Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
039-270-010
� / -' 39-27-10S 11' ~Dayton q.515 PE#:SJEY ST, iPermit #11,12-77B,E(util.,MH) 'ellwie / COMPACTION TEST REQ. -)j,,C2| ^ contr: Gene Schmitt Mobile Homes�Issued | / 39-27-10contr- Northstate Alum., Chico' \ �039-270-010 06-0806 | �9515 HENSLEY ST, DAYMNCONT: CHICO M.H.S. ( c+�a 1 air;: cs��' RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 U ri . - ►i ri Recorded I Official Records I County of I Butt CRME J. e6RUBBS I County Clerk-Recorderl I I 09:08AM 14 -Apr -2006 I REC FEE 10.00 COPIES 2.50 MFORIED COPY 1.00 JC Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is -in accordance with' California Health and Safety Code Section 18551. This document is evidence that such. local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. GERALD S. AND VERGIE C. MANN REAL PROPERTY OWNER/LESSOR 9515 HENSLEY ST. MAILING ADDRESS CHICO BUTTE CA 95928 ` CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION R LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE SHERWOOD MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0806 530 538-7541 ILD G PERMIT NO. V TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. SILVERCREST JUNE 1977 SHERWOOD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER WS 1579AIB 60'X 24' UNKNOWN SERIALNUMBER(S) LENGTH XWIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBE 039-270-01 O—) HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. fr , Order No.: 00227012-002 SCHEDULE C s 1 THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 10, BLOCK 4, ACCORDING TO THAT CERTAIN MAP ENTITLED, "DAYTON', WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JUNE 25, 1868, IN BOOK 1 OF MAPS, AT PAGES 3 AND 4. AP NO. 039-270-010 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 14 -Apr -2006 2006-0018945 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency ,has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. GERALD S. AND VERGIE C. MANN REAL PROPERTY OWNER/LESSOR 9515 HENSLEY ST. MAILING ADDRESS CHICO BUTTE CA 95928 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0806 530 538-7541 ILD G PERMIT NO. TELEPHONE NUMBER NATURE OF lACAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write 'NONE ) NONE DEALER LICENSE NO. SELVERCREST JUNE 1977 SHERWOOD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER WS 1579A -B 60'X 24' HN1{NOWN SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABFL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 039-270-010 r 4 Order No.: 00227012-002 SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 10, BLOCK 4, ACCORDING TO THAT CERTAIN MAP ENTITLED, "DAYTON', WHICH MAP WAS FILED IN THE OFFICE OF°THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JUNE 25, 1868, IN BOOK I OF MAPS, AT PAGES 3 AND 4. AP NO. 039-270-010 n t FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-0806 Address, or location of unit: 9515 HENSLEY ST., CHICO CA. 95928 Legal Description of Real Property: 039-270-010 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: GERALD S. AND VERGIE C. MANN Owner's address: 9515 HENSLEY ST., CHICO CA. 95928 INSIGNIA 'OR HUD NUMBER: UNKNOWN SERIAL NUMBER OR V.I.N.: WS1579A/B MANUFACTURER'S NAME: SILVERCREST YEAR: 1977 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C NOTES t Butte County Department of Development Services Neu *e aeE. O T E S 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 vrvw.buttecounty netidds oox< I RESIDENTIAL APN: Permit No. Owner. 039-270-010 06-0806 MANN, GE NALD Site Address_. 9515 HENSLEY ST, DAYTON_ CONT: CHICO M.H.S. Contractor.CONT: PERM FND(EW-._ _-- _ .- u Type of Permit .ti— SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOS FINALED: J .SIGNATURE: m, = OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET DATE D E C K S'C O V E R S'C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements i Zoning -Setbacks -Easements - 2 Soils; Special MH Support Sketch 2 Ftgs; Soils -Sz-DpthSpacing-Cnnctrs-Steel 3 Sewer; Loctn-Test; Fall/C/0-Concrete 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg 6 Yard Gas; Loctn-Test-Wrap . Nat Q or LPQ Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 7 Blckng; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-DIrncs 8 Frmg; Sills Anchrs-Studs-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -lath ' 11 Wtr & Sewer Connected -C/O to Grade 10 Roof; Shthg-Roofing ZAP 12 Gas and Electricity agged 11 Ext; Steps -Doors -landings 13 Tie Downs Foundation 12 Braced Wall pnls 14 Exits 15 Cert of Occupancy 16 HUD Label insignia Numbers Serial Numbers o'e 