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039-250-055
I 039 -250 -OW SS .94-0470P,E(MH,) KEENEY, MORRIS 2747 BURDICK RD, DURHAM UTILITIES ,MOBILEHOME ItECTRIC-v�Z-,# GAS LINE --COMPACTION TEST.SREQ - 6!<M SUPPORT--STRPCTJEQ 039-250-04F,- 94 -0471MHI .KEENEY, MORRIS 2747 BURDICK RD.., DURHAM CONT: CAL OYLER ��//`�` MOBILEHOME,INSTALLATION' V=OK O = Not OK = Not Readyabl®' MOBILE HOMES Date/Initials MOB NOME UTILITIES Plans OK except #'s o Ing Requirements -Setbacks -Easements o , Special MH Support Sketch "ewer; Location -Test -Fall -C/O Concrete 44iater; Location -Test -Easement Needed (Sketch) s-fi—ectricity; Location-Clearences-Grnd-/2dAmp-Concrote t. t. ' Gas; Location -Test -Wrap: / `Nat. or/ Clearance 8 Disconnect %Atility Clearance < < Gt Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy '00 / MISCELLANEOUS Date/Initial DECYtS, COVERS CARPORTS, GARAGES, Plana OK except #'a Zoning Requirements -Setbacks -Easements aerbotings; Soils -Size -Depth -Spacing -Connectors -Steel *�t7 cks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg.-Rfg.-Bracing S. 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 -Lendings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) s Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; 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. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'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/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. 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 Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties-Purlin-roof Brac-Trues-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 #'a 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 -Mach. 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-Drainagge & 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 Commonts at Final: .. ,.(..: is -: ,.'.,-.. ._�.:. ,: 7 � ,.;y...:r � x :. � ' ,: •. r _ r-. •. �.,. ;. :..... >.. c _,., ,:. ... .. ":I 'r:" `." } •^7 MOBILEHOME INSTALLATION ACCEPTANCE F' COUNTY-OF'BUTTE DEPARTMENT OF PUBLIC WORKS"— 7 COUNTY CENTER DRIVE y, OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 t s PERMIT NO. Address or location of mobilehome -Z, T 7 Owner's name "` ��? i 1 �'t ee✓Gr, =< Owner's address Z.Z/� �� /� .Z nsignia or hud number s i Manufacturer's name Jk Serial number 09. I.N. A (Official Approving Installation Year of manufacture m IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION' ACCEPTANCE SHALL BECOME INVALJD. THIS FORM SHALL NOT BE USED WHEN THEA MOBILEHOME IS INSTALLED ON A FO DATION SYSTEM. b ryr ,1 5138 White - Owner, Yellow - Instcl`ler, Pink - DeP W. ��- _COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95865 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT 9q 0(/'70 ASSESSOR PAR CEL NUMBER 039-250-048 ZONING A2071 BUILDING PERMIT OWNER MORRIS KEENEY TELEPHONESQ, 34 —7281 FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS R 520-4566 2243 DURHAM DAYTON HWY DURHAM CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS .. Fireplace f CONSTRUCTION LENDER UNKNOWN' Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2747 BURDICK RD, DURHAM 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 PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome (XXOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home G @20.00 go o TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities IN Installation ❑ Other ❑ Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 'OVOR LESS ) OR 200A LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) SQ. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed underrovisions of Chapter 9, Division 3 of the Business and p p 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 as the owner, am exclusively contracting with licensed contractors. (Sec 7044) Afthe work, and the structure is not intended or offered for sale. (Sec 7044) am exempt under Sec. Business and Professions Code orthis 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 FIXED APPLNS. OR Ex. Occu p' OUTLETS IflESID.I EA. ) ( 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 ZVC0 Misc. Wiring . 