Sept,16,1989 Present A.P. No. 3 9- a 0- v e- Notary Public w i . • s DESCRIP'T'ION Farm Unit D as shown on that certain Record o of the Recorder of the County of Butte, State 1977, in Map Book 61 at page 96, also being of the Crouch Lands, being more particularly --- Co=encing at the intersection of Stevensave South 6o"281491East a distance of 28.68 ft. 86-42955 f Survey Map filed in the Office of California on November 23, a portion of the Estes Purchase described as follows: venue and Crouch avenue and running along the centerline of Crouch avenue to a_ point, which point is marked by an iron pipe and is the true point of beginning for this description, thence leaving the true point of beginning and the::de:gterline of Crouch avenue and running South 12057'05" West a distance of 3592.16 ft* to a point, thence South 89"50'08" West a distance of 2096.90 ft* to a point on the Westerly bank of Sand Slough, thence running the following four courses and distances along the Westerly bank of Sand Slough: South 2232'05" West 49.72 ft. South 27921'05" West 146.20 ft. South 3159'05" West 146.4o ft. South 14&36t5511 East 101.36 ft. to a point, thence leaving the Westerly bank of Sand Slough and running North 89050'08" East a distance of 7358.03 ft. to a point, which point is marked by an iron pipe, thence North 00"20'50" East a distance of 950.06 fto to a point, which.ipoint is marked by an iron pipe, thence North 46`56142" East a distance of 70.14 ft. to a point, thence North 35"45'42" East a distance of 106.60 ft. to a point, which point is marked by an iron pipe, thence North 65"40'33" West a distance of 85.01 ft. to a point, which point is marked by an iron pipe, thence North 34041'23" West a distance of 80.23 ft. to a point, which point is J marked by an iron pipe, thence North 21°19123" West a distance of 150.78 ft. to a point, which point is marked by an iron pipe, thence North 33032'51" West a distance of 297.97 ft* to a point, which point is marked by an iron pipe, thence North 52912'41" West a distance of 119.03 ft. to a point, thence North 60"31'20" West a distance of 1871.62 ft. to a point, which point is marked by'. an iron pipe on the centerline of Lone Pine ave2ue, t!a nce South 16°41'00" West a distance of 9.75 ft. along the centerline of Ione Pine avenue to a point, which point is the intersection of Ione Pine avenue and Crouch avenue; thence North 6023'49" 'nest a distance of 2695.50 ft. along the centerline of Crouch avenue to the point of beginning, containing 324.09 acs, more or less. EXCEPTING THERKFROM the rightss of the public over any portion of the herein described property lying within the bounds of any public road or highway. _ ENO OF DOCUMENT C= 0 -i *ti• DESCRIP'T'ION Farm Unit D as shown on that certain Record o of the Recorder of the County of Butte, State 1977, in Map Book 61 at page 96, also being of the Crouch Lands, being more particularly --- Co=encing at the intersection of Stevensave South 6o"281491East a distance of 28.68 ft. 86-42955 f Survey Map filed in the Office of California on November 23, a portion of the Estes Purchase described as follows: venue and Crouch avenue and running along the centerline of Crouch avenue to a_ point, which point is marked by an iron pipe and is the true point of beginning for this description, thence leaving the true point of beginning and the::de:gterline of Crouch avenue and running South 12057'05" West a distance of 3592.16 ft* to a point, thence South 89"50'08" West a distance of 2096.90 ft* to a point on the Westerly bank of Sand Slough, thence running the following four courses and distances along the Westerly bank of Sand Slough: South 2232'05" West 49.72 ft. South 27921'05" West 146.20 ft. South 3159'05" West 146.4o ft. South 14&36t5511 East 101.36 ft. to a point, thence leaving the Westerly bank of Sand Slough and running North 89050'08" East a distance of 7358.03 ft. to a point, which point is marked by an iron pipe, thence North 00"20'50" East a distance of 950.06 fto to a point, which.ipoint is marked by an iron pipe, thence North 46`56142" East a distance of 70.14 ft. to a point, thence North 35"45'42" East a distance of 106.60 ft. to a point, which point is marked by an iron pipe, thence North 65"40'33" West a distance of 85.01 ft. to a point, which point is marked by an iron pipe, thence North 34041'23" West a distance of 80.23 ft. to a point, which point is J marked by an iron pipe, thence North 21°19123" West a distance of 150.78 ft. to a point, which point is marked by an iron pipe, thence North 33032'51" West a distance of 297.97 ft* to a point, which point is marked by an iron pipe, thence North 52912'41" West a distance of 119.03 ft. to a point, thence North 60"31'20" West a distance of 1871.62 ft. to a point, which point is marked by'. an iron pipe on the centerline of Lone Pine ave2ue, t!a nce South 16°41'00" West