4. o'• m` DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining (�4 Elec Rcptcls/Lting; Distance-GFI l3' V CD , / 5 Elec Pool Lting- 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Drcltng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool lghtg Bokes-Enclsrs=pnlboards4nsulfi to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche n ` , Q — 12 Encisr,Fencing Alarms 13 Bonding, Diving board or Slide Bonding, w ice-ciIse 4$s ' 4& jPool Drawing = OK = Not OK RESIDENTIAL (S[ng(e & Duplex) DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg (Main; Soils-Elec Grnd Ftg Opth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth_ 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 64 Hold Downs and Special Anchrs T Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test tt Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts 4 oists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24'Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShfhg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws DATE. JELECTRICAL 40 Fxtr & Tmsfrmr CImc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or [:1 AL AC Wire Sz ga ❑ CU or ❑ AL 48 Range Circ Ga ❑ CU. AL 'Oven Circ ga :j CU or ❑AL Insulated Neutral E] Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp CImcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector cE+�cI PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe-, Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tub & Shwr, 2nd flr - Tub. Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE MECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & OvrfIw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic ``c` 0 DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr In Garage; abv-fir-Ducts-Medi Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub AccSpa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, GuardlHandrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr• Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp List=ed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters QYes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb Appinc-Frplc-DIrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous lnspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99. Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and License i ense Class :_ `` 7 Le Number: tl �.S /0i Daley `l Z'U6 Conlractor.C"C,f! OWNER -BUILD JxR DECLARATION I hereby affirm under penalty A perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt therefrom and. the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.): ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License. Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ' ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: '01"I certify that In the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to .become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. \ Date: WARNING: ailure to secure workers' compensation coverage is unlawful, an shall subject an employer to criminal penalties and one hundred th?usand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BP060806 Issued Date: 04/12/2006 APN: 039-270-010-000 Site Address: 9515 HENSLEY ST DAY Map Index: Description: EX MH, EX SITE ON PERM FND Owner: MANN G S & VERGIE C 9515 HENSLEY ST CHICO, CA 95928 Applicant: DOREMUS, GERALD GLEN P O BOX 4121 CHICO, CA 95927-4121 530-895-1774 Contractor: DOREMUS, GERALD GLEN P O BOX 4121 CHICO, CA 95927-4121 530-895-1774 License #: 445103 Architect: Engineer: Total Square Ft: Valuation: Census Code: 21q 1Co 1-149, q'ow 1-1©- (A s32gdgq 'x_12.-O(b 0 S. F. $0.00 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do work Indicated a ove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)fn BY: Dale: Name: I Ol8 Address: IJ PERMIT EXPIRES ON: �l2 Main) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am thefov+�er the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the subjtance any official form or document of Butte County. I hereby authorize representatives of /Butte County to enter upon the above mentioned property for inspection purpose Print Name�G'�-(�� % �� `�� Signature: Date: �'� Z ` �O )o —T ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR NSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT INFORMATION OWNER INFORMATION Last Name A� irst ame f, Address Address Address City /�� C9 y Stat Zip Phone Fax Fax E-mail 77` / � APPLICANT INFORMATION CONTRACTOR Name Name /� -/C O . -'- —5—'_ Address Address O Z State City C C) Statr Fax Zi Phone 77` / � Fax s l 7 E-mail Lic. # 1_/ 2S/03 Clas i/ 1 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Subdivision Name