2300 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. N tice 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 $613, 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 in consequence of the granting of this permit. Date :�— 3 7 X� 6 � Signature of Applicant - O ner ❑ Contractor ❑ Agent �— An OSHA permit is r qulred 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 FE HAZ- .� D. FEES "' IMP Flo cDF PARC F PD HD U T_ This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By ,1 ,L PERMIT EXPIRES ON T �T (De tel provisions to do work paid. Date IA/A/ q� / Receipt No.�46O& WHITE-D.D.S.-B.D. CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "COUNTY OF OF BUTTE n ` BUILDING DIVISION DEPAR1%ItR C DEVELOPMENT SERVICES 146.9 Humboldt Road, Chico, CA - (916) 891-2751 i 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 5 /7 Ile e,- L OWNER / PERMIT NO. N^ 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 thii matter, or need additional explanation, please contact'this office im i t ly. 4-r C/ `Inspector Date �= REV 10/92 r 1 ' `Inspector Date �= REV 10/92 F.H. USI: ONLY t Han AW,ch,d ✓ ell 1:1.mr Han Atl.clwd Sent to B.D. �= TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Kam]. Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public `Private Well—/,--- Clearance ell Clearance for .2 bedroom Mobile ome. Other Hold final for: Final clearance O. K. for: NOTE: i Environmental Health Specialist. 8/92 Date C;; L . ��--'�'ti��r�...�1�-�����•�• �••- -'--moi � �...-.�„�.-tea..•+ .'r- .-,...-....-�- 66UNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA 959W65�TELEPHONE (916)538-7541 PERMIT APPLICATION DATA SHEET OWNER �l� /��/� A P. No. 039 -Z 56 - 0' Proposed Building Use Building, Inspector Date Z ZZ 5 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 plansJ3 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 gets, -,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 ("<-4P Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about .(A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ..... 20. Pre -inspection for P"ea"�e`666A `6QO�- p required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) .............. . 22. Certificate of Workmans Compensation Insurance. ...... `................... . 23. Owner -Builder. Verification (Given to owner , Mail to owner_). . 24. Recorde6'copytlof.°Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ y 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 li t. 33. SLE. v.. f e- -34. D�✓ 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _/Telephone3�3.728/ and hold for pickup at /� f office. Deliver with inspector. Other Parcel Creation T ocd-� 1771 Acreage Applicant Date Z /M Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. 0 er Date By The following data must be submitted prior to permit issuance i len 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 O�;- Dated' Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Wr)ananshiP 8b9J1 ] _ ; �Aoox'19 � � icy iy Gadd Px tI: griear bd nor the a^ell, of e, quSa ty4 P1.1dick RD. in tie Oodo IL the 4' V urdi c7Q,D, OA 4 T 850" end MOOMMOMS T b� (, tlmeg wid it W � w o chanoo OT1t9Y3.iGTt Owl ot rim Lh:gAEl�ow� 4LL AND ML as r- iJom TORat.09 AND " pgay LINMAND S p . I=:"$0?.t, THE POft a y. 9t " of yam``,' .$ is VANG, 7 , AY. 839- 2 50 - 048 dt — 3?- 5 ' - a d�I ey J ^:thkr J"4Q����l � " �}BJs �1hi).µ,� '..I, {?I( � r• ••,� + 1':����'sr�i4`}cr'Ir( w, s, 'pi'�t. s Y, µ 1 ,y,, s ( �pcl $tA. •'' + /. _....`.,s I( t I 'i "w" " ; i.� �' !'J+ , t p R , , = '4 tl .I i �''i �G 8 r, r'e , b { { 5 s.:c•11 i 's +�iwl rL{w s( f t ' � I :slid 14 , k, iJ�if}, Yl .,J rti ��ll n�;r.a 1'r7 1PY1.'