a distance of 9.75 ft. along the centerline of Ione Pine avenue to a point, which point is the intersection of Ione Pine avenue and Crouch avenue; thence North 6023'49" 'nest a distance of 2695.50 ft. along the centerline of Crouch avenue to the point of beginning, containing 324.09 acs, more or less. EXCEPTING THERKFROM the rightss of the public over any portion of the herein described property lying within the bounds of any public road or highway. _ ENO OF DOCUMENT C= 0 Zags I- a Yj .hY�j♦ f OWNER PERMIT MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . service ;ize Other Load Type Pipe Size Len th YES NO YES NO/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, t:fPGRtNIA 95965 - TELEPHONE: 916/M4.'954vx 538-7541 PERMIT APPLICATION DATA SHEET (r Permit No. OWNER �Ou)ell ✓ l f'! A. P. , o. - / Proposed Building Use e/M 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. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. l / 3. Contractor's License Information (no., name style, classif.)(, 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. :zTelephone you issue the pe//rr� it, pro/�esscas follows: Mail t o ner, Mail to contractor. "�`S - — � I and hold for pickup at� eOice, Deliver w/inspector. Other ce 3 J - 5. 95 Appl is Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: xxxxxxx 538-7541 xxxxxxx 538-7281 Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by_phone_mall_counterA)y 1 date Plans checked by Copy—DPW Date Plans approved by Date Sets of plans on hold in File cabinet AP folder xxxxxxx 538-7601 — Flours: 10:00 a.m. - 3:00 p.m. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Oaliforni8 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER j� .� O 7 ZONING y� i' BUILDING PERMIT OWNER . T �LJlfri, PHONEry SQ. FT. OCC. BUILDING VALUATION 0' �,o OWNS AILING RESS ©X CONTRACTOR'S NAME TELEPHONE LL:) CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 0e) Filing Fee $ 10.00 LENDER'SOMAILING ADDRESS Permit Fee $ (p, pp ARCHIT C OR ENGINEER OyuEnergy LICENSE NO. Plan Checking Fee $ Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS pe,,� BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 lid Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: D 01..0 k,0LA e cgpiQt� _ Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 �Iy7� L 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) ❑ 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 CONST. DWELLING OCCUP.g , A 'TBI.OUTLET ) �z2sgft New CONST R.( U NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu 20@50t Occup(OUTLETS OR FIXTURES 5AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bVirin 9 15.00 Permit Fee $ 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. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s id Count in cons uence of the granting of this permit. Date (� ��� �2 Signature of Applicant —wner Contractor ❑ Agent ❑ An OSHA permit is requir d For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYP! I I FLOOD PARCEL PD ND I ISSUE This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which �iR T PUBLIC BY � P M EXPIRES DateZ//-2/, the applicable provi- resolutions to do fees have been paid. WORKS Date�� r Receipt No.�(��J q � WNIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. • 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not) signed an application for a building permit for the proposed w k. 3. have contracted with the following person (firm) to provid the proposed co struction: Name Addre C ' y Phone Contractors License No 4. I plan to ON to coordinat Name Address Phone vide portions of this work, but I Pi yAve hired the following person k supervise, and provide the ma6r work: Contractors License No. City 5. I will provide some o thework b I have contracted (hired), the following persons to provide the rk in "cated: Name Addres Phone Type of Work Signed: Prop So ate GlGv fty Owner 1 Security Numbe NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. MOBILEHOME SUPPORT DATA • If other than single wide, ,. Mobilehome Mfr. �. Cx.6t.L'��` furnish Setup Model No. _ Year Nidth !K (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 mobilehome unless otherwise specified. Footings (check one) x -- Typical Support in. in. Footing Size (ft.)('n.) (in. (in.) S� 6�' -- Max. Pier Spacing ao 0 Z`( x 30 2 p -- Max. Overhang (ft.)l(in.) (in.) (in.) (ft.)(in..) *If center piers are other than drawn above, draw in -locations. spacing, and dimensions. Single E i Wood either A A pressure treated or foundation grade. 0 MF (ft.)(in:) (in.) (in.) 2. Other: (specify) Center support locations* Center support footing sizes Supports (check one) (in.) j1: Concrete block. x .2; Other.. (specify) (ft.)(in.) (in.) (in.) E ---Tagalong or Expando,' show support details. e-1 X 36 (ft.)(in.) (in.) (in.) x -- Typical Support in. in. Footing Size (ft.)