Fax E mail Page State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE offi a use only: AP# - -- DlD oning City Flood Zone I SRA I Yes No Occ. LENDING AGENCY Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP BIN # PROJECT LOCATION. AP# - -- DlD Property jr City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 3 Description or Scope of Work: X Si%_ C91 -t-/ X14Xt14 � Sq FT- Living , Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:K • Amount: rLJ q `1 l� Bldg SRA Receiptt#:I Vql�o Sheriff &icC # SMIP /_ Other Date: q-10- l9 rl l (� Cl I f\ O _ . _ . REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees -for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 x PERMIT APPLICATION DATA SHEET OWNER: Onnn ASSESSOR PARCEL NUMBER ()N-2-10 - O'() Proposed Building Use: Ex. Ni 517r, E M VN ermit Technician: Date:nr- Items required in orderkp apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site planta 0 4 sets, signed by the preparer of the plans. 112. Complete pans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. _ �❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. • 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down > r fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Cl 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16: Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required .......................................... o iii (� 18. Erosion Control Plan Required ............................................. y ��� 19. Fees as shown on the attached Schedule of Fees Due Sheet...... ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... ❑ 26. NPDES Form............'................................................................................ ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement.. ............................... ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. De estriction........... .................................................. ):r......... �� 35. Legal description,e, title search, registration or MCO ......................... ❑ 36. Other: , - ❑ 37. Other: When issued Telephone and hold for pickup. I have,been nformed of the above items and requirements for obtaining a building permit. Applicant.' Date: 1. Index per It application for the above items numbered: Plan Check Letter 2. AdditionaZems equired / Con�tracto design r, owner, was advised of the above data by phone, []mail, ❑ counter, by Date:A::-] .� W moi'' designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: IF Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering BUTTE COUNTY BUILDING DIVISIC APPROVED Xi2 Concrete System Engineer Approval State Approval HANIIFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE. SECTION 18531 APPROVED SUgxCT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLS STATE LAWS AND REGULATIONS Stnee of Celifomis OF COQIP AND STANDARDS 4930336 '` TiC Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by� HUD: • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at -28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide byy 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. v * Xi2 components exceed HUD code 3280.3068 "Anchoring equipment exposed to weathOg shall have 1 a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 0 0 03/09/0$ 11:15 FAX 530 343 7960 PRUDENTIALI MIF..'REALTY 1?1003 41001 MID VnLLEY _ _ (WED) 2 15 2006 16 ; 59/3T• 16 :58/ale. 501199%�`!9 F Division of Codes .sno Standards ,?0 tw Title Search Date printed : 02/15/2006 Decal 9: AAC8437 Use Code: SFT Manufacrurer: SHERWOOD Orieival Price Code: AEB' Tradenanic,: SHERWOOD Racing Year: 1977 Model: SHERWOOD Tax Type: ILT Manufactured Date: 00/00/1977 .Last LLT Amount: 517.00 'Registration Exp: 06/30/2006 Date ILT Fee Paid: 05/26/2005 First Sold Qn; 06/07/1977 1'LT Exemption: NONE Serial Number HUD Label / Insigniii LengthWidth WS 1579B Unknown 60' 12' WS 1579A Unknown 60' 12' Record Conditions: PPF Exetnpt / , Registered Owner: GERALD S MANN VERGIE C MANN (Tenants in Common Or) " C/O VERG I E G MANN 951 S HENSLEY ST CHICO, CA 95928-5927 Lact Title Dute, 03/25/1982 Gast Reg Card: 05/27/2005 Sale/Transfer Info: Unknowo Situs Addvess: 9515 HENSLEY ST CHTCO, CA 95928-8927 Situs County: 3UTT1r Inactive Decal/DMV: DMV SF3439, DMV SF3440 *** END OF TITLE SEARCH **1 a 03/09/06 11:15 FAX 530 343 7960 PRUDENTIAL CALIF. REALTY JAN -03-2006 23=45 MID VALLEY TITLE 8 ESCROW OAV eee No- 36o36 L$ •loan No. Qir r :0 "fS7•tA{Io ('�C it 1.11.1 WHEN RECORDED MAIL TO: V at I e L 31 Nil G. S: ;:P -Tin LCL",SEKUIEIQE.B d 1 . 0. .,ox 103V MUNIT 411 rjap CDico, cullr. 