�I•fl f�, �. i. i ( r: �}I•.. I � I � $i�•.,rr r 1 R„ 1 !! t t E!'i iSd II aPr� pI! q � ., 7 rl Ir � , . II i t , v i +� '!jJ �' } , .ir+��i St ,l r !) r h�l 'i. lh r{� , 3 jy �.i r , { }Y S•,.i ,5, 1 J.. S 'IS;h �). � '•(,t 1 � I `} `t r� �'�i: � I r,cil I I 1 � 3" I ..` trtJ't Yti kM';.n�. 1111 1 3 ° IIl f•t l:..f ii {�^�{t ia; `tt �I f•� ,tfl ,,,1 n{IS i '1` 7 !�lYl<<} "� 'l a+..jl , K!7(S i ,Y#, r ' �;P �3, ' ylt t✓ ; 1f � _ j '1 s �tt 1 i 1 y I q , �S f'. ',t ;Y'. I � •, <I. r}I t e !'i 1. r , ' ' 1. I' l �•. Irl '�: I , ' I , ! 1 ` 1 I � 1 •� I'll 1 0 1. Owner's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-754. MOBILEHOME INSTALLATION SHEET /t/ t 0---f/s Ve 2. Installer's Name: , 3.. Is the site currently under permit? Yes �. No (If yes, furnish permit number 071V © 76 ) OR Is the site an existing site?Yes I NoALd (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 5. What is the mobilehome electrical rating? --------------- 6. What is the mobilehome site service rating?------------- l�� Amps Amps 7. What is the mobilehome site circuit breaker rating? ----- / Q� Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes 1-1 No 2 (If yes, identify the load and size: 42UZZW (Load) (Amps) as pipe g ?-------------- 9. What is the mobilehome site i e size. - (' �/ in.) YP.. g.Fl. ?_------------------- 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?--------------------------------------------- l.� �.e (ft.) ,: * 12. What is the mobilehome gas demand?----- ---------------- (BTU) \ F .-: c *(This information not required if pipe length 1`e'ss.,-than 6 fp_ o'n. natural gas or less than 50 ft. on LPG.)' %\V, NEXT PAGE MUST BE COMPLETED TO PROCESS PERrffT APPTION. l�/ MOBILEROME SUPPORT DATA IIII If'other than single wide, / Mobilehome Mfr. 'I � � aeSk ( raoyi 26 fui:,nish Setup Model No. pl -7 Year rZ �� ft.) Tagalong or Ex ando Size ft. x (�—ft. Width / (ft.) Box Length ( g g p 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);` 1. 111 SUPPORTS (check one)pq 1. SINGLE -WIDE Wood -pressure treated or foundation grade. F] 2. Other (specify) Concrete block. 1:1 2. Other (specify) Pier Footing Sizes and Locations MULTI -.WIDE Line 1 �y � Main Beams Line 2 _ , _ — Main Beams -- — — — — — -- — �Line v Tag or Triple .� i.ine 4 Line 1 Line 1 Piers: Size-Min.------------ Spacing-Max - ----------Spacing-Max. --------- From Ends -Max. -------- Line 2 Piers: Size -Min. ------------ Spacing -Max..--------- S_ „ From Ends -Max.------- Line 3 goof Loads: . - Size -Min. ------------ Location (From Front) Line 4 Piers: Line 1 Openings: Size -Min. ----------- ux n Each Side of Openings With Width Over --------- Line 3 Piers: '(Under Bearing Wall Only) Size -Min.------------------ k Spacing -Max---------------- From Ends -Max -------------- Size -Min.------------ Q„ Spacing -Max.---'----- From Ends -Max .------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) Size -Min. ------------------ „x u Spacing -Max ----------------- From ------ ------From Ends -Max.------------- / 6 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Calv,ornia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT gq' 0g71 ASSESSOR PARCEL NUMBER 039-250-048 ZONING A20 BUILDING PERMIT OWNER MORRIS KEENEY TELEPHONE 343-7281 SQ. FT. OCC. BUILDING VAL OWNER'S MAILING ADDRESS OR 520-4566 2243 DURHAM DAYTON HWY DRAM 95 38 CONTRACTOR'S NAME CAT, OYTYR TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee' $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS' Penalty $ BUILDING ADDRESS 2747 BURDICK RD, DURHAM PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome WX Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InStallationXK Other ❑ Describe Work: MHI MHU# 9y - Q 4% PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2OOV OR LESS ) 0OA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( a ACC. BLOS. ) so - 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under P P provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) �1, 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 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 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. 