('n.) (in. (in.) S� 6�' -- Max. Pier Spacing ao 0 Z`( x 30 2 p -- Max. Overhang (ft.)l(in.) (in.) (in.) (ft.)(in..) *If center piers are other than drawn above, draw in -locations. spacing, and dimensions. BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: �-e c� E'. l�c?,s�a✓ 2. Installer's name: ErC7`y,zi 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks.and easements? Yes X No ( If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- T�_ Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- .I. Amps 8. Is there any other electric load to be,served by the mobilehome site service? -------- Yes / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? -------•---------------------- Natural 777 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on some without written permission from the Department of Public Works, County of Butte. VOTE: Ali Materials & Workmanship Shall le ir, Accordance with Recognized Good Proe lea and of a quality prescribed for tho Speciflod user In Ae Uniform Building, Plumbing & Machanl CAd end the National Electrical Codes., ,© a2 A setback of• from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment exwW for a 2 ft. eave overha.no, a:. 4,Q o� ," Er4��7�n,�3 v a iM 4 (. St6 Utility connections shall be within sow 4 ft. of the mobilehome, either =400 directly behind or within the rear t''`;•: half of the roadside (left) of the. mobilehome. permit will be�rep 'rea %r tl<� i:sSAGllr':IOrs 8 ��"� I I,.tiMP. 0 �> /e ao o(; - C -0 .Locatloh 4.2. Dta5rr, A1r� I Fravr Uwe /S�U /-_,;I 2 Frames eYneht- 5heal(Zrv,e+a1 skies) 6612 17"-] 3 Fram e_ -TM PIC Ment Sheol metal slol1nq,/,.-i Z 3-s6a-F& 'I Frame- Pum( House.(roetal sloin9),'_J`/1J SHog 13av n - /6/6 P (o Frame. Ir-nplerr)ent She04-NSOb aUILD1 3r:7 DEPARTMIFN`'i. %Grctin Stora92 Qins (6 -meta I)%r:1hIL1 BFrAme- Storage Sheol -;20 �1 APP'-`k*'� �Fraw,e Storage Sheol-I.c0GI IOFraW,e Storage Sheo��etal slollrg�-(CXR !z1// 579 4C u (� w>I '_. y --11 9 Are t/.,d a 2015 �`� � ` 1� _JZ-4 15 6-1 4 / (� E` ,�g�; 324.09 Ac 1 � ,yc� � � L � Z `k 1 c1 J ��°6:�. i A seto'4( of eft. from the 20' 1pro W `lines and a setback G o ( Q of from the road �,6. _ , N t i - i , 1835.45_ J ine shall be clear of "S, tijT'Yh7 7356.15 - - ta_ — ;�--5 :1 - 665�4�,g ( str �ctures or equipment excqf ' _ _ _251 - 39" 1 - ( f y a 2 ft. eave overhang. I�fR o, , 03? y4 r 52 L,r. /66.574c 93.24 Ac. i �J dj'- a W) (r, 1 t 32 94, 5 - ---i ' 153.46 3132. U1 I 2c2B.05-i - o -9 (92146)6082.5° CO 121 { I :� � 2896.39 60284) 3r32.01 501 Ac rr: , ..�' 1 1 � • ek 1J- 1' { If IPA' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville.,roalifc�n a 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT T MIT N _� n ASSESSOR PA. C=LLR ZONI G� BUILDING PERMIT o�E r TELEPI-�gg 2 —�tJfY Op`!1 SQ. FT. OCC. BUILDING VALUATION OW R'S Mp/S�/LING DR M�/ V CONTRACTO NAME r' TELEPHON CO TRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ s. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS /996 4 Penalty $ BUILDING ADDRESS �1 Permit fee $ co PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 1 l L Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomel/r Other 0 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 ea TYPE OF WORK New ❑ AdditionE_1 RemodEli l UtilesF in�stallat/ion E]Other Describe work: %tD i^ i 1 cJ 1p r� —�(n _ Permit Fee $ Contractor ELECTRICAL PERMITFiling Fee 10.00 Main service V OR L 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): El 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 El 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) 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 CONST. DWELLING OCCUP.& , OR ADONS. ACC. BLDGS. ) �Y2Sgft NEW NON -RESIT R. BRANCH CIRCUITS 2.50 ea POWER APPARATUS o- (SINGLE OUTLET CIR. ) Ex. Occu zD a a0e Occup(OUTLETS OR FIXTURES aALC 30 FIXED APLNS. Ex. QCCUp. OUTLETS PIRESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 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 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 sai ounty in onseque ce of _tbe granting of this permit. X ,_ Date Signature of App icont — wnerContractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -(RECTOR ion of structures oyer 3 stories in height. Mobile Home Installation Fee $ nn Energy Inspection Fee $ TOTAL PERMIT FEE $ O OCCUP. CONST.TYPE IFLPIPAVI P 7; 1 Is This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OF PUBLIC By. PERM(PIKES D e the applicable provi- resolutions to do fees have been paid. WORKS Date v J —� Receipt No.r WHITE-D.P.W.. YELLOW-ASSE110R. PINK -INSPECTOR. GOLDENROD -APPLICANT �Kl . ........ I, - I OIVE U., Lo 0 ti 0 cm 1 0 3> KT > Ir 0 7C M T. rn I OIVE U., Lo 0 I P tj 0 t\) C'm o j TNN KF r m LA 0 rn er cu - 41 .LoAq- P// P., j' .LoAq- P// P., 4113-10 c - 70M IT 710 tp,_713 w �- p,j 77 ION rv�p o V kp .LoAq- P// P., Ul t7— OA/ i NO t\) C 'a) 0 3> K T - X2 Z: J. Ul t7— OA/ i