95926 f6[ 22922 mv-cc ggevt f"m tf.a eon mccoq"Im t,:s MAIL TAX VATEMENTS To., .O cko'I fAlw Vigawspm TAX rt JIAO LO $tl��E !w R.' :0 � � CdrparW on @tl eewer.fipn a •Matl d tam �.r<ritG OR • �,� � Co+�ar.a � m. eomlC�w..r vtlN• to. ILr or ra�fRb l Px0dpwr;m A lame cd f Sb�tini . o`IWct �f f ow. "-dm h� + %leni Mrs MID 7ALLSY TITLE AT1D B. cEAil C(3-PArr GRANT DEEB FOa A VALUABLE CONSIDERATION, rift o1 aNld+ it KEIM r rektfotrledFd. ' 'ARTKIR H. TAYLOR and JUANITA TAYLOR, his vire nater GRANTIS) to G. 3. 1''.. XI' and VERGIE/S1ANM. husband' and wife, .a Joint Tenants oro real m oretr in INC 0W%z unineorporatod cauntr of Butte stale of Calirornq. deKm�aw a rot 10, Block 11, according to that certain }inp ant;.tled, "pAYTpRd, which Nap Was filed in the office of the Recorder of the County or 3utt9, State of C911forbin, luno 25, 1866, in Book 1 or Iiapa, of peltas 3 and 14. i a:ea Fabbruary 31,1976 i li Ft_ TAYL�A 57.7E oU CAFonMu ) 1Q a?�tt► owOMr. of Z � 'A AYL� J ,vpttd a&.rebruary 23, 1976 e.t... ai.. It. a-a-VION& a Vain.�„yfk.l. the foj um := sem, ..rur .. ;eylo_r_•°Y++��•'�'�rinn,n�....+.wufnfunn»fa and u�yito Taal_ t _ � R Qol•,cfn� seA� 1�7 Lt;CY r_ ST12t.LIs O t s'• • ..CL •.I.. IS CJS �I.e.r•blM fn fL lr.tl o.ftlaf Zoamm... .A— =. ;7 `i. •... .n.•_I p'. f.r /1 W..�. Lf ItlM 44•�� ...brvdo re rsti YJn k uvomp W sor—m-evo Vm Mr ev-41J., r..;wl :wla-06& it. 1970 �... �1 ep �.. — ••surd fll. fry �...fa:.umnW...wM�u+�a,nuunhtll.uww NITx= mY fyat " gffida anal. Ste. ..w � ILea fo fw oflrla �.rII �I r Lucy C r MD711Wdvl MAIL TAX 5TATEMENTs AS DIRECTED ABOVE 1JiD oS I1004 P.04 rraming X A ) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Water Htr. BUILDING BUILDING (Cont'd) PLUMBING eltack F ewaII So 1 Piping 'ork Par ets 1 t Floor Ma IX Bldg. Rest om Finish 2n Floor Fo ins Windo 3rd oor Stem all Siding To out Slab Roof Shea In Water PI I Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa l l Insulation Heaters Slab Carport Footings Prov. for physical handicapped Conformance of ex. V structure V Appliances Gas Piping & Test Temp. Gas Slab A Final A Sanitation Patio REP ACE Final Footin s Footing ECTRIC L lasonr Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLE Motors rraming X Test Water Htr. Stucco Final Sub ane Mesh MECHANICAL Grd. F It Prot. Scra h Heatl Servile BrqAn Coo ng T mp. Pole F ish D is nder round In rior Lathentilation Permanent r C Arcloser foal Final MOBILEHOME UTILITIES ------------------ Elec. Service S S �7 Elec. Pedestal Water Piping Sewer f = Gas Piping —S— OJILEHOME INSTALLATI N - - - - - - - - - - - - - - Support / Elec. Continuity Water Piping Drainage Gas Piping DATiti REMARKS OR CORRECTIONS i (NOTE: An entry must be made on this form each time you visit the job site.) f PERMIT NO. i112-77P,E AA. a i. PERMIT EXPIRES OWNER G: S. Mann CONTR. owner LOCATION (A.P. 39-27-10 ;x SW corner of Third St. & Brown St., Dayton Y \ t T ki H i �t j Temp. Power Pole Called PG&E f { Elec. Serv. " r � t Cal/edC-&E T/OB rv. lePG&E �r % ��� FINALED ' F (Date) (Signature) a- COUNTY OF BUTTE . — ,PDLPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT .ter« �.�o �� u,c vvwny Ui ouuc LU cnicl uNun tilt:above-menti ed ro erty for inspection purposes. x Date�,/—,' 4 Signoture of��Pllermitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/VUBLIC WORKS By Date3- B ding permit expires Date BUILDING Owner s' SQ. FT. OCC. BUILDING VALUATION Mai l i ng Address �� 0 3 Tel phone No. Z" Fireplace Contractor 04 Total Valuation 7e Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address s �� /� PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Q(� Each Trap 1.50 N Repair drainage or vent piping 1.50 Water piping 00 Todng Verification Only Each gas water heater or vent 1.50 A. P. o. e o Zonin Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s .C. on F' Dept. Fire Zone Use Permit Building sewer 6-90 PQQ EQA Parking I Parcel Plans Declarat�ion� Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 ��� Ii�dEj47.ns�8 "'Parcel Approval PIa pprovaI Permit Fee $ $ OC NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 dv Main service 100 AMP ORSLESS 5.00 Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OR ACDNS. ( ACCLBLDGSLING O,CCUP. &) 20sgft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR- (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 411:1 01 Ex. Occup(OUTLETS OR FIXTURES)@L25C BAL @� 1 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 /riM 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ 7,$ L WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL N0.1 @ FEEPERMIT FILING FEE 1$3.00- Heating Cooling Ventilation Hood 2.00 $ Permit Feenn $ TOTAL PERMIT FEE S� .ter« �.