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 'in consequence of the granting of this permit. Date — Signature of Appli ant -15-0 ner ❑ Contractor ❑ Agent An OSHA permit is quired for excavations over 5"0" deep and demolition or An 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• I D. FEES I IMP I FL CDF PARCEL PD I HD I I This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions above for which fees have been BY / PERMIT EXPIRES ONLl& fDa el provisions to do work paid. / ate f� J � S Receipt / ! WHITE-D.D.S.-B.D. S.-B.D. CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENT OF DEVELMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 -PERMIT APPLICATION DATA SHEET OWNER/100,16 tees(/ A. P. No. Proposed Building Use Building Inspector Date Z 2 C At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1, DATE RECEIVED All items have been submitted . ............ ......................... BY 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. 9. Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 3- sets. .. 0 11. Fees'of $ . ...... .......................... . Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Floodelevation 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). .. s9�ect20. Pre -inspection for required. a BaInspector 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. 28. 29. Letter of intent on building use . ......................................... Mobilehome utility clearance. o ............................. . ............ 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. 1-34. When you issue the permit, process as follows: I Mail to Qwner. Mail to contractor. Telephone 3k3 +728/ and hold for pickup at C -VAC e6o office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date1 11 Copy of Haz-Mat form sent Health Dept. Fire Dept. Copy of plans sent Health Dept. Fire Dept. -------- ( The following data must be submitted prior to permit i 1. In permit for above items No. 2. Additional items required: (Ci Air Pollutidn Date Date By i em 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 ounter'by -Date Plans checked by Date Plans approved by Dat _� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF"DEVELAPMENT SERVICES - BUILDING DMSION At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE 7 COUNTY CENTER. DRIVE, OROVILLE CA -95965 - TELEPHONE (916) 538-7541 OWNER z go A.P. # D 3 9l a'tbz) L((y PROPOSED BUILDING USE — DATE REC. # DATE REC 1. SCHOOL DISTRICT FEES _2` U�(paid at District Office)..............I..... .... ? . SHERIFF FEES �—('paid at Building Department) AwA ✓� Residential..... x =$ 36o ftbA1S r e po 1 --y5z unit amt. Commercial (sqft) x =$ :sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. _6k4. RECREATION DISTRICT FEES n ( District Office) paid at .... �LIU��[ ......... —� 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department] 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 94-09037 Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. I The property described herein is adjacent to land or included 94-0090371 Rec Fee 6.00' within an area zoned for agricultural purposes, and residents I Cash 6.00 of this property may be subject to inconveniences or Recorded I discomfort arising from the use of agricultural chemicals, Official Records I including, but not limited to herbicides, pesticides, and County of IButte I fertilizers; and from the pursuit of agricultural operations •Candace J. Grubbs I including, but not limited to cultivation, plowing, spraying, Recorder I pruning, and harvesting which occasionally generate 1:18 p m 28 -Feb -94 I P U B L XX 1 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 discomfort from normal, necessary farm operations. All that real property situate in the County. of Butte, State of California, described as follows: Lot 12, and -the Southeast quarter of the.'Sotithwest quarter of Section 25, Township 21 North, Range 1 East, M.D.B.