�o �� u,c vvwny Ui ouuc LU cnicl uNun tilt:above-menti ed ro erty for inspection purposes. x Date�,/—,' 4 Signoture of��Pllermitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/VUBLIC WORKS By Date3- B ding permit expires Date COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OFACUPANCY This mobilehome has been installed 'in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number a� 7'`I for the following location: Owner PP% Z/2 ?4F 1.1- �A Owner's Address Mobilehome Mfg. Model 1 YearX911 Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of—Public Works Date / f— 77 By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE , — DrPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ��' Telephone: 534-4541 `/ APPLICATION AND PERMIT auulullze Iuprusentauvus or the County of Butte to enter upon the above -men 'one property for inspection purposes. X Dat Signature of Permitee or Agent Receipt No. 1 ( o(o Z 2.r White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI�T� F PUBLIC WORKS BY '\,/J(�J Date 3 A4d:R9 permit expires Date v BUILDING Owner S. vl V SQ. FT. OCC. BUILDING VALUATION Mailing Address 0. eleyl,anZ�333` �f L Fireplace Contractor �VJ t-,/iZ` Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address GAJ C®p21ve%2 or 3 h Z_P PLUMBING No. @ FEE PERMIT FILING FEE $3.00 60-L) LAI 0-\ r Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 IA4 Each gas water heater or vent 1.50 A. P. No. �-�_ ` O� Zoning &Planning Gas piping system 1 - 5 outlets �1� ��-- Each additional outlet .30 Fe a"(-- Sarrtff i Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Plans Parcel Declaration Parcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 B�m- b -d Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 I - 00V OR Main service 100 AMP ORSLESS 5.00 1 --7-,7, Main service EA. AOD'L 100 AMP 2.50 SinSingle Family Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ Main service OVER 600V 25.00 10o AMP OR 0 AM Main service EA, ADD•L 100 AMP 1.00 NEW CONST, DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 2¢sgft NEW CONSTR. MULTI.OUTLET NON-RESID, ( BRANCH CIRCUITS) 2.50ea _ NEW CONSTR. (POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Occu Ex. Occup(OUTLETS OR FIXTURES) 50 BpL� FIXED APPLNS. OR Ex. 2.00 Occup. (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor, Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ .� auulullze Iuprusentauvus or the County of Butte to enter upon the above -men 'one property for inspection purposes. X Dat Signature of Permitee or Agent Receipt No. 1 ( o(o Z 2.r White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI�T� F PUBLIC WORKS BY '\,/J(�J Date 3 A4d:R9 permit expires Date v J 1 COUNTY OF BUTTE • — DrPARTMENT OF PUBLIC WORKS • 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 07,0�7� 7 ou al—I— lVial GJV.l lVVJ UI Ll IV VVUllLy UI DULLY LU VIILCI UPVII LIIC above-mentioned property for inspection purposes. r x%ate_ L/%V Date Signature of Permitee or Agent Receipt No. 16410m, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF—PUBLIC WORKS By — Date --7r7 Building permit expires Date S�6 —7 ,� _ BUILDING Owner �� —SO FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address ,� G�E Permit Fee Plan an Checking Fee &/or Penalty C Tel jne o. Permit Fee $ Building Address PLUMBING 0.1 @ FEE PERMIT FILING FEE $3.00 _ Q/ Each Trap 1.50 epair drainage or vent piping 1.50 r piping 1.50 Each gas water heater or vent 1.50 / —'`v, A. P. No. "17Z oning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe Sett>taTlah I Fire Dept. F, re Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. ons Recd Parcel oval Plans oval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 41 Z; 7,00Nain 0V OR L service jo0 AMP ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGSOCCUP. a) 2¢.sgft NEW CONSTR. I MULTI -OUTLET NON-RESID. % BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS N & ON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le of: y A) se"&zV/ z % /y7 ZN l� Ex. Occup(OUTLETS OR FIXTURES) BA@L@1� 04 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 T Mobile Home Facilities 15.00 License No. 3__ Classification C " Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. / m -4 -5 -ave placed on file with the County of Butte a certificate of f Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ ou al—I— lVial GJV.l lVVJ UI Ll IV VVUllLy UI DULLY LU VIILCI UPVII LIIC above-mentioned property for inspection purposes. r x%ate_ L/%V Date Signature of Permitee or Agent Receipt No. 16410m, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF—PUBLIC WORKS By — Date --7r7 Building permit expires Date S�6 —7 ,� MOBILEHOME SUPPORT DATA Mobilehome Mfr. 5 7 Setup Model No. Year 7 7 Width o2 .(ft.) Length (ft'.) Expindo Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). t Center Support Locations ( t. in. r? (in.)(in.) o ©� (in.)(in.) �A x30 (in.) (in.), Center Support Q Footing Sizes (in.) X 12, x,3DI �in.) (in--.) ( ft -01 ft. - S 1�v *If center piers are other.than drawn above, draw in locations, spacing, and dimensions. Footings (check one) /7'l. Wood either pressure treated or fdn. grade. / 2. Concrete pad. 3. Other, specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify x 3�� Fooort ting Siical ze in. ) (iii. ) I n A I Max. Pier Spacing i Overhang 3)(ii Over In. BUTTE COUNTY BUILDING DEPARTMENT, APPROVED �-I 1. Owne Y•' s name: 1W BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET IV 2. Installer's name: C Lr A) E S e /1' /7'J J 7-7— IV .- 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 / ✓/ No (If no; clarify. ) 5. What is the mobilehome electrical rating? ----------------------- / O U Amps 6. What is the mobilehome site service rating? ------------------ Amps 7. What is the mobilehome site circuit breaker rating? ------------- / D D Amps 8. Is there any other electric load to be served by the mobilehome site service? ---------------------------=----------------------- Yes / / No / 7f7 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG / ;T 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.) i•10BTiXH0'M INSTALLATION INSPECTION CHECK LIST r 1. Is the mobilehome locatedw1.t1 required separation from lot lines and buildings and generally conform to plot pl,-Ul? Yc,:3 No_. 2. D0(-.; the m)bil.ehome have requircd clearances above ground? (Sec. 5085) Yes /No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles%) (Sec. 5082 & 5083) Yes P- No 4. Is the mobilehome level.? (Sec. 5088) Yes k----No� 5. If more than a single unit,,are crossover connections properly installed? (Sec. 5088) Yes No_ 5. Water. A. Is fle j_ble connector of adequate size, and properly installed (1/2" ID min.)? (Sec. 5566) " Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes�No C. Backflow - If coach is not State) of California approved, does station have backflow device and pressure -relief valve? Yes /+ No 7. Wastes and Drains / A. Is connection made with. Schedule 40 DWV and have flex connectors at each end? Yes ✓ No B. Does it have minimum z," per foot slope and is it properly supported? Yesv No C' Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ZLI�'No D. If c ch is not State of ,California approved, does station have required trap and vent? Yes P& No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas siipply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as Large as the mob ilhome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves.' 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with .connector turn. on gas,. test connections with soapy water. C. Are all appliance vents properly installed? YeszNo T^ 1•. 0 a. Electrical A. Is service Large enokigli to pr.ovid'e .adequate amperage to mobi_lehobe. (must equal rating of mobilehome faith a :-inu::um of 00 amp) an:1 other faciliti_Eis on lot, i.e., water pumps, garage, cabana, et -c. Yes; B Is there proper clearances around panels? Yes4Z No C. Is power supply cord or feeder assembly properly fused? Yes_ No_ D. Is continuity test satisfactory as per the following procedure? Yes vlNo_ 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch, all breakers and switchesin the mobilehome to the "on" position. 4. Connect- one lo... -id of a test instrument to the mobilehome grounding conductor and _,.....ie - Sly conductor, iitcludiizg neutral. apply t['te Gtu.�' .i.�ad %G each miUul.�Cuvuii Supply 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), inr.,lilding fixtures and appliances, shall be tested for continuity from such equi.pment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity tes=t shall then be made between the grounding electrode and the chassis of the ci.0bilehome.. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. Is job card signed by health Department for water and sanitation? 11.. If everything okay, sign. off card and ta; services. MOBILEi1UME_DATA /) Manufacture -.r and/or Namestyle Ler.gt Width Vehicle Serial No. State Identificat:i.on Tio. ^.dditional Information or Comments: /pr r --------------- ■■ IJl1/ ■■t■■■■S■/ ■■ ME ■■■■■■ ME= ■■■t1i�l:i�icfF`Illill�■■■Q7719�1``�'1T:1/i�7■ qNSINSI■0■10■�■■■■■ ■/q�i�■'T^i�'Tai7llii1JL:3i �.�Jiif�■Yi1>t■■■!