&M. The North 34.04 acres of the East half of the Northwest quarter; the South 45.96 acres of the East half of the Northwest quarter and Lot 3 of the uthwest quarter of Section 36, Township 21 North, Range 1 East, M.D.B.&M. EXCEPTING THEREFROM that portion of Lot 12 and a portion of the Southeast quarter of the Southwest quarter of Section 25, Township 21 North, Range 1 East, M.D.B.&M., and more particularly described as follows: Beginning at 3/4" iron pipe with an aluminum cap marked'L.S. 3653, marking the Northean corner of said Lot 12; thence along the Ngrth line of said Lot 12, South 89 43' 38" West, 852.62 feet; thence South 0 00' 50" W st 1024.43 feet; thence parallel with the North line of said Lot 12, North 89� 43' 38" East, 849.95 feet to the East line of the Southeast quarter of the Southwest quarter of said Section 25; thence along said East line and the east line'of said Lot 12, rN�orth 0° 099'' 47" East, 1024.45 feet to the Point of Beginning. Date: ' ��� �7- 7 PROPERTY OWNERS: vIM4 c AA _rYi 5 15 . n C-7 e_ State of California County of Butte OnFeb. 28,1994before me, D. Koenig, Notary Public ------- personally appeared Norris B. Keeney ------------ proved to me on the basis of satisfactory evidence) to be the person(s) whose name(jd is/acre subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/hoetheir-authorized capacity(ieaj', and that by his/b r/their signatures) on the instrument, the persons), or the entity upon behalf of which the person(s) acted, executed the instrument.a�OF. r SHE. •" D. KOENIG WITNESS my hand cial seal. cps • E s� Comm. # 967802 NOTARY PUBLIC • CALIFORNIA d ° Butte County CgLIFOR My Comm. Expires Jun. 21, 1996 -L Signatu Seal: I V A.P. N D�J9 J�a 61)'l8 END OF DOCUMENT I ' ' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District f)uf Building Department No. A.P. Number Jurisdiction City County Property',Owner YO 0 �i t' -7 e N Property Location/Address',, 2 l l� r d Subdivison Residential Development " No. of Living MHI Units / n Commercial/Industrial New Building Department ll -f,4 ^---- Lot No. 0 Sq. Footage ( ! Z - Addition (Group R) i Sq. Footage Addition (Including Exterior Roofed Areas) Date .,.(Floor Plans reviewed by School District Personnel) District Identification No. School District certifies that (Appli nt) "(Street Address) ;` (Phone Number) (City) S has complied with the requirements of Resolution No. representing , tr square feet. Representative (State) (Zip Code) by payment of $ ti Date ,34- '57 V Paid by Check Number Remarks:c.cA�-— 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) feeformmkt (4/92) 5'c"1 `:. BUTTE COUNTY PARK FACILITY.,,FEt-PAYMENT CERTIFICATION FORM DURHAM RECREATIOWAND PARK -DISTRICT Assessor Parcel Number (s): 1. i 39 -02SZ) '(81 Property Owner (s) : `' t !� C' if I S A eif -7 -7 og,2/� 4,/ A 00-2�A Project Location/Address: Subdivison Name: Assessable Square Footage: Type of Residential Development (check one): Z Pp?`o"fi U New Development ❑ Alteration/Addition �Z T obile Home (s) ❑ Non -Residential to Residential Comments: eegl;c e.5 1-16 A CAgE --5- A4 1, l by Ae AkE ,�Dt• 1. . LC( Building Division Representative, Date Durham Recreation and Park District (DRPD) certifies that a Applicant Name Applicant Phone Number Street Address r City State 'Zip Code has complied with the requirements of the Butte County Board of Supervisors Resolution No. 93 - 114 by payment for 'N,4- square feet at $ 1...04 per square foot for a total payment /* IA l7t J7 .. DRPD Repr sentative ate PAID BY CHECK No.: Remarks: BANK No.: PAID BY CASH: RECEIPT No.: DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION BCFD VOLUNTEER FIRE COMPANIES BANGOR BIGGS BUTTE COLLEGE BUTTE CREEK CANYON BUTTE - FEATHER BUTTE MEADOWS CLIPPER MILLS � ,butte, count, LAND OF NATURAL WEALTH AND BEAUTY BUTTE COUNTY FIRE DEPARTMENT CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION "Sixty Years of Cooperative Fire Protection" 176 NELSON AVENUE - OROVILLE, CALIFORNIA 95965-3495 TELEPHONE: (916) 538-7111 FAX: (916) 533-0655 COHASSET DeSABLA DURHAM I U` `J V•" �- L^A f n � 111 �� w FEATHER FALLS FOREST RANCH GOLDEN FEATHER RICHVALE KELLY RIDGE MAGALIA NORTH CHICO PALERMO PIONEER RICHVALE STIRLING CITY THERMALITO BCFD FULL-TIME FIRE STATIONS BANGOR BIGGS DURHAM \ v (S GRIDLEY KELLY RIDGE NORD NORTH ?