■■q■■N■■■■Nq f ■■'■v !V!!Ell�`!!^KiE ,,[7�Ci �aq■■■ 59■Imms ■ ■■/' ■N®�gYN�OUN■h! ■q■■■■■---- 0■O■Ne� q/�■' NNriii ■ ■p' ■■N■ .q■No p� ■ .■■■ ■■■■/■■■w■®■■■r■A■■ ■//■■■■■■ q■� T!■lI7N=IFq ■■N■■■ 6 ■■!!1!IC!'J■� ,ilS; l.�d.17! , • � • II'�'tilal! 'L�■W ■■■N■■■■N■■■■■■■®���qN ®■ iii � .;n� , .. : - � ��c"� - :'�� No a= �■ i. - ■■a>t■ ■■�■r��■r■mn'■�rn� _ �crn�ci�a� . � • a�z�cL • • ■N■■Y:'t� .r:�r.�i1^.I •--- � • - `tee ■/n�n zcai w� �-Nq ■■■m■a iii R -- M iN ■■m■■t Q■i �MygH■ q a'i` ww o�;� Kit a M■O�a MAINE ON ■m ■w■rn�■��*r* Rr�r_srrrr..rr+tt�.■r,■ •■:+■ man ■ ■ . f �{ nil W■vN� �u I� . 1 �■ME■■u® ' N: N i IS ■ rIIWY■ ■ 0 bid :L i -DEPA 7Z-/ I it ..------`-------------- DAT E.._. CHKO BY -----------DATE._--. ---=-•-- SUE�JcC�"------------------------------------------------------------ SHEET NO. OF - --------- _,_L..n h JOB NO-------------------------------- - i L J T -------------------- 339- 2,7,1 v NOTE: -,-WI Materials & Workmanship Shalt Be I" Accordance with Recognized Good Practices and Of a quaiiry prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and' the National Electrical Code. All /UVII& ity connections shall 6e located. within 4 ft. outside the rear third section of the mobile home on the left (road) st4b of the- mobile home. 1 � perriiif will be required for the installo(tion of the mobile ome. .i •7 1 ; , i This set of plans aril spee+fi iNtma 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. mid- The $-Sej%ack shall be 5 ft. from the Side- property line and 50 ft.. from the centerline of the road, permitting a maxi- -- , mum. of a 2 ft, eave overhang but entirely i out of all easements. '� Septic system Bu "f to be as per County Health Dept. Re- quirements. L"), - t�,� BUTTE COUNT BiJILDING DEPARTMENT ;APPROVE® l Z' 6 'tX i;414 - 6 e, a wfi - vT E R P1 7h �- ST Uj '' --- PERMIT N0. ' 3742-81B PERMIT EXPIRES l OWNER Gerald S. Mann CONTR. Northstate Alum., Chico ASSESSOR PARCEL 39-27-10 LOCATION 9515 Hensley St., ico r i 3 4 i f t Temp. Power Pole L Called PG&E ! Temp. Elec. Service c /Called PG&E Temp. Gas Service Called PG&E JOB FINALS(Date) Al Signatur (/ i = OK = Not OK Not Applicable = Not'Ready RESIDENTIAL (*.inglet and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn: Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 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 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except p's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date o PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air . 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. 17. D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except N's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps _ _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes []No28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI _ Date Card -BI Date WDate Card -BI Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors _ 37. 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. 44. Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.,f - 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 (NOTE: Anentry must be made each time you visit job site) OK =-Not OK = Not Applicable MOVLEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS,,.COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements fetpfiling Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete S,--9ecVs-,�Yirders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) AWn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG worts; Windows—Doors 7. Utility Clearance 7--&tec'. Card -BI Date Card -BI Date Card-BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men— Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 6. Water; MH Test—Regulator—Connector 7. Water and Sewer Connected—C/0 to Grade—HD Approval 5. Elec.; Pool Lighting; 15 volts—GFI 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERM41T NO. • 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICNTI'ON'AND PERMIT All Id/, ASSESSOR PARCEL NUMBER 039 27'`0 010'0 ZO INk �� l.J BUILDING PERMIT OWNER Gerald S. Mann TELEPHONE 342 3333 SD. FT. OCC. BUILDING VALUATION 660-00 OWNER'S MAILING ADDRESS ,951'5 Hensley St. Chico CONTRACTOR'S NAME _ Narthstate. Aluminum TELEPHONE 343 7956 a CONTRACTOR'S MAILING ADDRESS 3029—A Esplanade, Chico, Ca. Fireplace Total Valuation Is CONSTRUCTION LENDER UNKNOW Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit.Fee $ a/jo ARCHITECT OR ENGINEER LICENSE NO. 65 4 Plan Checking Fee $ Q Penalty $ A I CT G E 'S MAILING ADDRESS P AARI Permit fee $ BUI D N A S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 �-, Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Building sewer Lawn sprinkler system 5.00 ' TYPE OF WORK New R9 Addition Z' Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 111 x 101 aiming Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST./ DWELLING OCCUP.