-4-q3 OROVILLELE PALERMO RICHVALE SOUTH CHICO UPPER RIDGE �O>•� COF FIRE STATIONS BUTTE MEADOWS G177Z� eO y ti �'/n 6- CC" �u CT�p 71t2 U C�t�2 U�f 2�v �C3Z -I t?�A I ti t ,Aj p,� -Z-74-? . -�9 -Z C-Ai,3 COHASSET FEATHER FALLS ��� f i s •�G �- ! t p�,� ,•�- /' n _�� FOREST RANCH �� �•-L) "\.`--' � � J CS L---Vt1� HARTS MILL JARBOfGAP OROVILLE H O PARADISE ROBINSON MILL STIRLING CITY BUTTE FIRE CENTER MAGALIA REFORESTATION NURSERY MAGALIA AIR ATTACK BASE CHICO FIRE LOOKOUTS BALD MOUNTAIN BLOOMER HILL PLATTE MOUNTAIN SAWMILL PEAK SUNSET HILL 'ALSO SERVING CITY OF BIGGS CITY OF GRIDLEY Ci FOS CAL^ TO Dcpt, Fax 0 224 L— DudmCAM 95938 brand fax transmittal memo 76711 # of pages I� hon p P ' 114 L7 iea 9*09 cmmt' ,SAM AS ABME -ROW co 3 1w ftwpaoet um duat w Indivi- nwn W" KMM= By N(M%L MU It UWAM COWAXY idirlw4p,UJIM(S) dcc4i S). wn Mm= tMc;S 0.00 try on fa Owund on full valic X V , vNvxp6m1wd v=-(7 ) Cpr mBddist rj= ce sijc POR A'V*ALIJANEXC.QMDCR&TfOM,,cW;i-or4tiM is p -46* Moo, Mn tot1srried 'W. 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'4U Cif =ter, an4 L*t 3 QC thu Gvuthwml; Quorter ""rCWnship 21. 146r, th, I & -p-drim an Undivld�d 25* 1 In 04 Vo all 2LfWr"I but rights, n0i lialtZ4 to. asxi.1988, and minim IrIllbu, Pleovi4fad thov entry kr-to said rea Property .13ho be pvcUbitied ftr minwaL 8ACIplorettaA or exPlo"tbe- t46 to-pyl and "SZOVU, �I 'Ifte'ludiftff k9a feat bou-N vin AtkS0 MALk%nilt�, poruca. Lat n"', or Mal of the 86LIIimx%-`q=rtmr of .8"t ftwrfted- as* follow*, PV. 3/0,71, Aran pipo, � V,:L% Cap-maiR84 Z's. ist3, art mt corner of sm Id -Lot. jma�m 12;� 04�ut*m '391 431 of was 1024.41-jesty tfie f40tV%h%fic*&mth 00 Col. $0v Wagt, nce Parallel wfth-tivi:: Narthlins, -8"d Lot 431 38, -13� PA"fth age'. Eest, 849.0% r9gt to tba Lpimrt. Lim '09 V* 9blutheast quarter .,df SdWIAW"t quaiUr. Of eald Section 25;. 346;t goat Une..c A -11M� of eadd Lot 12, mart4 07,,o9v . ft t,_Z024.4 OW, 40.0 I, _ of MQLM�ra., fewt, za %rA FbInt LND OF DOCUAMW TOTAL P.03 ❑ B.I.N. REQUEST FOR INSPECTION Permit No. Location: • Owner. Complaint: ContractororTenant: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. PRE - Form Rough Rough INSPECTION Frame/Underfloor Top Out Temp. Service Corrections Housing Stucco Lath Gas Piping/Test Service Final Job Status Stucco Brown Temp. Gas Underground Permit Renewal Fireplace Sewer Piping Well Circuit Verity Utilities OTHER Bond Beam Water Piping Light Niche Insulation Shower Pan , Nailing Corrections Corrections Corrections FOR A.M. FINSPE Final Final Final .ON 19_ P.M. Date: Time: Note: 31-171 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County'Center Dmive;- Oroville CA 95965 Phone: 916-538-7541 MORRIS KEENEY 2243 DURHAM DAYTON HWY DURHAM, CA 95938 RE: BUILDING PERMIT APPLICATION #94-0470 A.P. # 039-250-048 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm DATE: MARCH 9, 1994 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and•supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. .Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Certificate of Workmans Compensation Insurance. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. 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. _-_Mobilehome utility clearance. --Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and -revisions. sets of plans in accordance with changes marked in red. Other: RECORDED COPY OF DEED OF PARCEL CREATION Should you have any questions concerning the above, please contact SCOTT RUTHERFORD of this office. Y rs very tr ly, Mid ael C. lieira, C.B.O. MCV:ahb Manager, Building Inspection