& OR ADDNS. \ ACC. SLOGS. 2¢ sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [R I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. B B License No. 274008 Classification —1 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.TI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR /POWER APPARATUS 61 NON.RESID. \SINGLE OUTLET CIR.` / 50 @ 25¢ Ex. OCCUp OUTLETS OR FIXTURES BAL�1 FIXED APPLNS. OR EX. Occup. TS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. EX 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabilit'es, judgments,•costs, and expenses which may in any way accrue againsta/ d County in conseque e e granting of this permit. X �� Date 9129�81 Signature of Aalicont - Owner ContractorE], Agent IN An OSHA permit is required for excavations over 5'0" deep "and demolition or Construct- ion of structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE -$30 -! Occu P. GROUP �( I TYPE OF CONST. v �/� PARCEL [7-67N ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PER EXPIRES Gate the applicable provi- resolutions to do fees have been paid. WORKS Date— �— /3 56 Receipt No. 633 WRITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT 039-270-010, PERM-IT#95-3121 MANN, Gerald* y 9515 Hensley St.,',Dayton .Cont; Harry Baker Ele Ser Ch/MH T OFFICE COPY AddresS-5/6 y y - GAS Meter By ELECTRIC Meter by-'az� Date Y ;�,� -,.Acs---•'TMS ; ,.ia�.w}wr��• ...� tl'�""';; :�'�{��,.: +':�t'e'!^•''7 I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, Cal'Fornia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT` /o? �S�F B-ag�ELJ�W v Y L zOA40 BUILDI PERMIT MA '�AI.D MANN TELEPHONE 34z-3333 SO, Fr, OCC. BUILDING VALUATION 'uu�p�S"��{q3�p "OCDgffyyy�� ST, DAYTON [l�Cil� l IHER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIWOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Penalty $ BUILDINGADDRESS 9515 HEKSLEY DAYTON PERMITFEE PERMITFEE $ Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDN5pN5 NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Y3 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELEC SERVIU Mobile Home ::TFFG FwK @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service OOOV OR LESS ( z00A OR LESS ) 23.00 23-00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. IVI, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SO. OR ADDNS. ( & ACC. BLDS. ) 3.50 Fr. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 00 BAL .50 Ex. Occup. ouriED PLNS OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.001 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _� lu/t�c�G---- Date " - "� _�' �j_' Signature of Applicant--' Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE I TOTAL FEE $ 43.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMIT EXPIRESON___ /i :2 applicable provisions Resolutions to do work been paid. / Date �L/Z %� ate) ReceiptNo. l 1 6 �.�� _ WHITE-D.D.S.-B.D CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Orovillp, Caiifriia 0965 - Telephone (916) 538-7541 PERMIT NO. NZ APPLICATION AND PERMIT 5 _ 3%a SD DEL uM ER �� iOTT- 61 d ZONING A40 BUILDI PERMIT ALD MANN 342 3333 SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 9515 HENSLEY ST, DAYTON CONTRACTOR'S NAME HARRY BAKER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation is LENDER'S MAILING ADDRESS _ Fling 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 9515 HENSLEY DAYTON PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeX7 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELEC SERVICE Mobile Home I S I G1 W I @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( e--vOORORLELEssSS ) 23.00 23.00 200A Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ADDNS. ( a ACC. BLDS. ) 3.50 Fr. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS @7.50 `) ( a SOINGLE OUWER ff- ET A—USR. / Ex. Occup. ( OUTLET OR FD(TURES ) 20 Q 1.00 BAL .SO Ex. Occup ouFIr%FAPPLNS. .Oq (ESID) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shflll forthwith comply with those provisions. _ X-- Date �_ Signature of Applicant - 23.1owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TV PE TOTAL FEE $ 43.00 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMITEXPIRESON (Dte) Receipt No./ �� WHITE-D.D.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY, BUILDING DIVISION APPROVED A-9 �� y>on/ CA, V BUTTE COUNTY, BUILDING DIVISION APPROVED A-9 �� y>on/ CA,